Mega Sports Camp Registration
St Peter Lutheran Church
June 10 - 14   9am - 12pm
Registration opens
April 1st - May 8th  $20 per child (early bird special)
May 9th - May 22nd  $25 per child
May 23rd - June 3rd $30 per child (late registration)

Registration closes 4pm on June 3rd - space is limited (to reserve your spot, payment must be received)
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Name of Child Participating *
Address *
City *
State *
Zip Code *
Age *
Last School Grade Completed *
Gender *
Required
Sports Choice *
Required
Multiple child discount is availble
T-Shirt size *
Guardian(s) Name
Home Phone
Cell Phone
In Case of Emergency contact Name *
Emergency Contact Phone Number *
Special concerns (food or environmental allergies, medications, medical conditions, etc)
Name of Parent or Guardian *
Date
MM
/
DD
/
YYYY
Signature of Parent or Guardian
Please print and sign copy of form and bring to church office with check or money to register your child(ren).  Make checks payable to: St Peter Lutheran Church - memo Mega Sports Camp
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