The Church at West Creek Soccer Camp Registration 2023
Please complete the form below to register your child for the upcoming soccer camp on June 28-30.

Times for the camp:
June 28: 6-8 pm
June 29: 6-8 pm
June 30: 6-8pm 

Address: 2707 Grantwood Drive Parma, OH 44134
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Email *
Child's First and Last Name *
Parent's First and Last Name *
Parent's Phone Number *
Parent's Email Address
Emergency Contact Name (Other than Above Parent) *
Emergency Contact Phone Number *
Child's Age *
Please list any allergies or medical conditions your child may have or put NA (Non-Applicable) *
Would you like to be notified of other events The Church at West Creek sponsors? *
How did you hear about this soccer camp? *
By submitting this form I am releasing The Church at West Creek & its all employees & associates from responsibility of any injury or damages that might occur. I hereby authorize The Church at West Creek staff & associates to act for me according to their judgment in any emergency requiring medical attention & I hereby waive & release The Church at West Creek,  its employees & associates from any & all liability stemming from any injuries or illnesses incurred while at the camps. I have no knowledge of any physical impairment which would be affected by participation in the camp program as outlined. I understand these camps include strenuous physical activity. The Church at West Creek has my permission to use photographs of the undersigned minor children publicly. I understand that the images may be used in print publications, online publications, presentations, websites, & social media. I release The Church at West Creek from any expectation of confidentiality for the undersigned minor children. I attest that I am the parent or legal guardian of the child listed below & that I have the authority to authorize The Church at West Creek to use his/her photograph. I also understand that no royalty, fee or any other compensation shall become payable to me by reason of such use.     Parent(s) / Legal Guardian(s) must review the above release and submit their agreement by typing/signing their name below.     *
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