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2024 SPORTS CAMP REGISTRATION
Ages 6-12 July 8-12 West Perth Community Centre
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* Indicates required question
Email
*
Your email
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Emergency Contact First Name
(Different than person registering)
*
Your answer
Emergency Contact Last Name
(Different than person registering)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's T-Shirt Size
*
XS (Youth Size)
S (Youth Size)
M (Youth Size)
L (Youth Size)
S (Adult)
M (Adult)
L (Adult)
XL (Adult)
Child's Age (at time of camp)
*
Your answer
Child's Birthday
*
MM
/
DD
/
YYYY
Registrant's Gender
*
Male
Female
Registrant's Health Card #
*
Your answer
Does your Child have an Allergy?
*
Yes
No
If Yes, What is the Allergy & is medication required?
Your answer
Do you consent to Photos taken of your child (for promotional use)
*
Yes
No
I agree to complete the waiver and consent form on registration day.
*
Yes
Send me a copy of my responses.
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