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Immanuel Lutheran Soccer Camp - June 17-20, 2019 - 9am-11:30am at Woodmansee Park
Registration Cost: $20 for first child; $10 for second child; $40 for family of 3 or more
Registration Fees Due on the First Day of Camp
Cash or Checks Accepted
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Email
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Your email
First Name of Child
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Your answer
Last Name of Child
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Your answer
Age of Child
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Preschool (4 years old)
Entering Kindergarten
Entering Grade 1
Entering Grade 2
Entering Grade 3
Entering Grade 4
Entering Grade 5
Entering Grade 6
Entering Grade 7
Entering Grade 8
Full Name of Parent or Guardian
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Your answer
Emergency Phone Number of Parent or Guardian
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Your answer
Does Your Child Have Allergies?
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Yes
No
If Yes, What Allergies Does Your Child Have?
Your answer
What Size T-Shirt Does Your Child Need?
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Other:
Do we have permission to post photos of your child on Facebook or our website? (Photos might also be used to create fliers and other promotional materials for next year)
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