Sports Camp at Light of Life Community Church on Sunday July 10  to Thursday July 14th from 6-8pm (Free)
 Light of Life Community Church. 1920 E Kings Highway, Coatesville, PA. 19320   (484) 378-9147
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Sports Camp
Please fill out the information below if your child plans to attend Sports Camp. Thanks so much.
CHILD'S NAME *
This waiver must be signed by the child’s parent or guardian   I understand the light of life community church sports program, the board of directors, and the staff are not responsible for any accident or injury occurring to ( campers) _________________________________ While attending the light of life community Church sports camp, July 10 through July 14, 2022 *
CHILD'S AGE *
Grade Level *
Grade in the Fall
CHILD'S BIRTHDATE *
PARENTS NAME *
Enter the first and last name of one of your parent/guardians.
ADDRESS *
Parent 1 Phone *
Enter the phone number of "Parent 1" listed above.
2ND PHONE NUMBER
PARENT EMAIL
Emergency Contact:  Name, relationship, and Phone Number *
NAME OF HOME CHURCH
Enter the name of your home church.
LIST ANY SPECIAL NEEDS/ALLERGIES OF CHILD *
SIBLINGS ATTENDING
Who is allowed to pick your child up?  (First and Last name) *
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