MEGA SPORTS CAMP 2018 REGISTRATION FORM

Child's Name:
Gender:
Age:
Grade:
Allergy/Medical Conditions/Concerns:
Parent/Grandparent Name:
Address:
Email Address for Confirmation:
Group Request/Friend Name:
Favorite Sport:
Home:
Office:
Cell:
Please list all the name(s) of all persons authorized to pick up your child:
Please tick your Choices:
Signature
Date:
Membership #/Sponsor Name: