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Sports Camp Registration Form
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Email
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NV Sports Camp 2024
Monday, June 3 - Thursday, June 6 | 6:00 - 7:30 p.m.
Kate Collins Middle School
Ages: 6 - 13 yrs. | Cost: FREE
Please complete one form for each child. Thank you!
New Valley Church Contact: Ben Craft ben@newvalleychurch.com
Child's First and Last Name
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Your answer
Child's Date of Birth
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MM
/
DD
/
YYYY
Child's Gender
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Female
Male
Preferred Activity
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Arts & Crafts
Chess
Soccer
Street Address
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Your answer
City
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Your answer
State
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Your answer
ZIP
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Your answer
Does your child have any conditions or concerns, medical or otherwise, of which we should be aware? If so, please explain.
Your answer
Parent or Guardian Name
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Your answer
Parent or Guardian Phone #
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Your answer
Parent or Guardian Email Address
Your answer
2nd Emergency Contact (Not Parent or Guardian)
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Your answer
Relationship to Child
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Your answer
2nd Emergency Contact Phone #
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Your answer
2nd Emergency Contact Email Address
Your answer
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