Mega Sports Camp Registration Form

Child's Name *
First Name
Middle
Last Name
Child's Date of Birth*
Home Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Child's Guardian Name*
Guardian's Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Guardian Phone #*
Emergency Contact Name*
Emergency Contact Number*
Child's Grade Next School Year *
Child's Age as of July 2016*
Child's Sex
Sport Child Would Like To Play *
Does your child have any allergies?*
Specify Allergies
Does your child use an inhaler for asthma?*
Please list any special concerns we may need to be aware of for your child