Soccer Bible Camp 2020

Child's First Name*
Child's Last Name*
Date of Birth (MM-DD-YY)*
Name of Parent(s)*
Child's gender*
 Male
 Female
House or Apartment Number*
Street Name*
City*
Postal Code*
Phone Number *
Email Address*
Is your child baptized?
 Yes
 No
Does your family have a church that regularly serves your spiritual needs?
 Yes
 No
If so, what is the name of your church?
Emergency Contact Number*
Emergency Contact Name*
Does your child have any special needs, allergies, or anything else we should keep in mind?
How did you hear about Soccer Bible Camp?*
 Facebook
 From a friend
 Other
If some other way, please comment:


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