Valleydale Church
Tuesday, June 18, 2013
Worship God | Connect with Others | Serve the World

Football Camp Registration

After completing this online registration form in full, you will be taken to the online store to submit payment for the registration fee of *$50.

 
Participant's First & Last Name 
 
Parent(s) Name 
 
Grade (this Fall)           Male       Female 
 
Mailing Address:      City:      Zip: 
 
Home Phone:      Cell Phone: 
 
Email:  
(You will receive an email copy of this registration form.)

Emergency Contact:      Phone: 
 
List any allergies or conditions your child has that we would need to be aware of for the purposes of the football camp: 
 
How many seasons has your child participated in football: 
 
Child's T-shirt size (choose one): YXS    YS    YM    YL    AS    AM     AL    AXL    AXXL 
 
 
 
*a $3 processing fee is added to online purchases