Soccer Camp 2018 Registration

Mighty Fortress Soccer Camp Registration

Ages 3 through entering 4th Grade
Monday, June 4th - Thursday, June 7th, 2018
9am - noon

Please complete one form for each child . You may make one single payment at the end.

* Indicates required field

Child's Name *

First

Last

Grade (Entering in Fall of '18) *

T-shirt Size *

Parent's or Guardian's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Best Phone Number *

Secondary Phone Number *

Email *

Additional Emergency Contact Person *

First

Last

Emergency Contact Phone Number *

Allergies or other Concerns *

Consent
My child desires to participate in the soccer camp on June 4-7, 2018 located at St. Peter Lutheran Church, 3461 Merle Ave in Modesto, CA. The parent/guardian listed above acknowledges that there are dangers and risks of injury inherent in sports activities, but still allows his/her child to participate in said activities. THEREFORE, the undersigned, for and in consideration of the opportunity to participate in the Mighty Fortress Soccer Camp and for other good and valuable consideration, does hereby accept full responsibility for liability and cost of treatment of injury to the above registered person. The undersigned does hereby release the coaches/assistants and St. Peter Lutheran Church from all liability resulting from negligence and agrees to hold them harmless for any injuries and/or damages his/her child may sustain arising out of the activities inherent in a soccer camp. The undersigned further declares and represents that no promise, inducement or agreement not herein expressed has been made to the undersigned, and that this release contains the entire agreement between the parties hereto, and that the terms of this release are contractual in nature and are not a mere recital.

Consent Agreement *

I have read the consent form and agree to the terms

Do you have a church home? *

Yes No

Interested in St. Peter Lutheran Church?

I would like to learn more about the following: *

Attending St. Peter Lutheran Church St. Peter Christian Preschool Baptism or Bible instruction for my child

Anything else you'd like us to know? *

Submit Registration

We worship each Sunday at 9:00am
Worship is the beating heart of the Christian faith and an important part of life at St. Peter. We hope you join us soon!