Please fill in all fields marked with a *
	Which Camp are you registering this child for	Select OneAdventure Camp for incoming Kindergarten to 5th GradeSoccer Camp for incoming 6th Grade to 8th GradeBasketball Camp for incoming 9th Grade to 12th Grade*
	Childs Last Name	*
	Childs First Name	*
	Home Address	*
	City	*
	State	*
	Zipcode	*
	Gender	male female *
	Age	*
	Birthdate	*
	Grade this Fall	*
	First Language Spanish	yes no *
	Email Address	*
	School	*
	Home Church	*
	Guest of
	Who is authorized to pick up this child and their relationship to child one person per line	*