Soccer Camp Registration

Soccer Camp Registration Form - July 6-10, 2015 - $60/child ($62.95 if paying online)

Child 1 Name *

First

Last

Allergies or Health Concerns *

Child's Age & Grade in School *

T- Shirt Size *

T-Shirt Sizes: Child - CS, CM, CL Adult: AS, AM, AL, AXL, A2XL

Attended Previously? *

Child 2 Name *

First

Last

Allergies or Health Concerns *

Child's Age & Grade in School *

T-Shirt Size *

T-Shirt Sizes: Child - CS, CM, CL Adult: AS, AM, AL, AXL, A2XL

Attended Previously? *

Parent's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Person(s) with permission to pick up my child, and their relationship to the child *

Home Phone Number *

Cell Number (best number to reach you during camp) *

Email *

How did you hear about our camp? *

Does your family attend church? Where? *

To Pay Online:
After submitting this form, please return to our home page and click on "Online Giving". Log in or set up an online profile (you will be required to set up an online profile if you have not donated or made a payment on our site before) and hit "Add Transaction". Fill in the correct camp amount ($62.95) in the "Board of Education/Soccer Camp" box and continue to follow the directions. (The additional $2.95 is for electronic processing fees.)

To Pay by Check:
Write a check for $60 payable to Mt. Calvary Lutheran Church, with "2015 Soccer Camp" and the child's name in the memo line, and mail to Mt. Calvary Lutheran Church, 9321 Litzsinger Rd., Brentwood, MO 63144.

Submit