Clatskanie Community Church

Soccer Camp Registration

Registration

Camper Registration ($170.00*) + Fees and Processing

NOTE: Approval of the waiver form (below) by the parent/guardian will be required before camper(s) are confirmed for camp. Copies of waivers are available upon request. Contact [email protected] if desired.

Camper Info

The camper must be entering 1st Grade at the time of the camp. If his or her age is less than that, the camper will not be able to register. We invite you to join us when the minimum age is reached.

Name

Gender

Male
Female

Date of Birth

Age on the first day of camp

How did you hear about Ambassadors Soccer Camp?

If applicable, what church do you attend?

What school do you attend?

Is this your first time at an Ambassadors Football Camp?

Medical Information

Allergic to Food?

Yes
Registrant has severe allergies or reactions to food.

PLEASE NOTE: The Ambassadors Football Camp cannot guarantee that any camper with allergies will not be in proximity with causes of allergic reactions. Parents or guardians allow their son(s) or daughter(s) to attend camp at their own risk.
No

If you answered yes, please explain

Other

Parent/Guardian Info

Relation to Camper

Name

Mobile Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to cancel. View our terms of service & privacy policy.

Address

Terms

I have read and agree to the terms above.

Emergency Contact Info - If a parent/guardian cannot be reached

Relation to camper

Name

Mobile Number

Running Total

$178.73

Includes $8.73 of processing & fees

Coupon Code

Total

$178.73

Includes $8.73 of processing & fees

*Convenience fees are designed to cover the costs associated with offering credit card payments as an option.