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Sports Camp Registration form

Sports Camp Registration 2021

Child's Name*
First Middle Last
The name you go by*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent/guardian Name*
First Middle Last
Cell Phone*
Home Phone
Work Phone
Email*
Child's DOB*
Grade Leaving*
- K
- 1ST
- 2ND
- 3RD
- 4TH
- 5TH
Can your child be photographed/videoed?*
- Yes
- No
Has your child, or anyone else in your household been exposed to COVID-19?*
- Yes
- No
Has your child, or anyone in your household displayed any symptoms of COVID-19 in the last 14 days?*
- Yes
- No
Has your child, or anyone in your household been to a high risk area in the last 14 days?*
- Yes
- No
Has your child, or anyone in your household traveled outside the US in the last 14 days?*
- Yes
- No
Please tell us anything important that we should know about your child*
Does your child have any allergies or medical conditions that we should be aware of?*
Emergency Contact Information
Emergency Contact #1*
First Last
Relationship to child
Address for Emergency Contact #1*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone for emergency contact #1*
Emergency Contact #2*
First Last
Relationship to child
Address for Emergency Contact #2*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone for emergency contact #2*
Emergency Contact #3*
First Last
Relationship to child
Address for Emergency Contact #3*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone for emergency contact #3*
Signature*
Understand that by signing this form you are stating that all the information you have given on this form is true and that you agree with the Sports Camp Liability and Permission form
Date Signed*
MM slash DD slash YYYY

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Sponsor a Child

BGM Website
Sponsorship Programs
Sponsor a Child
- Galette Chambon – Available
- Thoman and Mathias Children – Available
Sponsor Updates
- Galette Chambon – Sponsored
- Thoman and Mathias – Sponsored
BGM Gift Guideline

Sponsor a Child

BGM Website
Sponsorship Programs
Sponsor a Child
- Galette Chambon – Available
- Thoman and Mathias Children – Available
Sponsor Updates
- Galette Chambon – Sponsored
- Thoman and Mathias – Sponsored
BGM Gift Guideline

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