What is your first choice?
Baseball
Softball
Soccer
Football
Volleyball

What is your second choice?
Baseball
Softball
Soccer
Football
Volleyball

Student First Name

Student Last Name

Birthday

Grade entering in the fall

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email Address

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Emergency Release/Waiver: I give permission for my child to be treated by a physician in case of an accident or injury. I understand that attempts will be made to contact me if an injury occurs. I also understand neither Now Church nor any worker will be held responsible for any injuries that may be sustained by my child during Now Church Youth Sports Camp. By checking this box you signify your agreement to the above.*
I agree

I grant my permission for my child's picture to be used for publicity purposes on church media platforms, including, but not limited to publications, web, social media and video.*
Yes
No