2018 Elementary Sports - JUNE - Child
UCUMC | June 4-8 | 9am-1pm

COST: $45 per child.

STEP 1: Please complete one registration form per child.

CHILD INFO


FRIEND REQUEST

FRIEND REQUEST: One friend request of the SAME GRADE can be indicated below. Both friends must request each other on their form. Please understand that we cannot guarantee same-class placement. We will make every effort to place your child with the friend request submitted on their form, but there is no guarantee. Friend requests can not be made on the day of camp, due to the number of children attending the camp. For more information, please contact Jesse Bachman at jessebachman@ucumc.net.

**Both friends must request each other on their form.**


PARENT/GUARDIAN INFO
**used for communication and confirmation emails - check for typos**


ADDRESS


CHILD MEDICAL INFO


EMERGENCY INFO


*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for UCUMC use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).



*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

  • I have read and understand the above information. The information I have given UCUMC is accurate and true to the best of my knowledge.
  • My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

 

Due upon registration.


When this form is processed, you will receive a confirmation email with payment instructions. Thank you!