Form

"It's a Kick!" Soccer Camp Registration
This soccer camp is for any children in the greater Wisconsin Rapids, WI area who have completed grades Kindergarten - 8, and is sponsored by Calvary Baptist Church of Wisconsin Rapids with the help of RASI and our public school system.
Parent or Guardian Last Name*
Parent or Guardian First Name
Street address
City
State
Zip Code
Phone Number*
- Area Code Phone Number
E-mail
Last Name of Child 1*
First Name of Child 1*
Grade just finished in school
I have more children to register*

1 more child 2 more children 3 more children 4 more children No more children to register

Last Name of Child 2
First Name of Child 2
Grade just finished in school

Last Name of Child 2
First Name of Child 2
Grade just finished in school
Last Name of Child 3
First Name of Child 3
Grade just finished in school

Last Name of Child 2
First Name of Child 2
Grade just finished in school
Last Name of Child 3
First Name of Child 3
Grade just finished in school
Last Name of Child 4
First Name of Child 4
Grade just finished in school

Last Name of Child 2
First Name of Child 2
Grade just finished in school
Last Name of Child 3
First Name of Child 3
Grade just finished in school
Last Name of Child 4
First Name of Child 4
Grade just finished in school
Last Name of Child 5
First Name of Child 5
Grade just finished in school

Please choose one of the payment options below.
My Products
2010 Soccer camp registration fee (1 camper) - I would like to pay now with my credit card or Paypal account. $15.00 USD
2010 Soccer camp registration fee (2 or more campers) - I would like to pay now with my credit card or Paypal account. $30.00 USD
I will deliver or mail my $15 or $30 registration fee to the church office on or before July 25. ($10 late fee after July 25) Free

Total: $0.00 USD
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