Sports Camp Registration

Missfits - Sports Camp Registration 2017
Personal Details
Name
First NameLast Name
Gender
Date of Birth
DayMonthYear
Shirt Size
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Church (If Applicable)
Cellphone Number
Area CodePhone Number
Contact E-mail
Been before?
Preferred Sports
Sport #1
Sport #2
Sport #3
Sporting Achievements
Brag about how good you are:
Emergency Contact Details
Name of Emergency Contact
Must be available 24 hours a day during the camp
Relationship to you
Phone Number
Area CodePhone Number
Work Phone
Cell Phone
Medical Details
Specify any conditions that may effect you during camp and require special care:
Medical conditions
Medication - Specify any medication that you may be taking during camp:
Are you allowed to be administered Paracetamol?
Last tetanus shot Date:
Dietary
Dietary Requirements - vegetarian, dairy-free, nut-free, gluten-free, other food allergies etc:
Bus Service and Time
Should be Empty:

Preferred Sports