Sports Camp Registration

Mega Sports Camp

Kid Nation of Family Community Fellowship

10700 Brimhall Road
Bakersfield, CA, 93312
www.familycommunityfellowship.com

Participant Information

First Name

Last Name

Gender

Birth Date (2-12 years of age) Must be potty trained +

Grade

Allergies/Special Health Considerations *

Amount Per Child **Includes: Skill Enhancement in the chosen sport, water bottle, string bag, wristband, Gospel ball, t-shirt, & snack** *

1st Child: $25

2nd Child: $20

3rd Child+: $15

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone

Alternate Phone

Email Address *

Signature *

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