Free Summer Sports Camp

K-6th Grade Students at Angle Lake Neighborhood Church July 11-15, 2022 from 9-11am

Please preregister by completing the form below.

Vacation Bible School Preregistration

Fields marked with a * are required.

* Student's First Name

* Student's Last Name

* Street Address

* City

* State

* Zip Code

* Primary Phone #

* Date of Birth

* Parent/Guardian Name(s)

* Emergency Contact Person

* Emergency Phone Number

is it okay to text you updates on our children’s ministry programs? YesNo

* Parent/Guardian Cell Phone #

is it okay to email you updates on our children’s ministry programs? YesNo

* Parent/Guardian Email Address

Doctor’s Name

Doctor's Phone #

Insurance Plan

Insurance Number

Medical Problems To Be Concerned About:

Food(s) to avoid

Allergies

Date of last Tetanus Shot

Photo Release:

I grant Angle Lake Neighborhood Church the absolute right to copyright, re-use, publish and republish by any medium, including electronically, any photos of my child or in which they may be included, that may be taken while participating in Angle Lake Neighborhood Church activities. YesNo

* I have read and accept the terms of Angle Lake Neighborhood Church's Medical and Liability Release.

Have questions? Call us at 206-244-7600.