Child Information

Child's name *

Child's gender

Child's age

Date of birth

Last school grade completed

Desired shirt size *
---Youth SYouth MYouth LAdult SAdult MAdult LAdult XL

Parent Information

Name of parents *

Street address *

City *

State *

ZIP *

Home telephone area code

Home telephone

Parent / caregiver's cellphone area code

Parent / caregiver's cellphone area

Home email address

Home church

Additional Information

Allergies, medical conditions or special needs

In case of emergency, contact *

Phone *

Relationship to child *