Soccer Camp 2024 • Maranatha Baptist Church

Soccer Camp is June 10-14, 2024 from 9:00a.m.-12:00p.m. It is for kids 5 Yrs (as of Sept. 30th) - 6th (Fall 2024) - for those new to the sport, as well as, experienced players.

Registration through 5/6: $40/ticket

Registration from 5/7 - 5/20: $50/ticket

**Each child receives a t-shirt, water bottle, and a drawstring bag as part of their registration fee.

If you have any questions, please reach out to office@mbccolumbus.org.

Date & Time

June 10, 2024 9:00 AM - June 14, 2024 12:00 PM

48 out of 170 remaining tickets available

Type

Price

Quantity

Early Bird Registration (1 ticket per child)

48 Remaining

Price
$40.00

Quantity

Enter discount code

Early Bird Registration (1 ticket per child) 0

Family Information

Parent First Name *

Parent Last Name *

Email Address *

Phone Number *

Have you already filled out the family information for another child? *

Tip: This information includes: Address, PIN #, and Emergency Contact Information. If this is the first child you are registering, please select "No".

Street Address *

Address Line 2

City *

State *

Zip Code *

Pick-Up PIN # *

Tip: This is a 4 digit number for verification during pick-up - 1 Pin # per family

People Authorized to Pickup Your Child(ren) *

Do you have a regular church home? *

Yes

Not Really

Name of Church Home *

Emergency Contact Information

Emergency Contact #1

First and Last Name *

Tip: Please list someone other than yourself

Phone Number *

Emergency Contact #2

First and Last Name *

Phone Number *

Child Information

First Name *

Last Name *

Gender *

Date of Birth *

Age as of 6/10/2024 *

Grade - Fall 2024 *

What school does this child attend? *

Years of Experience Playing Soccer *

T-Shirt Size *

Tip: 100% Polyester slim cut, Youth size unless otherwise marked

Please list any requests for teammates

Tip: Teams are divided by age, and are dependent upon the final number of registrants. We will do our best to honor the first request whenever possible. Second requests are limited and only as available

Please list any allergies *

Please list any medical conditions *

Consents

I hereby give my consent to Maranatha Baptist Church and its leaders to obtain medical or surgical care for my (our) dependent(s) should an emergency arise in which such service is indicated. *

By typing my Full name below, I am digitally signing that, I acknowledge, and agree that:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest volunteer immediately; and,

4. I agree to carry insurance, or have the financial resources, to cover the expenses related to personal illness, personal injury, injury caused to others, and/or damage to property.

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Maranatha Baptist Church, their officers, agents, and/or employees, other participants, and volunteers (RELEASEES), WITH RESPECT TO ANY AND ALL ILLNESS, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Release of Liability *

Tip: Please Type Your Full Name