Dive Into Summer Registration

staff photos

Family's Name
Mother	and/or Father

Sign Me Up For: VBS SportsLife Aquatic Center All 3
Child's name		Grade		Age
Sports Life ONLY: Top 2 choices for Main Event Basketball & Street Hockey Ultimate Frisbee & Soccer Cheerleading & Dance Arts Extravaganza		Sports Life Opton ONLY: T-shirt size: Child Size: S (6-8) M (10-12) L (14-16) Adult Size: Small Medium Large
Child 2		Grade		Age
Sports Life ONLY: Top 2 choices for Main Event Basketball & Street Hockey Ultimate Frisbee & Soccer Cheerleading & Dance Arts Extravaganza		Sports Life Opton ONLY: T-shirt size: Child Size: S (6-8) M (10-12) L (14-16) Adult Size: Small Medium Large
Child 3		Grade		Age
Sports Life ONLY: Top 2 choices for Main Event Basketball & Street Hockey Ultimate Frisbee & Soccer Cheerleading & Dance Arts Extravaganza		Sports Life Opton ONLY: T-shirt size: Child Size: S (6-8) M (10-12) L (14-16) Adult Size: Small Medium Large

As a Parent, I am willing to volunteer for VBS SportsLife

Street Address
City	State Zip
Home phone	Cell/Alternate phone
Email
Emergency Contact	phone
Physician

Any medical concerns/medications we should know about?
Name of special friend(s) your child would like to be with

VBS Option ONLY: We will be eating at Camp yes no

VBS costs: $25/child or $40/family SportsLife costs: $68/1st child and $34 each additional
Scholarships are available for all events.

new life