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Holy Hoops Registration

Oak Ridge Baptist Church Holy Hoops 2011 Registration Form

Holy Hoops Sports Camp is for children who are entering Kindergarten - 6th grade. Please enter your child's information below to sign up for ORBC's Holy Hoops Sports Camp!

If you have more than one child, please fill out the form for each child. A link to complete the form again will be provided at the end.

* Required

Errors

Child's T-Shirt size: *

Grade in school on 1-1-11:

Child's Name:

Age: *

Birthdate: *

Home Phone: *

Street Address: *

City: *

State: *

Zip: *

Parent's Name *

Mom's Cell: *

Dad's Cell: *

Name of an emergency contact in case we are unable to reach the parents: *

Emergency Contact's phone: *

Relationship to child: *

Any known allergies or medical conditions: *

Do you attend church: *

Yes

If yes, where do you attend? *

Would you like information on other children's activities? *

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