Soccer Camp Salmon Arm 2022 *Denotes Required Field * Title * Child's First Name * Child's Last Name * Parent/Guardian First Name * Parent/Guardian Last Name Parent/Guardian First Name Parent/Guardian Last Name * Email * Phone Number ( ) - * Secondary/Emergency Phone Number ( ) - * Age as of July 4, 2022 5 6 7 8 9 10 11 12 * T-Shirt Size (sizes not guaranteed) Small Medium Large Allergies? Any physical, emotional, mental, behavioural concerns or limitations that we should be aware of? Medications? * By checking here, I confirm that I have authority to act on behalf of this child and I consent for them to participate in SCC Salmon Arm Soccer Camp. Information received is confidential and is being gathered for the purpose of serving your child while in the care of Shuswap Community Church. Any medical information collected here serves to authorize SCC, and its staff and volunteers, to obtain medical assistance in emergencies. The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.