Select Camp You Are Interested In
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Westland Camp
Student Name
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First Name
Last Name
Does the Student have Siblings to Sign-Up?
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Yes
No
If You Said Yes, Please Complete Below:
Type Name, Date of Birth & Age
Date Of Birth
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MM
DD
YYYY
Student Age
*
Shirt Size
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YS
YM
YL
YXL
Adult S
Adult M
Adult L
Adult XL
If Student Has Siblings, List Shirt Sizes Below:
Parent/Guardian Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
If Yes, Please Specify Below
If More Than 1 Student, Please Type Name and Allergy
If Yes, Please Specify Below
If More Than 1 Student, Please Type Name and Medical Condition
Students School
If More Than 1 Student, Type Name and Then School
Students Age
If More Than 1 Student, Type Name and Then Grade
Emergency Contact
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First Name
Last Name
Relationship To Emergency Contact
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Emergency Phone Number
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(###)
###
####
Legal Media Agreement
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I, as legal parent/guardian, over the age of 18, give permission for photographs/videos of my enrolled child to be published by SOTAM on media sources such as the SOTAM website, Facebook, Instagram, Twitter, Tiktok, pamphlets, flyers, or any other product of SOTAM. I understand that I will not be compensated for any such use nor is SOTAM liable for any misuse if found on other media sites other than SOTAM.
Legal Agreement
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By completing this form, I, the legal parent/guardian of the child listed above, confirm to have read and agree with the terms listed. I give permission to the child listed above, to enroll in the SOTAM Outreach Ministries LLC Camp Program.
Parent/Guardian Initials
*
Date Completed
*
MM
DD
YYYY
Thank you for registering your child to SOTAM Spring/Summer Camp. Please allow 1-3 business days to get back to you with additional information. We will provide the rules, regulations and items needed for Camp.
