MBC Sports Camp Registration

Please complete one form for each camper

At MBC Sports Camp kids in K - 5th will have a blast engaging in multiple sports, all to the glory of God!! Register each camper below, then send this link to friends and teammates to invite them to participate as well! If you have any questions, please contact us at info@midwaybaptistchurch.org or 434-376-3574. Note: $20 camper fee may be paid cash or check upon check-in on the first day of camp.
Camper Name

First NameLast Name
Grade Completed
Birth Date

MonthDayYear
Age
Gender
T-Shirt Size
Please list any food allergies, medical situations or other information about your camper:
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian E-mail
Parent/Guardian Cell

Area CodePhone Number
Other Phone Number

Area CodePhone Number
Church Home
If you do not have a home church in which you are an active member, please list "None" or "N/A"
Should be Empty: