‘09

July 14-16: Registration details inside!

S e v e n S a n D i e g o C h u r C h , i n pa rt n e r S h i p

w i t h S a n M i g u e l C h u r C h , p r e S e n t t h e

S u M M e r Yo u t h o lY M p i C Sat M o n t e va l l e pa r k ,

C h u l a v i S ta

F r e e e v e n t F o r C h i l D r e n 5 - 1 2 Y e a r S oF a g e

We’re firing up the grill, throwing up the shade, and rallying together for some summer recreation. Join us from July 14th-16th for our Summer Youth Olympics. This year you will find Seven San Diego Church and San Miguel Community Church at Montevalle Park between 1:30-4:30 PM each day.

Elementary school aged kids are invited to attend. They will be placed on teams and participate in games. Prizes and medals will be given out at the end of the week. Invite your neighborhood friends and drop by today.

JulY 14-16 1:30-4:30 pMRegistration Form

‘09

CloSing CereMonieS 4:30-6:30 pM on JulY 16Montevalle park, Chula vista

ChilD’S naMe(S):_______________, _______________, _________________

age(S): _____, _____, _____ BirthDate(S): __________, _________, __________

parent(S) naMe(S):_____________________________________________

aDDreSS:______________________________________________________

CitY:__________________________ State: ________ Zip:______________

hoMe phone # ___________________ MoBile #_____________________

naMe oF SChool attenDeD:_____________________________________

In case of emergency, please contact:

(1)_____________________________________

(relationShip)_____________________phone #_____________________

(2)_____________________________________

(relationShip)____________________ phone #______________________

MeDiCal inSuranCe proviDer____________________________________

ChilD’S inSuranCe nuMBer______________________________________

iF not inSureD, pleaSe CheCk here

pleaSe liSt anY allergieS:________________________________________

pleaSe liSt anY phYSiCal anD/ or Mental liMitationS, or anY pertinent inForMation

neeDeD to take into ConSiDeration regarDing Your ChilD:

___________________________________________________________________________________

consent to photograph: i give consent that photographs of my child may be taken

during the event and used for promotional purposes in the future.

this Free event is brought to you by Seven San Diego Church & San Miguel Church

print (Bring CoMpleteD ForM to event)