Registration

Thank you registering online for Goal Keepers this year. You will need to fill out a registration form form each child you are going to pay for. We have online payment via Paypal availible to you. You will be able to pay for ALL of your children at one time. Just follow all the directions below. If you have any questions along the way please feel free to call the Center Pointe Church office at 740 – 625 – 7140 and we will help the best we can. Here is a little tip…if you register by June 11, 2010 the cost is $30 per child. After June 11, 2010 the cost will be $35 per child.

Begin online registration below:

Select T-shirt Size (required)

Participants Name (required)

Home Address (required)

Parent Email (required)

Date of Birth (required)

Phone Number (required)

Parent Name (required)

In case of Emergency contact:

Name (required)

Phone Number (required)

Relationship (required)

Allergies or Medical Conditions (if none use NA)

Does your child have any physical, emotional,
mental, or behavioral concerns we should be aware of?

Your Doctor's Name

Your Doctor's Phone Number

School Grade Just Completed

In case of medical emergency, I hereby give my
permission to a representative of Center Pointe Church to secure
proper medical treatment. (Your initials will serve as your digital signature.)

If you would like to use Paypal to register for Goal Keepers please follow the steps below. There is no need to have a Paypal account. You will need your Credit or Debit Card handy.

If you would like to mail in your registration payment send your check (made payable to Center Pointe Church with GoalKeepers on the memo line) to:

Center Pointe Church
Attn: GoalKeepers
PO Box 346
Centerburg, Ohio 43011

Registration

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Goal Keepers Creed

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