Christmas Camp 2024

Child Information

Please complete one form for each child.

Child's Name

Address

Phone

*This number will be used in case of emergency.

This address will receive a confirmation email

*This email will be used for Camp communication.

Birthdate

*Please select your child's grade. If your child is in 3-year-old preschool, please select, "No Grade." If your child is in 4K, please select, "Pre-Kindergarten."

Consent to Photography Use

*for congregational purposes

Medical Concerns/Allergies Yes

Explanation Information

Behavioral/Learning Concerns Yes

Additional Information

Parent Information

First Parent Name

First Parent Email (if different than above)

First Parent Phone (if different than above)

Second Parent Name

Second Parent Email

Second Parent Phone

Emergency Contact Information

Name

Mobile

Name

Mobile

Christmas Camp December 13, 5:30-8:00pm
Christmas Camp is for kids Age 3-5th grade. We will provide pizza dinner, activites, crafts, games and music to celebrate the Christmas season.

Hosted by Good Shepherd Children's Ministry staff and High School Ministry youth volunteers. This is a fundraiser for High School Ministry trips and retreats.

Payment Information

Christmas Camp is a fundraiser to benefit Good Shepherd High School Ministry trips and retreats. You are able to select the amount you'd like to pay/donate.

Christmas Camp payment

I consent that my child has permission to participate in activities, under supervision. Good Shepherd Lutheran church and its personnel will not be held responsible for accidents or personal injury arising there from.

Yes

Signature (Type Name)

*By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this registration form.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

December 13, 5:30-8:00pm Verona Campus

Thank you for signing your child up for Christmas Camp at Good Shepherd Lutheran Church. Please complete one form per child.

Christmas Camp is a fundraiser benefiting High School Ministry trips and retreats. You can choose the amount you'd like to pay for camp.

For more information about Children's Ministry at Good Shepherd, connect with Joanne Zastrow, jzastrow@gslcwi.com

Christmas Camp 2024

Description

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