Good Shepherd Summer Camps 2024 Registration

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 last completed grade at the time of camp. If your child completed 3-year-old preschool, please select, "No Grade." If your child completed 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

Please indicate your church relationship

I would like more information about Good Shepherd Yes

How did you hear about summer camps at Good Shepherd?

Emergency Contact Information

Name

Mobile

Name

Mobile

Camp Information

Summer 2024 Camp Offering

Kinder Creation Camp June 10-12, 9:00-10:30am, Age3-Completed Kindergarten, Verona Campus, $35 per child

Vacation Bible School (VBS) June 24-27, 9:00-11:30am, Age 3-Completed 4th grade, Verona Campus, $45 per child

Camp Create It August 5-8, 9:00am-12:00pm, Completed Kindergarten-Completed 4^th grade, Verona Campus, $60 per child

Rise Up Nights: (1) June 18 (2) July 9 (3) July 23 (4) August 13, 6:00-7:30pm, Completed K-4^th grades, $10 per child/per night, Verona Campus

Summer Camps

Kinder Creation Camp VBS Camp Create It Rise Up Nights (1): June 18 Rise Up Nights (2): July 9 Rise Up Nights (3): July 23 Rise Up Nights (4) August 13

For VBS only , please select t-shirt size

Suggest one friend of the same grade with whom your child would like to be placed

Payment Information

Please select the appropriate payment option for the camp you are attending.

Kinder Creation Camp payment option

VBS payment option

Camp Create It payment option

Rise Up Nights (1) June 18

Rise Up Night (2) July 9

Rise Up Night (3) July 23

Rise Up Night (4) August 13

Volunteer Opportunities

We cannot run our camps without the support of volunteers. Volunteer options include, snack servers, crew leaders, activity/lesson leader, technology support. If you are interested in helping make this a great summer for our kids please leave your contact information. We will contact you to make specific arrangements. Thank you!

Name

Your Email

Mobile

I consent that my child has permission to participate in camp 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

Good Shepherd Summer Camps 2024 Registration

Description

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