GRACE IN DEEPHAVEN VBS DAY CAMP REGISTRATION—EXPEDITION NORWAY
Monday-Friday, July 11-15, 2016
9am-12pm – VBS only—$30/child or $60/family includes crafts, snacks, songs, games & stories
VBS Ages 3 -11 years (finished 5th grade)
9-4pm – VBS Day Camp—$100/Child - $200/family also includes LUNCH, transportation and admission to field trips
Day Camp (12-4pm) –Ages 6 -11 years; 3-5 year olds must be accompanied by an adult (18 or older)
Paid ______
Parent Name(s): Cell Phone (mom/dad):
Street Address: City: Zip:
Other Cell Phone & Name: ______Text OK during VBS Week? ____ Email: ______
Can we text or email you regarding future events? Text: Yes No Email: Yes No
Child Name______Age ____ Grade Completed ______VBS Only ______VBS Day Camp______
Child Name______Age ____ Grade Completed ______VBS Only ______VBS Day Camp______
Child Name______Age ____ Grade Completed ______VBS Only ______VBS Day Camp______
Child Name______Age ____ Grade Completed ______VBS Only ______VBS Day Camp______
A friend request for small group: Home Church, if any:
Emergency Contact (different from above)
Name:
Phone: Relationship:
Does your child have any allergies we should be aware of? Yes No
If yes, please explain:
A snack is provided during VBS and lunch is provided for Day Campers. You may provide food for your child if you prefer. Please apply sunscreen prior to dropping your child off in the morning. Sunscreen will only be administered upon request for afternoon activities. Sunscreen must be provided by parent and clearly labeled with the child’s name. Please send a towel and water bottle for day camp activities. PLEASE PUT YOUR CHILD’S NAME ON THEIR BELONGINGS.
Pick Up Arrangements—If someone other than a parent will pick up your child, please list the arrangements below:
Walk/Bike Home/Other: Pick up by:
Please check the following:
____I give permission to Grace to take pictures of my child/ren to display them in church, on the website or Facebook page without identifying names.
____I give permission to administer sunscreen.
By signing below you release adult supervisors and Grace Evangelical Lutheran Church from any responsibility for accidents during church sponsored activities. In case of emergency, the adult sponsors of Grace are permitted to secure proper treatment for the health and comfort of my child until I can be reached.
I have read and understand the above. Signature:
Date: Print Name:
Make check out to Grace and mail, fax, or hand in registration to:
Grace Lutheran in Deephaven 18360 Minnetonka Blvd Deephaven, MN 55391 Fax 952-473-3522
If you have questions or for more information, contact Shery Lindstrom at or call/text 952-992-9097
Paid ______