Vacation Bible School - Luther Crest Day Camp 2025

Camper Name

Pronouns

Birthday (MM/DD/YY)

Grade Completed in '25

Kindergarten 1st 2nd 3rd 4th 5th

Parent / Guardian Name(s)

Parent / Guardian Email(s)

This address will receive a confirmation email

Parent / Guardian Phone Number(s)

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship to Camper

I give permission for my child to attend the Luther Crest Bible Camp Day Camp Program, taking part in the normal program activities.

Yes No

I give my permission for the use of photographs, video and electronic images including my child in Luther Crest Bible Camp and First Lutheran, DL promotional materials.

Yes No

From Luther Crest,

Dear Parent/Legal Guardian,

By participating in programs, services, activities of Luther Crest Bible Camp (LCBC), you agree to the following: On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless LCBC, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, before, during, or after participation in any hosted or programmed event by LCBC.

By checking yes below, you agree to the above statement from Luther Crest Bible Camp.

Yes No

Is there any other information about your camper we (FLC & Luther Crest) should be aware of in order to best serve your camper?

Please complete the Luther Crest Health form below.

This form MUST be submited prior to the start of VBS.

HEALTH FORM

Forms can be emailed to olivia@firstlutheranchurch.com or printed and turned into the office.

Volunteer Opportunities

Are you able to provide dinner for the counselors one day this week? Whether you host them in your home or bring a meal to them at the church is perfectly fine. (Gift Cards are acceptable and number of counselors is TBD)

I can provide dinner on Sunday I can provide dinner on Monday I can provide dinner on Tuesday I can provide dinner on Wednesday Not at this time

Are you able to provide lunch for the counselors one day this week? (Gift Cards are acceptable and number of counselors is TBD)

I can provide lunch on Monday I can provide lunch on Tuesday I can provide lunch on Wednesday I can provide lunch on Thursday Not at this time

Are you able to assist during snack time in preparing, serving, and clean up? (AM 9:30-10:30 ---PM 1:30-2:30)

Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Not at this time

If you, or your youth (9th Grade and Up) would like to volunteer and assist our camp counselors the week of VBS, please write your name(s) below. Any help is appreciated! (9am-3pm)

If you signed up to volunteer, your YFM Dir. will reach out with details closer to the start of VBS.

Payment ($15 per camper)

If payment is an issue, please contact Olivia YFM Dir. and we can work together to assure your child can attend VBS.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Vacation Bible School - Luther Crest Day Camp 2025

Description

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