Vacation Bible School - Luther Crest Day Camp 2023

Camper Information

Student Name

Parent Email

This address will receive a confirmation email

Phone

Grade Completed as of Summer 2023

Kindergarten 1st 2nd 3rd 4th 5th

I give Luther Crest permission for the use of photographs, video, and electronic images including my child in camp promotion.

Yes No

Dear Parent/legal Guardian: By participating in programs, services, and activities of Luther Crest you agree to the following: On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless Luther Crest, 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 employee, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by Luther Crest Bible Camp.

I understand and agree Other (see below)

If you selected other to the previous question, please explain:

Family Doctor and Phone Number

Emergency Contact Full Name

Emergency Contact's Relationship to camper

Emergency Contact Phone Number with Area Code

Any Allergies the camper may have: Food/Medications/Insects/Others

Epi Pen Needed? (Luther Crest/First Lutheran does not supply Epi Pens)

Yes No N/A

Deitary Restrictions?

Please list any routine medications camp staff will have to administer, including dosage and direction:

Last date of Tetanus shot?

Is camper up to date on immunizations?

Yes No

Is there any other information that we should know about your camper in order to best serve them during day camp?

Please complete this health form, and email it separately to Emma at emma@firstlutheranchurch.com

This health form must be turned into Emma prior to the start of VBS, whether by email or printed and turned into the office.

Click the link and download the form to fill it out.

HEALTH FORM

Volunteer Opportunities

Are you able to provide lunch for the counselors one day this week? (OR provide gift cards that would feed 12 people)

I can supply them with a lunch on Monday I can supply them with a lunch on Tuesday I can supply them with a lunch on Wednesday I can supply them with a lunch on Thursday Not at this time

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.

I can supply them with dinner on Sunday I can supply them with dinner on Monday I can supply them with dinner on tuesday I can supply them with dinner on Wednesday Not at this time

If you would like to sign up to bring a snack during VBS, please select the following link and fill in your name under the snack you are willing to bring: SNACK SIGN UP

Do you give FLC permission to take photos of your child and use them for future marketing/promotion of our ministry?

Yes No

If you, or your child (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!

Payment

Payment per Camper $50

If payment is an issue, please contact Emma or Pastor Joe and we will work with you to make sure your child can come to camp.

If you would like to donate to help another child attend VBS, please follow this link and select "Give to VBS". We have children that will be unable to pay for camp, so any donation is much appreciated.
DONATION TO VBS

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Vacation Bible School - Luther Crest Day Camp 2023

Description

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