Summer Camp Registration 2022

Please fill out the following form for summer camp.  
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Email *
I understand that there is a one time registration fee of $40  per child that attends camp.  This cost includes your child's camp t-shirt, sun-screen, miscellaneous costs that are incurred throughout the summer. *
Child(ren)'s Name (First and Last) *
Grade Just Completed
3yr. pre-k
4yr. pre-k
Alt-K
K
1st
2nd
3rd
4th
5th
6th
7th or older
Child 1
Child 2
Child 3
My Child(ren) will be attending *
Camp Attendance Confirmation for Full Time (4-5 days/week). Please choose which days they will be attending. *
Required
Camp Attendance Confirmation for Part Time (2-3 days/week).  Please choose which days they will be attending. *
Required
Camp Attendance Confirmation for Daily Rate. Please choose which day your child will be attending *
Required
Estimated time of drop-off time *
Time
:
Estimated pick- up time *
Time
:
Please choose which weeks your child will be attending. *
Required
I give St. John's Lutheran School JEC staff permission to give my child(ren) sunscreen to apply on visible skin.  Also, to help apply on preschoolers where skin is visible to sun. *
I give St. John's Lutheran School JEC to photograph my child(ren) during program hours.  Pictures my be posted in the JEC Newsletters and the St. John's Lutheran School Facebook page. *
Are there any medical or behavioral things that we need to be aware of (allergies, learning challenges, daily medications)?
Please list your child's T-shirt size in the order of registration
YXS
YS
YM
YL
AS
AM
AL
AXL
Child 1
Child 2
Child 3
Child 4
Comments/Concerns/Questions
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