Faith Participant Registration Form

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July 7-11, 2024

3 year old—5th Grade
Registration Fee: Please make checks payable to Faith Lutheran Church. Contact Cathy Nelson for scholarship information. Volunteer for the entire week and one child is free!

Current 3 YR old to going into Kindergarten: $35 9-11:30 AM with Lakes Area Discovery Center Teachers (students must have turned 3 by June 1, 2024 and be potty-trained.

Kindergarten to Fifth Grade: $65 9:00 AM- 2:00 PM w/Camp Counselors. Children should bring a bag lunch.

Elementary Extension to 5:00 PM: add $10 for a total of $75.

Registration Deadline: June 10. Please mail your check to:
Faith Lutheran Church
886 North Shore Drive
Forest Lake, MN 55025

You can also drop off your check at the church office.

Email *

Parent/Guardian Name (First, Last) *

Child Name #1 (First, Last) *

Child #1 Birthdate *

YYYY

Grade Completed (Spring 2024)
*

Educational Option *

Pre K 9am-11:30am $35

Elementary 9am-2pm $65

Elementary EXTENSION MondayThursday 9am-5pm $75

Child Name #2 (First, Last)

Child #2 Birthdate

YYYY

Child #2 Grade Completed (Spring 2024)

Child #2 Educational Option

Pre K 9am-11:30am $35

Elementary 9am-2pm $65

Elementary EXTENSION MondayThursday 9am-5pm $75

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Child Name #3 (First, Last)

Child #3 Birthdate

YYYY

Child #3 Grade Completed (Spring 2024)

Child #3 Educational Option

Pre K 9am-11:30am $35

Elementary 9am-2pm $65

Elementary EXTENSION MondayThursday 9am-5pm $75

Clear selection

Names of Additional Children (First, Last, Age)

Address (Street, City, State, Zip) *

Phone: *

Emergency Contact Name (First, Last) *

Emergency Phone Number *

I can be an adult volunteer (choose the days that apply)

Monday

Tuesday

Wednesday

Thursday

Please list your child's allergies.

Authorizations *

I authorize my child (children) to participate in Faith's Vacation Bible School. In the case a medical emergency arises and the emergency contact or myself cannot be reached by phone, I authorize Faith Lutheran Church and its agents to provide for my child. I understand photos ay be taken and used for church purposes in accordance with the photo usage policy.

I release Faith Lutheran Church as well as all of its agents, members of employees for all liability for any accident, injury or claim arising from my child's use of its facilities or participation in any of its programs. Furthermore, I take full responsibility for any financial cost, which may be incurred, for the care of my child including emergency transportation and hospitalization. I release Faith Lutheran Church and its agents from any liability for lost, stolen or damaged articles.

Required

For Further Information

Please contact Cathy Nelson at Faith Lutheran: 651-464-3323 ext. 109 or by email cathyn@faithfl.org.

A copy of your responses will be emailed to the address you provided.

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