Itty Bitty Bible Camp 2021

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New this year! A Bible camp for our youngest members. All preschoolers are invited to join us on August 3,4,5 from 10:00-11:30 AM as we jump into the story of Noah and the flood. Children need to be fully potty trained. Covid safety precautions will be in place (masks need to be worn indoors, hand-washing will occur at regular intervals, distance will be encouraged and guests and visitors care not allowed throughout the week) Please use the following form for registration. The fee can be mailed in anytime before camp. Please email Jennifer at jennifer.williamslchschildren@gmail.com with questions.

Email *

Child's First Name *

Child's Last Name *

Birthdate *

YYYY

Address *

City *

Zip *

Home Phone Number *

If the child is not a member of the Lutheran Church of the Holy Spirit, which church are you affiliated with, if any *

Mother/Guardian's Name *

Mother/Guardian's Cell Phone Number

Father's/Guardian's Name *

Father/Guardian's Cell Phone Number *

Family Email Address *

In the event of an emergency and we cannot reach you, please indicate a responsible person we may contact. *

Emergency Contact's Phone Number *

Lutheran Church of the Holy Spirit has my permission to use my child's photo on their website, promotional materials, social media (i.e.Facebook) and in-house slide show displays *

Yes

List below if your child has any food/other allergies or any other medical conditions *

Pediatrician's Name *

Pediatrician's Phone Number *

Submit

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