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2024 SUMMER CAMP REGISTRATION | CAMP LUTHERLAND
We will not, in any circumstances, share your personal information with other individuals or organizations without your permission, including public organizations, corporations or individuals, except when applicable by law.
We use your personal information to appropriately process your requests and present you with the information you need to access.
IMPORTANT NOTE:
campers are NOT ALLOWED to carry cellphones. Parents/guardians can reach their kids if needed by calling the Camp Director or Administrator.
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* Indicates required question
Were you referred by someone to enrol your child in our camp?
*
Your answer
Which camp are you registering for?
*
All Ages Camp
Come & Go Camp
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Email Address
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Camper's Name
*
Your answer
Age
*
Your answer
Address
*
Your answer
Home Church
*
Please enter none if no affiliation.
Your answer
Health Care Number
*
Your answer
Health Concerns/Allergies
All medications
have to be turned into the Director. The Camp Medic will dispense the them.
Your answer
Over-the-counter Medications
*
I authorize the staff to administer over-the-counter medications (ex. Tylenol, Advil, PeptoBismol, Polysporin) and give it to my child if needed.
Yes
No
Emergency Contact Name
*
Your answer
Emergency Phone
*
Your answer
Summer Camp Registration Agreement
*
Parent/Guardian: please, take some time to read our agreement
here.
Use the checkbox below to confirm that you have read and agree with it.
I agree with the terms and conditions.
I understand that my child is NOT allowed to carry a cellphone at camp.
Required
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