June 17-20 (Monday-Thursday) 9:00 am-noon.
- Age 4 through grade 5 completed
- Full registration is required for all summer day camp participants.
- Closing Celebration: Thursday, June 20, 11:45 am.
- Cost is $35 per child; a family max cost of $80.
Your registration also signifies your approval of the use of pictures taken at events, to be used in our social media or publications. We do not identify or tag students by name in any of our materials.
Comments/Questions? Contact Kate Roettger.
Date Format: MM slash DD slash YYYY
Membership isn't required to register in our program.
Please provide a valid email address where we will send periodic updates and monthly newsletter.
If you would like both parents to receive email notifications, please put a second email here.
Please include: NEED TO KNOW circumstances (medical/special needs: severe allergies, ADHD, Autism, behavioral issues, etc) or family dynamics (divorce, split custody, etc). This information will be for Kate's files only and will only be shared with your child's guide, if we see fit.
Our summer children's ministries depend on volunteers. We ask each participating family to donate a portion of time to making them a reality. We also welcome other adults and youth! Childcare on site can be provided for children of volunteers. Name of person volunteering:
If volunteer is different from parent listed on form, please register separately on VBS Leader Registration.
Please write down any information you think would be helpful, ie: what have you helped with in the past; want to be solo or paired with someone; any specific gifts you would like to use; any medical concerns (asthma, allergies, ADHD, Autism, etc.)
I/We do consent to any x-ray, anesthetic, medical, surgical, dental diagnosis, or treatment that may be deemed necessary for my minor child. Further, I understand that all efforts will be made to contact me prior to treatment. In the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child. I further understand that the doctors, dentists, and other providers attending to my child will take all reasonable safety precautions during their care.
Further, as parent or legal guardian I am financially responsible for the health care decision for my minor child and agree that my insurance plan is the primary plan to pay for the dental, medical, or hospital care or treatment that is given to my child. Any policy of the church or organization sponsoring this event will be used as the secondary coverage.
How do you intend to pay? Please note: payment directions will be in your confirmation email.