Day Camp Registration 2018

Monday June 25 – Thursday June 28
9 am – 11:30 am for Preschool Age: 3 year old (and potty trained) thru entering Kindergarten in the fall of 2018
9 am – 3 pm for Kids WHO WILL BE ENTERING 1st thru 6th grade in the fall of 2018

Registration forms due June 10th

Registration fees: $20 for Preschool/Kindergarten morning only
$30 per child, $45 after June 10th.
If you sign-up after June 10th, your child is always welcome to join us in the morning at church, but we cannot guarantee that we will have a space to transport your child in the afternoon.

For those entering 1st-6th grade: A bag lunch is needed every day – dress for weather. We will remain on site at CLLC for morning hours then there will be afternoon off site activities each day.

Sunday June 24 – Introduction Pot Luck Supper 6:00 p.m. in the Fellowship Hall or on the patio if the weather permits. On this evening you and your child(ren) will be introduced to the counselors for a meet and greet time together before Monday morning. Health forms and last minute registrations can be handed in.

Thursday, June 28th: 6:30 pm Program and Ice Cream Social for families, followed by Lock-in for those entering 3rd - 6th grades.

Please either mail your payment to: Chisago Lake Lutheran, Attn: Stacy Johnson, P.O. Box 175, Center City, MN 55012, or bring your payment to the first day of Day Camp.

Questions? Contact Stacy Johnson at 651-257-6300 or cllcchrised@frontier.net

NOTICE OF FILMING/PHOTOGRAPHY: CLLC will be filming/photographing during Day Camp the week of June 25-29. By attending Day Camp at CLLC, you irrevocable consent to and authorize CLLC to photograph and make sound recordings of your child and grant CLLC the right to use photographs and recordings for the purposes of CLLC.

Email address *
Parent/Guardian Name *
Your answer
Home Address: *
Your answer
Phone # *
Your answer
Emergency Contact, Name: *
Your answer
Emergency Contact, Phone: *
Your answer
Relationship to Child/ren: *
Your answer
Who is authorized to pick up your child/ren? *
Your answer
Phone # for person Picking up:
Your answer
Child's Name: *
Your answer
Birthdate (children must have turned 3 by September 2018 and must be potty trained): *
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Grade in Fall of 2018: *
Your answer
Child's Name (if multiple children):
Your answer
Birthdate (children must have turned 3 by September 2018 and must be potty trained):
MM
/
DD
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YYYY
Grade in Fall of 2018:
Your answer
Child's Name (if multiple children):
Your answer
Birthdate (children must have turned 3 by September 2018 and must be potty trained):
MM
/
DD
/
YYYY
Grade in Fall of 2018:
Your answer
Child's Name (if multiple children):
Your answer
Birthdate (children must have turned 3 by September 2018 and must be potty trained):
MM
/
DD
/
YYYY
Grade in Fall of 2018:
Your answer
Special Needs (include any allergies and note which child) *
Your answer
Home Church:
Your answer
Grades 3-6: Will your child be attending the Thursday evening Lock-in?
Would you be willing to provide extra cold lunches for the counselors? (3 or 4 lunches on one day)
Would you be willing to host the 3-4 counselors for Supper (Mon, Tues, Wed or Th.)
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