St John's Lutheran Church - VBS/Music Camp 2025
VBS: July 14-17 
9 AM to 2 PM. Students entering grades 1–6 attend full day camp; students ages 3 years old (potty trained, please) to entering kindergarten attend half day camp (9 to 11 AM); students entering grades 7–12 serve as Junior Counselors.  

MUSIC CAMP: July 28-31
9 AM to noon for kids entering grades 1–12.

You may register for one camp or both camps with this form.
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Email *
Child's name and date of birth. If registering multiple children, fill out one line per child. *
Check all that apply that your child(ren) will be doing. In the other spot list if only certain children are doing certain activities *
Required
Parent(s)/Guardian(s) Name(s) *
Home address *
Phone number to best contact you
 *
Email address to best contact you *
Home Congregation *
What grade is your child entering. If registering multiple children, fill out one child per line. *
By checking yes to this box:
I hereby enroll and give permission for my child to participate in the planned activities of Music Camp and/or VBS conducted in partnership with Camp Omega. I understand I am responsible for transportation to and from the church.
I also give permission for my child to go on a walking field trip to a local park (this field trip does not include
preschool students). *
Required
By checking YES to this photography release box: 
I give permission and consent to allow photographs, videotapes, and interviews to be taken during Music Camp/VBS.
I further give consent that any such images or interviews may be published and used to illustrate and promote St. John’s Lutheran Church, as well as Camp Omega and the National Lutheran Outdoors Ministry Association. *
Required

Please check if your child has any of the following health concerns:

 *
Required
If you checked any of the health concern boxes above, please explain, including child's name:
Emergency Contact Information
Please list 1-2 people that we can contact in case of an emergency. Include first and last name of the person as well as the best number to reach them at.
 *
By checking YES to this box: 
This health history is correct so far as I know, and the person or persons herein described has/have permission to engage in all prescribed camp activities as noted.
 *
By checking YES to this box:
Authorization for treatment: I hereby authorize St. John’s and/or Camp Omega staff to administer medications and first aid as deemed necessary, as well as authorize the medical personnel selected by the church/camp staff to provide routine health care and emergency medical care, to hospitalize, secure treatment for, order injection, anesthesia, blood transfusions, or surgery, and to release any records necessary for insurance purposes as well as provide or arrange necessary related transportation for the above named participant. This form may be photocopied.
 *
Required
MUSIC CAMP PARTICIPANTS ONLY NEED TO ANSWER THIS QUESTION
T-shirt size(s) needed (if more than one child please list their name with their size):
MUSIC CAMP PARTICIPANTS ONLY NEED TO ANSWER THIS QUESTION
What are your child’s musical interests and experience? For example, have they been in band or choir, either at
school or church? Have they learned any instruments at school or at lessons? Are they starting to learn an instrument?
A copy of your responses will be emailed to the address you provided.
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