Sports and Arts Camp Registration Form
Lampeter United Methodist Church (Corner of Book and Village Road)
June 24th to 28th from 6:30 to 8:30 pm
Register one child at a time so they are properly placed in an area.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Last Grade in School Completed *
Age of Student *
Your answer
Gender? *
Address *
Your answer
Sports/Arts Choice One *
Please choose first choice option for an activity. Only one activity will be given for the week.
Sports/Arts Choice Two *
This choice is for if the child does not get the first choice pick due to space availability.
Do you have a sibling in 6th-12th grade who would like to be a helper at VBS? If yes, please list their name, and grade. *
Your answer
Medical Concerns, Special Needs, and Allergies? *
Your answer
Parent/Guardian Name & Phone Number *
Your answer
Additional Parent/Guardian Name & Phone Number
Your answer
Parent Email Address
Email updates on bible lesson and camp info will be sent each night.
Your answer
Emergency Contacts *
Name and Phone Number to be reached
Your answer
Approved Individuals to Pick Up Child: *
These are people other than the parent/guardians listed above who are allowed to pick up the children.
Your answer
I waive any and all claims against LUMC its staff and volunteers, and release them from liability, in the event of accident, damage, injury, or sickness to my child(ren) in connection with my child(ren)'s participation in VBS. I hereby give my permission to LUMC to obtain and provide first aid/emergency medical care to my child(ren) as needed, and to take pictures which might include my child, of the even during VBS.
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