Registration for Immanuel Music and Arts Camp 2017
Please fill out a separate IMAC Registration Form for each child. A $50 per child non-refundable fee is due at the time of registration. Deadline for registration is July 31, 2017 See the brochure here: http://ilcsp.org/wp-content/uploads/2016/02/2017-Immanuel-Music-Arts-brochure.pdf
August 14-18, 2017 9:00 a.m.-3:15 p.m.
Fees: $150 per child, discounts for multiple children in a family
Ages: Kindergarten through 8th grade (completed)
Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade Completed by June 2017
Parent's/ Guardian's Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Email address
Your answer
Electives
Grades K&1 will participate in all 6 electives. All others should mark one choice per elective.
PLEASE NOTE: Electives are assigned in the order completed registrations are received. If an elective is full, you will be assigned the available elective. See descriptions of Electives here: http://ilcsp.org/wp-content/uploads/2016/02/2017-Immanuel-Music-Arts-brochure.pdf
Elective One
(choose one)
Elective Two
(choose one)
Elective Three
(choose one)
Camp Fees
A non-refundable fee of $50 per child is required to complete registration.

An option to pay online will be available when you submit your registration,
or you can mail your deposit to:
Immanuel Lutheran Church
104 Snelling Ave S.
Saint Paul, MN 55104
Checks should be made payable to Immanuel Lutheran Church (with IMAC in the memo line)

Total tuition for one child: $150
Total tuition for two children: $250
Total tuition for three children: $350


For more information, contact Chris Cherwien (651-699-5560) or ccherwien@ilcsp.org

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