Summer Camp Registration Hope Lutheran Church Selden, NY
Please submit one form for each child. Check enroll for each week child will attend camp. After form is submitted, bring registration money to the church office.
Email address *
Name of Child *
Your answer
Camp Hope July 15-19 God's Galaxy
Camp Hope July 22-26 Under the Sea
Camp Hope July 29-Aug 2 Wild Safari
Camp Hope July 5-Aug 9 Super Heroes / Faith
VBS Aug 12-Aug 16 Miraculous Mission
VBS Plus Aug 12-Aug 16 Miraculous Mission
Drama Camp July 12-Aug 16 Miraculous Mission
Address *
Your answer
Phone Number *
Your answer
Parents' Names *
Your answer
Cell Phone Numbers *
Your answer
Home Email Address *
Your answer
Child's Age *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Last School Grade Completed *
Your answer
T-shirt size *
Your answer
Emergency Contact (list name, phone number and relationship to child) *
Your answer
Please list any allergies/medical needs that we need to know. *
Your answer
Please list any other things we might need to know about your child. *
Your answer
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