Summer Camp Registration
Beat Summer Boredom
Redeemer Lutheran School & Preschool

Educational Teacher Led Summer Camps

Limited Spaces

$100 Fee per Week-long Camp

Family Name *
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Address *
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First Parent's / Guardian's Name *
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First Parent's / Guardian's Number *
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Second Parent's / Guardian's Name
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Second Parent's / Guardian's Phone Number
Your answer
First Emergency Contact Name *
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First Emergency Contact Phone Number *
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Second Emergency Contact Name
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Second Emergency Contact Phone Number
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In case of injury or sudden illness, I request that this individual be called first. *
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By filling in your name your are giving authority to any hospital or doctor to render immediate aide as might be required at the time for his/her health and safety. It is understood by me that the expense of this service will be accepted by me. *
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