Camp Concordia 2020
A Summer Program Hosted by Concordia Lutheran School.

Registration Disclosure: This program has 100 spots. Your spot is not confirmed until the registration payment is received AND you receive a confirmation letting you know that you received one of the first 100 spots.
Registration Passcode
I am registering my child for: *
Child's Last Name *
Child's First Name *
Child's Date of Birth *
Children MUST be age 5 by 5/25/2020 in order to register for Camp Concordia 2020.
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Child's Home Telephone Number *
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Child's Home Address *
Child's Home Address *
City
Child's Home Address *
State
Child's Home Address *
Zip Code
Grade Entering in Fall 2020 *
Did your child attend Concordia's Summer Program in 2019? *
Mother's (or Guardian's) First Name *
Mother's (or Guardian's) Last Name *
Mother's Work Phone *
Mother's Cell Phone *
Mother's Email *
Father's (or Guardian's) First Name *
Father's (or Guardian's) Last Name *
Father's Work Phone *
Father's Cell Phone *
Father's Email *
Emergency Contact #1 Name *
Children will only be released to a parent or a person designated by the parent/guardian after verification of ID.
Emergency Contact #1 Relationship *
Emergency Contact #1 Address *
Emergency Contact #1 Phone Number *
Emergency Contact #2 Name *
Children will only be released to a parent or a person designated by the parent/guardian after verification of ID.
Emergency Contact #2 Relationship *
Emergency Contact #2 Address *
Emergency Contact #2 Phone Number *
Child Release Policy
It is our policy that children are released ONLY to the parent(s) or emergency contacts on record for the student. If there is a special need in your situation (divorce, custody, separation, etc.) please let us know who your child(ren) may NOT be picked up by:
Transportation (Check All That Apply) *
I hereby give consent for my child to be transported & supervised by the operation's employees.
Required
Photos *
Consent for my child to be photographed
Summer Movies *
(A full movie list will be provided for each Summer Blast classroom)
Vacation Bible School *
Consent for my child to participate in Vacation Bible School @ Concordia, June 15-19 2020
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