Bay Lake Camp Registration Form 2019
Please complete one form for each participant.
Camper Name, date of birth, gender pronoun
Elementary (Completed 3rd grade through 5th grade)
Middle School (Completed 6th grade through 8th grade)
High School Counselor in Training
Parent Leader (All adults must complete a background check)
Contact info (parent/guardian name, address, email, phone)
Do you have allergies? (Please list)
Do you have medications? (Please list both daily and PRN)
Other concerns and things we should know to help make your week at camp a great experience?
Emergency Contacts (Please list 2 and include relationship and phone number)
As a camper,I agree to represent myself in a positive and respectful manner when participating in all VIBE sponsored activities and programs. I will listen and follow the directions of all adult leaders and sponsors. If I choose not to follow the rules or guidelines, I may be sent home at my parent/guardian’s expense.
Absolutely! I can't wait for a great week at camp!
I'd like to talk more about this.
As a parent/guardian, I give permission for the above listed, to participate in all activities and programs sponsored by VIBE Camp Ministry and if their photo is taken or they are captured in a video at a VIBE event it can be posted on the website and used in VIBE or Bay Lake Camp publications. I understand that all measures will be taken to contact me in the event of a medical emergency involving my child. If I cannot be reached, I give the Camp Staff authority to make decisions in the best interest of my child.
I grant permission for the administration of first aid care by the person(s) in charge of the attached event and to transport the above listed under my guardianship to and from the event to qualified physicians for treatment of illness or accidents. I understand that every effort will be made to promptly notify me in the event of any serious illness or accident and prior to any major surgery, except when delay in such communication would endanger life. In the event that I cannot be reached, I hereby give permission to the physician selected by the adult leadership to hospitalize, secure proper treatment for and to order injection, anesthesia or surgery if deemed as necessary for the above listed under my guardianship. I also understand that there is no medical coverage for illness or injuries available through the church or any sponsoring leaders.
Name of Doctor/clinic and insurance information (please include phone numbers)
A week of camp costs $280, but we offer a “pay what you can” option. Please indicate, along with your payment, what you can pay and we will honor your request. Anything you can pay will help offset cost for others. Checks can be made out to: First Lutheran Church and sent to: Bay Lake Camp City Office, 463 Maria Ave., St.Paul, MN 55106
I will send or bring a check to First Lutheran for $280
I would like to choose the 'Pay what you can' option
I would like to include money towards camper scholarships
Questions? Contact Pastor Chris (
) or Heidi (
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