2015 VBS Day Camp and VBS Preschool VBS Preschool - 5 days VBS Daycamp - 5 days August 3 — 7 (Monday - Friday) 9:30am - 12 noon Cost: $20 per child* August 3 — 7 (Monday - Friday) 9:30am - 2:00pm Cost: $40 per child* Maximum cost for a family is $70. Scholarships are readily available.  Registration Deadline July 27th or when enrollment is filled. Confirmations will be mailed or e-mailed. PRE-REGISTRATION IS REQUIRED to ensure adequate staffing and supplies. We are not able to accept walk-ins. Please complete separate form for each child attending and mail along with payment to: Christ Lutheran Church, P.O. Box 845, Ferndale, WA 98248 Child Name Age ______ Grade in Fall 2015 Mailing Address City/State/Zip Parent/Guardian Name(s) Home Phone Home E-mail Cell Phone Buddy Request: (someone your child might like to be with in a group) Home Church We will do our best to accommodate buddy requests. Please note our groups are set by age/grade so buddy requests are not guaranteed. Emergency Contacts & Health Information: Allergies, medical conditions or special needs: Name: Is this person attending VBS? Yes No Home Phone: All Day Camp children will bring their own lunch. For snack, we do our best to accommodate food sensitivities. Do you prefer to provide your child with their individual snacks? Other Phone: Relationship: Is there anyone who may not pick up your child? Volunteers are essential to a fun and successful VBS. Are you able to volunteer at VBS? If yes, do you need childcare YES NO If children are in childcare, they must have their own registration form. Preferred area of work: All volunteers must pass a criminal background check (Background check forms must be turned in to the Christ Lutheran office by Thursday, July 23rd at 9am.) Work with kids: Assistant Counselor Behind the scenes: Snack Prep Junior Counselor (grades 7-12) Check-in Clean-up Preschool Counselor Housing Help During VBS Monday Morning Afternoon Clean-up Tuesday Morning Afternoon Clean-up Wednesday Morning Afternoon Clean-up Thursday Friday Morning Afternoon Clean-up Morning Afternoon Clean-up Waiver of Liability: I acknowledge that participation in this event may entail unanticipated risks, and while I expect the VBS staff to exercise reasonable caution in carrying on this camp, I hereby release Lutherwood Camp and Christ Lutheran Church from any liability or damage incurred. In the event it becomes necessary for the VBS staff-in-charge to obtain emergency care of my child, Lutherwood Camp and Christ Lutheran Church shall not assume financial liability for expenses incurred because of the accident, injury, illness, and/or unforeseen circumstances. Printed Parent Name Parent Signature Date Parents please note Photo information: Candid pictures of activities will be taken throughout VBS and used in conjunction with VBS.