Camp Discovery-VBS 2015 Wednesday-Friday, June 17-19, 2015 9:00am-2pm (bring a sack lunch!) children age 4 – those going into 6th grade @ Peace Lutheran Church, North Mankato Cost: $5 per participant (includes T-shirt) (Make checks payable to Peace Lutheran Church, scholarships are available) ******************************************************************************* Registration Form – Due June 1, 2015 (one form per family) Names of Participants ________________________________________ Age School Grade This Fall Circle T-shirt size Child’s XS S M L Adult S M L XL ________________________________________ Child’s XS S M L Adult S M L XL ________________________________________ Child’s XS S M L Adult S M L XL ________________________________________ Child’s XS S M L Adult S M L XL ________________________________________ Child’s XS S M L Adult S M L XL Please list any allergies the above children have or any other concerns we should know about: Parent Name(s) Mailing address Email address (will only use for VBS reminders) Emergency contact name and phone number  Please circle: Yes No Permission is given to take pictures of my child(ren) to use in various forms of publicity, including bulletin boards, newspapers, and the church website. (No names will be published on the internet.)  I give permission to the directors of VBS to act for me according to their best judgment in any emergency requiring medical attention in the event that I cannot be reached. Signed______________________________________________  Please attach cash or check (made out to Peace Lutheran Church) to completed registration form and return to Karen in the church office or Kristen Lukasek or Denice Woller by Monday, June 1, 2015. Thanks! Please check this box if you are requesting a scholarship.  Please contact me about helping out with….(circle all that apply) Supervising Kids as they move from station to station Helping with Craft Time Providing Snacks Serving Snacks