Grace Lutheran Church Day Camp Registration Form

June 25-28, 2018 from 9:30 a.m. to 12:30 p.m.
at Grace Lutheran Church, 615 10th St. E, Bottineau, ND


Complete registration form by June 20th

For more information, please contact 701-228-3727

Cost: Free
There will be a daily offering to support Kenyan orphans.



* If you have more than one child attending, please fill out a separate form for each child *

PARENTAL/GUARDIAN CONSENT
I hearby give permission for my child to attend Day Camp and designate Day Camp officials to act on my behalf in authorizing routine and/or emergency medical care. I also agree to hold harmless, Missouri Mission Team and the host church for any and all claims for injuries, causes for action, or liability related to the Day Camp facilities or activities. I give Day Camp officials authority in matters of discipline, understanding that any camper disregarding Day Camp rules is subject to being sent home. I give my child permission to ride in Day Camp provided transportation. I further authorize the use of photos or video taken of my child at Day Camp for promotional purposes.
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Your signature will be required on the form(s) when you bring your child/children on the first morning!
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Thank you for registering your child (children) for Grace Lutheran's Day Camp!

Your signature will be required on the form when you bring your child (children) on the first day