VBS 2022 Sign-Up

Dates: June 27-July 1
Pre K & K: Monday-Friday 9:00-12:00
1st-6th: Monday-Thursday 9:00-2:00, Friday 9:00-12:00

Camper Information

Name

This address will receive a confirmation email

Fall 2022 Grade

Age (at time of VBS)

First time attending our VBS?

Yes No

Is your child a fairly regular participant at First Lutheran?

Yes No, we attend a different church No, we are not from the area No, we don't regularly attend a church No, other

Siblings or Friends also attending:

Shirt Size

Campers in the 1st-6th grade group, volunteers, and PreK/younger children of volunteers sticking around in childcare will be eating lunch at church.
We will be providing a simple sack lunch for anyone who would like one at no cost. You are also more than welcome to send your campers to VBS with a sack lunch. This is an especially good idea for any kiddos with allergies, or especially selective eaters. I will be sending a reminder email as VBS gets closer to everyone so you can remember if you signed up to bring your own lunch or not!

**If your campers are in Pre K-K and are getting picked up at noon(meaning any campers whose parents/guardians are not volunteering for the full day), you do not need to fill out the Lunch question below.

Lunch Option (please read description above before answering) I will provide a sack lunch for my child My child will eat the church-provided lunch

5th/6th Grade Campers

Our 5th & 6th Graders will be a part of our Camp Crew! In the morning, these kids will be split up to help in various locations such as helping with the 1/2 day kids, helping serve snacks, craft, games, and more! In the afternoon, they will do a Bible Study, play games, and spend some time together as a larger group.
*If your child would prefer to just be a camper, they are welcome to do so. They will be in a group of 3rd/4th graders.

Options:
Snacks Helper - help serve snacks and lunch to other vbs campers
Craft Helper - Help the Day Camp Leader set up and lead the craft rotation for the other campers (keep in mind you won't be able to do all the crafts, but will be helping with them)
Childcare - Help supervise kids in the nursery
Pre K Helper - Help the Pre K Leaders keep track of and lead the Pre K kids
Tech Helper - Take photos and videos of campers, help get the sanctuary ready for opening and closing worship
Games Helper - Help counselors lead games (keep in mind you won't be playing the games, just helping with them)

Please mark which areas your 5th/6th grader would like to help in the morning: Childcare (Ages 3 and below) Pre K Helper Craft Helper Snacks Helper Tech Helper Games Helper Would prefer to be a regular camper

Parent/Guardian & Emergency Contact Information

Parent/Guardian Name(s)

Best phone number to reach parent/guardian(s) during week of VBS:

Emergency Contact (should be someone other than parent/guardian)

Emergency Contact Phone:

General Health Information

Chronic or recurring illness or medical condition that may affect your child's time at VBS:

Allergies (food, bees, etc.) and severity:

Dietary Restrictions:

Any medications (including epi pens) that will need to be available for your child during VBS:

Other suggestions that may help make your child's VBS week better:

Please check if immunizations are up to date:

DPT Pollo Immunization MMR (Measles/Mumps/Rubela) Tetanus

Date of last tetanus (MM/YY)

Insurance Information

Insurance Company

Policy #

Holder's Name

Permissions

I give my permission for my child to participate in all aspects of the VBS program. I understand that every effort will be made to contact me if my child needs emergency medical treatment. I authorize medical personnel, the local VBS coordinator or Day Camp staff to secure any medical or emergency treatment as deemed necessary for my child. That I or my insurance company will pay for any medical treatment if costs are incurred. I understand choosing to send this child to VBS may increase their risk of being exposed to COVID-19 and other illnesses, agree to pre-screen this child for symptoms prior to arrival at VBS, not send this child if I suspect they are ill, and understand there may be safety requirements expected of this child.

Yes

I give my permission to First Lutheran Church to make or use pictures, digital images, video or other reproductions of my child and to put the finished pictures, images, or videos in publications, social media, or other printed or electronic materials related to the role and function of First Lutheran Church.

Yes No

Any additional comments, questions, or concerns for Reagan/First Lutheran Church before VBS:

VBS 2022 Sign-Up

Description

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