Onsite Day Camp Registration

Lutherhill Summer Day Camp
July 6-10, 2015 8:00am-5:15pm
WHO CAN COME?
*Youth who have completed Kindergarten through 3rd grade
WHERE IS IT?
*Lutherhill is located at 3782 Luther Hill Road, just north of La Grange Texas
HOW MUCH DOES IT COST?
*$125.00 includes a full week of fun, lunch, snacks, a tshirt and a cuppie
WHAT SHOULD CAMPERS EXPECT?
*A week of fun including: moving as a small group with AWESOME Lutherhill counselors,
worship, Bible study, camp songs, swimming in the pool and pond, archery, arts&crafts, gaga ball,
basketball, volleyball, campfires, treehouses, making new friends and lasting memories!
WHAT DO I NEED TO BRING?
*Campers will have access to a cabin for rest and changing. On Monday, please bring a pillow
and blanket/sleeping bag to leave in your cabin for the week. Each day wear comfortable clothes and
closed toed shoes, bring a swimsuit and towel. Sunscreen and bug spray would also be a good idea.
SCHEDULE
8-8:30 Dropoff at Ackerman Pavillion
8:30 JUMPSTART at Hillside Chapel
8:45 Head to Cabin
9:15 Best Week Ever in Carby Chapel
9:30 Breathe In for Bible Study
9:45 Worship
10:15 Lutherhill Gauntlet
10:30 SNACK
10:45 Breathe Out for Bible Study
11:20 Post Study Bonanza
12:00 LUNCH
After Lunch- 1:30 Turtle Time
1:30-4:30 Activity Time
5:00 Closing Sing A Long at Ackerman Pavillion
5:15-5:30 Pick up at Ackerman Pavillion
www.Lutherhill.org-PO Box 99 La Grange TX 78945-8882664613-Laura@lutherhill.org
Lutherhill 2015 DayCamp Registration Form
Please Print Clearly
CAMPER INFORMATION
Male
Female
Name:
DOB:
Present Grade:
Address: Home Phone:
City
State
Zip
email:
Home Congregation: T-shirt size:
Food Allergies or Special Needs:
PARENT/GUARDIAN 1 INFO
PARENT/GUARDIAN 2 INFO
Name:
Name:
Relationship: Relationship: Primary Phone:
Primary Phone:
Secondary Phone:
Secondary Phone:
email:
email:
EMERGENCY INFORMATION-REQUIRED
Emergency Contact that
is not a Parent/Guardian:
Relationship:
Emergency Contact Phone:
Cell
Home
Work
Please know that the Parent/Guardian(s) listed on this form will be the first
point of contact incase of an emergency. The Emergency Contact listed will
only be a contacted if we cannot reach either Parent/Guardian.
DAYCAMP DETAILS
Each registration comes with one DayCamp T-Shirt, please
indicate size above.
Sibling Discount-A $20 discount is available to each additional
sibling after one camper is paid in full.
Camperships-Camperships are available based on need.
Please contact laura@lutherhill.org or our office at
888-266-4613 for an application.
Check payable to Lutherhill Ministries
VISA
MasterCard
Discover
My child has permission to take part in all DayCamp
activities, we agree that the camp and its personnel will
not be responsible for accidents arising thereof. I am
responsible for any medical obligations incurred during
the camping period and give the camp staff permission
to seek medical treatment for myself (or my child) in
case of injury or illness. I also give permission for use
of photographs which include myself (or my child) to
be used for camp publicity.
X
Parent/Guardian Signature
Date
DAYCAMP FEES
Price of program + $ 125.00
PAYMENT METHOD
WAIVER & CONSENT
American Express
Optional donation + $
Total Amount Due = $
Total Amount Included - $
Name on Card:
Balance Due = $
Card Number:
(On or before
July 6, 2015)
Exp. Date:
Sec Code:
Amount:
Billing Email:
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