Sidney Lutheran Brethren Church

"The Light on the Hill"

Day Camper Information:

Please be sure to fill out a registration form for each child attending Unshakable Day Camp at Sidney Lutheran Brethren Church.

Name (First and Last)
Address
City
State
Postal Code
Phone Number
Email Address
Sex
D.O.B.
Grade Being Entered
Home Church (Optional)
Allergies and Medical Conditions
Emergency Contact Name
Emergency Contact Phone Number
Parent/Guardian Name
Parent/Guardian Home Phone Number
Parent/Guardian Cell Number
Parent/Guardian Email
Parent/Guardian Consent Signature+
Send Message

Thanks for registering your Child for the Unshakable Day Camp at SLBC. We look forward to having them here to hear the Gospel of Jesus Christ.

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+ By typing your name in the "Parent/Guardian Consent Signature" box you are giving consent for your child to attend an Inspiration Point Day Camp and designate Day Camp officials to act on your behalf in authorizing routine and/or emergency medical care. You also agree to hold harmless Lutheran Brethren Bible Camp, Inc. and Sidney Lutheran Brethren Church for any and all claims for injuries, causes for action, or liability related to the Day Camp facilities or activities. You give Day Camp officials authority in matters of discipline, understanding that any camper disregarding Day Camp rules is subject to being sent home. You give your child permission to ride in Day Camp provided transportation, and you further authorize Inspiration Point and Sidney Lutheran Brethren Church to use photos or video taken of your child at Day Camp for promotional purposes.