Camp Calumet at St. Mark Registration Form
(one Form for each child registering please)
Child’s Name:______________________________ Child’s Age_______
Last School Grade completed______
Parent/Guardian Name________________________________________
Address___________________________________________________
Home telephone:____________________ Cell phone:_______________
Home email address:_________________________________________
In Case of Emergency (when parent/guardian cannot be reached) Contact:
Name_____________________________ Phone__________________
Relationship to child:_________________________________________
Please list any allergies (including food) the VBS staff should be aware of
________________________________________________________
Person Responsible for picking up this child at the end of each VBS day:
Name________________________________ Phone______________
Name________________________________ Phone______________
Parent/Guardian Signature____________________________________
Save The Date!
Calumet Vacation Bible School will join us again this summer for our children’s favorite summer camp.
Keep this week open and tell your friends that all are welcome!
JULY 5TH –JULY 9TH FULL DAYS!
Cost is $100 per child
The Lutheran Church of Saint Mark
In Joy We Share Christ's Truth
75 Griswold St, Glastonbury, CT 06033
(860) 633-1188