First Lutheran Church of Longview

Day Camp

Dates: July 8 -12
Times: 9:00am - 3:00pm
Who: Completed K - 5th
Instructions: Follow the steps below to register your child(ren). If you have any questions please call the church office at (903) 295-7423

Participant Information

Participants First & Last Name

Grade Completed (2023-2024)

Gender

Birth Date

Medical Concerns/Food Allergies/Medications

T-Shirt Size

Parent/Guardian Information

Parent/Guardian First & Last Name

Relationship to Participant

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency Contact

(In case we can't reach you)

Emergency Contact First & Last Name

Relationship to Participant

Phone Number

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Day Camp

Day Camp

Participant Information

Parent/Guardian Information

Emergency Contact

(In case we can't reach you)

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