VBS Registration

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Parent or Guardian Must Agree and Check box

"I give permission for my child to attend the Green Lake Lutheran Ministries Day Camp Program, taking part in the normal program activities. I also authorize the camp to secure a doctor to provide any necessary emergency medical care.

I also give permission for the use of photographs, video and electronic images including my child in cam promotion."

Day Camper Health Form

An examination by a physician is NOT needed, but please complete the following form for GLLM to have on file during the day camp week. This form is required by Minnesota State Law. 

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EPI Pen Needed 

Camper up to date on immunizations

Allergies

Food/Medications/insects/other


Dietary Restrictions

Please list any routine medications camp staff will have to administer including dosage and directions.

Is there any other information that we should know about your camper in order to best serve them during the Day Camp Week?

OUR MISSION >

Gather. Grow. Go.

CONTACT >

P: 320-275-3852

E: office@glcdassel.com

Office hours: M-F, 9a-4p

© 2018 Gethsemane Lutheran Church

    221 Atlantic Ave. East 

    Dassel, MN  55325