Day Camp – Our Savior’s Lutheran Church

Summer Day Camp at Our Savior's
Hosted by Luther Crest Bible Camp

June 23 - 26, 2025
8:45 am - 3:00 pm
$130 $30 per camper

What is Day Camp @ Our Savior's?
A Christ-centered experience for those who have finished Kindergarten through Fifth Grade. Day Camp introduces students to a Bible Camp experience without being away from home at night. Day Camp programming is led by Luther Crest Bible Camp staff, assisted by volunteers from Our Savior's.

What to Expect at Day Camp
Each day your camper will have the opportunity for the following activities:

Sing-a-long
Games
Bible Study
Arts & Crafts
Worship
Afternoon Activities (TBD)

What to Bring to Day Camp
Campers are encouraged to dress casually each day. Activities will be both inside and outside of the church - please dress appropriately for the weather (the church is air conditioned).

Each camper needs to bring:

A sack lunch every day
A water bottle
Lace-up shoes, suitable for running
Sunscreen
Bug spray

2025 Day Camp Registration (#20)

CAMPER INFORMATION

Camper’s Name

Grade in 2024-25

Camper's Date of Birth

Gender

Female

Male

Camper's Age

Camper's Church

PARENT/GUARDIAN INFORMATION

Camper Primarily Lives with:

Both Parents

Mother

Father

Grandparent(s)

Legal Guardian

Father's First Name

Father's Last Name

Father's Cell Phone

Father's Email

Mother's First Name

Mother's Last Name

Mother's Cell Phone

Mother's Email

Parent's Address

Address Line 1

Address Line 2

City

State

Zip Code

Father's First Name

Father's Last Name

Father's Cell Phone

Father's Email

Father's Address

Address Line 1

Address Line 2

City

State

Zip Code

Mother's First Name

Mother's Last Name

Mother's Cell Phone

Mother's Email

Mother's Address

Address Line 1

Address Line 2

City

State

Zip Code

Grandparent's First Name

Grandparent's Last Name

Grandparent's Cell Phone

Grandparent's Email

Grandparent's Address

Address Line 1

Address Line 2

City

State

Zip Code

Legal Guardian's First Name

Legal Guardian's Last Name

Legal Guardian's Cell Phone

Legal Guardian's Email

Legal Guardian's Address

Address Line 1

Address Line 2

City

State

Zip Code

EMERGENCY CONTACT INFORMATION

Someone other than a parent or guardian

Emergency Contact's First Name

Emergency Contact's Last Name

Emergency Contact's Cell Phone

Relationship to Camper

Grandparent

Family Member

Friend of Family

Other

Medical Information

An examination by a physician is NOT needed, but please complete the following form for Luther Crest Bible Camp to have on file during the Day Camp week. This form is required by Minnesota State Law.

Doctor's Name

Doctor's Phone

Does your camper have any medical conditions?

Yes

Please describe your camper's medical condition

Will your camper require any routine medications while at Day Camp?

Yes

Please list medications, including dosing and directions

Does your camper use EpiPens? (LCBC & OSLC do not provide EpiPens)

Yes

Date of last Tetanus Shot

Is your camper up to date on Immunizations?

Yes

Does your camper have any allergies related to: pollen, medications, food, insect bites, etc.?

Yes

Please describe your camper's allergies

Should your camper's activities be restricted for any reason?

Yes

Please describe your camper's activities that should be restricted

Please share any other information or concerns (mental health, physical ability limitations, behavioral or social) that we need to know about your camper in order to best serve them during their Day Camp week:

Insurance Information

In the event of an accident or injury requiring medical attention, your personal insurance will be considered PRIMARY CARRIER.

Insurance Company Name

Policy Number

Policy Holder

PERMISSIONS

The following permissions are for the camper registrant named above to attend Day Camp through Luther Crest Bible Camp (hereinafter "the Camp") sponsored by Our Savior's Lutheran Church of Albany, MN (hereinafter "the Church") from June 23-26, 2025.

We would like your permission to use pictures and videos of your child to show the many ways our youth are living out their faith, and having fun doing it. The Church and the Camp use these pictures and videos on our website and social media sites, in our newsletters, in promotional materials, and on bulletin boards. Pictures and videos are selected to highlight the activities of the Church and the Camp.

YES, I give permission for the Church and the Camp to use pictures and/or videos of my camper.

NO, I do not want any pictures or videos taken of my camper.

Medical Attention

YES, I give permission to seek whatever medical attention is deemed necessary, and release the Church and its staff, the Camp and its staff, and volunteers of any liability against personal losses of named camper registrant.

NO, I do not give the Church or the Camp permission to seek any medical attention for the named camper registrant.

Registration Fee

The cost for Day Camp is $130 per camper. However, because of a generous donor at Our Savior's Lutheran, the cost has been reduced to just $30 per camper! That is a week of summer programming for your child(ren) for only $30 per person! Scholarship are available if $30 is a hardship for you.

To pay the registration fee, select one of the following options. Upon completing this form, a link will be provided on the next page to pay online.

I will pay $30 per camper ONLINE

I will pay $30 per camper with a CHECK (mailed to PO Box 670 Albany, MN 56307)

I would like to use scholarship funds

CONSENT

I, the undersigned have legal custody of the camper named above, a minor, and have given my consent for him/her to attend events being organized by the Church. I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my camper’s involvement.

By participating in programs, services, activities of Luther Crest Bible Camp (LCBC), you agree to the following: On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless LCBC, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, before, during, or after participation in any hosted or programmed event by LCBC.

By typing your name below, you are acknowledging and consenting to the above information and will allow your camper to participate in the DAY CAMP Program at Our Savior's Lutheran Church in Albany, MN.

Summer Day Camp at Our Savior's Hosted by Luther Crest Bible Camp

June 23 - 26, 2025 8:45 am - 3:00 pm $130 $30 per camper

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

Medical Information

Insurance Information

PERMISSIONS

Registration Fee

CONSENT

Summer Day Camp at Our Savior's
Hosted by Luther Crest Bible Camp

June 23 - 26, 2025
8:45 am - 3:00 pm
$130 $30 per camper