Camp Rose Summer Camp Registration

VBS turns a kid’s ordinary summer into an exciting adventure through fun experiences that inspire the imagination. How can you pass up this free adventure?
Central Lutheran VBS is for PreK - 6th grade, Fall 2022.

VBS Dates:
- July 25-29 (Monday- Friday)
- 9:00 am -- 2:00 pm (Monday-Thursday)
- 9:00 am -- 12 noon (Friday)
Contact Information:

Central Lutheran: Loretta Monson--- (214) 264-8078

New Horizons of NTX: Tamiko Daniels---(817) 658-2530
Location

Central Lutheran Church-- 1000 Easton Road, Dallas, Texas 75218
What to expect at VBS:
- Opening Celebration-kick off the day with music
- STEAM--kids participate in hands-on science activities
- Games-it’s time to play, laugh and have fun
- Art- Opportunity to create and express
- Faith-learning and knowing Jesus helps your child build self-confidence and confirms their self-worth
- Knowledge- Unique activities that strengthen reading skills so they can start strong next school year
- Splash Day – Kids will get to cut loose and have fun splashing in the water!
Central Lutheran ChurchNew Horizons of North TexasFlyerOther
Health and Safety Procedures

Central Lutheran VBS will follow all Health and Safety procedures required by the state.
Yes, my family is eligible for the national free or reduced-price school lunch program.NoUnsure
Yes, I am a Dallas Housing Authority (DHA) resident.NoUnsure
OneTwoThreeFour
- Date of Birth*
  
  MonthDayYear
- 1st Child's Name*
  
  DLast Name
- FemaleMale
- Age*
- Ethnicity*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Cesar Chavez Learning CenterHexter ElementarySanger ElementarySanger Middle SchoolOther
- Kindergarten1st2nd3rd4th5th
- NoneDairyFishPeanutOther
- List all health and emotional problems currently affecting your child.
- 2nd Child's Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
- FemaleMale
- Age
- Ethnicity
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Cesar Chavez Learning CenterHexter ElementarySanger ElementarySanger Middle SchoolOther
- Kindergarten1st2nd3rd4th5th
- NoneDairyFishPeanutOther
- List all health and emotional problems currently affecting your child.
- 3rd Child's Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
- FemaleMale
- Age
- Ethnicity
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Cesar Chavez Learning CenterHexter ElementarySanger ElementarySanger Middle SchoolOther
- Kindergarten1st2nd3rd4th5th
- NoneDairyFishPeanutOther
- List all health and emotional problems currently affecting your child.
- 4th Child's Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
- FemaleMale
- Age
- Ethnicity
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Cesar Chavez Learning CenterHexter ElementarySanger ElementarySanger Middle SchoolOther
- Kindergarten1st2nd3rd4th5th
- NoneDairyFishPeanutOther
- List all health and emotional problems currently affecting your child.
- Date of Birth
  
  MonthDayYear
- Age
- Date of Birth
  
  MonthDayYear
- Age
- Parent/Guardian Contact Information
  
  ***Please notify camp staff of any changes***
- 1st Parent/Guardian Contact Information*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
  
  Area CodePhone Number
- Email*
  example@example.com
- 2nd Parent/Guardian
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  
  Area CodePhone Number
- Email
  example@example.com
- VBS Pick-Up
  
  ***Please notify camp staff of any changes***
- I will pick-up my child from summer campMy child will walk or bike homeThe following is authorized to pick-up my child (ID Required)
- Authorized Person 1:
  
  First NameLast Name
- Phone Number 1:
  
  Area CodePhone Number
- Preferred Local Hospital
  In case of Emergency
- Child's Doctor and Contact Number if applicable
- Insurer Company
- Insurance Policy/Group Number
- VBS Waivers of Liability
  
  Please read and sign that you have read and agree to the following conditions.
- YesNo
- Date
  
  MonthDayYear
- Name*
  
  First NameLast Name
- Email
  example@example.com
- Date*
  
  MonthDayYear
- Name
  
  First NameLast Name
- Signature*
  
  Clear
- Should be Empty:

VBS turns a kid’s ordinary summer into an exciting adventure through fun experiences that inspire the imagination. How can you pass up this free adventure?

Location

Parent/Guardian Contact Information

VBS Pick-Up

VBS Waivers of Liability