Amazing Journey Registration 2025

Children born January 1, 2014 to June 30, 2021 are eligible to be campers. Please register each child separately.

When:

Monday, July 7th to Friday, July 11th, 2025

9:00 am to 12:00 pm

Where:

St. Luke Cedar Hill Anglican Church Hall

3821 Cedar Hill Cross Rd

Victoria, BC V8P 2M6

Registration Deadline: June 20th, 2025
Child's Last Name:*
Child's First Name:*
Child's Pronouns:*
Birth Date:*

YearMonthDay
Grade Completed:*
Siblings Attending (Please register each child separately:
Allergies, diet restrictions, health challenges, or things we can do to make your child more comfortable at camp (e.g. being with a friend, having a quiet spot):
We love it when caregivers volunteer at camp. Please indicate if you would like to help.

I can volunteer during all the days at campI can volunteer on the following days _________________I can volunteer to help with set up or tear down of campI am unable to to volunteer
Parent/Guardian:*

First NameLast Name Relationship
Address

Street Address

Street Address Line 2

City Province

Postal Code
Primary Phone #:*

Area CodePhone Number
Alternate Phone #:

Area CodePhone Number
E-mail:*
Emergency Contact*

First NameLast NameRelationship
Primary Phone #*

Area CodePhone Number
Alternate Phone #

Area CodePhone Number
NOTE: Children will only be released to those listed on this form.
1. Name of persons picking up child(ren) *

First NameLast NameRelationship
Primary Phone #*

Area CodePhone Number
Alternate Phone #

Area CodePhone Number
2. Name of persons picking up child(ren) *

First NameLast NameRelationship
Primary Phone #*

Area CodePhone Number
Alternate Phone #

Area CodePhone Number
How did you hear of this program

Lutheran Church of the CrossSt. Luke Cedar HillSchoolE-mailAdvertisingFriendOther
I give permission for my child to be photographed/video recorded

YesNo
I will pay the camp registration fee by

Sending an e-transfer to lutheranchurchofthecross@shaw.ca. Please include the names of your camper(s) in the message box on the e-transfer.Cash or cheque to be dropped off at St. Luke's Cedar Hill or Lutheran Church of the Cross. Cheques to be made payable to Lutheran Church of the Cross. Please write "Amazing Journey" on the memo line.
By completing and submitting this form you are giving permission for your child to attend.
Name and Relationship to the Camper of the Person Registering*
Should be Empty: