2025 Grace Lutheran Summer Camp Registration

2025 Summer Camp Registration

Early registration for Grace Lutheran's 2025 Summer Camp is Now Open! Camp is available to Rising K-5 students. An $80 enrollment fee will be billed to your Grace account in the spring, before camp begins. Early enrollment for Grace families ends on February 3rd. Open enrollment begins February 4th.
Camp Hours
8AM-3:30PM

Before and Aftercare are available at no additional cost.

Before Care begins at 7AM.

After Care Ends at 5:30PM.
Camper's Information
Last Name*
First Name*
Gender*

MaleFemale
Address*
City*
State*
Zip*
Birth Date*

MonthDayYear
Shirt Size*
GRADE ENTERING IN THE FALL *
YOU WILL BE ADDED TO THE WAITLIST. IF A SPOT OPENS UP, YOU WILL BE CONTACTED.
I am registering my child for: (note that field trips and after camp are included in the price)*

Daily Camp (Must register for at least 2 days a week- $50 per day and is paid weekly)Weekly Camp ($225 per week and is paid weekly)Unlimited Camp ($1580- covers the entire summer and is paid at the start of camp)
Please Select a camp week.*

Week 1 - June 2 - 6 Inventor's WorkshopWeek 2 - June 9 - 13 Wild West WeekWeek 3 - June 16 - 20 Diving into Decades WeekWeek 4 - June 23 - 27 Green WeekWeek 5 - June 31 - July 3 Fitness Week (No Camp July 4th)Week 6 - July 7 - 11 Under the Sea WeekWeek 7 - July 14 - 18 Music Makers WeekWeek 8 - July 21 - 25 Under the Big Top: Circus Week

Daily Camp (Do not complete this if you are signing up for weekly or unlimited camp.)

	Week 1	Week 2	Week 3	Week 4	Week 5	Week 6	Week 7	Week 8
Monday
Tuesday
Wednesday
Thursday
Friday

Dear Parent/Guardian,

Please review the Rules and Behavior Policy before your child attends the first day of camp. Please sign below to acknowledge your understanding of our camp behavior expectations.

Our summer camp staff wishes to partner with parents in regards to classroom management and appropriate behavior choices. The camp staff will expect your child to do the following:

Respect authority and treat others kindly.

Listen to and follow directions.

Accept responsibility for their own actions.

Practice self-control and keep their hands to themselves.

Use positive and appropriate language.

Work cooperatively and participate in activities.

Stay together as a group, especially on field trips and walking trips.

Respect the property of Grace Lutheran Church and School and the people and places we visit.

Bullying will not be tolerated.

The camp staff will strive to emphasize and encourage positive behaviors and appropriate choices at camp. When needed, the following steps will be used to promote improved behavior and classroom management.

1. A verbal warning will be given to the student to encourage the appropriate and expected behavior.

2. The student will receive an age appropriate consequence for continued misbehavior, such as a time out, sitting out an activity, etc. If the behavior continues, a written report will be sent home with the student.

3. If behavior choices result in safety concerns, the student will be removed immediately from the group and placed in time-out with administration. Parents will be contacted and may be required to pick up their student, depending upon the severity of the infraction.

4. After a student has received three written reports and/or is placed with administration three times in a one week time period, the student will not be allowed to attend their next scheduled day of camp. No refunds will be given. Please be aware that the severity of the situation may warrant progressive steps to be skipped.

5. If behavior continues or negatively impacts the daily routine of camp, parents and administration will meet to implement a written behavior improvement plan with timelines for the child.

6. If behavior improvement does not occur per staff expectations, the child will be asked to leave our program. No refunds will be given.
I have read and fully understand the Grace Lutheran Day Camp Policy on Behavior and Rules and I have discussed the policy with my camper. I agree to the terms of the policies.*

Yes, I agree.No, I do not agree.
Electronic Signature- Type Name Below*
Parent or Legal Guardian Information
Parent/Guardian 1*
Relationship to Camper*
Parent/Guardian 1 Email*
Parent/Guardian 1 Phone Number*

Area CodePhone Number
Parent /Guardian 2
Relationship to Camper
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number

Area CodePhone Number
Emergency Contact Info
Emergency Contact Name (If parent or guardian is not available.)*
Emergency Number*

Area CodePhone Number
Relationship to Child*
Emergency Contact Name ( If parent or guardian is not available.)*
Emergency Number #2*

Area CodePhone Number
Relationship to Child*
Health Information
Are immunizations up to date?

YesNo
Date of last tetanus shot
Any activity the camper should be restricted from?
Any physical, mental or other condition that would require special attention or medication while at camp?
Medications: Any regularly dosed medication will need to be dropped off in the camp office, in the original packaging, and an additional medication dosing authorization form will need to be completed. *
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
Sunscreen Agreement Policy
Your child's counselor will assist with applying sunscreen to bare surfaces including the face, top of ears, shoulders, arms, legs and feet 15-30 minutes before outdoor activities. Suncreen will not be applied to any broken skin or if a skin reaction has been observed. Any skin reaction observed by staff will be promptly reported to the parent/guardian.
I understand that camp counselors will apply sunscreen and repellent to my child's exposed skin before leaving the building for activities.*

YES, I wish for sunscreen to be used on my child.NO, I do not wish for sunscreen to be used on my child.
In the event that my child's provided sunscreen is not readily available, my child may use the sunscreen provided by the camp.*

YESNO
Please Initial to Acknowledge Consent*
Camper Photo Release
During camp we participate in many activities that make great photo ops! The photographs taken during camp will be used in the weekly newsletter, on social media, on the Grace Lutheran website, and possibly in promotional campaigns for the camp and/or school. By signing your consent below you are giving us permission to share photographs of your child in these ways. Your privacy is important to us, so to comply with privacy laws if you choose not to give your consent photographs of your child will not be used. This may mean their face will be blacked out of group photos or they may be asked to step out of frame for a group shot in some instances.

Please note that no names are ever published with photos of children on our website or social media and our camp newsletter is only distributed to the families of camp attendees.
I agree that photos of my child can be taken and used by Grace Lutheran Summer Camp and School in the following ways and I confirm my choice with my signature below:*

I do not consent to usage of my camper's photograph in any way.I consent to my camper's photograph being used in the Camp Newsletter only.I give full consent to use my camper's photograph in the newsletter, on social media, on the Grace Lutheran website and in promotional campaigns for the camp and school.
Electronic Signature- Type Name Below*
Transportation Permissions
I grant permission to Grace Lutheran Summer Day Camp to take my child to their vaious activities and locations via the Grace Lutheran Bus and Van.

I understand that by checking NO, my child will be unable to participate in field trips that require the use of the Grace Lutheran Bus and Van.
Please Check ONE and Electronically Sign Below

YES, I give permission.NO, I do not give permission.
Please Initial to Acknowledge Your Selection*
Medical Consent
Please be aware that all 911 emergencies are taken to Huntsville Hospital.

In the event that my child has a medical emergency, I hereby give the Grace Lutheran Summer Day Camp staff permission to authorize whatever emergency measures are necassary to ensure the safety and welfare of my child. I acknowledge that these measures may incur financial responsibility and I agree that I will assume all financial responsibility for my child's medical care. Furthermore, I will not hold Grace Lutheran School responsible for any medical care authorized by the school/camp staff on my behalf. By signing this form, I am giving the appropriate school/camp personel authority to call EMS, to transport, or to obtain medical care at their discretion for my child if I or my approved representative (emergency contact) cannot be reached.
I understand that by signing below I am giving consent for Grace Lutheran Summer Day Camp to seek medical care for my child in my absence and that I am responsible for any financial obligations incurred on my behalf for said care.*

YESNO
Electronic Signature- Type Name Below*
Pick up Authorization
The following people are authorized to pick up my child from Grace Lutheran Summer Day Camp. I authorize the release of my child to their care. Both parents/guardians are automatically approved for pick up unless otherwise noted.
Pick Up #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Pick Up #2*

First NameLast Name
Phone Number*

Area CodePhone Number
Please share any additional information below:
Electronic Signature- Type Name Below*
Review and Submit
Please take a moment to review the information you have provided for accuracy. By initialling and submitting this form you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. You also certify that you child has your permission to attend camp and participate in all activites.
Electronic signature, please initials*
If you have any questions please contact us at summercamp@gls-hsv.org.
Should be Empty:

2025 Summer Camp Registration

Camp Hours

Camper's Information

Parent or Legal Guardian Information

Emergency Contact Info

Health Information

Sunscreen Agreement Policy

Camper Photo Release

Transportation Permissions

Medical Consent

Pick up Authorization

Review and Submit