2017 Summer Camps
 
2017 Summer Camps
SUMMER CAMP REGISTRATION
Last Name, First Name, Middle Initial  * 
June 12-16: READING CAMP K - 2nd 9:00 AM - 12:00 PM, READING CAMP 3rd-5th 9:00 AM - 12:00 PM  * 
June 12 - 16 COMPUTER CAMP 1st-3rd 9 AM - 11 AM, COMPUTER CAMP 4th-6th 12 PM - 3 PM  * 
June 12 - 15: Snapology Lego STAR WARS MOVIE MAKING Ages 7 - 11, NINJAS Ages 5 - 11, Register at Chicagoland.snapology.com
June 19 - 23 VACATION BIBLE SCHOOL, Preschool - 6th, Register at www.immanuelcl.org
June 26 - 30 COED FLAG FOOTBALL CAMP 1st - 3rd 9 AM - 12 PM, COED FLAG FOOTBALL CAMP 4th - 6th 1 PM -4 PM  * 
June 26 - 30 GIRLS VOLLEYBALL CAMP 2nd - 6th 9 AM - 12 PM  * 
June 26 - 29: Snapology Lego COMBAT ROBOTS Ages 7 - 11, Register at Chicagoland.snapology.com
July 5 - 7 ART CAMP 1st - 3rd 9 AM - 11 AM, ART CAMP 4th - 6th 1 PM - 4 PM  * 
July 5 - 7 CHRISTMAS IN JULY CAMP K-4th 9 AM - 11 AM  * 
July 5th - 7th COED GOLF CAMP 2nd - 6th 9 AM - 12 PM  * 
July 10 - 14 COED BASKETBALL CAMP K-2nd 9 AM - 11 AM, COED BASKETBALL CAMP 3rd - 5th 12 PM - 3 PM  * 
July 10 - 14 HOME ECONOMICS CAMP 2nd - 6th 9 AM - 12 PM  * 
July 10 - 14 CHEERLEADING CAMP K - 4th 9 AM - 11 AM  * 
July 10 - 13: Snapology Lego GAMEBOTS Ages 6 - 11, Register at Chicagoland.snapology.com
July 17 - 21 NATURE CAMP K - 4th 9 AM - 12 PM  * 
July 17 - 21 COED BASEBALL CAMP 1st - 3rd 9 AM - 11 PM, COED BASEBALL CAMP 4th - 6th 12 PM - 3 PM  * 
July 17 - 20: Snapology Lego POKEMANIA Ages 5 - 11, STAR WARS ROBOTICS Ages 7 - 11, Register at Chicagoland.snapology.com
July 24 - July 28 COED SOCCER CAMP K - 2nd 9 AM - 11 AM, COED SOCCER CAMP 3rd - 6th 12 PM - 3 PM  * 
July 24 - 27: Snapology Lego ATTACKBOTS Ages 7 - 11, MINECRAFT Ages 5 - 11, Register at Chicagoland.snapology.com
July 31 - August 4 COOKING CAMP 1st & 2nd 9 AM - 10:30 AM, COOKING CAMP 3rd - 5th CLOSED, COOKING CAMP 6th - 8th CLOSED  * 
July 31 - August 4 THEATER CAMP 2nd - 6th 9 AM - 3 PM  * 
For Extended Care or Early Drop Off please contact Amy Swisher alkswisher@gmail.com Extended care is available from 8 AM - 5 PM each week of camp, and 12 PM - 5 PM during VBS week. The cost is $4 per hour.
Extra donation for THE CLINIC $ 
APPLICATION Part 1 General Information
Gender  * 
Birth Date  * 
Grade in September 2017  * 
Address  * 
Family email address  * 
Mother's name  * 
Mother's email  * 
Mothers Home number, work number and cell number  * 
Fathers Name  * 
Father's email  * 
Father's Home number, work number, and cell number  * 
Authorized pick-up for camper (other than parents or guardian) & relationship. Please list name and phone number.  * 
Second authorized pick-up for camper (other than parents or guardian) & relationship. Please list name and phone number.
All students receive a free Summer Camp t-shirt. Please indicate desired size.  * 
APPLICATION Part 2 Health Information
Emergency Contact Person: Name, Home Phone, Work Phone, Cell Phone  * 
Physician’s Name and Phone Number  * 
Insurance Company and ID Number  * 
List all medications, allergies, physical challenges, or special conditions.  * 
List ANY activities in which your child should NOT participate due to health reasons.  * 
I certify that all information given is correct and that my child has permission to engage in all scheduled activities except those noted above. If I am notified of illness, arrangements will be made for immediate pick up of my child. In the event I cannot be reached in a medical emergency, I hereby give permission to the physician or hospital selected by the Summer Camp Directo or Extended Care Director or Principal of Immanuel Lutheran School or Pastor of Immanuel Lutheran Church to treat my child.  * 
I release and forever discharge Immanuel Lutheran Church & School (300 South Pathway Court, Crystal Lake, IL 60014), their agents, servants, employees and other representatives against loss from any present or future claims, demands or damages and causes of action either at law or in equity that I may have as a result of my child's participation in, attendance at the Immanuel Lutheran Church Summer Camps or Immanuel Lutheran Church Extended Care.  * 
Furthermore, I do hereby expressly stipulate and agree to indemnify and hold forever harmless Immanuel Lutheran Church & School, their agents, servants, employees and other representatives against loss from any and all present and future claims, demands or action in law or in equity that may hereafter be made or brought by me or my child, by anyone on behalf of me or my child, or by anyone else on their own behalf for damages or any other legal or equitable remedy on account of any injury, illness, physical condition, inconvenience, or loss sustained by me or my child during the service trip or travel to or from the same. By clicking yes, I, the undersigned, hereby acknowledge that I have read the foregoing, understand its contents and have signed the same on my own free act.  * 
Photography release: I release the rights to all photos taken of the camper who is being registered on this form to Immanuel Lutheran Church & School. Pictures will be used ONLY for publicity of Immanuel Lutheran Church & School and promotion of future activities. All pictures can be used in our monthly newsletter, online flash non-downloadable slideshows, and any other printed materials.  * 
Your Email Address  * 
Total $
 
 
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