Child- Name and Grade (for this upcoming school year) *
Additional Children- Name(s) and Grade(s)
Parent(s) Name(s) *
Parent Address
Email *
Contact Number *
Allergies or Medical Conditions
Please pick T-shirt size(s), 1 per child: Youth: YXS (4-5), YS(6-8), YM(10-12), YL(14-16), YXL(18-20), Adult: S, M, L, XL, XXL
Do you grant Eastside Lutheran Church & School to take digital images of your child/children for use in promotional or educational materials? * YesNoYes-but no individual pictures
These materials may include printed or electronic publications, websites, or other electronic communications.)
Do You Have a Church Home? YesNot Currently
How Did You Hear About The Human Body Science Camp? WebsiteChurch ServiceMailed PostcardFacebookSigns Around ChurchWord of MouthOther
1 + 5 = ?Please prove that you are human by solving the equation *
