Parent(s) Name(s) *
Parent Address
Email *
Contact Number *
Child-Name, Grade (that they will be in for 2025-2026 school year), and size shirt (Youth-YS, YM, YL, YXL or Adult-AS, AM, AL, AXL) *
Additional Children- Name(s), Grade (that they will be in for 2025-2026 school year), and size shirt (Youth-YS, YM, YL, YXL or Adult-AS, AM, AL, AXL)
Allergies or Medical Conditions
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 our Science Camp? WebsiteChurch ServiceMailed PostcardFacebookSigns Around ChurchWord of MouthOther
1 + 0 = ?Please prove that you are human by solving the equation *
