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Day Camp 2010

June 14-18
St. Paul Lutheran Church (ELCA) - Borchers
10792 N. County Road 210 E
Seymour, IN 47274
Phone: (812) 522-7364 or (812) 522-7484
Email: stpaullutheran@stpaul-borchers.org

DAYCAMP ROUND-UP
Camp will meet daily Monday through Friday. Activities will include bible study, worship, games, songs,
snacks, arts & crafts, stories, and drama. Children will need to bring a sack lunch each day.

Preschool & Kindergarten (ages 2 -5; not yet started kindergarten):
Grades 1 - 6 (Entering in Fall '09)

9:30 a.m. - 11:30 a.m.
9:30 a.m. - 2:30 p.m.

Special afternoon events Tuesday-Thursday begin around 3:00 p.m.

Day Camp 2010 - Registration Form
Name ____________________________________

Birthdate ____________________

Address ___________________________________

Grade next fall

City _________________ State ___ Zip _______

Youth Helper ____( v if yes, grades 7 & up)

___________

Preschool class preferred:

2 yr

3 yr

4yr

Kdg

Parents/Guardians _________________________________
Daytime phone ___________________________
Home phone _____________________________
Cell phone ______________________________
Person to contact first if needed during day camp hours _____________________
phone

I am willing to assist with daycamp.
Day Camp T-shirt size:
(T-shirts provided free of charge)

Yes

___________________________

No

Youth XS (2-4) Youth S(6-8)
Adult S M L XL

M(10-12) L(14-16)
XXL XXXL

Name of church you attend: _________________________________________ City: ______________________
How did you learn about our day camp?
Newspaper
Friend
Church bulletin

Radio School Church newsletter
Other: __________________

Bring your swimsuits and towels for swimming Wednesday evening at the Brownstown Pool!
A RESPONSIBLE ADULT MUST BE PRESENT FOR YOUR CHILD AT THE POOL!
Note: Bike Ride will be on Thursday this year!!!

(Over, please)