Day Camp Registration

One form per child, please!

Child Name

First Name

Last Name

Gender

Birth Date

MM

DD

YYYY

Grade Completed

T-shirt size

Home Address

Street, City, State, Zip

Home phone number

Email Address

Parent Name

First Name

Last Name

Parent cell phone

Emergency Contact Person

First Name

Last Name

Emergency Contact Person Phone Number

Food allergies

Medical Concerns, including restrictions to physical activities

Siblings attending VBS

Home Church, City

Other notes or concerns

Trinity Lutheran Church

Hobbs. NM

Trinity Lutheran Church | 718 W Bender Blvd, Hobbs, NM 88240