Summer Day Camp 2019 – Abundant Life Church

Our kids today are missing out. They need opportunities to get away from their phones and screens and get into nature with new friends for new adventures. This is what makes summer camp such an amazing experience. We are so excited to host the very first ALC Summer Day Camp at Abundant Life Church located at 751 Dean Patrick Road, Locust Grove. This camp will include fun packed days full activities, field trips, and more!

The total cost each week per child is $100. There will be a one time $25 deposit that will go toward your first week’s balance. After the initial deposit, you will owe $75 for your child’s first week and $100 for every subsequent week that you select. Your child’s spot is reserved only after you have submitted your payment. The price of camp includes breakfast, lunch, snack, and a summer day camp t-shirt. The cost also covers all of the camp activities and field trips. To register, please continue to the form below and fill out all required fields. Space is limited so register today!

We look forward to meeting you and your child. Let’s make Summer 2019 the best summer they have ever had!

FAMILY INFORMATION

Parent/Guardian's Name:

Relation to Child:

Phone Number:

Email:

Home Address:

City:

State:

Zip Code:

Parent/Guardian's Name:

Relation to Child:

Phone Number:

Email:

Home Address:

City:

State

Zip Code:

CHILD'S INFORMATION

Full Name:

Male/Female:

Birth Date:

Home Address:

City:

State

Grade as of January 1, 2019

Shirt Size:

Every child has unique needs; we can serve your family better when we know those needs. The ALC summer day camp is an inclusive, welcoming space dedicated to serving children and families in a way to meet your needs. Your child’s safety at the ALC Summer Day Camp is our top priority; therefore, if you have a request or a medical need, please contact us so we can work together to create the best experience for your child.

Answer all that apply to your child or simply put “None” for those that don’t apply.

Medication:

Please List Name of Medicine and Required Schedule.

Is Your Child Emotionally, Behaviorally, Intellectually or Physically Challenged? If so, Please Explain.

Special Circumstances:

CHILD’S ADDITIONAL EMERGENCY CONTACTS
& AUTHORIZED PICK UPS

Please list the individuals who may be contacted in the event of an emergency if
parents/guardians cannot be reached. Click to indicate who is authorized to pick up your child. In
the case of joint custody, both parents must provide written consent for all names added
to/removed from the Emergency Contacts and Authorized Pick Ups list.

Full Name:

Relationship to Child:

Phone Number:

Full Name:

Relationship to Child:

Phone Number:

Full Name:

Relationship to Child:

Phone Number:

Please refer to the calendar above and specify which week(s) you would like your child to participate below:

Ex: Week One and Week Two.

Choice of Payment:

Comments / Questions

There are several different ways you can make a payment for Summer Day Camp 2019. You can give through PushPay. Pushpay is our secure platform that allows you to using your checking account, debit, or credit card. After you click on the link provided below, choose “Other” and designate “ALC Summer Day Camp” with appropriate amount. Click here to give through Pushpay. A new window will open. You may also bring a check or cash to Abundant Life Church located at 751 Dean Patrick Road, Locust Grove.

If you have any questions, please call Erin Turner at 770-715-8279 or email her at eeturner01@gmail.com.

FAMILY INFORMATION

CHILD'S INFORMATION

CHILD’S ADDITIONAL EMERGENCY CONTACTS & AUTHORIZED PICK UPS

CHILD’S ADDITIONAL EMERGENCY CONTACTS
& AUTHORIZED PICK UPS