Elementary (3rd-6th) Reaching Out to the Community 2024!

Student Name

Student Grade (August 2024)

Parent/Guardian Name

Parent/Guardian Best Email Contact (where all camp info will be sent)

This address will receive a confirmation email

Parent/Guardian Cell Phone # (emergency contact for camp)

Student Mailing Address

HEALTH: Is there anything we should know to ensure your child's physical health/safety during our time together? (I.e. conditions, medications, food/material allergies, etc.) If none, write N/A. *

Is there anything else you'd like us to know to help your child have a positive and enjoyable experience in our day Camp? Ex. Personal fears, anxieties, emotional needs, etc. (Please note - while we try to accomodate requests for students to be with at least one friend, we cannot promise to keep large groups of friends together.) *

PHOTO RELEASE: Do you concent for your student's image to appear in any of the following formats? (Please check all that apply.)

Church Print Media (including weekly newsletter, annual stewardship campaign bulletin, future summer camp posters/flyers) Church Digital Media (including e-newsletter, website, church Facebook Page - St. Thomas OP, closed ministry leadership groups Episcopal Diocese of KS Print Media (including Episcopal Diocese of KS Digital Media (including e-newsletter, website, Facebook Local News Media

*OPTIONAL* Summer @ St. Thomas 2024 T-Shirt = $12
Our annual summer camp t-shirt can be purchased ONE TIME (for your child's earliest camp, if enrolled in multiple), and can be used for ALL of our summer camps. The shirt will be a soft, lighweight (think "Bella Canvas") blend in a light color and offers a helpful way for our staff to easily identify our participants when out and about. **All t-shirts require pre-payment (see below) and must be requested by APRIL 30**

OPTIONAL T-shirt Order:

Child Small Child Medium Child Large Child XL/Adult XS Adult Small Adult Medium Adult Large Adult XL

"KEEP IT SAFE!" - Our St. Thomas Elementary Camps operate under the simple expectation that we "KEEP IT SAFE!" Please read the following with your child/children, and click below to agree.

AT OUR CAMPS...
1. We keep our BODIES safe! - Safe play, safe & respectful touch.
2. We keep our CHURCH safe! - We respect and honor our church spaces as "God's House," and we know that our spaces are a gift to our community from many who are with us today and who have come before.
3. We keep our HEARTS safe! - We "love God and love others" in all the things we say and do!

We understand and agree to KEEP IT SAFE at ROTC!

YES!!!

PAYMENT: A $40 non-refundable deposit (plus $12 if ordering a t-shirt) is due at registration. These funds reserve our transportation and Friday afternoon lunch and party. You also have the option to pay in full at this time. *If paying a deposit, a link for final payment will be sent to you around May 1st.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Elementary (3rd-6th) Reaching Out to the Community 2024!

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