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Camper Name
Camper Name
Address
Address
Phone
Phone
Date of Birth
Date of Birth
PROFILE INFORMATION
The following information is helpful to our camp staff in getting to know campers better and more quickly:
PERMISSION
This section must be signed in order for your child to attend camp.
HAS MY PERMISSION TO ATTEND DAY CAMP.
Photo permission
Check this box if you DO NOT give permission for Agape' Kure Beach Ministries to use pictures of your child for promotional purposes (camp brochure, web site, staff recruiting display, etc.) If you do give permission, leave blank and do not check.
Today's Date
Today's Date

July 8-12, 2019 9:00 AM-3:00 PM

Payment Information:

The cost is $135 per child.  Early registration before April 30 will receive $30 discount. There will be a $250 cap for families registering multiple children. 

This fee is required to hold your child’s spot in the Our Saviour Lutheran Church Agape’ Day Camp.  There will be no additional fees other than the deposit.

If you prefer to pay via check or cash, please make the check payable to: Our Saviour Lutheran Church.  Please note that your child’s spot is not reserved until payment is received.  Payment must be received by April 30, 2019 in order to receive the early registration discount.

PAYMENT METHODS:

Cash/Check: Payable to Our Saviour Lutheran Church. Drop off or mail (check) to 1517 Luther Way Southern Pines, NC 28387 Attn: Donna Knight. Make sure you send with your check your camper’s name and note it is for Agape’ Day Camp.

Paypal: Send payment to oslcsp@oslcsp.org. Please note on your payment your name, your camper’s name and that it is for Agape’ Day Camp.

Credit Card/Bank Account: Use our Pushpay online giving app. In the Fund pull-down menu, please select Camp Agape’-Day Camp. In the memo field please give us your name, camper’s name, and whether it is for Agape’ or Preschool, so we can record the payment to the correct person.

Health Form:

Please visit here to download the required health form and BRING IT WITH YOU on the 1st day of camp. Campers can not be accepted for camp sessions without a filled out and signed health history. If you are having issues with downloading, email staff@oslcsp.org for a copy via email.

Questions? Contact Katie Van O’Linda at kvanolinda@earthlink.net or Lynn Antil at mslynn_e@yahoo.com

Agape’ Kure Beach Ministries 919-552-9421