Registration

Our camp assigns kids to a group based on age and grade. Our PreK group is limited to 20 kids with 2-3 leaders and 3-4 helpers. Kindergarten through 3rd grade will be broken out into smaller groups of K-1st and 2nd-3rd, with 20-25 kids in each group with 2 leaders and 2 helpers. 4th - 6th grade will spend time in a large group (Day Camp) and also smaller groups by grade.

You are considered fully registered when you have completed this form and we have received your payment. Registration fee for VBS (Pre-K through 3rd grade) is $60 ($50 for each additional child from the same family). Registration fee for Day Camp (4th - 6th grade) is $120 ($110 for each additional child from the same family). Financial assistance is available.

You can pay online, mail a check to Holy Spirit Lutheran Church, 10021 NE 124th St, Kirkland, WA 98034, or make a payment plan by contacting Becky at children@hslckirkland.org.

Name of Adult Filling Out Form

First Name

Last Name

Primary Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Family Email Address

Please use an e-mail address that you regularly check.

Cell Phone Number

(###)

###

####

I heard of the VBS/Day Camp Program at Holy Spirit through:

The church I regularly attend is

Please include city

Student 1 Name

First Name

Last Name

Student 1 Birthdate

YYYY

Student 1 Grade in Fall

Student 1 T-Shirt Size

Student 1 Name of friend attending in same grade

First Name

Last Name

Student 1 Allergies, sensitivities, behaviors, or any other things we should know so we can support your child

Student 2 Name

First Name

Last Name

Student 2 Birthdate

YYYY

Student 2 Grade in Fall

Student 2 T-Shirt Size

Student 2 Name of friend attending in same grade

First Name

Last Name

Student 2 Allergies, sensitivities, behaviors, or any other things we should know so we can support your child

Student 3 Name

First Name

Last Name

Student 3 Birthdate

YYYY

Student 3 Grade in Fall

Student 3 T-Shirt Size

Student 3 Name of friend attending in same grade

First Name

Last Name

Student 3 Allergies, sensitivities, behaviors, or any other things we should know so we can support your child

If you have more than 3 students you are registering for VBS or Day Camp, please email Becky Cole at vbs@hslckirkland.org to register your additional students.

If I cannot be reached, I give permission for HSLC staff to call for medical assistance while my child(ren) are at HSLC.

Yes

I give my permission to Holy Spirit Lutheran Church to use photographs of my child in its public displays or media releases. I understand these photographs will not be sold or used for commercial purposes.

Please write your name below

Pay Online

After submitting your registration, you’re almost done! You are considered fully registered when you have completed this form and we have received your payment.

VBS (age 4 – 3rd grade): $50 for the first child, $40 for each additional child in same family

Day Camp (4th, 5th & 6th grade): $110 for the first child, $100 for each additional child in same family

Registration fees increase by $10 if registering after June 20th, so sign up today!

Financial assistance is available. You can pay online, mail a check to Holy Spirit Lutheran Church, 10021 NE 124th St, Kirkland, WA 98034, or make a payment plan by contacting Becky at children@hslckirkland.org.

Pay Online now