Upcoming Events : Day camp pre-registration form

Day Camp Pre-registration

Complete the form below and click the button at the bottom to pre-register for day camp.

Fields marked with * are required. T-shirt availability is not guaranteed, if you register after June 15.

If you do not feel comfortable sending this information this way, you may contact Pastor Borgwardt by email or by phone at 262-547-9920.

Children 4 years old through 5th grade are invited to attend. The cost is $15 per child. (The $15 fee is for the entire camp whether the camper attends one or both days.) Send payment to:

Living Word Day Camp
2148 Empire Drive
Waukesha, WI 53186

Day Camp 2009 Pre-registration Form *Full name of child #1: *Grade in 09-10 child #1: *T-shirt size of child #1: Child small Child medium Child large Adult small Adult medium Adult large Adult XL Full name of child #2: Grade in 09-10 child #2: T-shirt size of child #2: Child small Child medium Child large Adult small Adult medium Adult large Adult XL Full name of child #3: Grade in 09-10 child #3: T-shirt size of child #3: Child small Child medium Child large Adult small Adult medium Adult large Adult XL *Full name of parent(s)/guardian(s): *Address: *City: *State: *Zip: *Home Phone xxx-xxx-xxxx: Email: *Emergency contact: *Emergency phone: Allergies or other medical conditions: Current church home:

If you need to register more than three children from the same family, click the 'Send to Living Word' button now, then come back to this page and complete the form again with new information as needed.

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This page was updated June 30, 2009