Date & Time
June 23, 2025 9:00 AM - 3:00 PM
Type
Price
Quantity
RTLC Day Camp Registration (Grades K-5th)
Price
$50.00
Quantity
Youth Assistant (Grades 6th-12th)
Price
$0.00
Quantity
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RTLC Day Camp Registration (Grades K-5th)
0
2025 Rainbow Trail Day Camp Registration
Please complete all required fields.
Camper Information
Camper/Youth Volunteer First Name
*
Camper/Youth Volunteer Last Name
*
Grade Entering in the Fall
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Would you like to pre-order a T-Shirt?
*
Yes
No
Please indicate names of friends your youth would like to be grouped with, if any (Attempts to accomodate will be made, but are not guaranteed)
Camper/Youth Volunteer Preferred Name
Date of Birth
*
Gender
*
T-Shirt Size
Youth Small
Youth Med
Youth Large
Adult Small
Adult Med
Adult Large
Adult XL
Adult XXL
Home Address
*
Home City
*
Home State
*
Home Zip Code
*
Camper/Youth Volunteer Health/Medical Information
Do you carry medical insurance?
*
Yes
No
Insurance Carrier
*
Group/Policy Number
*
Physician's Name
*
Physician's Phone #
*
Are your child's immunizations up to date?
*
Yes
No
Conditions/Diseases to be aware of
Dietary Restrictions/Allergies
*
Does camper carry an Epi-pen?
Yes
No
Any Other Health & Wellness Concerns
Parent/Guardian Contact Information
Parent/Guardian #1
*
Preferred Phone #
*
Primary Email Address
*
Parent/Guardian #2
Preferred Phone #
Secondary Email Address
Emergency Contact Information (if different than above)
Emergency Contact Person
Emergency Contact Relationship
Emergency Contact Phone #
Permissions
I am the lawful adult parent or guardian of above child.
*
Yes
No
My Child has permission to take part in all Day Camp activities led by Rainbow Trail Lutheran Camp (Camp) and hosted by Joy Lutheran Church (Church). I agree that the Camp, Church, and their personnel will not be held responsible for accidents arising therefrom. I give Camp and Church personnel permission to seek medical treatment for my child in case of injury or illness.
*
Yes
No
I give permission for photos, video, and electronic images to be taken of me or my child and used by the Camp and/or Church for promotional purposes without compensation, inspection or approval.
*
Yes
No
Youth Assistant (Grades 6th-12th)
0
2025 Rainbow Trail Day Camp Registration
Please complete all required fields.
Camper Information
Camper/Youth Volunteer First Name
*
Camper/Youth Volunteer Last Name
*
Grade Entering in the Fall
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Would you like to pre-order a T-Shirt?
*
Yes
No
Please indicate names of friends your youth would like to be grouped with, if any (Attempts to accomodate will be made, but are not guaranteed)
Camper/Youth Volunteer Preferred Name
Date of Birth
*
Gender
*
T-Shirt Size
Youth Small
Youth Med
Youth Large
Adult Small
Adult Med
Adult Large
Adult XL
Adult XXL
Home Address
*
Home City
*
Home State
*
Home Zip Code
*
Camper/Youth Volunteer Health/Medical Information
Do you carry medical insurance?
*
Yes
No
Insurance Carrier
*
Group/Policy Number
*
Physician's Name
*
Physician's Phone #
*
Are your child's immunizations up to date?
*
Yes
No
Conditions/Diseases to be aware of
Dietary Restrictions/Allergies
*
Does camper carry an Epi-pen?
Yes
No
Any Other Health & Wellness Concerns
Parent/Guardian Contact Information
Parent/Guardian #1
*
Preferred Phone #
*
Primary Email Address
*
Parent/Guardian #2
Preferred Phone #
Secondary Email Address
Emergency Contact Information (if different than above)
Emergency Contact Person
Emergency Contact Relationship
Emergency Contact Phone #
Permissions
I am the lawful adult parent or guardian of above child.
*
Yes
No
My Child has permission to take part in all Day Camp activities led by Rainbow Trail Lutheran Camp (Camp) and hosted by Joy Lutheran Church (Church). I agree that the Camp, Church, and their personnel will not be held responsible for accidents arising therefrom. I give Camp and Church personnel permission to seek medical treatment for my child in case of injury or illness.
*
Yes
No
I give permission for photos, video, and electronic images to be taken of me or my child and used by the Camp and/or Church for promotional purposes without compensation, inspection or approval.
*
Yes
No
