Register by checking the box next to following activities. Note: Grade denotes the grade student will be entering in fall 2009.
Noah's Ark
Day Trip
at Wisconsin Dells
Grade
6-12
Date
June 12
8 a.m.- 8 p.m.
Cost
$35
After May 1 : $45
Code (Use this code
when paying online)
NADT
B.A.S.I.C. Training Camp (formerly Adventure Camp)
at North Site
Grade
6-8
Date
June
22-25
9 a.m.-3 p.m.
Cost
$40
After May 1 : $50
Code (Use this code
when paying online)
BASIC
High School Camp-out at Devil's Lake
Grade
9-12
Date
June 24-25
.
Cost
$25
After May 1 : $30
Code (Use this code
when paying online)
HSCO
Brewer's RoadTrip
in Milwaukee
Grade
Families &
Grades
6-12
Date
June
28
10 a.m.-
6 p.m.
Cost
$40
Code (Use this code
when paying online)
BRT
Day Camp
with Crossways
(Meet at Downtown Site)
Grade
K-
Grade 5
Date
June 29-
July 3
8:30 a.m.-
3 p.m.
Cost
$55 (when you leave at 3 p.m.)
$65 (this option for campers who want to leave at 5:15 p.m.)
After May 1:
$65 (when you leave at 3 p.m.)
$75 (this option for campers who want to leave at 5:15 p.m.)
Code (Use this code
when paying online)
DCC
FAMILYWeekendCAMP
at Imago Dei Village
Families
(Special guest: Pastor Mary Bauer)
Date
July
3-5
Cost xxxxxxxxxxxxxxxxxxx
2 people: $230
Each additional person: $65; Newborn-age 2: $20 per person. Register by
May 15 . No early-bird discount.
Code (Use this code
when paying online)
FWC
Lifest!
in Oshkosh
Grade
Families &
Grades
6-12
Date
July
9-12
Cost
Day trips and overnight camping available.
Code (Use this code
when paying online)
LIFEST
Music In YouCAMP
at Downtown Site
Grade
6-12
Date
July 20-24
9-11 a.m.
Cost
Free
Music In YouCAMP
at Downtown Site
Grade
K- Grade 5
Date
July 20-24
1-3:30 p.m.
Cost
Free
Mission: Milwaukee
Middle school mission trip. (Limited to 12)
Grade
6-8
Date
Aug. 2-5
Cost
$150
After May 1 : $165
Limit: 12.
Code (Use this code
when paying online)
MM
CanoeCAMP
at Boundary Waters
Grade
9-12
Date
Aug. 2-7
Cost
$220
After May 1 : $230
Limit: 8.
Code (Use this code
when paying online)
CC
Vacation Bible School
at North Site
Grade
Ages 3 - Grade 5
Date
Aug.
3-6
9 a.m.-noon
Cost
$10
Code (Use this code
when paying online)
VBS
Helping Hands Camp
at North Site
Info: Join other FELC youth as we spend afternoons in community service, showing God's love to our neighbors!
Grade
K-Grade 5
Date
Aug. 3-6
North Site
1-4 p.m.
Cost
$15
Code (Use this code
when paying online)
HH
Lock-In
at North Site
Grade
6-8
Date
Aug. 7
Cost
$10
Code (Use this code
when paying online)
LINS
Lock-In
at Downtown Site
Grade
9-12
Date
Aug. 7
Cost
$10
Code (Use this code
when paying online)
LIDS
FAITHQUEST
(Meet at Downtown Site)
Grade
FELC incoming 2009 confirmation students only.
Date
Aug. 10-12
6-8:30 p.m.
Cost
$25
Code (Use this code
when paying online)
FAITH
ArtCAMP
at Downtown Site
Instructor Lynn Schmitting leads elementary students as they explore the wonder of making art. Sponsored by The Arthur Krempin
School of Music & Art.
Grade
K-Grade 5
Date
Aug. 10-14
9-11:30 a.m.
Cost
$15
After May 1 : $20
Code (Use this code
when paying online)
ACKIDS
ArtCAMP
at Downtown Site
Instructor Lynn Schmitting leads middle school and high school students as they explore the wonder of making art. Sponsored by The Arthur Krempin
School of Music & Art.
Grade
Grades 6-12
Date
Aug. 10-14
1-3:30 p.m.
Cost
$15
After May 1 : $20
Code (Use this code
when paying online)
ACHS
ArtCAMP
at Downtown Site
Instructor Lynn Schmitting leads families as they explore the wonder of making art. Sponsored by The Arthur Krempin
School of Music & Art.
Grade
Families
Date
Aug. 10-14
6:15-7:30 p.m.
Cost
$15
After May 1 : $20
Code (Use this code
when paying online)
ACFAM
Weekly events beginning June 15
Club KidsLIFE
at Downtown Site
Bring a sack lunch and eat with our interns. Choose from various clubs, including art, drama, music and science. Receive a snack, then play games outside. We'll close with a devotion and prayer time.
Grades1-5
Tuesdays &
Thursdays
9 a.m.-
4 p.m.
Cost
Free
Code (Use this code
when paying online)
CKL
SummerSLAM!
at Downtown Site
Bring a sack lunch and eat with our interns.
Morning: volunteer work
Afternoon: fellowship activities.
Grades 6-8
Tuesdays
9 a.m.-
4 p.m.
Cost
$10
per session
Code (Use this code
when paying online)
SS
CLUB 68
at Downtown Site
Grades 6-8
Mondays
6:15-
8 p.m.
$5 per session
Code (Use this code
when paying online)
C68DS
CLUB 68
at North Site
Grades 6-8
Thursdays
6:15-
8 p.m.
$5 per session
Code (Use this code
when paying online)
C68NS
Credit/Debit card (Go to "Online Payments" link on home page after you complete this form.)
Financial assistance is requested. No one will be denied participation due to financial hardship.
For scholarship information, contact Andy Moscinski at 920-733-2303.
Child No. 1 First Name
Child No. 1 Last Name
Child No. 1 Grade in fall 2008
Child No. 1 Phone
Child No. 1 E-mail
Child No. 2 First Name
Child No. 2 Last Name
Child No. 2 Grade in fall 2008
Child No. 2 Phone
Child No. 2 E-mail
Child No. 3 First Name
Child No. 3 Last Name
Child No. 3 Grade in fall 2008
Child No. 3 Phone
Child No. 3 E-mail
Child No. 4 First Name
Child No. 4 Last Name
Child No. 4 Grade in fall 2008
Child No. 4 Phone
Child No. 4 E-mail
Parent (Guardian) First Name
Parent (Guardian) Last Name
E-mail
Emergency Contact
First Name
Emergency Contact
Last Name
Emergency Contact Primary phone and/or cell phone
Physician's First and Last Name
Physician's Phone
Insurance carrier
Insurance Policy #
Child No. 1
First Name
Child No. 1
Last Name
Allergies
List current medications
Date of last tetanus shot
List health problems
Child No.2
First Name
Child No.2
Last Name
Allergies
List current medications
Date of last tetanus shot
List health problems
Child No. 3
First Name
Child No. 3
Last Name
Allergies
List current medications
Date of last tetanus shot
List health problems
Child No. 4
First Name
Child No. 4
Last Name
Allergies
List current medications
Date of last tetanus shot
List health problems
I give permission to FELC staff age 21 and older to transport my child(ren) to and from activities.
Yes
No
FELC may use pictures of my child(ren) on its Web site and associated media and promotions.
Yes
No
Parent (guardian) signature (required):
E-mail address required to confirm registration:
By entering my name in the field below, I am submitting my signature.