2020 Trinity Lutheran Nursery School
Summer Session at Trinity
May 26 to July 30
(no camp June 30 July 1 July 2)
Tuesday, Wednesday & Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $ 55.00 a week
Lunch Bunchers until 1:30 ( $10.00 a day) Late Show 1:30 to 3:00 ( $10.00 a day)
Registration
Name__________________________________ Age________
Address_________________________________Cell Phone__________
________________ ___________e mail address_____________________________
Phone__________________
Class presently attending___________________
Allergies_________________________________
Food Sensitivities__________________________
Pediatrician__________________Phone________
In case of emergency:
Name_________________Phone_____________
Name_________________ Phone_____________
I give permission for my child____________to receive EMT ____________________(signature)
Please circle the weeks you are interested in participating and on the line next to the week fill in the number of days…2 or.3
Please complete and return with the fee for the first week of participation before May 1st.
Weeks participating__________________ Amount due______________
Please return the form to school before May 1st with a $75.00 deposit which will be credited to the first week of camp.
May 26…… “Harry Potterville”.______
June 2……… “Star War’s Space Frontier”______
June.9…….. “Super Heroes”________
June 16….. “Disney Magic”_________
June 23……. “Made in the USA”________
July 7 ……… “Digging for Dinosaurs”_____
July 14…. .”Creepy Crawlers” _______
July 21………..”Under the Sea”______
July 28………..Olympics______
PLEASE COMPLETE THE REVERSE SIDE PICK UP INFO
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child _____________________________, to have his/her photo taken at school for our facebook page and web page.
Please attach photo
