Registration Form
Monday March 10 to Friday March 14
9 am to 3:30 pm daily
I would like to register my child for the
March Break Camp (2014):
Any
allergies and/or medical or
behavioural concerns we should be
aware of? _______________________
______________________________________
______________________________________
Child’s Last Name, First Name, Middle Name
Does your child have dietary restrictions?
 no beef
______________________________________
Address
 no pork
 no meat
Other _________________________________
______________________________________
______________________________________
Date of Birth
If any person(s) other than the parent or
guardian named above will be picking up the
above child after the program is finished,
indicate their name(s) below. (We cannot
allow children to go home with someone we
have not received parental permission for.)
________________________________
Name(s)
___________________________
___________________________
Parent/Guardian Permission:
______________________________________
Health Card #
______________________________________
Parent/Guardian’s Last Name, First Name
______________________________________
Home Phone
Other Contact #
______________________________________
Parent Email Address
(if you prefer us to contact you this way)
______________________________________
Emergency Contact Name (other than parent/guardian)
______________________________________
Home Phone
Other Contact #
______________________________________
Emergency Contact Email
(if you prefer us to contact them this way)
As the caregiver of (print child’s name)
I hereby grant permission for him/her to
participate fully in the March Break Camp,
and to receive emergency medical care as
directed by a physician if I cannot be
contacted and s/he is in need of such care. I
hereby release Trinity Evangelical Lutheran
Church, and its staff, sponsors, and
volunteers from responsibility of any injury or
illness that my child may sustain during
his/her participation in the March Break Camp.
I also give permission to Trinity Lutheran
Church to use photographs of myself or other
family members listed above for the purpose
of church-related communications.
______________________________________
Signature (Parent/ Guardian)
______________________________________
Date
For more information call:
Rev. L.P. Yeong
Trinity Evangelical Lutheran Church
619 Sherbourne St.
Toronto, ON
M4X 1L7
416-921-9417
[email protected]
www.geocities.com/trinitytoronto
We offer kids…

An experienced, caring staff team

A safe, loving environment

A chance to learn while having fun

An opportunity to make new friends
1. Who can come to March
Break Camp?
Trinity Lutheran, Toronto
Any child in JK to Grade 6
Holy Cross, Kitchener
In partnership with
Bring You
2. When is March Break Camp?
It begins on
Monday, March 10th
and runs for five days till
Friday, March 14th.
What are we going to do?
Each day the programming starts at
9:00 am and ends at 3:30pm.

Sing Favourite Songs

Hear Great Stories about God

Do Exciting Activities

Play Fun Games

Make Interesting Crafts

Learn Useful Life Skills
3. About March Break Camp

Eat Nutritious Lunches (Provided)
The March Break Camp is a program of
Trinity Evangelical Lutheran Church of
Toronto conducted in partnership with
Holy Cross Lutheran Church, Kitchener.
A Free
March Break
Day Camp!
for Kids
ages 4 to 11
Monday, March 10 to
Friday, March 14
9am—3:30pm
*Registration Form enclosed*
Location:
It is offered free of charge as a service
to our community in response to God’s
free gift of salvation we received through
our Lord Jesus Christ.
Trinity Evangelical Lutheran Church
619 Sherbourne St.
Toronto, ON M4X 1L7
416-921-9417