Bus seating is limited! Reservations taken on first come first serve basis.
Payment is due with registration at least 3-days prior to trip.
Drop-Off 8:00AM
Pick-Up 4:00PM
Ages must 6 to 13 years
Campers must bring their own picnic lunch & souvenir money
I give my permission for __________________________________________ to attend (Check Trip)
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21 of June 2017 - Lake Tobias Wildlife Park, 760 Tobias Road, Halifax PA 17032 ($30/child)
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28 of June 2017 - Adventure Park USA, 11113 West Baldwin Road, Monrovia MD 21770 ($45/child)
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5 of July 2017 – Indian Echo Caverns, 368 Middleton Road, Hummelstown PA 17036 ($30/child)
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12 of July 2017 – Annapolis Pokémon Hunt/Scavenger Hunt & Harbor Cruise, Annapolis MD ($25/child)
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19 of July 2017 - The Adventure Park at Sandy Spring, 16701Norwood road, Sandy Spring MD 20860 ($45/child)
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26 of July 2017 - Maryland Zoo, 1876 Mansion House Drive Druid Hill Park, Baltimore MD 21217 ($25/child)
And with this signed agreement absolves the teacher, St. Paul’s Lutheran School, and any and all
members of its governing boards of any responsibility for the safety, welfare, health and wellbeing of
the child named above, beyond such matters as may be called reasonable care for children in the
custody of a teacher and subject to the teacher’s clear instructions, and assumes personally and
exclusively all responsibility and liability for accident, injury, etc., which may occur to the
below-named child during the time of the specific activity as set forth at the beginning of the
paragraph.
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I am interested in chaperoning for the trip if additional chaperones are needed.
(Due to limited seating on the bus, chaperones may need to provide their own transportation if they desire to join.
The chaperone/adult ticket cost is different than cost of child, please inquire for Adult ticket price.)
Parent’s signature____________________________________ Date Signed________________________
Camper Name: ______________________ DOB: ___________
Any Allergies or Health Concerns: _______________________
Parent Cell Phone #:__________________________________
___________________________________________________
Emergency Contact Name/Cell #: _______________________
Address: ___________________________________________
E-mail Address: _________________________________
City: ____________________________ Zip: ______________
Registration:
Please sign and return this form with payment for the trip to the school office ASAP, OR it can be scanned and emailed to
[email protected]
Payment:
Cash or check - can be dropped off at the school office. Paypal – Add an additional fee of $2.00 per child and submit payment to
[email protected] and in the memo write which trip you are submitting payment for, if you wish to have an invoice sent to you
contact Shelley Kowalczyk @ [email protected]