Vacation Bible School/Day Camp

Kids entering Kindergarten through 5th grade in fall 2022 are invited to join staff from Sky Ranch Lutheran Camp, July 11–14, 2022, 9 a.m.–4 p.m., each day for music, games, worship, Bible stories, crafts and more! Cost will be $75 per person with a $150 family maximum.

Register today online, and please complete the Participant Health Form, too! Please make sure to press the SUBMIT button after completing each form.

Thank you for submitting your registration. Please complete and submit the Participant Health Form below.

Participant Health Form

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  • Health History

  • Choose all that apply.
  • Choose all that apply.
  • Choose all that apply.
  • Choose all that apply.
  • Please describe allergen, reaction, and treatment. Attach more information as needed. If participant carries an EpiPen, please complete the EpiPen Action Plan.

  • Medications

    Please complete the form with all medications (prescription, over-the-counter, vitamins) that will be brought to Augustana’s event(s). Ensure that dosages and instructions are accurate.
  • (exact name)
  • (mg/ml & tab/capsule)

  • (exact name)
  • (mg/ml & tab/capsule)

  • (exact name)
  • (mg/ml & tab/capsule)

  • (exact name)
  • (mg/ml & tab/capsule)

  • The following medications may be stocked. These medications are administered by our volunteer adult leader. Please choose any medications that SHOULD NOT BE GIVEN.

  • Parent/Guardian Release

    I approve the over-the-counter medications above for use as needed by the participant. I have crossed off medications that are not approved for use by said participant. I hereby request and give my permission to the Augustana Lutheran Church health care worker to administer medication to the participant identified above. I understand that all medications must be provided in the original pharmacy labeled container. I understand my child assumes responsibility for going to the health clinic at specified times for medications. I hereby give my permission to Augustana Lutheran Church to give care to the participant identified above in case of illness or injury and understand Augustana Lutheran Church will attempt to contact me in such event. Augustana Lutheran Church and its staff have authorization to obtain medical treatment and procedures for the participant as may be appropriate in emergency circumstances, including treatment by physicians, hospital and clinic personnel, and other appropriate healthcare providers.
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  • This field is for validation purposes and should be left unchanged.

Please make sure you push the SUBMIT button after completing the Participant Health Form.