Club 56 Adventure Days Registration

Club 56 Adventure Days are for those entering grades 5 and 6 in the fall of 2015. If you have any registration questions, please contact Debbie Zaic at debz@lordoflife.org or 763.420.5015 x128.
* Required












Female
Male


June 30 - Big Thrill Factory
July 28 - Valleyfair
August 18 - Cascade Bay Water Park




Female
Male


June 30 - Base Camp
July 28 - Valleyfair
August 18 - Cascade Bay Water Park




Female
Male


June 30 - Base Camp
July 28 - Valleyfair
August 18 - Cascade Bay Water Park

Yes and I understand I will be contacted by the Ministry of Inclusion Coordinator.
No







Yes - and I understand Amanda Clancy will contact me with more information
No

June 30
July 28
August 18

Release from liability: 
Guardians hereby authorize my son/daughter to participate in said activity. Guardians hereby release, forever discharge and agree to hold harmless, Lord of Life Lutheran Church, from the described event, and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said person is participating in the described event. The undersigned further hereby agrees to hold harmless and indemnify Lord of Life Lutheran Church, its directors, employees and agents for liability sustained by said acts of said participant, including any expenses incurred. *

Agree
Disagree

Medical release: 
The undersigned further consents to the administration of first-aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify Lord of Life Lutheran Church, its directors, employees and agents from any acts of misconduct, and/or failure to act on the part of those chosen to administer medical aid on behalf of the participant. *

Agree
Disagree
 

Registration is not complete without payment.  You will be brought to the e-pay page when you click submit. Please select the correct quantity (for number of children registering) when placing items in your cart. Scholarships are available. Please contact Deb at debz@lordoflife.org