Look Up Lodge Registration 2023

Our LUL trip is scheduled for Sunday, July 23-Wednesday, July 26. To register a child who is CURRENTLY IN 3rd, 4th or 5th grade, please complete this form.

Child's Name Child's Name First Last
Phone Phone - ### - ### ####
Parent's Email
Grade Your Child Is CURRENTLY in:

Grade Your Child Is CURRENTLY in: Third Grade Fourth Grade Fifth Grade
Allergies or Health Concerns (If none, answer NONE KNOWN)
T-shirt Size (What size will be needed at the time of our trip?)

T-shirt Size (What size will be needed at the time of our trip?) Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
It is NECESSARY for you to sign up for Look Up Lodge REMIND messages by texting @camplookup to the number 81010:

It is NECESSARY for you to sign up for Look Up Lodge REMIND messages by texting @camplookup to the number 81010: I understand and I am already signed up from last year! Signing up right now before I forget! HELP please!
There is a MANDATORY parent meeting on Sunday, June 25!

There is a MANDATORY parent meeting on Sunday, June 25! Yes, I understand the importance of this meeting and plan to attend. I need to speak with Mrs. Michelle.
Mrs. Michelle will NOT be collecting money. I would like to:

Mrs. Michelle will NOT be collecting money. I would like to: Pay using envelopes to drop into the offering box or drop off at the church office. Pay online at www.chestnutridgechurch.org. Scholarship needed.
I understand that my child's spot is secured at each payment.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
If I change my mind about attending camp, I understand that I am still responsible for paying the church the FULL AMOUNT (not discounted amount) for my reservation of $259 plus t-shirt costs.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.