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ORFORDVILLE LUTHERAN CHURCH
Do justice, love kindness, and walk humbly with God.
P.O. Box 137
210 N. Main Street
Orfordville, WI 53576
Office Phone #: (608) 879-2575
Office Email: office@orfordvillelutheran.org
Pastor Andy’s Phone #: (608) 886-0546
Pastor Andy’s Email: pastor@orfordvillelutheran.org
June 10th, 2015
Dear OLC family and friends,
We are eagerly awaiting this summer’s Vacation Bible School taking place Monday-Thursday, July
6th-9th from 9:00 a.m. to 2:30 p.m. This year OLC is partnering with Luther Valley Lutheran Church
to bring a group of energetic Lutherdale Bible Camp counselors to teach the faith and have fun with
our kids. The counselors will be at our 9:00 a.m. worship on July 5th to promote the camp and
introduce themselves.
Vacation Bible School is for kids who have completed kindergarten through 5th grade. (Put another
way, it’s for kids entering grades 1-6 this fall.) We are also offering a shorter day for 3-5 year olds.
Pastor Jack from Luther Valley and Pastor Andy from OLC will meet with 3-5 year olds from 9:3011:30 a.m on Monday-Thursday.
VBS will take place out at Luther Valley’s property. You can drop off your child directly, or, if
transportation is an issue, we will arrange for rides from OLC to Luther Valley. If someone besides a
parent is picking up a child, we need the parent to fill out the “Pick-up Authorization” form found in
this packet.
If youth or adults are willing to volunteer during the week, there are many ways you can help out:
provide snacks, set-up and clean-up after snack or lunch, provide a place to sleep for 2 or 4 camp staff,
hosting counselors for an evening meal, or assisting during the day. Please call or email the church
office to volunteer: 608-879-2575 or office@orfordvillelutheran.org.
Finally, we don’t want cost to be a barrier for any child or family. Signing-up for VBS is free. As a
congregation, we expect the week to cost about $30 per child for an entire week’s worth of
programming. If you would like to make a donation of any amount to help cover that cost, you can
send or bring your donation to the church. Just be sure to indicate that the donation is designated for
VBS.
To sign-up a child for VBS or for the 3-5 year old group, please complete the registration and health
forms found in this packet and return them to the church office by Monday, June 29th or as soon
as possible. This will help us communicate with Lutherdale. All children are welcome to attend.
Thank you! Please let me know if you have questions.
Pastor Andy Twiton
APPROXIMATE DAILY SCHEDULE AND ACTIVITIES
MONDAY, JULY 6th-THURSDAY, JULY 9th
For Elementary Age Kids:
9:00 Arrive, Welcome, Songs, and Games
9:30 Worship
10:00 Arts and Crafts
10:30 Snack
11:00 Bible Study
11:30 Outside Games
12:00 Lunch (Provided)
12:40 Quiet Time
1:00 Large group game
2:00 Afternoon Worship
2:30 Departure
Special Events:
• Water Day (specific day is yet to be determine)
• 6:00pm Potluck and Closing Program Thursday, July 9th at Luther Valley.
For 3-5 Year Olds:
9:30-11:30 a.m.
Activites include: Music, Bible Story, Snack
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YOUTH AND ADULT VOLUNTEER OPPORTUNITIES
Provide healthy snacks (Things like: apples, oranges, bananas, cheese, crackers, juice)
Serve snacks at 10:00 (for 3-5 year olds) and 10:30 for Elementary kids. This would
involve setting-up beforehand and cleaning up afterwards.
Host 2 or 4 camp staff. This would involve providing a place for our counselors to sleep
for the week they are here. (This can be lots of fun!)
Feed Lutherdale counselors dinner. You could have them over for supper or take them
out to eat. OLC is responsible for providing evening meals for the counselors on
Tuesday and Wednesday.
Help out during the day. This would involve being a helper for our counselors. For
example, helping with drop off/pick up time, assisting during arts and crafts, etc. Junior
and Senior High youth are invited to help out in this way.
Vacation Bible School/3-5 Year Old Group REGISTRATION
Name: _______________________________________ Age or Grade Completing: __________
Address: ______________________________________________________________________
Birth date: _____________________________________________ Gender: ________________
Parent or Guardian: _____________________________________________________________
Home phone: ______________________________ Cell Phone: __________________________
Work phone: _______________________________
I hereby enroll and give permission for my child to participate in the planned activities of
Lutherdale VBS Ministry in partnership with Luther Valley/Orfordville Lutheran Church. I
understand I am responsible for transportation to and from VBS (unless otherwise arranged and
communicated).
_______________________________________
Signature of Parent/Guardian
____________
Date
Optional Donation: Signing-up for VBS is free, and we don’t want cost to be a barrier for any
child. If you’d like to make a donation of any amount to help cover the cost, you can send or
bring it to the church office.
PICK-UP AUTHORIZATION
Note: Please complete this form if someone besides a parent/guardian is picking up your child. If
your child wants a ride from OLC out to the camp at Luther Valley, please call the church office
608-879-2575.
I hereby authorize the following adults to pick up my child from VBS:
Name
________________________
Phone number
________________________
Relation to child
________________________
________________________
________________________
________________________
________________________
________________________
________________________
If there are any special instructions, or any persons who are never to be authorized to pick up
your child, please list here:
______________________________________________________________________________
______________________________________________________________________________
Signature of Parent/Guardian: ___________________________________________________
LUTHERDALE VBS HEALTH FORM
Must be Signed by a Parent/Guardian
If parent/guardians are not available in the event of an emergency, notify:
NAME _________________________________ PHONE (_____)____________ Cell Phone (_____)____________
ADDRESS _______________________________________RELATION TO CHILD:__________________________
Family Physician: ___________________________________ Phone: ______________________________
Health Insurance Company _________________________________Policy #_____________________
HEALTH HISTORY (To be completed by parent or guardian)
1. Has the camper been subject to medical treatment for any of the following:
Diabetes
( )
Ear Trouble
( )
Seizures
( )
Allergies
( )
Poison Ivy
( )
Throat or sinus ( )
Asthma
( )
Behavior
( )
Bee Sting
( )
Please explain any of the above __________________________________________________________________
_______________________________________________________________________________________________
2. IMMUNIZATION RECORD
Tetanus DPT ______
(Give Dates)
Polio _____
Mumps ______ Measles _______
3. ALLERGIES: (Please describe any conditions and treatments)
_________________________________________________________________________________________________
_____________________________________________________________________________
4. MEDICATIONS: give name, dose, schedule (medication must be brought in original prescription bottle).
_______________________________________________________________________________________
_______________________________________________________________________________________
5. Please explain conditions requiring medication or other condition requiring special care _______________
_______________________________________________________________________________________
_______________________________________________________________________________________
PARENTAL AUTHORIZATION - In the case of a medical emergency, I understand every effort will be made to contact the
parents or guardians of the camper. In the event that I cannot be reached, I hereby give permission to the medical
examiner selected by the church staff to hospitalize, to secure proper treatment for, to order injection, anesthesia, or
surgery for my child as named on this form.
PARENT/GUARDIAN SIGNATURE ______________________________________ DATE___________