2024 CYF Summer Programs Registration – Nativity Lutheran Church

Student Name *

First

Last

Date of Birth *

Parent/Guardian *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Additional Youth or Parent/Guardian Contact Information for those you request to also receive communication.

Choose the program/programs for your student *

Summer Stretch (Entering 6th – 9th Grade) $175 per student / $300 for 2 siblings
Kids Create (Entering 1st-6th Grade) $90

Age/Grade of student in the '24-25 school year (CLICK TO SELECT AGE/GRADE) *

Please provide additional information about your child (food allergies, health conditions, behavioral, family situations, etc.)

Permission For Pictures Nativity uses photography and videography to promote and celebrate children's and youth events and programming. Worship services and special events are Live-Streamed. We will not name your child or children featured in promotional communications unless we have your express permission. If you are concerned about images of your child participating in Nativity activities appearing in Nativity press and web publications, please contact your child’s program coordinator.

Payment Options *

I'd like to pay online
I will drop off a check at Nativity
I am interested in a financial scholarship