2022 Summer Camp
Instructions:
Please complete one registration form per child. Please note that you are required to pay the 50% deposit via this form. We will send information in March on how to make the remaining payment. By using your e-signature to complete this form, you agree to the terms outlined in the 2022 Summer Program Information Brochure. If your preferred session is not available in the payment section, this means the session is at capacity. Please email Audrey at apittman@stjohnsdc.org to inquire about a waitlist.
Child's First Name (include preferred name):
*
Child's Last Name:
*
Email
*
example@example.com
Child's Date of Birth:
*
-
Month
-
Day
Year
Date Picker Icon
Parent/Guardian 1 Name:
*
Parent/Guardian 1 Phone:
*
Parent/Guardian 1 Email:
*
Parent/Guardian 2 Name:
*
Parent/Guardian 2 Phone:
*
Parent/Guardian 2 Email:
*
Child's Address 1
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Address 2:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please tell us about your child's previous school/camp experiences:
*
Please describe any special needs the staff should be aware of to support your child:
*
How did you learn of St. John's Summer Program
*
Current St. John's Preschool Family
Past St. John's Preschool Family
Current St. John's Summer Program Family
Other
Deposit
*
prev
next
( X )
Summer Connections - Session 1
Summer Connections - Session 1 - Full Price $1,560 - Deposit Due $780
$
780.00
Summer Explorers - Session 1
Summer Explorers - Session 1 - Full Price $1,560 - Deposit Due $780
$
780.00
Credit Card
Signature
Clear
Submit
Should be Empty: