Summer Camp Student Registration Form
Summer Camp will run each week beginning June 6-July 29 (Closed July 4th) from 7:30am -5pm Monday-Friday. The fee is $175/per child per week(non-refundable). Siblings can attend the same week for $150/week. There is a one time $100 application fee per family (non-refundable). The application fee will secure the spot in each week registered. Payment for each week is due at the time of registration, preferably, or the start of each week (Monday) at drop off. Students that are not paid in full for the week will not be able to stay. Once all spots are full for the week, registration for that week will be closed. Registration is on a first come first serve basis. All camp participants must be rising PreK3 (current PreK2)- rising 5th grade (current 4th grade). All PreK students MUST be potty trained in order to attend. Please forward payment cash or check to the Sacred Heart Catholic School Main Office immediately upon registration.
Student Name
*
First Name
Last Name
Birth Date
*
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Female
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Last Name
Birth Date
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Gender
Please Select
Male
Female
N/A
Student Name
First Name
Last Name
Birth Date
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February
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1921
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Year
Gender
Please Select
Male
Female
N/A
Student Name
First Name
Last Name
Birth Date
January
February
March
April
May
June
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August
September
October
November
December
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Gender
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Mobile Number
*
Additional Contact
*
Additional Contact Name
*
Please list any important information here (medical concerns/needs, medications, special needs, or concerns). Please note which child(ren) the information pertains to.
Submit Application
Please choose each week for each student that will be attending camp.
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next
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Application Fee (one per family)
$
100.00
SuperHeroes
June 6-10
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Safari
June 13-17
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Silly Science
June 20-24
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Little Picasso
June 27-July 1
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Party in the USA
July 5-8
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Sports
July 11-15
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Culinary Creations
July 18-22
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
Carnival Week
July 25-29
$
175.00
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
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