St.Paul Kids Serve Camp Registration Form 2022
To book for a place in the the camp, you must complete the form below accurately.
Camper's Name:
*
First Name
Last Name
Your Child's Sex
Female
Male
Birth Date:
*
January
February
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Year
Desired Name Tag:
*
Primary Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select Camp shirt size:
*
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Please provide any medical or dietary restrictions your child has:
Is there anything else we need to know about your child?
Does your child have behavioral differences or developmental disabilities? Your child will not be discriminated against based on these things, we just need to know so we can set up a consultation to make sure your child's needs are met.
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Family Information
Parent/Guardian's Name:
*
First Name
Last Name
Contact Phone Number:
*
-
Area Code
Phone Number
E-mail Address:
*
Emergency Contact Information
Emergency Contact 1 Name:
*
First Name
Last Name
Emergency Contact 1 Phone Number:
*
-
Area Code
Phone Number
Relationship to Student:
*
Emergency Contact 2 Name:
*
First Name
Last Name
Emergency Contact 2 Phone Number:
*
-
Area Code
Phone Number
Relationship to Student:
*
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Camps will run 9AM-5PM Monday-Friday
Two snacks will be provided, campers need to bring lunch. There will be a midday rest period. Most camps are for rising 2nd graders to rising 5th graders with the exception of weeks 3 and 4 where we have expanded the age range some. All camps are $200 a week per camper. There are scolarships available if needed.
Which week(s) will your child be attending?
Week 1 June 13-17 - Rising 2nd-5th grade
Week 2 June 20-24 - Rising 2nd-5th grade
Week 3 June 27-July 1 - Pre-K-Rising 5th grade
Week 4 July 18-22 - Pre-K-Rising 2nd ONLY
Week 5 July 25-29 - Rising 2nd -Rising 5th
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I understand that if I do not pay the $50 non-refundable deposit my child's spot in camp will not be saved.
*
Yes
No
IMPORTANT: You will be redirected to a page on the St.Paul UMC Website to pay for your child's security deposit upon submission of this form. Here you will input $50 or more towards your child's camp. An invoice will be sent to you prior to camp stating your amount payed towards camp. The remaining $150 is due the Monday one week before your child’s camp begins. If you have need of a scholarship please contact camp@stpaulgrantpark.org immediately after submitting with the subject "Camp Scholarship"
You can pay the deposit for multiple weeks at once. $50 for one week, $100 for two weeks etc. No need to do this form twice.
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