2025-2026 SSFC Fall & Spring Break Camp Registration Form

Fall & Spring Break Enrichment Camp

REGISTRATION 2025-2026
Household Name*
Primary Household Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Household Phone Number*
This number will be used first to contact
Primary Household Email Address*
example@example.com
Is your family members of Saints Francis & Clare of Assisi Parish*

YesNo
If you answered No, what parish are you currently members of?
Are your campers enrolled at Saints Francis & Clare of Assisi School*

YesNo
If you answered No, where does your child(ren) currently attend school?
Please list all that apply

ENRICHMENT CAMP INFORMATION
CAMP GENERAL INFORMATION

SSFC Camps create a safe and encouraging environment where students develop healthy habits while engaging in activities including arts and crafts, physical activity and games designed to support success at any age, skill, or level of ability.
Spring Break Camp Monday, October 6- Friday, October10
- Camp for Preschool Campers is held at the Early Childhood Ministry (ECM) Building and they will check in and out from that building.
- Camp for Kindergarten-3rd Grade is held in the Main Building and they will check in and out from Door #8.
- Camp Day: 7:00am-6:00pm.
- Drop-off is as early as 7:00am daily.
- Pick-up is as late as 6:00pm daily.
- Ages Served: Potty-Trained Preschoolers-3rd Grade.
- Campers who arrive before 8am will receive a continental breakfast.
- Wednesday-Bike Day and Kona Ice
- Please bring a refillable water bottle and label all items.
CAMP FEES/ REGISTRATION PAYMENT

Any changes to any registration that has already been processed will result in a $35 convenience fee per camper. No reimbursements will be made due to sick days.

Online Camp Fees

Camp Rate (per camper)Please select the camp rate and number of children that will be attending each day of camp. Rates are per child.

$50.00

Camp Week(s)	Number of Children	Price
Single Day Rate		$50.00
Two Day Rate		$100.00
Three Day Rate		$150.00
Four Day Rate		$200.00
Weekly Rate		$250.00

Item subtotal:$0.00

Current Year Round Preschool Product Image

Current Year Round PreschoolIf you are currently enrolled in our Year Round Preschool Program, please select this box so that we can have accurate head counts for our camp programs.

$ Free Quantity

Total

$0.00

Credit Card

- Included in rate: continental breakfast (arriving before 8a.m.), morning snack, lunch, afternoon snack, art and craft supplies.

PARENT/GUARDIAN INFORMATION
Father/Stepfather/Guardian*

First NameLast Name
Father/Stepfather/Guardian Address-if different from Primary Household Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father/Stepfather/Guardian Cell Number*
Contact First In Case of Emergency*

YesNo
Email Address-if different from Primary Email Address listed above
example@example.com
Mother/Stepmother/Guardian*

First NameLast Name
Parent/Guardian Cell Number*
Contact First In Case of Emergency*

YesNo
Email Address-if different from Primary Email Address listed above
example@example.com
Address-if different from Primary Household Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

EMERGENCY CONTACT INFORMATION
Emergency 1 Contact's Name*

First NameLast Name
Relationship to Camper(s)*
Phone Number*
Emergency 2 Contact's Name

First NameLast Name
Relationship to Camper(s)
Phone Number
CAMPER PICK UP

In addition to the Parents/Guardians listed above, who has permission to pick up your camper(s)
Contact

First NameLast Name
Relationship
Contact

First NameLast Name
Relationship
If you would like to share any other information with us, please do that here
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Fall & Spring Break Enrichment Camp

ENRICHMENT CAMP INFORMATION

CAMP GENERAL INFORMATION

CAMP FEES/ REGISTRATION PAYMENT

Credit Card

ADDITIONAL CHILD INFORMATION