Camp Carlo Registration Form Summer 2023

Blessed Carlo Acutis Youth Camp

Register now!!
Summer Camp Registration

We are so glad you are here! Can't wait to see you soon :)
Week of Camp Attending

Please select which week your camper will be attending!
Weeks of Camp!*

June 25-July 1: Middle School Week // Rising 6th-8th gradersJuly 2-July 8: "Catch-All Week" // Rising 3rd-12th gradersJuly 9-July 15: High School Week // Rising 9th-12th gradersJuly 16-July 22: "Catch-All Week" // Rising 3rd-12th gradersJuly 23-July 29: Camp Carlo Summer Vacation // free program for kids 7-12 years old who receive support from the government or Catholic Charities
Camper Name
First Name*
Middle Name*
Last Name*
Gender*

MaleFemale
Camper's Information
Address*
City*
State*
Zip*
Home Phone*

Area CodePhone Number
Emergency Contact Name (if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date*

MonthDayYear
Year of Graduation*
Grade entering in the fall*
T-Shirt Size*

SmallMediumLargeX-Large
T-Shirt Size*
Camper 2

If you have an additional camper you would like to register, please add information here. If not, please leave blank.
First Name
Middle Name
Last Name
Gender

MaleFemale
Address
City
State
Zip
Home Phone

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)
Emergency Number

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date

MonthDayYear
Year of Graduation
Grade entering in the fall
T-Shirt Size
T-Shirt Size

SmallMediumLargeX-Large
Camper 3

If you have an additional camper you would like to register, please add information here. If not, please leave blank.
First Name
Middle Name
Last Name
Gender

MaleFemale
Address
City
State
Zip
Home Phone

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)
Emergency Number

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date

MonthDayYear
Year of Graduation
Grade entering in the fall
T-Shirt Size

SmallMediumLargeX-Large
T-Shirt Size
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Parish Information
Parish you attend
Parish City
Parish you are coming with (if any)
Email Confirmation
Parents Email (camper confirmation will be sent by email, if left blank it will be mailed)
Other Information
How did you hear about Camp Carlo?
Payment Information

$ Registration Fee Due
Please select your payment option below.
Payment Options

Paypal/Credit Card (Registration + Processing Fee $282.73Bring a Check to Drop-Off Registration (No Processing Fee) $275Mail Check $275
If Mailing your check, please send to this address:

Daniel Maul
Diocese of Wheeling-Charleston
Office of Evangelization and Catechesis
1311 Byron Street
PO Box 230
Wheeling, WV 26003
Total
My Products
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Camp Carlo (Paypal/Credit Card) Registration Fee + Processing Fee $ Free

Number of Campers

Total $0.00
If you require Financial Assistance, please write what you are able to pay.
If paying with PayPal you will be redirected to PayPal once you hit submit. You can either pay with credit card, or PayPal. There is a $7.73 processing fee for using this option. If you have any questions feel free to contact Maggie at 757-995-4486.
If paying with a check, please send the registration fee as soon as possible. You can pay multiple registration fees with one check. In memo, please put "Camp Carlo".

Send Check to:

Daniel Maul
Diocese of Wheeling-Charleston
Office of Evangelization and Catechesis
1311 Byron Street
PO Box 230
Wheeling, WV 26003

If you have any questions feel free to contact Maggie at 757-995-4486.
Camp Carlo Policies

Please select
I agree to support my child's participation in diocesan youth camping ministry - including agreeing to rules and procedures promulgated by the camp director to keep my child and other children safe, well, and learning.*

I agreeI disagree
I agree to the use of pictures of my child(ren) taken by the Diocese of Wheeling-Charleston for marketing purposes in support of their youth ministry programs.*

I agreeI disagree
I understand that I will be asked to complete a health history form, provide insurance information, and observe to any rules promulgated by Camp Carlo to avoid the spread of COVID 19 upon approval of my child's application to camp.*

I agreeI disagree
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper(s), and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper(s) by authorized personnel. I certify that my child has my permission to attend camp and participate in all activites. I authorize Camp Carlo to use my camper's picture, testimony, and video in any promotional material (web,print,or media).
Signature*

Powered by Jotform Sign Clear
Please fill this out and bring to Registration when dropping off your camper(s).
Electronic signature, please initial*
Should be Empty:

Blessed Carlo Acutis Youth Camp

Summer Camp Registration

Week of Camp Attending

Camper Name

Camper's Information

Camper 2

Camper 3

Parent or Legal Guardian Information

Parish Information

Email Confirmation

Other Information

Payment Information

Camp Carlo Policies