STELLAR - 2023 Summer Camp Registration

STELLAR - 2023 Summer Camp Registration

St. Mary of the Bay (Warren, RI)
Camp Information
- Our camp begins on Monday, July 24th and runs through Friday, July 28th from 9 am - 12 noon each day at St. Mary of the Bay.
- Children entering K-6th grade in September 2023 are welcome to join us.
- The cost is $50/child.
  - Please contact the office at 401.245.7000 x21 if the fee is burdensome.
- Payment can be made online by going to stmaryofthebay.org, click "Give" on the top menu, then choose "Summer Camp 2023."
- Please register by July 3rd.
- Please contact the office at 401.245.7000 x21 with any questions.
Family Information

Please complete all fields.
Father's full name

First NameLast Name
Mother's full name

First NameLast Name
FULL mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary phone
Please enter a valid phone number.
Cell (or emergency phone)
Please enter a valid phone number.
Email address
example@example.com
Permission to use your child's work or photo(s).

As the parent/guardian of the child/children listed on this form, I give permission for their photos or work to be displayed at Church, published in the parish bulletin, or posted to the parish website, parish Facebook page, and/or parish Instagram page without names. If you have any restrictions, please list them below:
Restrictions, if applicable
Electronic signature

Clear
Camper #1
Camper name

First NameLast Name
Birthdate

MonthDayYear
Date
Gender

BoyGirl
T-shirt size
Grade in September 2023

K1st grade2nd grade3rd grade4th grade5th grade6th grade
School attending in September 2023
Special needs/allergy & medication information
Camper #2
Camper name

First NameLast Name
Birth date

MonthDayYear
Date
Gender

BoyGirl
T-shirt size
Grade in September 2023

K1st grade2nd grade3rd grade4th grade5th grade6th grade
Special needs/allergy & medication info
Camper #3
Camper #3 name

First NameLast Name
Birth date

MonthDayYear
Date
Gender

BoyGirl
T-shirt size
Grade in September 2023

K1st grade2nd grade3rd grade4th grade5th grade6th grade
Special needs/allergy & medication information
Should be Empty:

STELLAR - 2023 Summer Camp Registration

Family Information

Camper #1

Camper #2

Camper #3