Camp St. Matt's: Holiday Edition

Holiday Edition Registration
**A separate form and payment must be made for each camper. **
Camper Information
Camper's Name*

First NameLast Name
Campers in grades Pre-K4 - 7th Grade are eligible to attend Holiday Camps. (*fully potty trained)

Holiday Camp spots are no longer available for 3 year olds / Pre-K3 students.
Birth Date*

MonthDayYear
Date
Age *
(* must be fully potty-trained)
Grade Level*
Grade Level
Gender

MaleFemale
What school does your child attend? *
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
Work / Additional Number*
Email*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does the camper have any food or other allergies?*
Does the camper have any medical or behavioral issues that may affect participation in activities?*
Does the camper require accommodations and/or have special needs? * Please note, SMES may not be able to meet the need of all campers.*
Is there anything you want to share or want us to know about your camper?
How did you hear about Camp St. Matt's?

SMES studentprevious CSM camperTGHS employeeSME ChurchFacebookfriendMarket at the MarinapostcardOther

My Products

MARDI GRAS BUNDLE: February 16, 18, 19, & 20 Product Image

MARDI GRAS BUNDLE: February 16, 18, 19, & 20CAMP ST. MATT'S HOLIDAY EDITION 7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained) * CLOSED MARDI GRAS DAY

$220.00

MARDI GRAS FEBRUARY 16 ONLY Product Image

MARDI GRAS FEBRUARY 16 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4years old - 13 years old (*fully potty trained)

$60.00

MARDI GRAS FEBRUARY 18 ONLY Product Image

MARDI GRAS FEBRUARY 18 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

MARDI GRAS FEBRUARY 19 ONLY Product Image

MARDI GRAS FEBRUARY 19 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

MARDI GRAS FEBRUARY 20 ONLY Product Image

MARDI GRAS FEBRUARY 20 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

SPRING BREAK BUNDLE: April 6, 7, 8, 9 ,10 Product Image

SPRING BREAK BUNDLE: April 6, 7, 8, 9 ,10 7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$275.00

SPRING BREAK APRIL 6 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

SPRING BREAK APRIL 7 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

SPRING BREAK APRIL 8 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included 4 years old - 13 years old (*fully potty trained)

$60.00

SPRING BREAK APRIL 9 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

SPRING BREAK APRIL 10 ONLY Product Image

SPRING BREAK APRIL 10 ONLY7:30 AM - 5:30 PM -lunch, snack, extended care, and on-campus learning adventures included -4 years old - 13 years old (*fully potty trained)

$60.00

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Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Saint Matthew's Episcopal School during the selected camp. In exchange for the acceptance of said child’s candidacy by Saint Matthew's Episcopal School, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Saint Matthew's Episcopal School and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Saint Matthew's Episcopal School including all faculty, employees, and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I ACKNOWLEDGE I HAVE READ AND UNDERSTAND THE BEHAVIOR POLICY. I ALSO ACKNOWLEDGE THE ABOVE STATED CONSENT AND LIABILITY STATEMENT. I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

**REFUNDS ARE NOT AVAILABLE FOR HOLIDAY CAMPS.
Date

MonthDayYear
Date
Signature

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Holiday Edition Registration

Camper Information

Campers in grades Pre-K4 - 7th Grade are eligible to attend Holiday Camps. (*fully potty trained)

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