2024 Camp Eagle Registration CC/ACH

St. John's "Camp Eagle" Registration

2025 Summer Camp Program June Session: June 2 - 27 | July Session: July 7-25
Please read each section carefully! We have "Full Time" (Five Day Monday - Friday) and "Part-Time" (Two days, Tuesday & Thursdsay) options available. We also have "After Camp Care."

Please be careful when selecting your choice. Make sure the correct month and grade completed is selected.

The $100 Registration Fee and June Tuition and July Tuition are due and will be charged at the time of registration.

Camper Information
Camper*

First NameLast Name
Nickname/ Preferred Name
Birthdate*

MonthDayYear
Date
Gender*

MaleFemale
Grade just completed*
Citizenship*

United StatesOther
T-shirt Size*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who does the camper live with?*

Both Mother and FatherMotherFatherOther

Parent/Guardian Information
Adult 1 Name*

First NameLast Name
Gender*

MaleFemale
Adult 1 Cell Phone*
Please enter a valid phone number.
Adult 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 1 Social Security Number*
Adult 1 Email Address*
example@example.com
Adult 1 Work Phone*
Please enter a valid phone number.
Adult 1 Employer
Adult 1 Occupation/Title
Adult 1 Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 2 Name

First NameLast Name
Adult 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 2 Cell Phone
Please enter a valid phone number.
Adult 2 Email Address
example@example.com
Adult 2 Work Phone
Please enter a valid phone number.
Adult 2 Social Security Number
Adult 2 Employer
Adult 2 Occupation/Title
Adult 2 Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Information
Physician*
Name
Physician Phone*
Please enter a valid phone number.
Physician Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Medical Facility*

HendrickOther
Parent/Guardian Emergency Contact*

First NameLast Name
Best Phone Number*
Please enter a valid phone number.
Parent/Guardian Emergency contact

First NameLast Name
Best Phone Number
Please enter a valid phone number.
Emergency Contact*

First NameLast Name
Relation*
Phone Number*
Please enter a valid phone number.
Add another?*

YesNo
Emergency Contact*

First NameLast Name
Relation*
Phone Number*
Please enter a valid phone number.
Add another?*

YesNo
Emergency Contact*

First NameLast Name
Relation*
Phone Number*
Please enter a valid phone number.

Health and Medical Records

All campers must have a birth certificate, up to date shot records, and a health statement (EPK and EPK 3 only.) Please send all updated records to nurse@stjohnsabilene.org or by fax to 325-698-1532. Failure to have these documents on file will result in your camper not being able to attend Camp Eagle until proper documentation is on file. A Birth Certificate, and immunizations are required for all students per SJES policy and the Texas Education Code 25.002(a); 19 TAC 129.1(a)–(b. and Texas Administrative Code, Title 25 97.61-97.72
Does the camper have any allergies, chronic illness, or long-term medications?*

YesNo
If yes, please describe.*
Upload Food Allergy Action Plan (FAAP) or Diabetes Care Plan (DCP) or other health action plan.

You may also email your student's action plan to yates@stjohnsabilene.org
Cancelof

Authorized Adults

Persons authorized to remove student from campus (photo ID required).
Name*
Relation*
Phone Number*
Please enter a valid phone number.
Name*
Relation*
Phone Number*
Please enter a valid phone number.
Name
Relation
Phone Number
Please enter a valid phone number.

Policies Acknowledgement
St. John’s Episcopal School does not discriminate on the basis of gender, race, color, creed, religion, national or ethnic origin in administration of its educational policies, admissions policies, or other school-administered programs. The programs of St. John’s are designed to teach the academically and physically able student. Students are enrolled upon the student’s maintenance of satisfactory marks and a positive and constructive relationship between the School, parent(s), and student.

This enrollment agreement is for the Summer School Program from June through July. Registration and Application Fees are non-refundable. There will be no reduction in the Summer tuition for withdrawal with the exception of military or job transfers. To apply for proration due to military or job transfers, a proof of transfer must be provided.

St. John' Episcopal School’s duties and obligations under this contract may be suspended indefinitely without notice during all periods in which SJES is closed due to any force majeure events, including, but not limited to, any earthquake, fire, flooding, act of God, war, governmental action, act of terrorism, epidemic, pandemic, state of emergency, or any other event beyond the SJES's control. SJES has developed a contingency instruction plan to deliver remote instruction as soon as is reasonably practicable and safe under the circumstances. If such a force majeure event occurs, SJES's duties and obligations in this contract may be postponed for a period of time until SJES can deliver its contingency course instruction or until such time as SJES, in its sole discretion may safely reopen. In the event SJES is closed for a period of time or must deliver course work remotely due to an event under this clause, I agree that SJES is under no obligation to cancel, waive, or refund, any portion of tuition that is owed or paid to SJES.

Parent(s)/Guardian(s) agree to pay in full all tuitions and fees as published and charged. Any account that becomes 20 days past due will cause forfeiture of enrollment; all tuition and fees will become due immediately and forwarded to the collection agency with all the associated collection and legal fees charged to the account. FUTURE ENROLLMENT WILL NOT BE ALLOWED.

The student will take part in all school activities, athletics, and field trips unless written notice is given by the parent(s)/guardian(s) to restrict such activity. St. John’s Episcopal School, school employees, school volunteers, and carpool drivers will not be held responsible in case of an emergency, injury, loss, or death.

Enrollment process is complete when:
- The enrollment application form is fully completed and signed by parent(s)/guardian(s)
- Current immunization records are uploaded or submitted to the school office
- The application registration fees have been paid.
I have read and agree that all of the above statements are true and correct.*

I agree.
Parent/Guardian Signature*

Clear

Registration Information

Full, part-time and monthly after camp care options available. Select the months by hitting the drop down and selecting June, July, June & July or None Please be careful when selecting your choice. Make sure the correct month and option is selected.
Please read each section carefully! We have "Full Time" (Five Day Monday - Friday) and "Part-Time" (Two days, Tuesday & Thursdsay) options available. We also have "After Camp Care."

Please be careful when selecting your choice. Make sure the correct month and grade completed is selected.

The $100 Registration Fee and June Tuition and July Tuition are due and will be charged at the time of registration.

Registration and Fees
prevnext( X )
Registration FeeNon-refundable. This and Tuition cover all activities, supplies, 1 camp shirt, and snacks for your student.
$100.00



Camp Eagle Five Days NO After Camp Care - M-F 8:00 AM-2:30 PM
$ Free OptionsGrade Level Completed
Item subtotal:$0.00



Camp Eagle Two Days NO After Camp Care - Tues & Thurs 8:00 AM-2:30 PM
$ Free OptionsGrade Level Completed
Item subtotal:$0.00



Camp Eagle Five Days with After Camp Care - Mon-Fri 8:00 AM-5:30 PM
$ Free OptionsGrade Level Completed
Item subtotal:$0.00



Camp Eagle Two Days with After Camp Care - Tues & Thurs 8:00 AM-5:30 PM
$ Free OptionsGrade Level Completed
Item subtotal:$0.00



Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Information

Pay with Credit Card

Should be Empty:

St. John's "Camp Eagle" Registration

Camper Information

Parent/Guardian Information

Emergency Contact Information

Health and Medical Records

Authorized Adults

Policies Acknowledgement

Registration Information

Payment Information