Summer Camp 2025
Student Name
*
First Name
Last Name
Student Birthday
*
-
Month
-
Day
Year
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Current Date
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Month
-
Day
Year
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Automatically calculates students age as of August 31, 2025
Gender
*
Female
Male
Mother/Guardian
*
First Name
Last Name
Mother/Guardian Cell Phone
*
Father/Guardian
*
First Name
Last Name
Father/Guardian Cell Phone
*
Primary Email
*
Confirmation Email
Current Preschool Class
*
Please Select
2 year old
3 year old
4 year old
Transitional
Did not attend preschool
Current Teacher, if attending St. Francis of Assisi Preschool
*
Please Select
2’s - Cat
2’s - Leslie
3’s - Kathryn
3’s - Nicole
3’s - Jennifer
4’s - Laurie
4’s - Cindy
4’s - Tanya
4’s - Diana
Transitional - Aimee
Did not attended St. Francis Preschool
Preschool Class for Fall 2025
*
Please Select
3 year old class
4 year old class
Transitional class
Kindergarten
Does your child have allergies?
*
Yes
No
If "Yes', please list.
Emergency Contact (other than Parents
*
First Name
Last Name
Emergency Contact Phone Number
*
My child can be picked up by the following people:
Name
*
First Name
Last Name
Phone Number
*
Name
*
First Name
Last Name
Phone Number
*
Please check the week, age group and theme of camps requested:
June 9
June 16
June 23
July 7
Permission is given to use video of my child(ren) on the school and St. Francis of Assisi website. Names of students will never be used.
*
Yes
No
Permission is given to use photos of my child(ren) on the school and St. Francis of Assisi websites, facebook, teacher blogs, print publications. and marketing materials. Names of students will never be used.
*
Yes
No
There will be no make-up day if your child misses a day . A $10.00 fee is charged for all changes and for late payment. Cancellation/ Withdrawal fee is 1/2 the cost for the week(s). There is a minimum of 8 students required, a refund will be issued it the camp is cancelled
*
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