JAM Camp 2026 Registration

Welcome to JAM Camp 2026!

Each week is filled with TONS of Fun!! We have games, crafts, discovery and exploration, singing, science, and daily Praise and Worship/ “Jammin’ with Jesus”
Choose a week, or choose EVERY week! Children Ages 1 - 10 (Must be 1 by June 1st) Camp Hours: 9am-1pm, Monday-Friday (with the exception of Week 3: June 15-18, 4 day camp)

All Registrations are received and reviewed on a first come, first serve basis.
What to Bring: Bag lunch from home, water bottle, and a morning snack each day. Peanut and Tree nut free!
Please choose the week/s your child will attend camp:
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Age (by June 1)
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information (1)
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Parent/Guardian Information (2)
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact Information (Other than Parent/Guardian)
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Authorized to Pick Up?
Emergency Contact Information (Other than Parent/Guardian)
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Authorized to Pick Up?
Health Information

Please complete in the event of an emergency.
Does your child have any of the following medical concerns?
Please indicate food allergy:
If "other", please indicate below:
Please list any current medications for your child:
Please list any pertinent medical/surgical history for your child:
Family Physician/Pediatrician:
Physician Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Children's Medical Report and Immunization Records

(If you are either currently enrolled or previously enrolled with JAM Camp and/or New Beginnings Preschool, you do not need to complete this section as your child's records would already be current and on file) If you are new to JAM Camp or New Beginnings Preschool, you will need to print and submit the attached document. This form is to be completed by the Parent/Guardian AND the child's physician. Please attach Immunization Records) If you need JAM Camp to supply a copy for you, please contact the office at 704-262-3498
Emergency Medical Care Authorization

In the event that my child, named above, may require emergency medical care while under the supervision of JAM Camp Staff, and I am unable to be reached, my emergency contacts are unable to be reached, and/or the medical emergency requires immediate attention that cannot be postponed until Parent/Guardian contact or arrival, I hereby authorize a staff member of JAM Camp to accompany my child in the evaluation and treatment deemed necessary by medical professionals. JAM Camp Staff will continue to make attempts to contact Parent/Guardian.
Signature
Publicity Agreement

I grant permission for JAM Camp of St James Catholic Church to use my child's still photographs and/or videos in the following ways:
Please choose all that apply:
Signature
JAM Camp Fee Agreement

JAM Camp has a fee of $120.00 per week, with a one-time $25 Registration fee for the summer (with the exception of June 16, which is $95.00). Fees may be made weekly, or in advance. To avoid interruptions in your child's weekly camp, fees cannot be paid later than Tuesday of each week. No refund, credit or exchange of days will be made for a child's absence due to illness, vacation or "off" days. Payments can be made via check or money order. Alternatively, our "Pay Online" link which can be found at the bottom of our website: https://www.saintjamescatholic.org/new-beginnings-preschool
Signature
Diocesan Childcare Agreement

Please read the attached document and sign in the Signature field below.
Signature
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, 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.
Date

MonthDayYear
Date
Signature
Should be Empty:

Welcome to JAM Camp 2026!

Choose a week, or choose EVERY week! Children Ages 1 - 10 (Must be 1 by June 1st) Camp Hours: 9am-1pm, Monday-Friday (with the exception of Week 3: June 15-18, 4 day camp)

What to Bring: Bag lunch from home, water bottle, and a morning snack each day. Peanut and Tree nut free!

Health Information

Children's Medical Report and Immunization Records

Publicity Agreement

JAM Camp Fee Agreement

Diocesan Childcare Agreement