Universal Registration form - 2025 Summer Camps

St. Joseph Catholic School 2025 Summer Camp Registration
Student Full Name*
Rising Grade for 2025-2026*
Date of Birth*

MonthDayYear
Date
Address*
Phone Number*
Mother's Name*
Cell Phone*
Email Address*
example@example.com
Work Phone*
Employer*
Father's Name*
Cell Phone*
Work Phone*
Employer*
Email Address*
example@example.com
1st Emergency Contact Name*
1st Emergency Contact Home Phone
Please enter a valid phone number.
1st Emergency Contact Cell Phone*
2nd Emergency Contact Name*
2nd Emergency Contact Home Phone
Please enter a valid phone number.
2nd Emergency Contact Cell Phone
Please enter a valid phone number.
Carpool Information

Name and phone number
1st Authorized Person for Pick-up*
1st Person's Phone Number*
Please enter a valid phone number.
2nd Authorized Person for Pick-up*
2nd Person's Phone Number*
Please enter a valid phone number.
Please list any allergies, medical problems, recent surgeries or concerns.*
Please list any medication your child is taking.*
Anything else you'd like us to know?*
2025 SJS Summer Camps - Registration Form

Please select the camp(s) the student will attend.

REGISTRATION IS NOT VALID WITHOUT FULL PAYMENT.

PAYMENT IS REQUIRED AT THE TIME OF REGISTRATION. PAYMENT CAN BE MADE IN THE SCHOOL OFFICE WITH CASH OR CHECK.

No refunds after June 1, 2025.
June 2nd-6th

Adventure Awaits: Rising 1st -2nd Grade Boys Only $250.00Swiftie Summer: Rising 1st-2nd Grade Girls Only $250.00
June 9-13

Swiftie Summer: CANCELLEDCamping Adventures: Rising K3- 1st Grades $250.00Summer Reading Camp: Rising 1st and 2nd Grade $250.00Around the World: Rising 5th-7th Grade $250.00Broadway Bound: Rising K5-4th Grade $125.00
June 16-20

Running the Race of Faith: Rising K3-1st $250.00
June 23-June 27

Summer Reading Camp: Rising 4th and 5th Grade $125.00Happy Campers: Rising K3-1st Grade $250.00
July 7-11

God Bless the USA: Rising K3-1st Grade $250.00Through the Decades: Rising 2nd-5th Grade $250.00Summer Reading Camp: Rising 8th Grade $250.00Broadway Bound: Rising 5th-8th Grade
July 14 - 18

Summer Reading Camp: Rising 6th Grade $250.00Summer Reading Camp: Rising 7th Grade $250.00Summer Reading Camp: Rising 3rd Grade $125.00
July 21-23

Mini cheer Camp :Rising 2nd grade $100.00
Camps are check/cash only, and payment in full to the office is required to confirm a spot.
Payment Type*
If paying by cash, what is the cash amount?*
If paying by check, what is the check number?*
If paying by check, what is the check amount?*
Should be Empty: