SPX Summer Camp Registration

Summer Camp Registration

For students entering grades PreK3 through 2nd grade in fall 2026.
St. Pius X School

Loudonville, NY 12211
Child's Name*

First NameLast Name
Grade level entering in fall 2026*
YesNo
Please put the name of the child you have already registered, so that we can link the registrations. *

First NameLast Name
YesNo
To use the sibling discount, input the code SIBLING26 into the coupon box below the week selector.
Parent/Guardian #1
Parent or Guardian Name*

First NameLast Name
Parent or Guardian Email*
example@example.com
Parent or Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2
Parent or Guardian Name

First NameLast Name
Parent or Guardian Email
example@example.com
Parent or Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian Address (skip if the same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact #1*

First NameLast Name
Emergency Contact #1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2*

First NameLast Name
Emergency Contact #2 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please list anyone other than those listed above who have permission to pick up your child. Please list all names in this box.*
NoYes
If yes above, please list any allergies or medical conditions below.*
YesNo
To use the 8 week discount, input the code ALL8 into the coupon box below the week selector. The code is only valid if all 8 weeks are selected.

Weeks 3, 4, and 5 are full for 1st grade.

Please select the weeks you would like and use the drop down to indicate the grade they are entering in the fall.*

Week 1

June 22 to June 26

$325.00 Grade

Week 2

June 29 to July 3

$325.00 Grade

Week 3

July 6 to July 10

$325.00 Grade

Week 4

July 13 to July 17

$325.00 Grade

Week 5

July 20 to July 24

$325.00 Grade

Week 6

July 27 to July 31

$325.00 Grade

Week 7

August 3 to August 7

$325.00 Grade

Week 8

August 10 to August 14

$325.00 Grade

Enter coupon

Total

$0.00

Credit Card

E-mail for confirmation*
example@example.com
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Full Name

First NameLast Name
- Should be Empty:

Summer Camp Registration

St. Pius X School

Parent/Guardian #1

Parent/Guardian #2

Credit Card