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
Have you already registered another of your children for the summer program?
Please put the name of the child you have already registered, so that we can link the registrations.

First NameLast Name
Are the contact information, emergency contacts, and pick up names the same as those listed on the registration you have already filled out?
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.
Does your child have any allergies or medical conditions?
If yes above, please list any allergies or medical conditions below.
Do you wish to sign your child up for all 8 weeks?
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.

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

Week 5

July 20 to July 24

$325.00 Grade

Week 6

July 27 to July 31

$325.00 Grade

Week 7

$325.00 Grade

Week 8

July 27 to July 31

$325.00 Grade

Enter coupon

Total

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

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

Credit Card

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