Summer Camp 2026

Summer Camp 2026
Student Name*

First NameLast Name
Student Birthday*

MonthDayYear
Current Date

MonthDayYear
Automatically calculates students age as of August 31, 2026
Gender*

FemaleMale
Mother/Guardian*

First NameLast Name
Mother/Guardian Cell Phone*
Format: (000) 000-0000.
Father/Guardian*

First NameLast Name
Father/Guardian Cell Phone*
Format: (000) 000-0000.
Primary Email*

Confirmation Email
Member of Saint Francis of Assisi Parish*
Current Preschool Class*
Current Teacher, if attending St. Francis of Assisi Preschool*
Preschool Class for Fall 2026*
Does your child have allergies?*

YesNo
If "Yes', please list.
Emergency Contact (other than Parents*

First NameLast Name
Emergency Contact Phone Number*
Format: (000) 000-0000.
My child can be picked up by the following people:
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Please check the week, age group and theme of camps requested:
June 8
June 15
June 22
July 6
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.*

YesNo
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.*

YesNo
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*

I acknowledge
Enter the message as it's shown*
Should be Empty:

Summer Camp 2026

My child can be picked up by the following people:

Please check the week, age group and theme of camps requested: