25-26 Summer Camp Registration

St. Joseph Catholic School
1210 Anniston Avenue • Shreveport, LA 71105
(318) 865-3585 • Fax (318) 868-1859 • www.sjsfalcons.org
Student Information
Full Name:*
Rising Grade 2026-2027*
Date of Birth:*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*
Format: (000) 000-0000.
Mother's Name:*
Cell Phone:*
Format: (000) 000-0000.
Email Address:*
example@example.com
Work Phone:*
Format: (000) 000-0000.
Employer:*
Father's Name*
Cell Phone:*
Format: (000) 000-0000.
Work Phone:*
Format: (000) 000-0000.
Employer:*
Email Address:*
example@example.com
Emergency Information:
Name*
Home Phone*
Format: (000) 000-0000.
Cell Phone*
Format: (000) 000-0000.
1.*
2.*
Carpool Information- Name and phone number
1.*
2.*
Please list any allergies, medical problems, medication camper is taking, recent surgeries or concerns.*
Camp Information:
All camps must be paid in full at the time of registration. Cash or Check only. No Refunds after June 1st, 2026.
K3-K5 have to be fully potty-trained. After the 3rd accident, the camper will be sent home for the rest of the week, and no refunds will be given.

ROOTED IN READING IS CLOSED. Please call the office if you are interested in being on the waitlist.

SUMMER CAMP Checklist