St. John Bosco Summer Camp
Please complete a separate form for each child you are registering
Student Name
*
First Name
Middle Name
Last Name
Grade your child will enter in the fall
*
School
*
Are there any allergies or medical concerns that we should be make aware of?
*
Parent Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Emergency Contact (other than parent listed above)
*
First Name
Last Name
Emergency Contact Mobile Number
*
Format: (000) 000-0000.
My Products
*
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Beginner Chess
$150.00
$
150.00
Quantity
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Intermediate Chess
$150.00
$
150.00
Quantity
1
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10
Fairy Tale Summer Camp
$150.00
$
150.00
Quantity
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10
Military Games: Grand Strategy
$150.00
$
150.00
Quantity
1
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10
Credit Card
Submit
Should be Empty: