Camp Registration Form
Summer Day Camp 2026
Camper's Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Year
Gender
*
Please Select
Male
Female
Prefer not to disclose
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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School Information
What school do you attend?
Grade (going into)
*
Please Select
Preschool
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
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Family Information
Parent/Guardian's Name
*
First Name
Last Name
Contact Phone Number
*
Format: (000) 000-0000.
Alternate Phone Number
Format: (000) 000-0000.
E-mail Address
*
example@example.com
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Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Relationship to Camper
*
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Health Information
Provincial Health Care Number
*
Province of Health Care
*
Dietary Restrictions? (Please specify if restriction is an allergy)
(Campers bring a packed lunch. Some snacks will be provided.)
Please describe all behavioural and/or medical conditions the camper may have:
Does the camper have any prescribed medications that we may need to administer?
*
May we publish photographs or videos of your child as they participate at Camp for positive promotional purposes, such as on our website, brochures, and other promotional materials?
*
Yes
No
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I agree to pay $125 per camper to Descent of the Holy Spirit Camp.
Please sign below acknowledging your agreement. Payment can be made by e-transfer to hscatholicparish@gmail.com.
Type your name here:
*
Submit Form
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