Catholic Camp Registration

Camper's First Name

Camper's Sex Required

Female

Male

Camper's Last Name

Camper's Date of Birth required

Mothers Name

Fathers Name

Parent's Primary Email

Mothers Phone

Fathers Phone

Parent's Secondary Email

Envelope Number

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relation to Camper

List Medical Conditions or Special Considerations for Camper

List any Allergies for Camper

List any Medications/Dosage for Camper

List any Custodial Issues we should be aware of

I accept the parental liability release policy. ( Required )View policy here

I accept the permission to seek emergency care policy. ( Required )View policy here

I accept the media release policy. ( Not Required ) View policy here

I accept the dress code policy. ( Required )View policy here

I accept the bounce house policy. ( Required )View policy here

Select an item ($)

Catholic Camp - Full Payment Registration - $55

Nursery Registration ( For Children of Volunteers Only ) - $1

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