Catholic Camp - Registration

Catholic Camp Registration

Camper's First Name

Camper's Last Name

Camper's Sex

Male

Female

Camper's Birthday

Month

Day

Year

Camper's Grade or Nursery Age as of Fall 2026

Camper's T-Shirt Size (No Shirt for Nursery Children)

Mother's Name

Mother's Phone Number

Father's Name

Father's Phone Number

Parent's Primary Email

Parent's Secondary Email

Emergency Contact's Name

Emergency Contact's Number

Emergency Contact's 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

Does the Camper Have Insurance?

If Yes, Please Provide: Insurance Provider Name, Member Name, Group ID Number

This information is not required but is CRITICAL in the event of an emergency.

Policy Releases

Policies can be found on the Catholic Camp page of our website.

I accept the parental liability release policy.

I accept the permission to seek emergency care policy.

I accept the dress code policy.

I accept the bounce house policy.

I accept the media release policy.

Payment

Select One:

Catholic Camp - Full Payment Registration$55

Nursery Registration (For Children of Volunteers Only)$1

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