Catholic Camp - Registration

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Sorry, but this form is now closed.

I am happy that you are interested in apply and sorry that you cannot apply at this moment, but please, come back next year, we'd love to see you at camp!

-- Praise be Christ Crucified and Sweet Mama Mary,

Johnny Ede

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

I have spoken to Johnny Ede about a needs-based Scholarship$0

678-584-9947 ext. 120

kconner@saintmonicas.com

1700 Buford Highway

Duluth, GA 30097

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