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2024 Registration
July 22-26
* Indicates required question
Email
*
Record my email address with my response
CAMPER INFORMATION
Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Incoming Grade
*
6th
7th
8th
9th
Gender
*
Male
Female
Address
*
Your answer
Overnight or Day
Overnight: My camper will stay in the dorms
Day: I will pick up my camper at the end of each day
Clear selection
T-shirt Size
*
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
PARENT/GUARDIAN INFORMATION
Name
*
Your answer
E-mail
*
Your answer
Phone Number
*
Your answer
Alternative Phone Number
*
Your answer
EMERGENCY INFORMATION
Emergency Contact's Name
*
Your answer
Relationship to the Camper
*
Your answer
Phone Number
*
Your answer
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Your answer
Is the camper prescribed an inhaler or an EpiPen? If yes, please explain any instructions.
Your answer
Would you like the camper to be considered for a St. Placid Scholarship? If "yes", we will contact you with further steps.
Yes
No
Clear selection
Would you like to sponsor a camper? If "yes", we will contact you with details.
Yes
No
Clear selection
Promo Code
Your answer
After you click SUBMIT, go to the
PAYMENT PORTAL
to pay the $50 non-refundable registration fee. Make sure to indicate why and who in the memo field, such as:
"Camp St. Maur, Wilgefortis Widdershins"
WE ARE LOOKING FORWARD TO SEEING YOU AT CAMP ST. MAUR!
A copy of your responses will be emailed to .
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