Camper Information Form
We're so thankful your child is coming to camp! To ensure your child is safe with us, we need you (parent/guardian of camper) to provide us with the information about your child and the agreements requested in this form. All information provided is regarded as STRICTLY CONFIDENTIAL and will only be shared with the staff who work with your child, which generally includes the Camp Priest, Directors, Counselors, Cook, and Nurse.

Before you start filling out this form, you might want to locate your child's immunization record (so you can refer to it when filling out the Medical Information section) and your child (so he/she can read and agree to the Camper Guidelines and Agreement section when you complete the form).

This form must be completed in its entirety and submitted before camp in order for your child to attend camp.

Camper Name
Your answer
Camper Birthdate
MM
/
DD
/
YYYY
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
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