Request edit access
2018 UUCF Chalice Camp Registration
This registration is not complete until you have either paid in full or arranged payment via the link that will appear at the top of this page once you click submit.

Chalice Camp is happening June 11-15, 2018, at the Unitarian Universalist Church of Fresno, 2672 E Alluvial Ave, Fresno. The theme this year is 'Identity & Justice', following a curriculum that explores the history of race in our country and the campers' own racial roots. The cost is $175/child, and siblings are $100/child, when paid by May 15. After May 15, the cost for the initial camper goes up to $200. NOTE: When you pay, please be sure to indicate in the memo/notes that it is for Chalice Camp.

Those entering Kindergarten through 6th grade are invited to attend. Those entering 7th-12th grades are invited to apply to be Counselors-in-Training and Counselors. The deadline for applying is May 30. A confirmation letter with further information will be sent to you after May 30. You will be asked to sign a permission form for your camper(s) prior to camp. If you have questions, please contact us at uucfchalicecamp@gmail.com.

*
Your answer
Camper's Date of Birth *
MM
/
DD
/
YYYY
Untitled Title
Camper's Last Name *
Your answer
Camper's Preferred Name *
Your answer
Grade in Fall 2018 *
Those entering 7th-9th grade can apply to be Counselors in Training. Those entering 10th-12th can apply to be Counselors.
First time at Chalice Camp? *
Medical requirements, allergies, medications, etc. of which we should be aware *
Your answer
Is your child able to swim? *
Is it okay for your child to be in a pool with lifeguards and counselors and adult supervision? *
Other information (IEP, custody arrangements, 504 plan, other accommodations, etc.) *
Your answer
Doctor's name & Phone # *
Your answer
Health insurance company & group # *
Your answer
Date of last tetanus shot *
Your answer
Please choose a T-shirt size. (We will use this to give your child a T-shirt on the first day. If it doesn't fit properly, other sizes may or may not be available.) *
Sibling(s) attending as well? *
If you answer yes, after clicking continue, google forms will send you to a separate page to complete a profile for each child.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms