2019 Day Camp Registration
at Community Presbyterian Church, 7501 Church Ave. 15202. 412-761-1233

Pre-K & Kindergarten: 9am-12pm Mon-Fri
1st-5th Grade: 9am-12pm Mon, Tues, Thurs, Fri, and ...
Field trip to Camp Crestfield on Wednesday! 9am-4pm.

Parent/Guardian Name (primary contact) *
Your answer
Address *
Your answer
Email *
Your answer
Cell # *
xxx-xxx-xxxxx
Your answer
Emergency Contact name & phone *
Your answer
Number of Children registering
Child 1 - Name
Your answer
Child 1 - Grade next school year
Child 1 - Allergies or other concerns
Your answer
Child 2 - Name
Your answer
Child 2 - Grade next school year
Child 2 - Allergies or other concerns
Your answer
Child 3 - Name
Your answer
Child 3 - Grade next school year
Child 3 - Allergies or other concerns
Your answer
Volunteers are the heart of our program! Plz check what you're interested in doing. You don't have to do everything you check;) All jobs are simple, clear & enjoyable!
Name of person volunteering
Your answer
Payment is due Mon 6/18. Would you like us to send you a return envelope? ($50 per child. $40 for Pre-K & K) *
Notes for us or Questions we can answer?
Your answer
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