Summer Camp Enrollment 2021
This form is for registration for Live, Learn, and Grow; St. Mark Catholic School Summer Camp Program.
Email address *
Important information:
Campers must be between 5 and 11 years old.
Behavior issues will not be tolerated.
Lunch will be provided, or you may pack your own.
Morning drop off begins at 7:30 AM.
Campers must be picked up by 5:30 PM.
$1 will be charged every minute after 5:30 PM.
Child 1 First Name *
Child 1 Last Name *
Child 1 grade as of Fall 2021 *
Child 1 - camps or sessions: *
Required
Child 1 t-shirt size: *
Child 1 - Health and Wellness
Please check all that apply, and describe below.
Child 1 - description of Health and Wellness concerns
Current Address
Street *
City *
State *
Zipcode *
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Emergency Phone #
Parent/Guardian 2 First Name *
Parent/Guardian 2 Last Name *
Parent/Guardian 2 Phone # *
Parent/Guardian 2 Emergency Phone # *
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