2017 UUCF Chalice Camp Registration
This application 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 12-16, 2017, at the Unitarian Universalist Church of Fresno, 2672 E Alluvial Ave, Fresno. The theme this year is 'Out of the Stars', following a curriculum that explores our evolutionary roots. The cost is $175/child. Siblings are $100/child. Those entering Kindergarten through 6th grade are invited to attend. The deadline for applying is May 30, 2017. 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.
Camper's First Name
Your answer
Camper's Date of Birth
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Camper's Last Name
Your answer
Camper's Preferred Name
Your answer
Grade in Fall 2017
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. (Note that shirts have run on the small side in the past two years.)
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.
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