St. Bernardine Youth Summer Camp 2020
August 10-21 (10 AM - 5 PM) Fee: $75.00
Youth Name *
DOB: *
School: *
Grade: *
Father/Mother/Guardian Name: *
Cell Phone #: *
Address: *
City: *
State: *
Zip Code: *
Emergency Contact: *
Phone #: *
Relation to Child: *
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