OLMA Summer Camp 2023 Registration
Please complete the form below.  Once you are registered a link will be sent to your email address in order for you to provide payment.  Camp Cost $175 per camper for each session.
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Email *
Which camp will you be attending? *
Campers  Last Name: *
Campers First Name: *
Address: *
Parent/Guardian Name: *
Parent/Guardian Cell #: *
Emergency Contact Name: *
Emergency Contact Cell #: *
Campers Physicians Name: *
Campers Physicians Contact #: *
Campers grade as of September of 2023: *
 I give permission for my child____________________ to participate in Our Lady of Mercy Academy’s Sports/Dance Camps  & certify that they are in good health & able to participate in all camp/course activities. I understand there is an inherent risk involved in sport participation. She/he has no previous illness, disease or injury which contraindicates participation in camps/courses. If medical attention is required for illness or injury while attending camps/courses, I give my permission for such care.   By selecting YES you are providing an electronic signature stating you agree with the above statement. *
Raffle Donation Code if applies:
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