Jr. High Summer Service Camp
Sunday, July 21 through Wednesday, July 24

Space is limited and registrations will be accepted in the order that they are received.

Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Grade *
Child's School *
Is the child part of the OLMC Jr. High Program? *
Does the child have any allergies or need medication? Please describe below. *
Your answer
Does the child have any dietary restrictions? Please describe below. *
Your answer
Parent First and Last Name *
Your answer
Parent Cell Phone Number *
Your answer
Parent Email Address *
Your answer
Emergency Contact Name (other than parent listed) *
Your answer
Emergency Contact Phone Number *
Your answer
Please note there is a $230 fee to participate in Summer Service Camp. By signing below, I agree to pay the $230 fee. *
Please type your electronic signature below
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A copy of your responses will be emailed to the address you provided.
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This form was created inside of Our Lady of Mount Carmel Church. Report Abuse - Terms of Service