St. Paraskevi Camp J.A.M. Registration Form

August 8th - 12th

Monday - Friday, 9:30am until 2:45pm

For children entering Kindergarten - 6th grade.

Registrant's Info

(Shirt sizing: Youth S, M, L, XL)

First child's name *

Grade entering *

Shirt size *

Second child's name

Grade entering

Shirt size

Third child's name

Grade entering

Shirt size

Parent's names *

Address *

Phone/s *

Email *

Additional Information you would like us to know:

Registration Fees

Registration Fee *

One Child ($195)

Additional Child(enter number of children)

Each additional child $145

Non-stewards(enter number of children)

Each additional child $235

Extra T-shirts, $15 each. Enter the number you would like.

extra shirts ($15)

Size of extra shirt/s

Required Parent Participation

Our volunteer-run camp is available this summer because of your participation. Thank you! Please let us know which morning or afternoon you are available to volunteer your 3-hours of service. If you are unable to help with camp during the day, please indicate that you will help with administrative tasks and we will contact you about ways you can assist outside of camp hours.

Day(s) available during camp days

If available during the day, please indicate morning and/or afternoon hours.

Morning

Afternoon

Check if interested in Administrative tasks.

Administrative tasks.

Emergency and Medical Info

Allergies or medical conditions we need to be aware of *

Should your child’s activities be restricted in any way? If yes, please specify *

Person to contact in case of an emergency (please include phone number) *

I hereby give my child permission to take part in all the Saint Paraskevi Summer Camp activities. In case of an emergency, I give permission to the St. Paraskevi Staff to administer first aid. Should medical attention be required, I give permission for the St. Paraskevi Staff to seek further qualified medical assistance until I can be contacted.

Signature of parent or guardian *

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If you have any questions, please e-mail Ann Ebe at ann.ebe@hotmail.com