Oak Grove, MN
Oak Grove, MN
stpats@st-patricks.org
(763) 753-2011
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SPARK Summer Day Camp
SPARK Summer Day Camp
Is your family registered at St Patrick?
*
Yes
No
Parents/Guardian Name
*
First
Last
Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
*
1. Emergency Contact
*
First
Last
Relationship to child
*
Emergency Contact Phone
*
2. Emergency Contact
*
First
Last
Relationship to child
*
Emergency Contact Phone
*
List any other adults with permission to pick up your child/ren from this program
Please include contact information.
1. Child Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of:
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
2. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
3. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
4. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
5. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
6. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
7. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Do you have additional children to register?
*
No
Yes
8. Child's Name
*
First
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Sex
*
Program Registration
*
All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
T-shirt size
*
Sample sizes are available at the Totus Tuus table in the Gathering Space.
Youth Xtra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Xtra Large
Adult XXLarge
Please list any allergies, medical or emotional conditions, or other special needs that we should be aware of
If you fill out this portion for your child, a personal profile form will also need to be completed prior to the start of the program. This form can be filled out the first day of camp.
Are you interested in Volunteering?
We need many volunteers to help create a successful program. Please consider helping us out in some capacity during the day. Select all areas that you are willing to help out with.
Classroom Assistant 8:30am-12:15pm M-Th
Snack Breaks
Check-In 8:30am
Check-Out 11:45am
Classroom Clean-up 12:30pm M-Th
Who is volunteering?
Please list all name of volunteers.
Total number of children being registered:
*
$20 per child with a $50 family cap
1 Child
2 Children
3+ Children
Subtotal
Options
Total
SPARK Summer Day Camp quantity
Add to cart
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