Name: SPARK Summer Day Camp
SKU: 37243
Availability: InStock

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*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

2. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

3. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

4. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

5. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

6. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

7. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

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?*

8. Child's Name*

First Last

Date of Birth*

Sex*

Program Registration*

All Summer Program Sign-ups are based on the 2019-2020 School Year. The grade your child has just finished.

T-shirt size*

Sample sizes are available at the Totus Tuus table in the Gathering Space.

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

SPARK Summer Day Camp

SPARK Summer Day Camp

Folders

You have no folders.

Simply create a folder by clicking the above button. You can also create a collection-gallery relation.