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2024 DAY CAMP
Registration Form
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* Indicates required question
Email
*
Your email
Camper's Last Name
Your answer
Camper's First Name
Your answer
Age
Your answer
Grade ( Grade entering in the Fall)
Your answer
For sibling discount, how many campers will attend camp this year?
Please complete separate form for each child.
Your answer
She is my
*
only camper from my family
1st camper from my family
2nd camper from my family
3rd camper from my family
4th camper from my family
Other:
Required
DAY CAMP WEEKS
8:00 A.M. – 5:30 P.M.
Week 1 – Monday June 24 – Friday June 28
Week 2 – Monday July 01 – Friday July 05
Week 3 – Monday July 08 – Friday July 12
Week 4 – Monday July 15– Friday July 19
Registration Fee $100.00 per camper (one time & non-refundable)
$100.00
Daily Camp Fee (
Paid by 5/1/2024
) 1st child-$280; 2nd child-$250; 3rd child- $220
$280.00
$250.00
$220.00
Daily Camp Fee (
Paid after 5/1/2024
) 1st child-$300; 2nd child-$275; 3rd child- $250
$300.00
$275.00
$250.00
Other:
Daily Day & Resident Camp Fee:
Day & Overnight
-$100;
Day only
- $60;
Overnight only
- $40. (Must be registered)
$100.00
$60.00
$40.00
Date(s) of Overnight Camp
Your answer
Date(s) of Day Camp
Your answer
OPTIONAL EXPENSES:
Additional Canteen Card for afternoon snack - (optional). The first card is included in the camp fee.
$10.00
Camp T-Shirt- $25.00 each (optional)
XS
S
M
L
Adult S
Adult M
Adult L
Camp Sweat Shirt $35.00 each (optional)
XS
S
M
L
Adult S
Adult M
Adult L
Swim Cap (Lycra) Color - $10.00 each
Red (Beginner)
White (Intermediate)
Blue (Advanced)
Camp Picture (8x10) $10.00 each (optional)
Week 1
Week 2
Week 3
Week 4
Total Amount of Your Payment
Your answer
Methods of Payment
Cash
Credit Card
Check
My payment is
Cash
Credit Card
Check
My payment is
Credit Card Payment
https://www.salesianschool.org/summercamp
If you pay by a check, what is your check no.
Your answer
Medical/Liability Forms
Please download the forms from our website and complete the forms.
All forms must be completed before the 1st day of camp.
https://www.salesianschool.org/summercamp
PARENT INFORMATION
Father's Name (Last Name, First Name)
Your answer
Father's Phone Number(s)
Your answer
Father's Email address
Your answer
Mother's Name (Last Name, First Name)
Your answer
Mother's Phone Number(s)
Your answer
Mother's Email Address
Your answer
Address (street)
Your answer
City, State, Zip Code, Country
Your answer
A copy of your responses will be emailed to the address you provided.
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