Kids Serve Camp Registration 2023
Registration Prices: 
-All families will be asked to pay a $50 non-refundable camp deposit
-Week 1 (full!  Feel free to join our waitlist!) (Combined with Vacation Bible School) $125
-Weeks 2-5 $200 per week 

Link to Payment Portal. Please specify that your donation is for Kids Serve Camp. 

Please contact Rosie Smith with any registration questions: camp@stpaulgrantpark.org
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Email *
CAMPER INFO
Camper's Name *
Your Child's Sex *
Birth date (Month, Date, Year) *
MM
/
DD
/
YYYY
Desired Name Tag: *
Select Camp Shirt Size (Youth Sizes) *
Primary Address *
Please provide any medical or dietary restrictions your child has:
Is there anything else we need to know about your child?
Does your child have behavioral differences or developmental disabilities? Your child will not be discriminated against based on these things, we just need to know so we can set up a consultation to make sure your child's needs are met.
PARENT/GUARDIAN INFO
Parent/Guardian Name *
Contact Phone Number *
Email Address *
Emergency Contact #1 - Name *
Emergency Contact #1 - Phone Number
*
Emergency Contact #1 - Relationship to Camper
*
Emergency Contact #2 - Name
*
Emergency Contact #2 - Phone Number
*
Emergency Contact #2 - Relationship to Camper
*
Which week(s) will your child be attending?  *
Required
I understand that if I do not pay the $50 non-refundable deposit my child's spot in camp will not be saved. Please pay directly on St. Paul's Website under the 'Online Giving' portion of the donate page.   www.stpaulgrantpark.org/donate 
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A copy of your responses will be emailed to the address you provided.
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