CAMP STING REGISTRATION 2019

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PLEASE FILL OUT THE INFORMATION BELOW. SEND YOUR REGISTRATION FEE TO CATHOLIC ELEMENTARY (ATTN: MEGAN GIRLINGHOUSE). YOUR CHILD(REN) WILL NOT BE FULLY REGISTERED UNTIL THE FORM AND REGISTRATION FEE ($60/CHILD) HAVE BEEN RECEIVED. PLEASE FILL ONE FORM OUT PER CHILD. *MAKE CHECKS PAYABLE TO CATHOLIC OF POINTE COUPEE*

Last Name *

First Name *

T-SHIRT SIZE (included in registration fee) *

YXS (2-4)

YM (10-12)

YL (14-16)

AXL

AXXL

Required

Grade entering 2019-2020 *

School attending 2019-2020 *

E-mail *

Address *

City *

State *

Zip Code *

Mother’s Name *

Mother’s Phone Number *

Father’s Name *

Father’s Phone Number *

Emergency Contact *

Any special concerns

MY CHILD WILL BE ATTENDING CAMP ON THE FOLLOWING WEEKS: *

JUNE 3-7

JUNE 10-14

JUNE 17-21

JUNE 24-28

JULY 1-5 (NO CAMP ON JULY 4)

JULY 8-12

JULY 15-19

JULY 22-26

ALL 8 WEEKS

Required

I UNDERSTAND THAT IF MY REGISTRATION FEE OF $60/CAMPER IS NOT PAID BY THE DUE DATE (APRIL 12TH) THAT THE AFOREMENTIONED CAMPER WILL LOSE HIS/HER RESERVED SPOT FOR CAMP STING. (PLEASE INITIAL) *

PLEASE INITIAL BELOW VERIFYING THAT ALL INFORMATION ABOVE IS CORRECT. *

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