Camper Registration
St. Barts Episcopal Church
16275 Pomerado Road
Poway, CA 92064

This form and your payment are required to complete your registration. Love is... registration is $50 per camper with a cap of $130 per family.

Love is... will be held July 17-21, 2023 from 8:30am-11:30am.

Please contact csleeper@stbartschurch.org with any questions.
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電子郵件 *
First Camper Name *
Date of Birth *
MM
/
DD
/
YYYY
Entering grade level Fall 2022 *
Child's t-shirt size
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Please list any dietary, health, or physical information that is important for camp to know. *
Second Camper Name
Date of Birth
MM
/
DD
/
YYYY
Entering grade level Fall 2022
清除選取的項目
Child's t-shirt size
清除選取的項目
Please list any dietary, health, or physical information that is important for camp to know.
Third Camper Name
Date of Birth
MM
/
DD
/
YYYY
Child's t-shirt size
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Entering grade level Fall 2022
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Please list any dietary, health, or physical information that is important for camp to know.
Parent/Guardian Name(s) *
Address *
Phone Number(s) *
Emergency Contact (if we cannot reach parents) *
Emergency Contact Phone *
List of people who may pick up camper(s) each day: *
Do you authorize us to use photos of your child for use on the (insert name of church) website, bulletins, and social media? *
We will send out a link by email to click and pay the camp registration fee on 7-12-23 *
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