FORM E-003

St. Paul’s Summer Camp 2027 Enrollment Application

Thank you for your interest in St. Paul’s Summer Camp 2027! Please complete this application to register your child for the 2027 camp season. The information you provide will help us ensure a safe, organized, and enjoyable experience for every camper. All information will be kept confidential and used solely for camp administration and emergency purposes if needed. We look forward to welcoming your child for an exciting summer of leadership, learning, friendship, and fun.

NAME OF CHILD

CHILDS DATE OF BIRTH

ADDRESS

TELEPHONE

SECONDARY TELEPHONE

RELATIONSHIP TO CHILD

PARENT/ GUARDIAN FULL NAME

CHILDS AGE

SCHOOL CURRENTLY ATTENDING

CHILDS GENDER

GRADE ENTERING IN 2027

T-SHIRT SIZE

EMERGENCY CONTACT NAME

RELATIONSHIP

EMERGENCY CONTACT NUMBER

DOES YOUR CHILD HAVE ANY ALLERGIES

IF YES, PLEASE EXPLAIN

DOES YOUR CHILD HAVE ANY MEDICAL CONDITIONS

IF YES, PLEASE EXPLAIN

DOES YOUR CHILD TAKE ANY MEDICATION DURING CAMP HOURS?

IF YES, PLEASE LIST THE MEDICATION & INSTRUCTIONS

FAMILY DOCTOR

FAMILY DOCTOR PHONE NUMBER

HOW WILL YOUR CHILD GET HOME EACH DAY?

IF SOMEONE ELSE WILL COLLECT YOUR CHILD PLEASE LIST THEIR FULL NEME(S)

IF YOUR CHILD IS AUTHORIZED TO WALK HOME ALONE, DO YOU GIVE PERMISSION?

HAS YOUR CHILD ATTENDED ST.PAUL'S SUMMER CAMP BEFORE?

DOES YOUR CHILD HAVE ANY SPECIAL TALENYS OR INTERESTS?

IS THERE ANYTHING WE SHOULD KNOW TO HELP YOUR CHILD HAVE A SUCCESSFUL CAMP EXPERIENCE?

I GIVE PERMISSION FOR MY CHILD TO APPEAR IN PHOTOGRAPHS & VIDEOS USED BY ST. PAUL'S SUMMER CAMP

I UNDERSTAND THAT MY CHILD IS EXPECTED TO FOLLOW ALL CAMP RULES & BEHAVE RESPECTFULLY?

I CERTIFY THAT ALL INFORMATION PROVIDED IS ACCURATE.

PARENT?GURDIAN FULL NAME (Electronic Signature)

TODAYS DATE

WHICH ACTIVITIES WOULD YOUR CHILD BE MOST EXCITED TO PARTICIPATE IN?

Parent/Guardian Declaration & Consent By submitting this application, I certify that the information provided is true and accurate to the best of my knowledge. I understand that completion of this application does not guarantee enrollment and that registration is subject to available space and the camp’s admission requirements. I agree to comply with all St. Paul’s Summer Camp policies, procedures, and safety guidelines. I authorize camp staff to obtain emergency medical treatment for my child if I cannot be reached in the event of an emergency. I grant permission for my child to participate in all approved camp activities and, unless otherwise indicated, to be photographed or recorded for educational, promotional, and community outreach purposes related to St. Paul’s Summer Camp. I understand that I am responsible for notifying the camp of any changes to my child’s medical information, emergency contacts, or authorized pick-up arrangements before or during the camp session.