Eagle Camp & Summer Enrichment Camps Registration

Student Information

Student Last Name *

Student First Name *

Student Middle Name *

Student Birth Date (MM/DD/YY) *

Student Age *

Gender *

Upcoming Grade Level *

Parent/Guardian Information

Relationship Status *

If divorced/separated to whom shall we send general correspondence?

If divorced/separated, are there custody arrangements of which we should be aware?

Parent/Guardian 1

Relationship to Student *

Full Name *

Street Address *

City, State, Zip *

Phone Number *

Employer *

Employer Phone Number *

Parent/Guardian 2

Relationship to Student

Full Name

Street Address

City, State, Zip

Phone Number

Employer

Employer Phone Number

Emergency Contact Information

Person, other than parent, authorized to act for parent in an emergency:

Full Name *

Relationship to Student *

Phone Number *

Employer *

Employer Phone Number *

Medical Information

Physician Name *

Physician Phone Number *

Does Your Child Need to Take Medication at School? *

If yes, please list any medications:

Is Your Child Allergic to Anything of Which You Are Aware? *

If yes, please list allergies:

Selection and Payment for Camps

COMPLETING THIS FORM DOES NOT COMPLETE THE REGISTRATION FOR A CAMP!

After submitting this general pre-registration form, you will be directed to the Summer Camps Selection page where you must select the days or weeks for Eagle Camp or the specific enrichment camps that you would like your student to attend and submit the form/s

Once you submit the selection form/s, you are registered. For current All Saints families, camp fees will be added to your school account and must be paid in full before the start of the 24-25 school year. Non-All Saints families will be emailed an invoice that can be paid online. Eagle Camp must be paid a month in advance. Enrichment camps can be paid at the start of the camp on the first day for an extra $20 fee.

Enter Your Email Address: *