Little Charger Day Camp for Incoming Preschool and Kindergarteners!

     JOIN THE FUN THIS SUMMER AT THE SAINT ALPHONSUS DAY CAMP FOR PRESCHOOL AND KINDERGARTENERS

·       Lil’ Charger Camp

 Ages 3 and 4 are welcome

 Monday, July 18 thru Friday, July 22

 Times 9am-2pm

 Cost $100 per student.  Snack is included but you need to pack a lunch.

CLICK HERE TO DOWNLOAD A REGISTRATION FORM!

REGISTRATION FORM FOR CAMP

Thanks for allowing your child(ren) to be a part of our 2016 Camp.

To make it simpler for parents, you are able to submit one copy of the following:

1.   1 Registration form;

2.   1 Copy of Family insurance; and

3.   Emergency contact

 

 

Lil’ Charger Camp: ages 3 & 4 yr olds

July18-July 22   9a-2pm

Child: ______________ Age:___           

Child: ______________ Age: ___

Cost $100 per student.  Please make check out to Jamie Marchetti                                                                                                        
Emergency Authorization:

I ____________________, parent or guardian, I do herewith authorize the treatment by a qualified medical doctor of the following minor in the event of a medical emergency which, in the option of the attending physician, may endanger his/her life, cause disfigurement, physical impairment or undue discomfort if delayed.

Child 1. __________________________________ Date of Birth________________

Child 2. __________________________________ Date of Birth ________________

Child 2. __________________________________ Date of Birth ________________

 

Allergies:  Child 1:__________________________Child 2:_____________________

Name of Minor(s):_____________________________________________________

Relationship:__________________________ for the 2016 Summer Camp Sessions

 

Emergency Contact Number: __________________________________

Email address of parent/guardian:______________________________

 

Physician’s Name and Number: ________________________________

 

Signed: ___________________________________________________

Print parent/guardians name __________________________________

 

Photo Release:

I ____________________give my permission for my child(ren)__________________ to be photographed during camp days for press releases, school yearbook and other public relations matters.

 

____________________________

Signed by parent or guardian

 

 

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