St. Bernardine Church

Registration for Two Week Summer Camp

Monday July 31, 2023, through and including Friday August 4, 2023 (No Saturday and Sunday) 9am - 2pm

and

Monday August 7, 2023 through and including Friday August 11, 2023 (No Saturday and Sunday) 9am - 2pm

614 Mt. Holly Street, enter by the rear entrance off of the parking lot

Free to all ages between 8-13 (lunch included)

Please provide us with the following information.

What:

STEAM SCIENCE TECHNOLOGY ENGINEERING ARTS MUSIC & MOVEMENT

Parent's Name

First Name

Last Name

Household Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

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Participants Information

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY