Blue Ribbon Camp Registration

Parent 1 Name:required

First Name

Last Name

Parent 1 Email Address:required

Parent 1 Cell Phone:required

Parent 2 Name:

Parent 2 Email Address:

Parent 2 Cell Phone:

Primary Mailing Address:required

City, State, Zip Coderequired

Emergency Contact During Camp:required

Emergency Contact Phone Number:required

Camper 1required

First Name

Last Name

Camper 1 Birthdayrequired

Must contain a date in M/D/YYYY format

Camper 1: Grade Level for 2024-25 School Yearrequired

Camper 1: Schoolrequired

Camper 1: Genderrequired

Camper 1: Allergies, Medical Conditions, Medicationsrequired

Camper 1: If your child would like to be in a group with specific friend campers (must be in the same age group), please list friend names here. We will do our best to accommodate friend group requests.required

Camper 1: SessionrequiredPlease select up to 4 choices

June 3-7 ($240.00)

June 10-14 ($240.00)

June 17-21 ($240.00)

June 24-28 ($240.00)

Please select up to 4 choices

Camper 1: Shirt Selectionrequired

Please select up to 4 choices

Camper 2: Name

Camper 2 Birthday

Must contain a date in M/D/YYYY format

Camper 2: Grade for 2024-25 School Year

Camper 2: School

Camper 2: Gender

Camper 2: Allergies, Medical Conditions, Medications

Camper 2: If your child would like to be in a group with specific friend campers (must be in the same age group), please list friend names here. We will do our best to accommodate friend group requests.

Camper 2Please select up to 4 choices

June 3-7 ($220.00)

June 10-14 ($220.00)

June 17-21 ($220.00)

June 24-28 ($220.00)

Please select up to 4 choices

Camper 2: Shirt Selection

Please select up to 4 choices

Camper 3: Name

Camper 3: Birthday

Must contain a date in M/D/YYYY format

Camper 3: Grade for 2024-25 School Year

Camper 3: School

Camper 3: Gender

Camper 3: Allergies, Medical Conditions, Medications

Camper 3: If your child would like to be in a group with specific friend campers (must be in the same age group), please list friend names here. We will do our best to accommodate friend group requests.

Camper 3: SessionPlease select up to 4 choices

June 3-7 ($200.00)

June 10-14 ($200.00)

June 17-21 ($200.00)

June 24-28 ($200.00)

Please select up to 4 choices

Camper 3: Shirt Selection

Please select up to 4 choices

Camper 4: Name

Camper 4: Birthday

Must contain a date in M/D/YYYY format

Camper 4: Grade for 2024-25 School Year

Camper 4: School

Camper 4: Gender

Camper 4 Allergies, Medical Conditions, Medications

Camper 4: If your child would like to be in a group with specific friend campers (must be in the same age group), please list friend names here. We will do our best to accommodate friend group requests.

Camper 4: SessionPlease select up to 4 choices

June 3-7 ($200.00)

June 10-14 ($200.00)

June 17-21 ($200.00)

June 24-28 ($200.00)

Please select up to 4 choices

Camper 4: Shirt Selection

Please select up to 4 choices

Insurance Companyrequired

Insurance Phone Numberrequired

Policy Numberrequired

Additional notes for staff

Terms of Servicerequired

Please read carefully. The undersigned understands and acknowledges that activities at the camp have an increased risk of injury and will not hold Schools of the Sacred Heart, Academy of the Sacred Heart, or Berchmans Academy liable in the event of an accident. The Blue Ribbon Camp reserves the right to alter the schedule without notice if unexpected circumstances warrant a change. The camp is not responsible for articles of clothing or personal belongings lost or damaged. There will be no refund or reduction made for the withdrawal of a camper, later arrival or early departure, or should a camper be asked to leave due to misconduct.

Important- Fees will be refunded in full up to June 1, 2024.

I agree to the conditions and wish to enroll my child/children in Blue Ribbon Camp.

A confirmation email will be sent as soon as registration is processed. This email will include additional details about camp. See you soon!

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