Summer Camp Registration 2024

Please complete the form below. Required fields marked with an asterisk *

Camper First Name*

Answer Required

Camper Last Name*

Answer Required

Grade Level (2024-2025 School Year)*

Answer Required

Camper's Birthdate*

Answer Required

Holy Cross Student (current or incoming)*

Answer Required

Yes

If not a Holy Cross student, what school does your camper attend?

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Parent/Guardian #1 Name*

Answer Required

Parent #1 Primary Contact Number*

Number Required

Parent #1 Secondary Contact Number*

Number Required

Parent #1 E-mail*

Answer Required

Parent/Guardian #2 Name*

Answer Required

Parent/Guardian #2 Primary Contact Number*

Number Required

Parent/Guardian #2 Secondary Contact Number*

Number Required

Parent/Guardian #2 E-mail*

Answer Required

Emergency Contact Name (other than parent/guardian)*

Answer Required

Emergency Contact Phone (other than parent/guardian)*

Number Required

Emergency Contact Email*

Answer Required

Emergency Contact Relationship to Camper (other than parent/guardian)*

Answer Required

Authorized Sign-Outs (other than parent/guardian/emergency contact already listed)*

Answer Required

Medications*

Answer Required

Allergies*

Answer Required

Select Shirt Size (**Campers will receive 2 t-shirts with registration)*

Answer Required

Quantity

Additional T-Shirts

Price: $10.00

I give Holy Cross Summer Camp staff the authority to treat our child or send our child to a physician or hospital of their choice if an injury/illness would occur and no family member is able to be contacted (mandatory “yes” to attend camp).*

Answer Required

Yes

I give Holy Cross Summer Camp permission to travel off campus with my child, via bus, for field trips or visits to the playground at Pratt Park.*

Answer Required

Yes

I give Holy Cross Summer Camp the authority to take pictures of my child for media/advertisement purposes.*

Answer Required

Yes

Sessions Attending: *

Answer Required

Session 1 (June 3 -June 14)

Session 2 (June 17 - June 28) *No camp on Wednesday, June 19 in observance of the Juneteenth Holiday*

Session 3 (July 1 - July 12) *No camp on Thursday, July 4th and Friday, July 5th in observance of Independence Day*

Camp Prices

Registration Fee
- $35/camper: if received before May 1^st, 2024
- $50/camper: if received on or after May 1^st, 2024
Payment Due Dates
- Session 1 - May 27th
- Session 2 - June 10th
- Session 3 - June 24th
Tuition
- 1 camper: $420per session
- 2 campers: $400per session (per camper)
- 3+ campers: $380per session (per camper)
Before-Care and After-Care
- There is NO charge for before-care or after-care.
  - Before-care is from 7:30 am - 9:00 am.
  - After-care is from 3:30 pm - 5:30 pm
- Late Pick-up Fee (after 5:30 pm)
  - $1/minute until 5:45 pm
  - $5/minute after 5:45 pm
Discounts available for current and incoming Holy Cross students!
All payments must be made via debit or credit card.

Registration Fee *

Non-refundable

Price: $50.00

Please fix the highlighted areas below before submitting.

Summer Camp Registration 2024