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ST. SCHOLASTICA'S MAIDENS CAMP
SUMMER 2023
JUNE 25TH -
30T
H
|
FORT SCOTT, KANSAS
CAMPER'S FIRST NAME
CAMPER'S LAST NAME
EMAIL
Phone Number
Camper DOB
Street Address
Street Address Line 2
City
Postal / Zip code
Region/State/Province
Country
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Mother First Name
Mother Last Name
Cell Phone Number
Father First Name
Father Last Name
Cell Phone Number
Register another daughter?
Second Camper: First Name
Name of Health Insurance Provider
First & Last Name of Policy Holder:
Second Camper: Last Name
Second Camper DOB
Insurance ID Number:
Group Number
Upload Insurance Card
Front & Back Images
Upload supported file (Max 15MB)
I AGREE TO ABIDE BY THE MAIDEN RETREAT'S BEHAVIOR POLICIES ( Parents and Daughters read together )
Maiden's Retreat Camper Policies
I understand my daughter may be photographed/video during camp activities. I agree that images may be used for educational and public relations purposes by The St. Scholastica's Summer Camp.
I certify that my daughter meets the Physical Fitness Terms to Particpate
View terms
PARENT SIGNATURE
Clear
CAMPER 1 SIGNATURE
Clear
CAMPER 2 SIGNATURE (If applicable)
Clear
Submit Registration
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