2025 St. Thomas Camp Middle School Week #2

Camper Name

Date of Birth

Gender

Male
Female

T-Shirt Size

Address

Medical Insurance Company and Policy #

Medical Conditions / Restrictions / Food Allergies:

Medicines:

Other Instructions:

St. Thomas Camp Permission Form and Release

I, the undersigned, agree to the terms above.

St. Thomas Camp Policy & Procedures Parent/Camper Manual. Parent signature acknowledges review with camper.

I, the undersigned, agree to the terms above.

Parent/Guardian #1

Address

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Parent/Guardian #2

Address

Phone Number

Registration Options

Option 1 ($400.00)

Coupon Code

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

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