St. Paul's Christian School
Summer Adventure Camps 2024
Child Name
*
First Name
Last Name
Parent Email
*
example@example.com
Please list any allergies or other information we should know...
Parent 1 Name
*
First Name
Last Name
Parent 1 Contact Phone Number
*
Please enter a valid phone number.
Parent 2 Name
*
First Name
Last Name
Parent 2 Contact Phone Number
*
Please enter a valid phone number.
Click in the description box(es) below to select the week(s) your child will attend. If there are no open slots in the week(s) of your choice, please call the school office (352-694-4219) to be added to a waitlist.
*
Account Withdrawal Authorization for Summer Adventure Camp Fee
*
I AUTHORIZE Withdrawal of $125 per week, as indicated above, to occur within three days of the registration submission with no additional prior notice to me.
I DO NOT AUTHORIZE Account Withdrawal for this payment. I will contact the school office to arrange for payment to be made within three days of the registration submission. If payment is not made within that time, I understand that my child MAY LOSE THEIR SLOT for Summer Adventure Camp.
Signature
*
Signature Certification
*
I certify that the representation here is my signature for the purpose of this registration process AND for my account withdrawal authorization selection as noted above.
FOR OFFICE USE ONLY
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Submit
Submit
Should be Empty: