Camper Info Form – Saint Barnabas

Camper Name*
First Last
Preferred Name
Gender
- Male
- Female
- Prefer not to respond
Birth Date*
MM slash DD slash YYYY
What grade is the child entering in Fall 2026?*
Preschool Camper (ages 3 and 4)*
Preschool campers need to be potty trained prior to June 2026.
- Yes
- No (entering Kindergarten or older)
T-shirt Size*
Allergies
Dietary Restrictions
Physical Activity Restrictions
Additional information regarding camper: OPTIONAL
Include requests for group placement with friends if known.