Skip to content

 

 

2019 SUMMER MUSIC + ARTS CAMP REGISTRATION

  • Partial scholarships available based on need. Please contact sarahp@saintbarnabas.org for more information.
  • $0.00
  • Parent/Guardian Information

  • Please provide the best contact person and phone number during camp hours.
  • Camper Information

  • Name  
     
    There are no Campers.

    Maximum number of campers reached.

  • Emergency Contacts and Authorized Pick Up Persons

    List the individuals (if any) we may contact in an emergency and who you authorize to pick up your camper(s) at the end of a session.
  • Please select a form and fields to display in this Nested Form field.
  • Digital Agreements

  • I hereby release Saint Barnabas Episcopal Church, its directors, officers, employees and volunteers from responsibility and liability for any injury or illness that my child(ren) may sustain during Summer Music + Arts Camp, including extended full-day camp, if applicable. In the event of an emergency, I hereby authorize an adult leader of this activity, as agents for me, to consent to any x-ray examination, medical, dental or surgical diagnosis, treatment and hospital care advised and supervised by a physician, surgeon, or dentist (as appropriate), licensed to practice under the laws of the state where the services are rendered, either at a doctor’s office or in any hospital. As a parent/legal guardian I expect to be contacted as soon as possible.
  • As a parent or legal guardian of the child/children I am registering, I grant permission for my child/children to participate in Summer Music and Arts Camp 2018. I give permission for photography of my child to be used on the Saint Barnabas website, Facebook page, newsletter, and other printed/digital publications for no purpose except that of promoting the life and community of Saint Barnabas Episcopal Church.
  • I certify that by typing my name below in the Electronic Signature Field and submitting this form, I intend to sign this document and be bound to the same extent as if I had provided a physical signature.
  • Payment

  • American Express
    Discover
    MasterCard
    Visa
     
  • $0.00