St. Ann’s by the Sea Summer Bible Camp Registration Form July 21-24 from 9:00-12:00 Parent Name Telephone E-mail ____________________________ _____________________ ________________________ Children’s names Age Allergies / Medical concerns ___________________________ ________ ___________________________________ ___________________________ ________ ___________________________________ ___________________________ ________ ___________________________________ ___________________________ ________ ___________________________________ ___________________________ ________ ___________________________________ ___________________________ ________ ___________________________________ When will your child be attending? Choose payment amount (price is for all 4 days)*: ___ Tuesday, July 21 ___ Individual -- $25 ___ Wednesday, July 22 ___ Family (2+) -- $40 ___ Thursday, July 23 ___ Friday, July 24 ___ All (4 day session) Attending BBQ: Yes____ No______ Number people attending: Adult ____ Child____ *The cost is $25 for one child or $40 for a family regardless of the number of days attending. Scholarships available. Please contact the office for more information. Make checks payable to St. Ann’s by the Sea. Emergency contact name: ______________________________________ Home phone ____________________________Cell number____________________________ Please print and mail this form, along with a check to: St. Ann’s by the Sea 591 Ocean Street Marshfield, MA 02050 Please respond by July 1, 2009. If you have questions, contact Karen or Amy at 781-834-4953. You may also register or send inquiries via email at cm@stanns.net. Parent/Guardian Signature: _______________________________________________________ Note: Please sign Media Release in addition to registration. Thank you. |