Camper Information

Camper 1 Information

First Name*

Answer Required

Last Name*

Answer Required

Gender*

Answer Required

Male

Female

Date of Birth*

Answer Required

Entering Grade*

Answer Required

Current School (if not SMA)

Answer Required

Camper 2 Information

First Name

Answer Required

Last Name

Answer Required

Gender

Answer Required

Male

Female

Date of Birth

Answer Required

Entering Grade

Answer Required

Current School (if not SMA)

Answer Required

Camper 3 Information

First Name

Answer Required

Last Name

Answer Required

Gender

Answer Required

Male

Female

Date of Birth

Answer Required

Entering Grade

Answer Required

Current School (if not SMA)

Answer Required

*Please include any additional campers which need to be registered in the section below

Answer Required

Mother Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Cell Phone Number*

Number Required

Work Phone Number*

Number Required

Father Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Cell Phone Number*

Number Required

Work Phone Number*

Number Required

Emergency Contact 1 Information (other than mother / father)

First Name

Answer Required

Last Name

Answer Required

Relationship

Answer Required

Phone Number

Number Required

Email Address

Answer Required

Emergency Contact 2 Information (other than mother / father)

First Name

Answer Required

Last Name

Answer Required

Relationship

Answer Required

Phone Number

Number Required

Important Camper Information

*Please include any allergies / required medication / important information about camper(s) registered

Answer Required

Form Completed By:*

Answer Required

Camper Registration Fee

$50 per camper

Total Registration Fee*

Answer Required

Camp Crusader Tuition Fees

$190 per Week - 1st Child

$145 per Week - 2nd Child

$140 per Week - Each Additional Child

10% Discount for 6 and 7 Week Attendance if registered by April 21, 2023.

6 Weeks Tuition: $1026 - 1st Child $783 - 2nd Child $756 - Each Additional Child

7 Weeks Tuition: $1197 - 1st Child $913.50 - 2nd Child $882 - Each Additional Child

Number of Weeks*

Answer Required

Please Select Weeks of Attendance *

Answer Required

All Weeks

June 5th - 9th

June 12th - 16th

June 19th - 23rd

June 26th - 30th

July 3rd - 7th *no camp activities July 4th

July 10th - 14th

July 17th - 21st

Special Notes About Camper(s) Attendance

Answer Required

Total Camp Tuition Fees*

Answer Required

Camp Crusader Merchandise - $15.00

T-Shirt (Y-XS, YS, YM, YL, Y-XL, AS, AM, AL, A-XL)

One free shirt per child if registered before April 1st

$15.00 for additional shirts or if registered after April 1, 2023

*Camp Crusader T-shirt Required

Quantity / Sizes for Camp T-Shirts needed*

Answer Required

My Camper plans to attend Before Camp Care ($5 per day)*

Answer Required

Yes

My Camper plans to attend After Camp Care ($10 per day)*

Answer Required

Yes

Summary of Fees

Registration Fees*

Answer Required

Camp Tuition Fees*

Answer Required

Merchandise*

Answer Required

Total Camp Fees*

Answer Required

You may make payment online through our store. Please click the link below.

https://osp.osmsinc.com/SMaSchool/BVModules/ProductTemplates/Bvc2013/Product.aspx?productid=KG001-VAR11

*Note: With online payments, there is a 4.5% service charge that doesn't go to the school.

You make also pay through check. Please make checks payable to St. Matthew the Apostle School.

Any Additional Questions / Comments? Let us know!

Answer Required

Please fix the highlighted areas below before submitting.

Camp Crusader 2023 - Registration

Camper Information