Camper Information

Camper 1 Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Gender*

Answer required for "Gender"

Male

Female

Date of Birth*

Answer required for "Date of Birth"

Entering Grade*

Answer required for "Entering Grade"

Current School (if not SMA)

Answer required for "Current School (if not SMA)"

Camper 2 Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Gender

Answer required for "Gender"

Male

Female

Date of Birth

Answer required for "Date of Birth"

Entering Grade

Answer required for "Entering Grade"

Current School (if not SMA)

Answer required for "Current School (if not SMA)"

Camper 3 Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Gender

Answer required for "Gender"

Male

Female

Date of Birth

Answer required for "Date of Birth"

Entering Grade

Answer required for "Entering Grade"

Current School (if not SMA)

Answer required for "Current School (if not SMA)"

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

Answer required for "*Please include any additional campers which need to be registered in the section below"

Mother Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Cell Phone Number*

Number Required

Work Phone Number*

Number Required

Father Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Cell Phone Number*

Number Required

Work Phone Number*

Number Required

Emergency Contact 1 Information (other than mother / father)

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Relationship

Answer required for "Relationship"

Phone Number

Number Required

Email Address

Answer required for "Email Address"

Emergency Contact 2 Information (other than mother / father)

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Relationship

Answer required for "Relationship"

Phone Number

Number Required

Important Camper Information

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

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

Form Completed By:*

Answer required for "Form Completed By:"

Camper Registration Fee

$50 per camper

Total Registration Fee*

Answer required for "Total Registration Fee"

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 for "Number of Weeks"

Please Select Weeks of Attendance *

Answer required for "Please Select Weeks of Attendance "

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 for "Special Notes About Camper(s) Attendance "

Total Camp Tuition Fees*

Answer required for "Total Camp Tuition Fees"

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 for "Quantity / Sizes for Camp T-Shirts needed"

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

Answer required for "My Camper plans to attend Before Camp Care ($5 per day)"

Yes

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

Answer required for "My Camper plans to attend After Camp Care ($10 per day)"

Yes

Summary of Fees

Registration Fees*

Answer required for "Registration Fees"

Camp Tuition Fees*

Answer required for "Camp Tuition Fees"

Merchandise*

Answer required for "Merchandise"

Total Camp Fees*

Answer required for "Total Camp Fees"

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 for "Any Additional Questions / Comments? Let us know! "

Please fix the highlighted areas below before submitting.

Camp Crusader 2023 - Registration

Camper Information