Summer Camp Registration Form - Calumet College of St. Joseph

Camp Selection

NOTE: This camp is full. However, we will add you to the waiting list and contact you if a space becomes available.

WARNING: You are attempting to register for camps that run during the same week. Please remove one selection.

Please select the camp(s) you would like to register for: *

1st Grade Classroom for Summer Reading Camp: June 17 - July 18
5th Grade Classroom for Summer Reading Camp: June 17 - July 18
Mindfulness & Sports (Grades 3-5): June 17-21
Science of Sports (Girls Only, Grades 6-8): July 7-12
Tekton Media Camp (Grades 7-10): June 17-21
Math Jump Start (Grades 9-12): August 5-22

Student's Information

Student's Name *

First

Last

Student's Date of Birth *

Student's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Student's Email Address (if applicable)

Student's Gender *

Student's Next Grade Year *

Student's T-Shirt Size *

Student's Current School Attending *

Student's High School Graduation Year

Parent/Guardian Information

Parent/Guardian's Name *

First

Last

Parent/Guardian's Relationship to Student

Parent/Guardian's Primary Phone *

Parent/Guardian's Secondary Phone *

Parent/Guardian's Email *

1st Emergency Contact Information

(In addition to the Parent/Guardian, please select at least one additional Emergency Contact. You may also add a 2nd Emergency Contact below.)

1st Emergency Contact's Name *

First

Last

1st Emergency Contact's Relationship to Student

1st Emergency Contact's Primary Phone *

1st Emergency Contact's Secondary Phone *

2nd Emergency Contact Information

(Optional)

2nd Emergency Contact's Name

First

Last

2nd Emergency Contact's Relationship to Student

2nd Emergency Contact's Primary Phone

2nd Emergency Contact's Secondary Phone

Additional Information

Does the student have any allergies to note? *

Yes
No

Please describe in detail

Does the student have any dietary restrictions to note? *

Yes
No

Please describe in detail

Is the student taking any medications that will need to be administered during camp? *

Yes
No

(If yes, the camp director will contact you prior to the start of your session details.)

Does the student require any emotional, behavioral or physical support? *

Yes
No

Please describe in detail

Please share any additional helpful information we should know about the student.

Register for College Explorers: 2024 Summer Camp

Please Complete the Fields Below

Camp Selection

NOTE: This camp is full. However, we will add you to the waiting list and contact you if a space becomes available.

WARNING: You are attempting to register for camps that run during the same week. Please remove one selection.

Student's Information

Parent/Guardian Information

1st Emergency Contact Information

2nd Emergency Contact Information

Additional Information