2010 Camper Registration for SJA – Egypt
July 19-22, 2010

Camp is full but you can join the
waiting list by registering below.

Registration Form:

Child #1
Full Name  
Grade in Fall: 
Birthdate (month date year):  
Shirt Size:

Child #2
Full Name  
Grade in Fall: 
Birthdate (month date year):  
Shirt Size:

Child #3
Full Name  
Grade in Fall: 
Birthdate (month date year):  
Shirt Size:

Child #4
Full Name  
Grade in Fall: 
Birthdate (month date year):  
Shirt Size:

General Information

Family Name:  

Address:  

City:  

Zip Code:  

Phone:  

Cell:  

Email address:  

Emergency contact:  

Emergency contact phone number:  

We attend Mass at:

YES I give permission to SJA to administer first aid or emergency treatment to my child(ren).
YES   give permission to SJA to take and use pictures of my child(ren).

YES   I am definitely interested in getting more information about volunteering

Please list any allergies your children have along with their name if more than one child:
 

Payment Levels

How To Pay
Please mail in a check payable to St. Joan of Arc and mail to this address. Thank you.
Camp St. Joan – 2010
4537 3rd Avenue South
Minneapolis, 55419

Registration is complete when payment received
Please include Camp St. Joan in memo line.
Please make sure phone number is on check.

If you have any questions or problems, please EMAIL us directly Thank you.

Camp is full but you can join the
waiting list by registering.