2023 uServe Camp- The Church of St. Anne

BOLD Middle uServe Camp

Dates: Monday, August 14 - Friday, August 18, 2023
Time: 9am - 3pm
Location: The Church of St. Anne and local service sites
Who: Summer Service Camp for all incoming 6th - 9th graders
**Please enter the grade your child will be ENTERING in Fall 2023**
Cost: $165 per camper, $100 for each additional sibling

Spots are limited and will be filled on a first come-first served basis.

Please contact Miranda Fitzpatrick with any questions at StAnne@boldym.com or (973)327-3977.

Payment Option:

Participant Information

*First Name
*Last Name
Apartment If Applicable
*Zip Code
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Birthdate (mm/dd/yyyy)

Parent Information

First Name
Last Name
Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Allergies and any medication you will be taking during the event

Additional Information

T-Shirt Size: Please note youth or adult sizes
Grade: (as of Fall 2023)

Are you available to volunteer during the week? f yes, please indicate if you are available the whole week, or certain days/hours. Is your son/daughter friends with any of the other campers? If so, who?

Please enter any comments here.

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P.O Box 4292, Warren, NJ 07059