uServe Camp - St. Anne Fair Lawn

BOLD Middle uServe Camp

Dates: Monday, August 12 - Friday, August 16, 2019
Time: 9am - 3pm
Location: St. Anne Church 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 2019**
Cost: $150 per child, with a $50 discount for each additional sibling and/or if a parent volunteers for the week. 

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

Payment Option:

Participant Information

*First Name
*Last Name
Apartment If Applicable
*Zip Code
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

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 2019)

Are you friends with any of the other campers? If so, who?

Please enter any comments here.

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P.O Box 4005, Warren, NJ 07059