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- Memories from the 2022 Summer Boy’s Camp

610.726.1856

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Home
Our Schools
Blog
About
Contact
Employment
Summer Camp
- Memories from the 2022 Summer Boy’s Camp

2022 Camp Registration

CAMPER INFORMATION

How many campers are you registering? *

1
2
3

Date of registration *

Camper's Name *

First

Last

Grade entering fall 2022 *

6th
7th
8th
9th
10th
11th
12th

Date of Birth *

Name of School *

Regina Angelorum
Regina Coeli
Regina Luminis
Regina Academy at St. John the Baptist
Other

If you selected "other," what is your school?

Second Camper's Name *

First

Last

Grade entering fall 2022 *

6th
7th
8th
9th
10th
11th
12th

Date of Birth *

Name of School *

Regina Angelorum
Regina Coeli
Regina Luminis
Regina Academy at St. John the Baptist
Other

If you selected "other," what is your school?

Third Camper's Name *

First

Last

Grade entering fall 2022 *

6th
7th
8th
9th
10th
11th
12th

Date of Birth *

Name of School *

Regina Angelorum
Regina Coeli
Regina Luminis
Regina Academy at St. John the Baptist
Other

If you selected "other" what is your school?

Parent/Guardian Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact

Name *

First

Last

Phone *

Insurance Information (if parents/guardian cannot be reached)

Insurance Provider *

Policy Holder *

Policy Number *

Group Number *

Other information you would like us to know about your child (Please include any medication/allergies or medical conditions we should be aware of)

Names and phone numbers of others you authorize to pick up your child.

1. Name

Phone

2. Name

Phone

Parent volunteers

It is helpful to know we have parents who are able to chaperone throughout the week if necessary. PLEASE NOTE THAT CLEARANCES ARE REQUIRED

Yes, I can volunteer these days. If you are able to drive, please select the day and let us know if the field below how many campers you can fit into your vehicle.

Monday, July 18
Tuesday, July 19
Wednesday, July 20
Thursday, July 21
Friday, July 22 (Hickory Run overnight)

How many campers can you transport?

Number Slider

Selected Value: 2

OVERNIGHT FATHER-SON CAMPING TRIP TO HICKORY RUN STATE PARK (July 22 - 23)

Will your camper be attending the overnight at Hickory Run?

Yes
No

Will dad, or another male guardian, be attending?

Yes
No

Parent or guardian's name

First

Last

Please tell us if you will be driving up with us in the morning or arriving later in the day. If you are able to drive, how many campers can you take in your car (not including driver).

Do you own a tent?

Yes
No

If so, how many can you sleep in your tent? (unrelated boys and dads will sleep in separate tents)

Selected Value: 2

$100/camper due with registration. Total amount due by June 15, 2022

1 camper - $ 325.00
2 campers - $ 650.00
3 campers - $ 975.00

Please mail a $100 deposit for each camper you register to the address below. Balance will be due on June 15.

Make checks payable to Regina Luminis Academy and send to:

Boy’s Summer Camp
Regina Academies
PO Box 465
Wynnewood, PA 19026

Contact Information

The Regina Academies
PO Box 465
Wynnewood, PA 19096

610.726.1856

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