610.726.1856

2022 Camp Registration

Regina Academies 2022 Camp Registration 1

CAMPER INFORMATION

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Parent/Guardian Information

Emergency Contact

Insurance Information (if parents/guardian cannot be reached)

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

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

How many campers can you transport?

Selected Value: 2

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

Selected Value: 2

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