St. Marks United Methodist Church
This form will be updated prior to sign-ups for 2019
A light dinner will be offered each evening between 5:00 and 5:30, and Camp will begin at 5:30 for children between ages 3 and 13. Each nightly session will conclude around 7:30.
Please sign-up using the form below and please complete all fields.
First Name Last Name Sex (M/F) Age (yrs) Grade Allergy? Note (see below)
Please provide the following Parent / Guardian / Emergency Contact information
Relationship First Name Last Name Cell Phone Land Line e-mail or phone # if no e-mail
Please indicate anything we should know about your children's health, allergies, etc. Start notes by specifying Child's Name.
In addition to the adult persons identified above, the following individuals may pickup my children each evening at the end of the session.