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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.
                                                                                                           Entering   Peanut
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.
Child 1

Child 2

Child 3
In addition to the adult persons identified above, the following individuals may pickup my children each evening at the end of the session. 
Note ?
Note ?
Note ?