Camp Registration - St. Jonah Camp

Camper’s registration form

Camper's First Name *

Camper's Last Name

Camper's date of birth *

Month

Day

Year

Camper's phoneCamper's phone (optional)

Gender *MaleFemale

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Your Parish *

Parent/Guardian name *Parent/Guardian name

Parent/Guardian Email Address *Parent/Guardian Email Address

Parent/Guardian Phone *Parent/Guardian Phone

Emergency contact name *First and last name of the emergency contact

Emergency contact email address *Emergency contact email address

Emergency contact phone *Emergency contact phone

Sunscreen / Bug sprayCamp staff can apply sunscreen/bug spray to your childyour child is only allowed to use his/her own sunscreen/bug sprayWe will remind all campers to wear a hat, use sunscreen and possibly bug spray for outside activities. Please let us know if you don't want your child to use sunscreen or bug spray or if your child is only allowed to use his/her own sunscreen/bug spray.

Health/Allergiesplease let us know of any health issues/allergies. Please note that this information will be shared with camp nurse and camp volunteers to make sure we keep our campers safe.

Special Dietplease let us know of any health issues/allergies. Please note that this information will be shared with camp nurse and camp volunteers to make sure we keep our campers safe

Travel arrangementsDoes the camper need any special travel arrangements (for e.g. pick up from the airport)? Please let us know here, we will do our best to help, but it's not guaranteed.

Comments / Questions

Upload filled and signed diocese waiver here *

No file chosen

Upload filled and signed diocese waiver here

Payment method *Pay by credit or debit card -$110+ 2.9% stripe feePREFERRED! - Pay by Zelle -$110Pay by check in person -$110Fee waiver (got a scholarship or attending St Herman's conference in December 2024)Please select your payment method. PAYING BY ZELLE will avoid paying stripe fees

Total registrationTotal registration

Credit / Debit Card *

Zelle Payment to (281) 220-7599 *Please Zelle the total amount to phone (281) 220-7599 [ST JONAH ORTHODOX CHURCH] and enter the Zelle Payment/Confirmation ID

Pay by check in person at St Jonah Orthodox Church and enter here check number *Please make check payable to "St Jonah Orthodox Camp"

Download, fill and sign these forms:

2_Campers_Diocese_Waiver Download