Email Address *Parent’s e-mail address

PhoneParent’s phone

Parent's First Name *

Parent's Last Name *

Your Parish *St. Jonah Orthodox ChurchOther

Parish Name *Your Parish Name

ChildrenList your children registered for day camp

First Name *

Last Name *

Age *Your child’s age on the first day of the day camp (June 22, 2026)

HealthHealth. Please let us know about your child food allergies or health conditions that may affect your child’s participation in camp program. Please understand that this information might be shared with the group counselors.

Sunscreen / bug spray useIs your child allowed to use sunscreen or bug spray provided by the camp?Yes, my child is allowed to use sunscreen or bug spray provided by the campNo, my child will use his/her own sunscreen and bug spray or don’t use any at all

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Media Release *We’ll be taking pictures during camp activities to keep the good memories. Please sign your name here as a permission for the photos of your camper. Parents will receive a link to download the camp pictures.

Field trip attendanceWe are planning to go to the field trip to St Paraskevi monastery

Number of adults *

Number of Children *

Additional informationIf you’d like, you can put additional notes or direction regarding your child

Payment method *Payment methodPay by Zelle to phone (281) 220 7599Pay by check in person (make check payable to “St Jonah Camp”)Pay by Credit card (add 2.6% stripe fee)Zelle or Check custom amount

Total registration

Credit / Debit Card *

Zele or Check custom amountEnter custom amount that would support children’s day camp

Register