Registration Form-Summer Intense Camp

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ST. MARK'S FAITH FORMATION SUMMER CAMP

Registration Form

REGISTRATION DEADLINE: JUNE 1, 2025

2025 PROGRAM DATES: 7/14/25 THROUGH 7/25/25

8:45 AM - nOON

For Pre School (3 year old), Pre-K (4 year old), K-7th Grade

Options to Register:

Complete and submit the Electronic form below
Click on the file to the right, Open, Print and complete. Mail or drop off hard copy to St. Mark's

Download 2025 Registration Form

Summer Intense Registration Form

Student's Last Name:

Student's First Name

Best Phone# to reach you:

Address

City/Town

Zip Code

Email:

Parish attend/registered at:

EMERGENCY Contact Name / Relationship / Phone #

Who can student be released to:

Student's Date of Birth

Church of Baptism

Grade for 2025-2026 School Year

Please describe any special needs, learning challenges, allergies, etc. we should know

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To help cover the expense of program materials, the fee is $75 per child or $100 per family.

To help cover the expense of program materials, the fee is $75 per child or $100 per family. Please make checks payable to St. Mark's Church. The checks may be mailed or dropped off at church.

*Free tuition is offered to every family where a family member volunteers in the program. If you are unable to afford the Religious Education Fee, and are unable to volunteer, please contact Kris Burgio for alternate solutions.

Please Select Payment Method

Check

Volunteer

Check Number

Amount of Check

If Volunteering (FREE tuition) Volunteer's FULL name & contact info

Are you considering any of the following sacraments for the next school year?

Reconciliation/Eucharist

Confirmation*

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*Please note Confirmation Preparation in the Diocese of Rochester is a two-year program beginning in 8th grade

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---------------------PARENT SIGNATURE REQUIRED (Please Read carefully before signing) --------------------

In the event of a medical emergency, if a parent or emergency contact person cannot be reached, I give permission for my child to be transported by ambulance to receive medical treatment.

Yes

I give permission for St. Mark's to take pictures of my child during programming for use in the parish bulletin, bulletin boards, and the parish's social media pages.

Yes

In addition to attending religion classes, I agree to enrich the faith of my child(ren) at home, including regularly attending Mass as a family.

Parent Signature

ST. MARK'S FAITH FORMATION SUMMER CAMP