SPCS Summer Camp Registration

*Student Last Name

*Student First Name

*Birthday

Día

Mes

Año

*Name any allergies or medical issues.

*Parent Name

*Parent Phone Number

*Email

*Names of people authorized to pick up child.

I'd like to register my child for:

Week 1: June 15 -19USD 225

Week 2: June 22-26USD 225

Week 3: June 29 - July 3USD 225

Week 4: July 13 -17USD 225

Week 5: July 20-24USD 225

Week 6: July 27-31USD 225

*T-shirt size

3007 Country Club Road New Bern, NC 28562 | 252-633-0100

Statement of Non-Discriminatory Policy As to Students

As a Catholic school in the Diocese of Raleigh, (Insert school name here) has a racially non-discriminatory policy for all students and admits students of any race, color, and national and ethnic origin to the rights, privileges, programs, and activities generally accorded or made available to students.

Our school does not discriminate on the basis of race, color, and national and ethnic origin in the administration of our educational policies, admission policies, scholarship and loan programs, athletics, and other school-administered programs.

OFFICE OF EDUCATION

Marcelo Eureste

Superintendent of Schools

Catholic Diocese of Raleigh

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