Camper Registration Form

Catholic Kidz Camp is currently full based on the number of volunteers who have stepped forward to help.  You may complete this registration form and your child will be placed on a waitlist.  I will contact you if spots become available.  

Thank you for your interest in Catholic Kidz Camp!

Blessings,
Debbie Blackburn
debbieblackburn@saintv.org
260-489-3537 ext. 204

I grant permission for my child/children named above to participate in the St. Vincent de Paul Catholic Kidz Camp held June 6 - 10 from 9:00 AM to Noon.

I will not hold the St. Vincent de Paul Parish, or St. Vincent de Paul Parish staff, volunteers, or chaperones associated with this gathering responsible in the event of injury. Further, I agree to accept any and all financial responsibility as a result of scheduling necessary emergency medical treatment.

I will not hold St. Vincent de Paul (Parish / School) responsible for any injury incurred on the trip to and from this gathering. I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.

In the event of emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to treatment by the hospital or doctor.