2021 uServe Camp - St. Anne, Fair Lawn

BOLD Middle uServe Camp

What: Summer Service Camp
When: Monday, August 16 - Friday, August 20
(time TBD)
Who: all incoming 6th - 9th graders (current 5th-8th graders)
**Please enter the grade your child will be ENTERING in Fall 2021**
Where: Saint Anne's Church and local service sites (pending availability due to Covid-19)
Cost: $125 

All Spots have been filled. The wait list has been opened. Completing this form will place you on the waitlist and you will be contacted if and when. spot becomes available!

Once you submit this form, you will receive a confirmation email.  For more information, please contact Jan Pepino at StAnne@boldym.com or (201) 316-4727.


Participant Information

*First Name
*Last Name
Apartment If Applicable
*Zip Code
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Birthdate (mm/dd/yyyy)
*Allergies and any medication you will be taking during the event

Additional Information

T-Shirt Size: Please note youth or adult sizes
Grade: (as of Fall 2021)

Are you friends with any of the other campers? If so, who?

Please enter any comments here.


Promo Code: (if you have been given a promo code and are authorized to use it please enter it here and click update)

Total Due Now:

Checks should be made out to "Fiat ventures" and handed in to the parish office
Please hit button only once:

P.O Box 4292, Warren, NJ, 07059