2022 uServe Camp- Holy Trinity, St. Ann, St. Joseph & the Shrine registration form

BOLD Middle uServe Camp
Dates: Monday, August 8 - Friday, August 12, 2022
Time: 9am - 3pm
Location: Holy Trinity, St. Ann, St. Joseph & the Shrine and local service sites
Who: Summer Service Camp for all incoming 6th - 9th graders
Please enter the grade your child will be ENTERING in Fall 2022
Cost: $165 per camper, $100 for each additional sibling
Spots are limited and will be filled on a first come-first served basis.
Please contact Rachael Flanagan with any questions at BridgewaterRaritan@u-Serve.com or (908) 280-2893.

*First Name

*Last Name

*Address

Apartment If Applicable

*City

*State

*Zip Code

*Email

*Home Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

*Gender

*Birthdate (mm/dd/yyyy)

First Name

Last Name

Home Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

*Allergies and any medication you will be taking during the event

T-Shirt Size: Please note youth or adult sizes

Grade: (as of Fall 2022)

Please enter any comments here.

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info@fiatventures.com
973.500.3300
P.O Box 4292, Warren, NJ, 07059

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