2022 uServe Camp - St. Paul registration form

uServe Camp

What: Summer Service Camp
When: Monday, August 22- Friday, August 26, 2022 9:00am-3:00pm
Who: all incoming 6th - 8th graders (current 5th-7th graders)
**Please enter the grade your child will be ENTERING in Fall 2022**
Where: St Paul and local service sites 
Cost: $165 per camper, $100 for each additional sibling

Spots are limited and there is currently a waitlist.  If spots open, you will be contacted.

Once you submit this form, you will receive a confirmation email.  For more information, please contact Brian Flanagan atStPaul@e-1st.org.


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)

Parent Information

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

Additional Information

T-Shirt Size: Please note youth or adult sizes
Grade: (as of Fall 2022)

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

Please enter any comments here.

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P.O Box 4292, Warren, NJ, 07059