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Saint Michael and All Angels Episcopal Church
Sunday @ 10:00 am · Wednesday @ 9:30 am · Saturday @ 5:30 pm
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About Our
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Meet Our Clergy and Staff
Meet Our Vestry Leaders
St. Michael's Day School
The History of St. Michael’s
Calendar of Events
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2023 Pledge Card
Estate Planning (The Legacy Society)
The St. Michael’s Foundation
Saint Michael and All Angels Episcopal Church
Summer Arts Camp Application
Camper's Information
Camper's Name
(Required)
First
Last
Camper's Date of Birth
(Required)
MM slash DD slash YYYY
Camper's School
(Required)
Camper's Home Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent/Guardian Information
Parent/Guardian Name
(Required)
First
Last
Parent/Guardian Relation to Camper
(Required)
Parent/Guardian Preferred Phone
(Required)
Parent/Guardian Email
(Required)
Parent/Guardian Alternate Phone
Additional Parent/Guardian Name
First
Last
Additional Parent/Guardian Preferred Phone
Additional Parent/Guardian Email
Emergency Contact
Emergency Contact Name
(Required)
First
Last
Emergency Contact Phone
(Required)
Medical Information (if applicable)
In case of medical emergency, I understand that effort will be made to contact me. If I cannot be reached, I hereby give permission to the physician selected by the adult leader to hospitalize, secure proper treatment for and to order injection, anesthesia or surgery for my child named above.
(Required)
I agree
Parent/Guardian Medical Authorization
Medical Insurance Company Name
Medical Insurance Policy Number
Medical Insurance Member ID #
Family Doctor / Clinic Name
Family Doctor / Clinic Phone
Consents
The above camper has my permission to attend activities with leaders from St. Michael and All Angels Church. I understand activities will be under the supervision of one or more adult leaders approved by the church. I waive any claim against the church and its approved leaders.
(Required)
I agree
Parent/Guardian Consent
I have read and understand that my child will be expected to follow the ARTS camp rules and behavior guidelines. Violators will be warned: further problems will result in dismissal from camp without reimbursement.
(Required)
I agree
Parent/Guardian Consent
I grant permission to St. Michael’s to share photographs and video taken of my child while at Arts Camp for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner.
(Required)
I agree
I do not agree
Parent/Guardian Consent
Does your child have any needs we should be aware of, so that we may provide him/her with the best possible camp experience? Please explain.
(Required)
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