Saint Michael and All Angels Episcopal Church

Summer Arts Camp Application

Summer Arts Camp 2024

Camper's Information

Camper's Name(Required)
MM slash DD slash YYYY
Camper's Home Address(Required)

Parent/Guardian Information

Parent/Guardian Name(Required)
Additional Parent/Guardian Name

Emergency Contact

Emergency Contact Name(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)
Parent/Guardian Medical Authorization


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)
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)
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)
Parent/Guardian Consent
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