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St. James Episcopal School STREAM Camp Registration

Payment - $150 per Camper:

Camper #1

Camper 1 First & Last Name:

Camper 1 Birth Date:

Camper 1 Grade Level for 2022-23 School Year:

Does Camper 1 have any medical or allergy concerns? If yes, please describe below.:

Yes

Camper 1 Medical Information:

Camper #2

Camper 2 First & Last Name:

Camper 2 Birth Date:

Camper 2 Grade Level for 2022-23 School Year:

Does Camper 2 have any medical or allergy concerns? If yes, please describe below.:

Yes

Camper 2 Medical Information:

Camper #3

Camper 3 First & Last Name:

Camper 3 Birth Date:

Camper 3 Grade Level for 2022-23 School Year:

Does Camper 3 have any medical or allergy concerns? If yes, please describe below.:

Yes

Camper 3 Medical Information:

Emergency Contact Information

Emergency Contact Name:

Emergency Contact Phone #:

Additional Emergency Contact Name:

Additional Emergency Contact Phone #:

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

Come experience our Creative Learning Systems SmartLab - the only one of its kind in South Texas!

St. James Episcopal School STREAM Camp Registration

About Us

The St. James Episcopal School mission is to develop each child to his or her fullest potential, spiritually, intellectually, and physically – that each child may grow in grace, enjoy freedom through knowledge, and lead a healthy, productive, and meaningful life.

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