Camp St. Vincent Intake Form

Camper Details
School Details
Health
Please enter N/A if there is no response. 
Please include dosage, medication times, and any additional information.
Adult Contact Details
Transportation Details

Each applicant is required to complete parent/guardian and opt-in online consent form(s). Please proceed to the next page to complete. 
PARENT/GUARDIAN CONSENT AGREEMENT
Please provide your response for each statement below for consent/agreement:
Please complete the OPT-IN/OUT Form below. 
Upon completion of the OPT-IN Summer Funding Collaborative Form, please click SUBMIT at the bottom of this page or your application WILL NOT be sent!


ONLINE CONSENT FORM [ENGLISH]



ONLINE CONSENT FORM [SPANISH]