WE ARE IN NEED OF A CHOIR DIRECTOR! Interested? Please inquire at 203.333.1202 or pastor@blessedsacramentbpt.org CALLING ALL CATECHISTS... Interested? Please inquire at dre@blessedsacramentbpt.org

Summer Camp Registration

Blessed Sacrament Church
Summer Camp
“Our Children are the Future”

Summer Camp is a five-week program that offers a well-supervised and organized summer camp experience for our youth. Daily activities at the camp include arts and crafts, outdoor, fun and games. A variety of fun, educational components will be incorporated to promote unity and team work, safety and environmental stewardship. Campers also go on a variety of field trips. In the past, these have included Quassy, Beardsley Zoo, CT Science Center, and Lake Compounce Amusement Park, to name a few. We are going to have a blast. Be sure to get in on the Fun! Summer Camp will begin on Monday, July 1, 2019 and conclude on Friday, August 2, 2019.

GENERAL INFORMATION
•    Summer Camp Begins at 9:00am and ends at 3:00pm.(* Field trips may arrive back later.)
•    All Parents must sign-in your child(ren) each day.
•    Breakfast is served from 9:15am.
•    Lunch is served from 12:15pm.
•    All Camp Payments (including trip fees) must be made on or before Monday of the payment week.
•    Designated adults will administer medications.
•    Designated adults will administer first-aid.
•    Children will be released to persons designated on registration forms. 
•    Proper ID must be supplied or child will not be released.

** REGISTRATION FOR CAMP BEGINS MAY 1st **

•    REGISTRATION IS TAKEN ON A FIRST-COME FIRST-SERVE BASIS.

•    AN UPDATED COPY OF THE MOST RECENT MEDICAL CARD IS REQUIRED FOR REGISTRATION.

•    Camp Fee: $88 per week (includes tshirt, trips, breakfast, lunch and snack) 

PARENTS/GUARDIANS MUST SIGN UP THEIR APPLICANTS BY DROPPING OFF OR MAILING IN THE APPLICATION/PAYMENT TO 275 UNION AVENUE BRIDGEPORT, CT 06607

 

Personal Information
Child's Name
  •  
Child's Age
  •  
Parent 1/Guardian 1 Name
  •  
Parent 2/Guardian 2 Name
  •  
Address
  •  
E-mail
  •  
Mobile Phone --
  •  
Home Phone --
  •  
Work Phone -- ext
  •  
Secondary Contact Information
If I am unable to be reached, please contact:
Secondary Contact Name
  •  
Address
  •  
Relation to child
  •  
Home Phone --
  •  
Mobile Phone --
  •  
Work Phone -- ext
  •  
Allergies
**My child has the following allergies:
  •  
Camp Fees and Trip Info
**All camp fees must be paid up to date by Monday for your child attend summer camp for that week**
Camp Fee **The Camp Fee is $88 per week (includes tshirt, trips, breakfast, lunch and snack)
Week options
  •  
Field Trips
  •  
By typing your name your are authorizing your signature.
Transportation Permission Form
Transportation Permission Form
  •  
* to participate in the transportation program and to travel on a school bus for field trips with the Blessed Sacrament Church Camp. I also give my permission for daily transportation to and from camp as indicated on my child’s enrollment form as well as for emergency situations when the camp needs to be evacuated for the safety of the children.
Parent Signature
  •  
By typing your name your are authorizing your signature.
Emergency Information
* In the event of an emergency and I cannot be reached please call:
Emergency Contact Name
  •  
Emergency Contact Phone --
  •  
Hospital Name
  •  
Physician Name
  •  
Physician Phone -- ext
  •  
Dismissal Information
Please Indicate how your child will return home each day upon dismissal of the Blessed Sacrament Summer Camp.
Dismissal Options
  •  
Behavior Contract Agreement
I will be honest about my actions and feelings. When I am frustrated or believe that I am being mistreated, I will talk with my counselors and I will not act out in an inappropriate way.
I will act in a caring and respectful manner to others. I will not talk back, use obscene or threatening language, or speak in an unkind manner about others. I will follow directions and listen attentively while participating in activities.
I will take responsibility for my own behavior, not blaming others for the choices I make. If I destroy something as a result of my inappropriate behavior or actions I will replace it.
I understand that my participation in the Summer Camp program may be limited or discontinued if I do not follow this contract.
Child Signature
  •  
By typing your name your are authorizing your signature.
Parent Signature
  •  
By typing your name your are authorizing your signature.
Date //
  •  
FEE PAYMENT AGREEMENT
REGISTRATION FEE
  •  
By typing your name your are authorizing your signature.
CAMP PAYMENTS
  •  
By typing your name your are authorizing your signature.
PENALTY FEES
  •  
By typing your name your are authorizing your signature.
STOPPED/RETURNED PAYMENTS
  •  
By typing your name your are authorizing your signature.
CANCELLATION OF CAMP WEEKS
  •  
By typing your name your are authorizing your signature.
Registration Checklist
REGISTRATION COMPLETION CHECKLIST
  •  
Please email info to: DRE@BlessedSaccramentbpt.org or mail info to: 275 Union Avenue Bridgeport, CT 06607
Signature Authorization
In signing this form, I declare that all of the information is correct and attest that all necessary conditions concerning my child have been noted. I assume full responsibility for my child’s attendance in the Blessed Sacrament Church Summer Camp and give my permission for participation in all activities and trips. I have read and understand the above-mentioned Fee Payment Agreement and agree to abide by it.
Signature
  •  
SIGNATURE FULL AGREEMENT I understand my Summer Camp Registration Fee of $88.00 is due with the submission of this (1) Summer Camp Registration Form, (2) Child's Medical Card (3) Completed Medication Administration record & authorization form (optional). REGISTER BEFORE JUNE 1 FOR A DISCOUNTED REGISTRATION FEE OF $80.00 for the first week.
Spam Capture
  •