JCS Family Summer Camp 2025 Registration

Register online for the 2025 Summer Camp! Camp starts June 9th and runs until Friday, August 8th. We look forward to seeing you there!

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Username

Password

Student Information
Name*
First Last
Birthdate*
Month
Day
Year
Grade in September 2025*
Gender*
- Male
- Female
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Language Spoken at Home
- English
- Spanish
Student Lives With*
- Mother
- Father
- Legal Guardian
- Other
Student T-shirt Size*
- Youth Small
- Youth Medium
- Youth Large
- Adult Small
- Adult Medium
I understand that upon completion of this registration form my child has a space reserved in the Jubilee Summer Camp 2024; however, I acknowledge that I must sign my child up for each week that I would like them to attend no later than a full week prior (Sunday at midnight one week in advance). I understand that this registration fee and weekly sign up fees are non-refundable or transferable regardless of attendance.

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Parent/Legal Guardian Information and Financial Agreement
Person(s) responsible for payment. Statement will be sent to Sponsor 1.
Sponsor 1*
First Last
Relationship to child*
Home Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
Email
Enter Email Confirm Email
Mobile Phone*
Home Phone
Work Phone
Best Number
- Home
- Work
- Mobile
Sponsor 2
First Last
Relationship to child
Home Address
Same as previous

Street Address Address Line 2 City State ZIP Code
Email
Enter Email Confirm Email
Home Phone
Work Phone
Mobile Phone
Best Number
- Home
- Work
- Mobile
Permission & Release*
- I agree to the Terms of Service
Sponsor Signature*
Summer Registration Fee*
I understand that I am authorizing the charge of the $75.00 registration fee. This fee must be paid two weeks prior to my child's start.
Price:
Credit Card
Card Details
Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.

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Summer Camp 2025 Student Health/Emergency Form

"*" indicates required fields

Step 1 of 4 - Student Information

Name*

First Last

Birthdate*

Month

Day

Year

Grade in September 2025*

Gender*

Male

Female

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Lives With*

Both Parents

Mother

Father

Other

Has this child ever repeated a grade?*

Yes