* Required

Ghost Summer for 7th and 8th Graders June 27 to July 1 July 11 to July 15 July 18 to July 22

Holy Ghost Prep Admissions Office 215-639-0811

Camper's First Namerequired

Camper's Last Namerequired

Mother's First Name

Father's First Name

Mother's Last Name

Father's Last Name

Primary Contact's Name and Daytime Phone Numberrequired

Address (Number and Street)required

Cityrequired

Staterequired

Zip Coderequired

Home Phone Numberrequired

Primary Contact Email Addressrequired

Camper's Grade (in Fall of 2022)required

This is the grade the student will be in next year, not the grade the student is in currently.

Current Schoolrequired

Emergency Contact #1required

Emergency Contact #1 Phonerequired

Emergency Contact #2required

Emergency Contact #2 Phonerequired

In the event of an emergency, you authorize the Holy Ghost Prep or Red and Blue Camp Staff to take the appropriate immediate actions to ensure the safety and well being of the above named camper.

Waiver Affirmation*

By submitting this form and paying the fee, I agree to the above release statement.

yes no

Emergency Inforequired

Please list any allergies or important health information about this camper. Please write "none" for students without any health issues.

Registration Feerequired

Please indicate the weeks you are registering for:*

June 27 to July 1 July 11 to July 15 July 18 to July 22

Please send a confirmation email to the address below*: