St. Gabriel Catholic Youth Summer Camp (CYSC)

In order to reserve your spot for CYSC 2023, please complete this registration and register through the camp via the parish website. Transportation will be provided to and from the Camp. Registrations accepted on a first come/first serve basis. This form will become inactive when we reach 40 attendees (20 High School/20 Middle School). If you have questions, please contact Fr. David Stavarz, at 440-352-8282 or dstavarz@st-gabriel.org.

Page 1 of 8 - Family

13%
Check here if interested in financial assistance. The cost of camp is $570.

Check here if interested in financial assistance. The cost of camp is $570.
Participant's Name Participant's Name * First Last
Participant's Phone Participant's Phone * - ### - ### ####
Can we text you? (If under 18 years old, we will group text you & your parents) *

Can we text you? (If under 18 years old, we will group text you & your parents) Yes No
Participant's Email *
Participant's School
Student Grade in 2022/23 school year

Student Grade in 2022/23 school year 5th 6th 7th 8th 9th 10th 11th
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mother's Name Mother's Name First Last
Mother's cell phone Mother's cell phone - ### - ### ####
Father's Name Father's Name First Last
Father's cell phone Father's cell phone - ### - ### ####
Emergency Contact Phone number (cell) Emergency Contact Phone number (cell) - ### - ### ####
Primary Email Address *
Additional email address for communication
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

St. Gabriel Catholic Youth Summer Camp (CYSC)

St. Gabriel Catholic Youth Summer Camp (CYSC)

Page 1 of 8 - Family