St. Gabriel Catholic Youth Summer Camp (CYSC)

In order to reserve your spot for CYSC 2021 July 25-30, 2021, 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 35 attendees (20 High School/15 Middle School). If you have questions, please contact Fr. David Stavarz, at 440-352-8282 or dstavarz@st-gabriel.org.

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Section A

General Information
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 2020/21 school year

Student Grade in 2020/21 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)

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Section A