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Catholic Family of Parishes in Norfolk
Delhi - Port Dover - Simcoe - Waterford
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Home
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Bulletins
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Confession Times
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First Reconciliation and First Holy Communion
Confirmation
Altar Serving
Vocations
Faith Groups
Catholic Women's League
Parish Women's Group
Knights of Columbus
Saint Vincent De Paul
Spirit of Truth Group
Music Ministry
ALPHA
Family & Youth
CCLC - Summer Camp
Youth Music
Steubenville Toronto
Summer Bible Camps
Summer Bible Camps
Family & Youth
CCLC - Summer Camp
Youth Music
Steubenville Toronto
Summer Bible Camps
St. Mary's/Our Lady Queen of Martyrs Summer Bible Camp Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
Which camp would you like to attend?
REQUIRED
St. Mary's (July 20-24, 2020)
Our Lady, Queen of Martyrs (August 10-14, 2020)
Please fill out this field.
Camper's First Name
REQUIRED
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Please enter valid data.
Camper's Last Name
REQUIRED
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Address
REQUIRED
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City
REQUIRED
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Postal Code
REQUIRED
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Email
REQUIRED
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Please enter an email address.
Gender
Male
Female
Camper's Birthday (MM/DD/YYYY)
REQUIRED
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Please enter a date.
Grade
REQUIRED
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Do you have any food allergies?
REQUIRED
Yes
No
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List all food and non-food related allergies and any other medical issues that could affect participation in the camp:
REQUIRED
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Parent/Guardian First & Last Name
REQUIRED
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Parent/Guardian Home Phone Number
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Parent/Guardian Cell Phone Number
REQUIRED
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Please enter a phone number.
Parent/Guardian Work Phone Number
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Interested in being a parent leader?
REQUIRED
Yes I am interested in helping out with the Summer Bible Camp
I am unable to help out with the Summer Bible Camp
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Name(s) of those who will be picking up/dropping off camper
REQUIRED
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Media Release
REQUIRED
This is strictly to share visuals with other parishioners and family members what Our Bible Camp is all about
I'm okay with video with my child and/or my child's picture or being taken and posted on the Parish Facebook page, Website and/or Local Newspaper, etc.
Please don't share any pictures or videos of my child
Please fill out this field.
Indemnity Waiver
In consideration of the acceptance of my registration by the Diocese of London (The Catholic Family of Parishes in Norfolk) held at St. Mary's, Simcoe and/or Our Lady, Queen of Martyrs, Delhi, Ontario I release, hold harmless and forever discharge the Diocese of London (The Catholic Family of Parishes in Norfolk), its staff; officers, directors, employees and affiliates, from any and all liability, claims, losses, damages, costs or expenses, and waive any such claims against and such persons or organizations, arising directly or indirectly from, or attributable in connection with the sponsorship and organization of the Diocese of London (The Catholic Family of Parishes in Norfolk). As legal parent/guardian I accept any risks involved. Furthermore, in consideration of the organization and sponsorship by the Diocese of London (The Catholic Family of Parishes in Norfolk) for the Summer Bible Camp, I hereby indemnify and hold harmless the Diocese of London (The Catholic Family of Parishes in Norfolk), its staff; officers, directors, employees and affiliates, for all claims, losses, damages, costs or expenses arising directly or indirectly from my actions and participation in the Summer Bible Camp in Simcoe, Ontario.
I hereby declare that I have read and understand the above behavioural expectations, media release and indemnity waiver, and have voluntary executed this document in order for the participant of which I am legally responsible to participate in the Summer Bible Camp at Diocese of London (The Catholic Family of Parishes in Norfolk), from July22-26 and/or August 12 – 16 2019
I Agree
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Submit
2020 Summer Bible Camp Dates
Our Lady, Queen of Martyrs Parish: August 10 to 14, 2020
St. Mary's Parish: July 20 to 24, 2020
Our Lady, Queen of Martyrs Parish: August 10 to 14, 2020
(9:00 am to 12:00 noon daily)
The Summer Bible Camps are for Children Grades 1 to 3
Older Youth and Adults can participate as Summer Camp Leaders!
See online form on the left, (Printable copy available on the left as well) or contact us to register your child or to participate as a leader:
Ian Duckworth
Email: iduckworth@dol.ca
Phone: 519-582-1312 or 519-426-0887 Ext. 227
Text: 519-495-3366