Summer Bible Camps

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 Please fill out this field. Please enter valid data.

Camper's Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

Postal Code REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Gender Male Female

Camper's Birthday (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.

Grade REQUIRED Please fill out this field. Please enter valid data.

Do you have any food allergies? REQUIRED Yes No Please fill out this field.

List all food and non-food related allergies and any other medical issues that could affect participation in the camp: REQUIRED Please fill out this field.

Parent/Guardian First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian Home Phone Number Please enter a phone number.

Parent/Guardian Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent/Guardian Work Phone Number Please enter a phone number.

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 Please fill out this field.

Name(s) of those who will be picking up/dropping off camper REQUIRED Please fill out this field.

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 Please select this field.

Catholic Family of Parishes in Norfolk

Delhi - Port Dover - Simcoe - Waterford

Summer Bible Camps

St. Mary's/Our Lady Queen of Martyrs Summer Bible Camp Registration Form

2020 Summer Bible Camp Dates