Day Camp 2019 Registration

General Information

Day Camp at the Presbyterian Church of Madison in Madison, NJ will be from 9 AM - 3 PM on Monday, June 24th to Friday, June 28th and is for PreK - 5th Grade. Kids will be dropped off in Webb Chapel (Our older Chapel on the corner of Green and Wilmer) each day for registration and picked up in the same location. Each child will need a packed lunch. Snacks and drinks will be provided by the church. The cost of Day Camp is $200 per child with a maximum cost of $500 per family.

Parent or Guardian's Name

This address will receive a confirmation email

Phone

Address

Emergency Contact's Name

Emergency Contact's Number

Additional Emergency Contact's Name

Additional Emergency Contact's Number

Please list anyone besides the parent/guardian of the camper(s) who might be dropping off or picking up.

Camper Information

Please list the Camper's Name, Date of Birth, Grade just completed, and Allergies. For more than 1 child, please separate with a line break.

Is there anything specific about your child or children that would be helpful for our staff or counselors to know?

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 24-28. 9 AM - 3 PM

Thank you for your interest in Day Camp 2019 at PCM! For questions, please call us at 973-377-1600, email Patrick Allred, our Director of Family Ministries, at patrick.allred@pcmadison.org, or drop by in person to our office at 19 Green Ave in Madison, NJ.

Day Camp 2019 Registration

Description

Please Fix the Following