Camper Name
*
First Name
Last Name
Parish
*
St. Joseph, Ashland
St. Bernard, Belpre
Immaculate Conception, Claflin
Holy Spirit Quasi, Coldwater
Christ the King, Deerfield
St. Theresa, Dighton
Cathedral of Our Lady of Guadalupe, Dodge City
St. Joan of Arc, Elkhart
St. Joseph, Ellinwood
St. Anthony, Fowler
St. Dominic, Garden City
St. Mary, Garden City
Prince of Peace (St. Patrick), Great Bend
Prince of Peace (St. Rose of Lima), Great Bend
St. Joseph, Greensburg
St. Anthony, Hanston
St. John the Evangelist, Hoisington
St. Helen, Hugoton
St. Stanislaus, Ingalls
St. Lawrence, Jetmore
St. Bernadette, Johnson
St. Nicholas, Kinsley
St. John the Apostle, Kiowa
St. Michael, La Crosse
St. Anthony, Lakin
Sacred Heart of Jesus, Larned
St. Anthony of Padua, Leoti,
St. Anthony of Padua, Liberal
St. Joseph, Liebenthal
St. Mary, Marienthal
St. John the Baptist, Meade
Holy Rosary, Medicine Lodge
Sacred Heart, Ness City
Holy Family, Odin
St. Joseph, Offerle
St. Ann, Olmitz
St. Patrick, Plains
Sacred Heart, Pratt
St. Aloysius, Ransom
St. John the Apostle, St. John
St. Alphonsus, Satanta
St. Joseph, Scott City
St. Boniface, Sharon
St. John the Baptist, Spearville
St. Raphael, Syracuse
Holy Trinity, Timken
St. Joseph the Worker, Tribune
Mary Queen of Peace, Ulysses
St. Andrew, Wright
GENDER
*
Male
Female
Age
*
Current Grade (2023-2024 School year)
*
5th
6th
7th
8th
Parent Name
*
First Name
Last Name
Parent Phone Number
*
-
Area Code
Phone Number
Parent E-mail
*
example@example.com
Mailing Address
*
Mailing Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which date a location will you attend?
July 8th - 11th, Camp Aldrich, Claflin
June 12th, Camp Lakeside, Scott City
Does your child have any food allergies?
*
Yes
No
Please indicate them here:
Please list any medications you child takes and indicate time of day.
If you have any additional comments, questions, or concerns, please list them below:
T - shirt Size (please indicate youth or adult)
*
Please select your payment preference:
*
I will pay by credit card now.
My parish will be sending a check.
Payment
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1-Day Camp Registration
$
35.00
4-Day Camp Overnight Registration
$
150.00
Total
$
0.00
How did you hear about Camp Cristo Rey?
Letter in the mail
Social Media
Chancery Chatter
Phone call
Friend
SKC Newspaper
Priest or church leader
Other
Submit
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