Archdiocese of Philadelphia

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STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Camp Overbrook: In Sign 2023

A summer camp for Deaf/Hard of Hearing children that provides a means for summer learning, a sense of Catholic community and an atmosphere which is safe, exciting, educational and fun. Directing the camp are educators who are fluent in American Sign Language.

This summer, camp will be hosted at St. Joseph's University City Campus, 600 S. 43rd Street, Philadelphia, PA 19104. This is due to construction taking place on the City Avenue SJU campus. Please note the change of address.

PLEASE LIST FULL NAME FOR EACH CHILD REGISTERED
(FROM SAME FAMILY)

POR FAVOR, escriba el NOMBRE COMPLETO DE CADA NIÑO REGISTRADO (DE LA MISMA FAMILIA)

Child #1 First Name / Nombre del niño #1: *

Last Name / Apellido: *

Date of Birth / Fecha de nacimiento: *

(mm/dd/yyyy) / (mes/día/año)

Age / Edad: *

T-Shirt Size / Talla de camisa del niño: *

Gender / Sexo: *

School / Escuela: *

Grade / Grado: *

County / Condado: *

School District / Distrito escolar: *

Parent/Guardian Information / Información de padres/tutores

First Name / Nombre de pila: *

Last Name / Apellido: *

Address / Dirección: *

Address 2 / Dirección 2:

City / Ciudad: *

State / Province: *

Zip Code / Código Postal: *

Country / País: *

Home Phone / Teléfono de casa:

Work Phone / Teléfono del trabajo:

Cell Phone / Teléfono móvil:

Video Phone / Vídeo llamada:

E-mail: *

A receipt will be e-mailed to this address.
Se enviará un recibo por correo electrónico a esta dirección.

Click Different Address below if during the dates of camp your Child will reside at a different address from the address above.

Haga clic en Dirección diferente a continuación si durante las fechas del campamento su hijo residirá en una dirección diferente a la dirección anterior.

Country / País: *