St. Gabriel Catholic Youth Summer Camp (CYSC)

In order to reserve your spot for CYSC 2024, please complete this form and the CYSC registration link with the St. Gabriel group code which will be sent to you via email. Transportation will be provided by parents to and from Camp. Registrations accepted on a first come/first serve basis. This form will become inactive when we reach 25 attendees (12 High School/ 13 Middle School). If you have questions, please contact Samantha Coffman, at 440-352-8282 or scoffman@st-gabriel.org.

Page 1 of 8 - Family

13%
Check here if interested in financial assistance. The cost of camp is $595.

Check here if interested in financial assistance. The cost of camp is $595.
Participant's Name Participant's Name First Last
Participant's Phone Participant's Phone - ### - ### ####
Can we text you? (If under 18 years old, we will group text you & your parents)

Can we text you? (If under 18 years old, we will group text you & your parents) Yes No
Participant's Email
Participant's School
Student Grade in 2023/24 school year

Student Grade in 2023/24 school year 5th 6th 7th 8th 9th 10th 11th
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mother's Name Mother's Name First Last
Mother's cell phone Mother's cell phone - ### - ### ####
Father's Name Father's Name First Last
Father's cell phone Father's cell phone - ### - ### ####
Emergency Contact Phone number (cell) Emergency Contact Phone number (cell) - ### - ### ####
Primary Email Address
Additional email address for communication
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

St. Gabriel Catholic Youth Summer Camp (CYSC)

St. Gabriel Catholic Youth Summer Camp (CYSC)

Page 1 of 8 - Family