Summer Program 2015

Summer Camp Registration Form

*Student's Name

*Home Address

*City/State/Zip

*Home Phone

*Parent Mobile

*Student Mobile

*Parent Email

*Student Email

*Date of Birth

Grade Entering 9/15 (if applicable)

*Emergency Contact and Phone Number

Medical Information - Please list any known allergies or injuries

Please indicate which Paul VI Summer Program (s) you are registering for and the session (s) you would like to attend if more than one is offered.

Program Session

Select 4 of the following modules:

Exploring the iPad

Program Session

Pre9th Grade Program

Program Session

SAT Summer Course

College Planning

Program Session

Summer Camp

All forms and fees must be received NO LATER THAN June 26, 2015. There is a 10% discount if paid by May 15, 2015. No refunds will be given once programs start on July 6 unless the camp is cancelled by Paul VI High School. All checks should be made payable to Paul VI High School. Please send checks to: Paul VI High School 901 Hopkins Road Haddonfield, NJ 08033 as soon as you register.

Paul VI High School

901 Hopkins Rd., Ste. B
Haddonfield, NJ 08033
Phone: 856.858.4900
Fax: 856.858.6832