Saint Paul Public Schools


	Interdistrict Classroom Partnership Initiative

Partnerships Home > Summer Camps > Online Registration

Online Registration

You must still download a registration form and fax or mail it to our office with a parent's signature. (Address and Fax on Contact Page)

Please select the camp of your choice and your school district from the drop down menus.

We must have emergency contact information and health insurance information.

Please make sure all fields are filled out before submitting the form.

Camp

District

District #

Student's School

Students Name

Address

City

Zip Code

Sex

Date of Birth

Transportation

Walker
Pick up/Drop Off
Participant will drive
School/District Bus (Confirm availability with District)

Parents/Guardian

Relationship

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Student

Health Insurance Provider

(Write "none" if none.)

Group Number

Member Number

Physician's Name

Physician's Number

Physician's Address

List/Describe illnesses, allergies, medications or special needs

[ Finish ]