Summer Camp Registration Tweet Summer Camp Registration 2023 Student InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Grade in the Fall*1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th GradeT-shirt Size Youth Small Youth Medium Youth Large Youth X-Large Adult Small Adult Medium Adult Large Adult XL Adult 2XL Phone*Gender*MaleFemaleCurrent School*City/Town of School*Summer Camp ChoicesPlease check grade levels carefully and select the appropriate camps.Camp options: BASEBALL - Grades: 2–9 SOFTBALL - Grades: 5–9 CO-ED BASS FISHING - Grades: 4-9 BOYS BASKETBALL I - Grades: 8-9 BOYS BASKETBALL II - Grades: 8-9 BOYS BASKETBALL III - Grades: 4-7 BOYS BASKETBALL IV - Grades: 4-7 CO-ED BASKETBALL - Grades: 1-3 GIRLS BASKETBALL I - Grades: 4-9 GIRLS BASKETBALL II - Grades: 4-9 BOYS LACROSSE I - Grades: 4-9 BOYS LACROSSE II - Grades: 4-9 GIRLS LACROSSE - Grades: 4-9 BOYS SOCCER - Grades: 3-8 GIRLS SOCCER - Grades: 3-8 CO-ED TENNIS - Grades: 4-9 CO-ED CROSS COUNTRY - Grades: 6-8 CO-ED TRACK & FIELD - Grades: 4-9 GIRLS VOLLEYBALL I - Grades: 2-4 GIRLS VOLLEYBALL II - Grades: 5-7 GIRLS VOLLEYBALL III - Grades: 8-9 GIRLS VOLLEYBALL PREP - Grades: 8-9 BOYS VOLLEYBALL - Grades: 4-9 WRESTLING - Grades: 1-9 FOOTBALL INCOMING FRESHMAN CAMP - Strength & Conditioning - Grade: 9 FOOTBALL INCOMING FRESHMAN CAMP - Fundamental Camp - Grade: 9 FOOTBALL CAMP I - Football Basics Camp - Grades: K-3 FOOTBALL CAMP II - Fundamental Camp & Celtic Ball - Grades: 4-8 FOOTBALL STRENGTH & CONDITIONING CAMP - Grades: 6-8 FOOTBALL CAMP III - Elite 8th Grade Camp - Grade: 8 Parent/Guardian Completing This FormName* First Last Maiden Name (If Applicable)Phone*Email* Are you a PCHS Graduate?*YesNoPCHS Class ofMedical/Emergency InformationPlease list any medical issues (eg. allergies, diabetic, etc.) or other issues that we should know about: Medical Issues*Emergency Contact InformationPlease list an additional person o contact in case of an emergency Name* First Last Phone*Relationship to student*Release FormThe above-named ACTIVITY PARTICIPANT agrees to defend, protect, indemnify and hold PROVIDENCE CATHOLIC HIGH SCHOOL harmless against and from all claims arising from the negligence or fault of the above-named ACTIVITY PARTICIPANT or any of his/her agents, family members, officers, volunteers, helpers, partners, organizational members or associates which arise out of the above-named SPORT/ACTIVITY at PROVIDENCE CATHOLIC HIGH SCHOOL. Additionally, the above-named ACTIVITY PARTICIPANT agrees to protect, defend, hold harmless and fully indemnify PROVIDENCE CATHOLIC HIGH SCHOOL for any claim or cause of action whatsoever arising out of the above-named SPORT/ACTIVITY which takes place during the above identified DATE(S) OF SUMMER CAMP that is brought against PROVIDENCE CATHOLIC HIGH SCHOOL by the above-named ACTIVITY PARTICIPANT or their family members whether such claim arises from the alleged negligence of PROVIDENCE CATHOLIC HIGH SCHOOL, its employees or agents or ACTIVITY PARTICIPANT’S negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect. Photos will be taken at camps for marketing/social media purposes.Untitled* I agree NameThis field is for validation purposes and should be left unchanged.