Camp Elmwood 2026

Camper Number 1 . . .

Name

Birthday Date (e.g. 7/9/2019

Age

School (Fall 2026)

Grade (Fall 2026)

Special Needs or Activity Restrictions:

Camper Number 2 . . .

If not applicable, please type in N/A

Camper's Name

Birthday Date (e.g. 07/07/2019)

Age

School (Fall 2026)

Grade (Fall 2026)

Special Needs or Activity Restrictions:

Camper(s) Parents or Guardians

Parents or Guardians Names

Address

This address will receive a confirmation email

Cell Phone

Home Phone

Work Phone

Health Insurance Program and Number

Emergency Contact Name & Number

Except as noted above, camper(s) is fully able and has my permission to participate in all normal camp activities and excursions. Camp Elmwood staff has my permission to authorize emergency medical treatment for the camper(s). I will pay any cost of treatment not covered by my insurance.

Agree Do Not Agree

Camper(s) may leave camp at end of session on her/his own

Yes No

Number of Camper(s) Attending After Care 1 2

Name of Camper(s) Attending After Care

By writing YES you are granting permission to use photographs, video, art of you & or your child for promotional and archival purposes for Camp Elmwood. We will not use names or any other personal information with these images. Yes

How did you hear about Camp Elmwood?

510Families Parents Press Berkeley Parents Network Friend Returning Camper Craigslist Poster/Leaflet Other

Please write your campers t shirt size. The fee includes the t-shirts for campers. Extra t-shirts may be purchased on-site during the camp. All funds from extra t shirt sales goes towards Camp Elmwood scholarships.

Signature

Payment

Please submit your Camper Fee, or your scholarship request, on or before July 1, 2026. Questions? Please contact Manju Noone at St. John's Presbyterian Church, 2727 College Avenue, Berkeley, CA 94705 (510) 845-6830 ... campelmwood@stjohnsberkeley.org

Option

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Name of Camper(s) and T-shirt size Youth (Small-Large), Adult (Small-Large)

Description

July 27 - July 31, 2026

An Urban Adventure for Campers, Ages 6- 13

CAMP SCHEDULE: 9:00 a.m. – 2:00 p.m. (Aftercare is available from 2:00- 5:30 p.m. for an additional fee). Camp will continue until 7:00 p.m. on Friday, for a family barbecue at 5:15 p.m. and program at 6:00 p.m.

ACTIVITIES: Art, basketball, volleyball, ping pong, lawn games, music, drama, dance, science, cooking, swim-hike, talent show, community service and opportunities for leadership. Camp Elmwood is a great way to end your summer.

WHAT TO EXPECT: Under the Redwoods at St. John’s you will find a place of peace and acceptance, where we value the abilities and interests of each camper and all are welcome.

COST: $140 for each camper. Scholarships are available via the registration form. After Care from 2-5:30 p.m. is also available for $50 per camper for the week. Each camper will bring his or her own lunch, a reusable water bottle and a food contribution for our Friday BBQ. We will provide morning snacks.

LOCATION: Under the Redwoods at St. John’s Presbyterian Church: 2727 College Avenue, Berkeley, 94705

Camp Elmwood 2026

Description

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