Youth Summer Camp – PYS Chicago

CAMP REGISTRATION

What’s Your Truth?! The Great Escape Youth Summer Camp is on its way July 6th through July 10th for youth 3-14 years old. Camp will take place at our South Campus (7414 S. Cottage Grove) and bus service is available from our West campus in Chicago’s Austin neighborhood. The cost is $20 per camper which includes:

Nutritious breakfast and lunch daily
Arts and Crafts
Field Trips
Fun Games & More

Check out our recap video from Legendary Olympics summer camp! We had so much fun and learned that we fight to win!

You may email us at youthsummercamp@pyschicago.org with any questions.

# of Kids To Be Registered

Price per child: $20.00

Child #1 Full Name

First

Last

Gender for Child #1

Female
Male

Child #1 Birthdate (mm/dd/yy)

Child #1 Age (years)

Child #1 Last Grade Completed In School

Please list any medical needs or allergies (if none, write 'none' or 'N/A')

Child #1 Shirt Size

Child #2 Full Name

First

Last

Gender for Child #2

Female
Male

Child #2 Birthdate (mm/dd/yy)

Child #2 Age (years)

Child #2 Last Grade Completed In School

Please list any medical needs or allergies (if none, write 'none' or 'N/A')

Child #2 Shirt Size

Child #3 Full Name

First

Last

Gender for Child #3

Female
Male

Child #3 Birthdate (mm/dd/yy)

Child #3 Age (years)

Child #3 Last Grade Completed In School

Please list any medical needs or allergies (if none, write 'none' or 'N/A')

Child #3 Shirt Size

Will your child(ren) require bus service from our west location, 5401 W. Lake St.?

Parent or Guardian's Name

First

Last

Parent or Guardian's Address (House Number, Street, City, State ZIP)

Parent's or Guardian's Email

Parent or Guardian's Mobile Number

Parent or Guardian's Home Phone Number

Total

$0.00

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Expiration Date

Security Code

Card Holder Name