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OUR CHURCHES
STMary Church
AMSM Church
Our Bishop
Our Priests

BOOKSTORE
ST. MARY BOOKSTORE

SERVICES
Diocese Hymns Assembly
Diocese Hymns Assembly 2027
Family Conference
Family Conference 2026
Summer Camp
Summer Camp - 2026
Mahragan El Keraza
Mahragan El Keraza 2026
Womens Fellowship Retreat
Womens Fellowship Retreat 2026

EVENTS
Past_Events
Easter Picnic 2026
Upcoming_Events
The Queen’s Day 2026
EGYPTFEST
EgyptFest2026

CONTACTS
ABOUT

St. Mary's Coptic Orthodox Cathedral - Raleigh, NC

Summer Camp 2026 Registration Form

*Parent 1: First/Last name

*Parent 1: Phone Number

*Parent 1: Email

*Parent 1: Address

*Parent 2: First/Last name

*Parent 2: Phone Number

Parent 2: Address - Leave it Blank If Same As Parent 1 Address

Child 1

*Child 1: First/Last Name

*Child 1: Date of Birth

Enter Month/Day/Year EX: 12/05/2020

*Child 1: The school grade the child finished

*Child 1: Any allergy or medical condition

Yes

No

If yes, please describe the allergy or condition.

*Is the child taking any medication on a daily basis?

Yes

No

If yes, please list all medications in the section below.

NOTE: ST. Mary summer camp will NOT administer any medication but needs to be aware in case of an emergency.

Child 2

Child 2: First/Last Name

Child 2: Date of Birth

Enter Month/Day/Year EX: 12/05/2020

Child 2: The school grade the child finished

Child 2: Any allergy or medical condition

Yes

No

If yes, please describe the allergy or condition.

*Is the child taking any medication on a daily basis?

Yes

No

If yes, please list all medications in the section below.

NOTE: ST. Mary summer camp will NOT administer any medication but needs to be aware in case of an emergency.

Child 3

Child 3: First/Last Name

Child 3: Date of Birth

Enter Month/Day/Year EX: 12/05/2020

Child 3: The school grade the child finished

Child 3: Any allergy or medical condition

Yes

No

If yes, please describe the allergy or condition.

*Is the child taking any medication on a daily basis?

Yes

No

If yes, please list all medications in the section below.

NOTE: ST. Mary summer camp will NOT administer any medication but needs to be aware in case of an emergency.

Pickup Information

*List of people who may pickup the children/s.

*List of people who shouldn't pickup the children/s.

Write N/A if not applicable.

Emergency Contact

*Emergency Contact 1

*Emergency Contact 2

Print your name to confirm the information above is correct.

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GO HOME !

St. Mary's Coptic Orthodox Cathedral

3405 N New Hope Rd,
Raleigh, NC 27604

(919) 878-4477

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