MAD Camp Registration

June 12—16, 2017   2:00—5:00 p.m. 

To register your child(ren) complete the Registration Form on the right for each child attending.  You will receive a confirmation for each registration.  Once you have registered all children, click on the Pay Now button on the confirmation page or from the email confirmation, to pay via online banking, using your checking account, savings account or major credit card.  Registration payment must be received by June 9.

If you prefer to pay “old school,” you may make your check payable to:

Presbyterian Church of Western Springs

and bring your check to the church office during regular office hours.  Or mail it to:

Presbyterian Church of Western Springs

Attn:  MAD Camp Registration

5250 Wolf Road

Western Springs, IL  60558

For more information, please contact to Patti Mangis via email: pmangis@presbyws.org.

Mad Camp 2017

  • Please enter a value between 2 and 8.
  • Parent/Guardian Information

  • Other persons authorized to pick up your child after Mad Camp

  • Emergency Contact

    In Case of emergency (if primary parent/guardian cannot be reached) please contact:
  • Special Medical or Dietary Restictions

  • (e.g., allergies to medicine or food, chronic illnesses, or other conditions)
  • prescription and/or over the counter
  • I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN MAD CAMP, JUNE 12-16, 2017

    I hereby give permission for the Presbyterian Church of Western Spring to procure all necessary medical help for my child while he/she is under direct supervision of the Presbyterian Church of Western Springs, and grand permission to its representatives to authorize any competent medical person to do all things necessary to take care of any injury or sickness while my child is under the supervision of the Presbyterian Church of Western Springs.