STUDENTS' INFORMATION

If yes, please complete and return an "Authorization to Administer Medication Form" in order for camp staff to administer the required medication or for the camper to self-administer. 

PARENT / GUARDIAN INFORMATION

Additional Guardian

EMERGENCY CONTACTS

In case of Accident or Illness when Parent cannot be Reached and Adults to Whom Your Children May Be Released      

(include those with whom you carpool)

PAYMENT INFORMATION

ALL PAYMENTS ARE TO BE MADE ONLINE HERE

•  Your child(ren) is not officially enrolled until payment is made
• Refunds of 100% of the Booster Bunch fee paid may be requested up to 90 days prior to the first day of a weeklong session if a family needs to cancel a specific session
• Refunds of 50% of the camp fee paid may be requested from 61-89 days prior to the first day of a weeklong Booster Bunch session if a family needs to cancel a specific session
• A cancellation request must be made in writing to the Booster Bunch director
• No refunds are granted in a family cancels a session within 60 days of the first day of a weeklong Booster Bunch session
• Should there be any government mandates due to COVID which keep camp from operating in a particular week, your Booster Bunch fee for that week will be refunded 100%

Note: The maximum number of students is 12. A minimum number of 8 students must be enrolled in order for the program to run.

MY CONSENT

I request that my child(ren) listed on this form be permitted to participate in the Booster Bunch program.
I, the undersigned, intending to be legally bound, do hereby, for myself, my heirs, executors, administrators, and assigns, waive and release any and all rights and claims for damages that I may have against St. Louise School and all persons acting in concert with St. Louise, from any claims for injury, loss, or damage which may be claimed against any of the foregoing in any manner by me or through my child.  I attest that my child is physically fit and able to participate in camp. I understand and agree that any medical or other services rendered to my child by or at the instance of any of the above parties is not an admission of liability to continue to provide me any such services and is not a waiver by and of said parties of any right hereunder. Furthermore, my signature below grants permission for my child(ren) to be transported to a hospital in a medical emergency when I (and my spouse if applicable) cannot be reached. I further agree to indemnify St. Louise and all persons acting in concert with St. Louise, against any judgments and reasonable costs or expenses incurred (including attorney fees) by any of the foregoing in defending any such claim or any claim made by anyone else relating to the activities of my child. I hereby grant permission to St. Louise Parish School to record, by videotape, photograph, or other means of reproduction, the voice, image, and physical likeness of my child(ren) and to use any such recorded material for promotional and marketing purposes, such as printed brochures, social media websites, and other forms of paper or electronic publications, without further consent or compensation.

CONFIRMATION

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.