Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Summer Camp 2022

CAMP SELECTION

(CHECK ALL CAMP SESSIONS FOR WHICH APPLYING)

NOTE - "WACKY WATER" AND "MAD SCIENTIST IN PARADISE" CAMPS ARE FULL *
Answer Required

 

CAMPERS' INFORMATION

  • Camper # 1
Grade in Fall*
Answer Required
Gender*
Answer Required
Is your child taking any prescription or over-the-counter medications?*
Answer Required

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. 

  • Camper # 2
Grade in Fall
Answer Required
Gender
Answer Required
Is your child taking any prescription or over-the-counter medications?
Answer Required

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. 

  • Camper # 3
Grade in Fall
Answer Required
Gender
Answer Required
Is your child taking any prescription or over-the-counter medications?
Answer Required

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

Relationship to camper*
Answer Required

Additional Guardian

Relationship to camper
Answer Required

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 camp fee paid may be requested up to 90 days prior to the first day of a weeklong camp 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 camp session if a family needs to cancel a specific session
  • A cancellation request must be made in writing to the camp director
  • No refunds are granted in a family cancels a session within 60 days of the first day of a weeklong camp session
  • Should there be any government mandates due to COVID which keep camp from operating in a particular week, your camp fee for that week will be refunded 100%

Note: The maximum number of campers each week is 25. A minimum number of 18 campers must be enrolled in order for a camp to operate in a particular week.

MY CONSENT

I request that my child(ren) listed on this form be permitted to participate in Chargers’ Adventure Summer Camp.
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.

I have read, understand, and agree to everything written above.*
Answer Required
Confirmation Email