2024 Sacred Heart Summer Camp Registration

Event: Catholic Summer Camp
Location: Archbishop Neale School
Dates: June 17 - July 26, 2024

I grant permission for my child to participate in this activity or event. This activity will take place under the guidance and direction of the parish or school employees and/or volunteers from Sacred Heart Summer Camp.

Thank you for choosing Sacred Heart Summer Camp!

Please answer the following questions to the best of your ability. Some of the information may need to be repeated, as each part of the registration form serves a different purpose. After submitting, an email will be sent with a copy of this form. If you do not receive an email with a copy of this form, either your email was entered incorrectly or the registration was not completed, and you need to contact a camp director. If you need to make changes after submission, contact a camp director.

Upon submitting registration, you will be directed to our payment page. If you register by May 31st, payment for camp and weekly extended care (not daily) must be submitted by May 31st. If you register after May 31st, payment for each week must be submitted the Monday before your chosen week(s) of camp. If no payment has been received by the Monday before your chosen week(s) of camp, your child's name will be removed from our roster for that week. If you would like to request a payment plan or scholarship, please contact a camp director before completing this registration form.

Camp Selection

Please review carefully before making selections; if you select a camp in the wrong week, you will need to start a new form. Camps that have reached maximum capacity will be automatically removed from the list of options. If you wish to be put on a waitlist for a particular camp, select an alternative camp from the available options and contact a camp director to ask to be put on the waitlist for your preferred camp. If you wish to change or add to your camp selection after submission, contact a camp director.

Extended Care: Morning Care 6:30-8:30am; Afternoon Care 12noon-5:30pm

If you know in advance that you will be utilizing our Extended Care, please check all options below that apply. (You can also contact a camp director after submission to add/remove selections.) Campers can be dropped off or picked up at any point within the extended care hours.

We will also be offering daily rates for as-needed "drop-ins" or for campers who will only be using extended care for part of the week. By selecting one of our "daily" options, it lets us know to add your camper's name to our list for that week in order to help us prepare, but you will not be obligated to pay until that week.

Authorized Pick-Up

For the safety of our campers, we ask for a list of names of any individuals you approve to pick up your child.

To help our counselors give your child the best experience, please answer the following questions:

Some of this information may need to be repeated later in the registration process for legal purposes.

Emergency Contact Info

In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the number listed above, contact:

Specific Medical Information

The parish will take reasonable care to see that the following information will be held in confidence.

Immunization Information

RESPONSIBILITY

1) As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor ("participant").
2) by signing below, I certify that I have legal responsibility for the above-named participant.

CORONAVIRUS; ASSUMPTION OF RISKS

3) The parish has implemented precautions, based upon available guidance from public health agencies, to minimize risks to participants; however, activities at the Event make it impossible to consistently ensure physical distancing of 6 feet or more or otherwise eliminate all risks to participants. My child's participation in the Event may therefore include possible exposure to infectious diseases (including, but not limited to, COVID-19) and the risk of serious illness of death.
4) I knowingly and freely assume all such risks and assume all responsibility for my child's participation.
5) My child will comply with the parish's terms and conditions for participation in the Event as set forth by the parish and as may be updated from time to time in its discretion, including to conform with governmental requirements and/or CDC guidance. This includes, but is not limited to, face coverings for youth age 9 and older and daily temperature checks. Noncompliance may result in my child being removed from participation and prohibited from returning to the Event, with no refund being issues.

INDEMNIFICATION

6) I will hold harmless and defend Sacred Heart Parish and the Archdiocese of Washington, along with their officers, directors, employees, agents, volunteers, chaperones, and representatives, from any claim arising from or in connection with my child attending the Event or in connection with any illness or injury (including Coronavirus and/or death) or cost of medical treatment in connection therewith, and I agree to compensate the Archdiocese of Washington, and its officers, directors, employees, agents, volunteers, chaperones, and representatives, for expenses and reasonable attorneys' fees which may be incurred in any action brought against any or all of them as a result of such injury or damage.

EMERGENCY MEDICAL TREATMENT

In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.

OTHER MEDICAL TREATMENT

In the event it comes to the attention of the parish, its officers, directors and agents, and the Archdiocese of Washington, chaperones or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called.

MEDICATIONS

I hereby grant permission for non-prescription medication (such as non-aspirin products, i.e. acetaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my child, if deemed appropriate.

PHOTO RELEASE

I give hereby grant permission to Sacred Heart Parish, La Plata, Archdiocese of Washington to use any photographs and quotations taken of my child during this event to assist in community awareness, educational efforts, related public relations purposed that may include brochures, posters, website, official social media, and print media. (No individual names will be included unless given permission by the parent/guardian for specified photographs.)

PAYMENT

Upon submitting this form, you will be directed to our main payment page.

If you cannot pay immediately after completing registration, a link will be available on our camp website to pay at a later date.

If you are registering before or on May 31st, please note that full payment for camp and weekly extended Care (not daily) is due by May 31st.

If you are registering after May 31st, please note that the deadline to pay for each week of camp is the 1 WEEK BEFORE your selected week. (For instance, registration and payment for Week 3 of camp must be completed by Monday, June 24th, which is the start of Week 2.) Late registrations, or requests to be added to camps after the weekly deadline, will be considered on a case-by-case basis.