Water Days Summer Camp

Parent Guardian Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• Address 1:
• Address 2:
• Address 3:
• City:
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• ZIP Code:
• Camper First Name
• Camper Last Name
• Camper Age

• Fee

  Type	Fee
  Event fee	$75.00

Camper Registration

• We need to get the information on the rest of your campers. For each additional camper that is attending please add their information. Please Click "ADD" to begin your camper registration.

Camper Information

You may add a maximum of 4

Additional Information

• Who else is authorized to pick the child up?
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• Please let us know of any special request including allergies.
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Emergency Information

• Phone:
• Emergency Contact Name

Waiver

• TUITION, REFUND AND CANCELLATION POLICY: All tuition is due one week prior (7days) to each week the child attends our summer camp. A weekly tuition is required, regardless of the number of days your child attends. A $25 charge will be assessed to your account for a NSF charge. Cancellations – all cancellations must be in writing and turned in no later than one week prior to the first day of the canceled week in order to avoid being charged for that week. No refunds will be issued if cancellation notice is not received in the manner stated above.

• FIELD TRIP, SWIMMING, MEDICAL RELEASE: Children Kindergarten – 8th grade may attend field trips to various places with the appropriate chaperones. I give my permission for my child to attend the field trips planned for the summer camp program they are registered. I understand that my child will be transported to and from the site of the field trip on the HCLA school bus. I give permission for my child to participate in supervised swimming and pool related activities (Adventure and Sports camps) while a certified lifeguard is present. Medical Release: Rarely do serious accidents or illness occur at Holy Cross Lutheran Academy or while traveling for school purpose: but in the event your son/daughter should need medical treatment by the school personnel or any Emergency Medical Personnel, your acknowledgement will allow and authorize us to provide or secure such treatment without delay. In the event of a serious accident or illness you will be notified as quickly as possible.

• I/We being legal guardian(s) of the participant and on behalf of myself/ourselves, the participant, and my/our and the participant’s personal representatives, assigns, heirs, and next of kin, hereby release and discharge Holy Cross Lutheran Church of Lake Mary, Inc. from any and all action, causes of action, claims, damages, demands, injuries, and liabilities of any nature whatsoever (including reasonable attorneys fees and interests) arising out of or in any manner connected with the participant’s participation in activities, whether caused by negligence or otherwise. I further acknowledge, understand, and agree that with my child’s participation in the above event there is a possibility of physical injury or illness. I assume full financial responsibility for such treatment.

• Picture Release: From time to time Holy Cross Lutheran Church and Academy will be taking pictures of your child to document activities at school. Some of these pictures may be used for promotion and publicity. I grant permission for HCLA to take pictures of my child, for use in school and church publications and for promotional purposes.

• I agree.

  • Yes