Saint Rita Faith Camp 2018
Online Registration Form

Parent Contact Information




Are your family members registered parishioners of St. Rita Parish? *

Emergency Contact Information

In case of an emergency, please provide the name of someone other than the parent. Complete the information below as well as contact information that will be most effective.

Student Information

Saint Rita Faith Camp is for children currently in 4 year old preschool through current 4th graders as of April 2018. Please use the registration form below to register your children who will be attending camp.
Number of students you are registering *

 Child #1
Child lives with *
 

 Child #2
Child lives with *
 

 Child #3
Child lives with *
 

 Child #4
Child lives with *
 

Cost

If you complete your registration and pay in full by May 12th, you will be included in a raffle to win one of three Giant Eagle Gift Cards.
 
Registrations are not considered complete until full payment is received.
 
Registration ends May 25, 2018.  
Registration Cost  *

Hold Harmless

1.  I assume all risks and responsibility in connection with this activity for myself and my family members. I further release the Bishop of Cleveland, the Roman Catholic Diocese of Cleveland, St. Rita Parish and Pastoral Staff, employees and volunteers from all claims, judgments and liabilities for any injury or damage my child or his/her estate, myself or my spouse ever had or may have due to participation in this activity, including all risks foreseen or unforeseen. I fully understand what is involved in this activity, and that I have the opportunity to contact Deacon Bob Grgic and Cory MacNamara to discuss this activity with them.

2.  In the event that reasonable attempts to contact the emergency contact person at the phone numbers given on this registration are unsuccessful, I herby give my consent for administration of any medical treatment deemed necessary on myself or family members registered on this form by emergency medical personnel.

3.  Furthermore, I hereby consent and authorize the release, publication, distribution and/or reproduction of all photographs taken of myself or family members during this activity.
Acceptance of Terms *
Total Due:
$0.00

captcha