Saint Rita SLAM Camp 2018
Online Registration Form

ST. RITA 5th/6th GRADE SUMMER CAMP REGISTRATION

WHERE: Meet at St. Rita Family Room
WHEN: June 11-15, 2018, 8:15am–1:30pm
FEE: $100

Space is limited, and registrations will be accepted on a first come first served basis.
If you have questions, please contact:Chrissie Cola at (440)248-1350 X140
ccola@stritaparish.com

Parent Contact Information


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

Emergency Contact Information

If we need to contact a person in case of an emergency and cannot reach a parent,
please provide the information below as well as contact information that will be most effective.

Student Information

Saint Rita SLAM Camp is for children currently in 5th or 6th Grade.
Please complete all information for each student you are registering. Registrations are not considered complete until payment is received.
How many students are you registering? (4 maximum) *

 Child #1

 Child #2

 Child #3

 Child #4

Adult and Teen Volunteer Opportunities

If you are interested in volunteering, please click the box and we will contact you.

I will also have a child participating in VBS or need babysitting for a child

Hold Harmless

I give permission for my son/daughter to participate in the St. Rita 5th/6th grade summer camp, SLAM 2018, taking place June 11-15, 2018, involving all activities on and off site including transportation to and from. These activities will take place under the guidance and supervision of adult directors and high school counselors. My child agrees to abide by the rules and regulations of this event and the direction of the adult and high school volunteers responsible. I assume all risks and responsibility in connection with this activity. 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 whether foreseen or unforeseen. I fully understand what is involved in this activity, and that I have the opportunity to call Chrissie Cola at 440-248-1350 x140 or Deacon Bob Grgic to discuss this activity with them.

In the event reasonable attempts to contact me at the phone numbers given on this camp registration are unsuccessful, I hereby give my consent for administration of any medical treatment deemed necessary on my child by EMS.

Furthermore, I hereby consent and authorize the release, publication, distribution, and/or reproduction of all photographs taken of my daughter/son during this event.

Acceptance of Terms *
Total Due:
$0.00

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