Summer Camp Registration
Select Camp Option*
Lead Like a Girl, July 29-August 2 (Grades 4-5)
This camp is eligible for extended care on the following days:
Lead Like a Girl
Monday - $25
Tuesday - $25
Wednesday - $25
Thursday - $25
Friday - $25
Student Name (First and Last Name)*
Grade for Fall 2019*
Family Email Address (required for all correspondence)*
Parent/Guardian Contact (First and Last Name)*
Occasionally we take photos or video footage during camp for use in our catalog and other public media. Please check the box below to give permission for St. Mary's Academy to take photos or footage of your daughter during camp.
Yes, you have my permission
Emergency Medical Information Release*
I hereby authorize the staff of St. Mary's Academy Summer Program to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release the St. Mary's Academy Summer Program staff from any and all liability for any injuries sustained by my child while at camp. I have no knowledge of any physical impairment that would be affected by the above named child's participation in this program.
Check box to confirm
Emergency Contact Phone*
Medical Insurance Carrier*
Please include any special needs, dietary restrictions, or allergies that you feel we should be aware here.
Additional comments or questions:
Please send a confirmation email to the address below*: