Required

Summer Camp Registration

3rd-4th Grade CampsThese camps are for girls entering grades 3-4 in fall 2024.
These camps are for girls entering grades 3-4 in fall 2024.
5th-6th Grade CampsThese camps are for girls entering grades 5-6 in fall 2024.
These camps are for girls entering grades 5-6 in fall 2024.
7th-8th Grade CampsThese camps are for girls entering grades 7-8 in fall 2024.
These camps are for girls entering grades 7-8 in fall 2024.
9th-12th Grade CampThese camps are for girls entering grades 9-12 in fall 2024
These camps are for girls entering grades 9-12 in fall 2024
Student Namerequired
First Name
Last Name
Camper T-Shirt Sizerequired
Parent/Guardian Name required
First Name
Last Name
Additional Parent/Guardian Name
First Name
Last Name
Demographic Information
 
Information collected from the following two questions allows St. Mary's Academy to apply for future grant funding opportunities. By reporting this, you are helping us make summer camps accessible to more families in future years.
Camper's Race/Ethnicityrequired
Is your family/child eligible for free or reduced-price lunch?required
Emergency/Medical Information
Emergency Contact Namerequired
First Name
Last Name
Please include any medical conditions, dietary restrictions, or allergies we should be aware of.

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.​

Emergency Medical Information Releaserequired
Pick-Up Procedure
 
For the convenience of our campers' families, we do not require a formal, in-person check-out process. Read the full pick-up procedure here.
Pick-Up Procedurerequired

Permission for Travel

Every summer camp includes field trips to fun destinations such as nearby parks, museums, theatre venues, sights of interest, etc. ​Camp registration fees include the cost of these special trips. Read the full liability release here. Checking the box below signifies that you have read the parent permission form and understand that it contains a release.​​

Permission for Travelrequired

Media Release

Occasionally we take photos or video footage during camp for use on our website, advertisements, and other public media. We do not publish student names with photos. Images are used to showcase our program and are not shared with outside parties. Check the box below acknowledging that you have read this release statement thereby giving permission for St. Mary's Academy to take photos or footage of your daughter during camp.​​​​

Media Releaserequired

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY

Students participating in summer activities at St. Mary's Academy during their weeklong camp, along with their parents, acknowledge the risks associated with gathering in groups. Students and parents accept these risks, and by submitting this form, assume all loss or damage, and any claim or demand therefore on account of injury and/or exposure to infectious syndromes or diseases to the person which may result in illness and/or death arising out of or related to their participation, whether caused by negligence or otherwise. By participating, the students assume all risks whether known or unknown. Furthermore, students and their parents agree to hold harmless St. Mary’s Academy, and the employees of St. Mary’s Academy, with respect to any injury or loss caused by negligence or otherwise to the fullest extent permitted by law.

By submitting this form, I agree that the information provided herein is accurate to the best of my knowledge. If things change and my daughter can no longer reply 'no' to the above questions, she will remain home and I will notify the school about her absence.

Please write your name below confirming that you have read and understand this waiver.

How did you hear about us?required

Payment Information

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired