VACATION BIBLE CAMP REGISTRATION

Kindergarten - Entering 6th Grade in September

JUNE 20-24, 2022

9AM-12PM

$25.00/Per Camper

Please be assured that the well being of those who participate in our programs is our highest priority. We give careful thought to and implement basic rules of safety and conduct, and provide supervision and instruction needed to safely participate in the program. It is impossible to eliminate all risks and unforeseen hazards. I certify that I have knowledge of the activities comprising this program of St. Luke's Parish. By agreeing below I intend to be legally bound, consent to my son/daughter's participation in such activities, and to his/her assumption of all the risks, and I personally and on his/her behalf, agree to forever waive, discharge and release for myself my son/daughter, and my and his/hers heirs, executors and 'adminstrators, all rights and claims for injuries damages, illness, loss, demands, and other actions of every kind and nature whatsoever, which I or he/she may have against the Diocese of Paterson, St. Luke Parish, and their respective officers, directors, and employess, liability insurance carriern and agents and all of those entities' representative, successors and assigns, and volunteers arising out of or resulting from my son'/daughter's particiption. In case of emergency, if I am unable to be reached I give permission to Nina Dorlon to make necessary medical decisions on behalf of my child. In agreeing I also represent that I am the sole and legal guardian of the above named child(ren).