Emergency Contact Information
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To the best of my knowledge this Health History is correct and complete. The camper has permission to participate in all camp activities unless otherwise noted on this form.
I hereby give permission to GSB Camps to provide, seek, and consent to routine medical health care, administration of prescribed medications, and emergency treatment for my child as may be necessary. This includes, but is not limited to: x-rays, routine tests and treatment, and/or hospitalization. I give permission to GSB Camps to provide transportation required for treatment. I understand that all medical bills for services to my child rendered by anyone other than the GSB Camps staff are my responsibility. I agree to release any records necessary for treatment, billing, or insurance purposes.
It is my intention that the camp be treated as acting in loco parentis for my child. If I cannot be reached in the event of an emergency, I grant permission to GSB Camps to use the physician they have selected to secure treatment, including hospitalization.
Gill St. Bernard's reserves the right to dismiss or suspend any student whose conditon or behavior is deemed unsatisfactory or detrimental to the best interest of camp or students.
$200 for four 30-minute lessons
* Week 2 will be prorated to account for the July 4th Holiday.
** Additional costs may occur for Travel Camp based on trips scheduled
*** Central transportation requires a minimum number of campers.
Deposits & Refunds: Camp deposits will be charged at registration with full balances due at the start of the Campers’ first registered week. Deposits are refundable until June 1, 2022, except for a $50 processing fee. After June 1st, refunds will be at the discretion of the CFO, payable at the end of the camp season. There are no refunds due to withdrawals or emergency closings.
GSB Camps and GSB Summer Institute for Credit Courses require a minimum $525 deposit upon registration which includes a registration fee. Full balance is due at the start of the camper's first registered week. All other summer programs are to be paid in full upon registration.
Make checks payable to Gill St. Bernard's School. Credit cards accepted: Visa, Mastercard, Discover, and American Express. Checks returned for insufficient funds will be charged a processing fee.