• Patriot Day Camp Registration 2023

    Patriot Day Camp Registration 2023

    June 19th - August 18th
  • Parent/Guardian Information
  • Emergency Information
  • Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by LCS Patriot Camp during the selected camp days. In exchange for the acceptance of said child’s candidacy by LCS Patriot Camp, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless LCS Patriot Camp and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against LCS Patriot Camp, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

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  • Medical Release and Authorization As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the LCS Patriot Camp and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release is authorized on the dates and/or duration of the registered session. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

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  • Summer Camp availablity is offered on a first-come, first-serve basis and spaces are limited. Registration fee, along with session payement by due date, reserves the camper's participation in the Patriot Club Summer Camp.

    Summer Camp opens at 7:30 am Monday through Friday. Students will not be admitted into the Club house before 7:30 am.  Patriot Camp is closed July 4th.  

    For staffing purposes, parents must reserve specific days/weeks at least 2 weeks before the desired camp session. You will receive a confirmation enrollment via email for each session.

    The Summer Camp Program ends at 5:30pm each day. A late charge of $1/minute will be levied for any student not picked up by 5:30 pm. The Summer Camp Program uses the digital clock located on the sign in table for the official time. Please check that clock.

    If an emergency arises and you are unable to pick up your child by 5:30pm, please call 509-980-1331, to assure both the staff and your child that you are on the way. This number is for emergencies ONLY. State law requires us to notify CPS when children are left in a program without notification from families and when no contacts can be reached to pick up the child.

    These guidelines are followed in response to late pick-up:

    1. Staff notifies the family and/or emergency contacts to ensure that someone is on the way to pick up the child.

    2. If the family and emergency contacts cannot be reached, the child will remain with staff on campus, at a $1/minute surcharge.

    3. As required by state law, if parents and emergency contacts are not reached, the school will be required to call the police.

  • Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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    Patriot Camp Registration Fee  Product Image
    Patriot Camp Registration Fee
    $60.00
      
    Total
    $0.00
  • Please click one of the PayPal options to complete payment and submit the form.

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