2019 SFD Summer Camps Application

SFDHS Summer Camps Registration
Thank you for your interest in the St. Francis DeSales High School 2019 Summer Camp Program.

Before you begin, please be aware of the following important information:

1. If you are registering more than one student, please submit individual registrations for each participant.

2. To complete your registration, you will be asked to submit payment via credit card or Paypal.

3. If you have any questions or comments, please feel free to contact summercamps@desales.co or 614-267-7808.

Student Information
Date of Application

MonthDayYear
First Name*
Last Name*
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Telephone*
Current School*
Grade participant will be in during the 2019-20 school year.*
T-Shirt Size*

Youth LargeSmall (adult)Medium (adult)Large (adult)X-Large (adult)

Parent Contact Information
Parent/Guardian Full Name*

First NameLast Name
Relationship*
Primary Email Address *
Must be a valid email address - all communication pertaining to camps will go to this email
Primary Phone Number*
How did you hear about SFD Summer Camps? *
Are you an employee of St. Francis DeSales High School?*

YesNo
SFDHS employee discounts will be reflected in the Total Fee field.

Emergency Contact Information

Please be sure the Emergency Contact is not the same as the Parent/Guardian listed previously. In the case of any emergency the Parent/Guardian will always be contacted initially.
Emergency Contact Full Name*

First NameLast Name
Relationship*
Emergency Contact Phone*

Electronic Signature Agreement and Application Submission
The amount listed below reflects your summer camp fee(s) for this application. To complete the registration process, please click the submit button to be redirected to the St. Francis DeSales Paypal page.

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USDSFDHS 2019 Summer Camp
By selecting "I understand the above terms and conditions" below, you give consent for your son/daughter to attend the 2019 SFD Summer Camp(s) and understand that St. Francis DeSales High School, the Athletic Department, the Camp Director, and anyone connected with the Camp will assume no responsibility for accidents, or medical/dental expenses incurred as a result of attending any camp session.

By selecting "I understand the above terms and conditions" below, St. Francis DeSales High School (SFD) reserves the right to use any photograph/video taken at any summer camp sponsored by SFD, without the expressed written permission of those included within the photograph/video. SFD may use the photograph/video in publications or other media material produced, used or contracted by SFD including but not limited to: brochures, invitations, newspapers, magazines, websites, etc. To ensure the privacy of individuals and children, images will not be identified using full names or personal identifying information without written approval from the photographed subject, parent or legal guardian.

By selecting "I understand the above terms and conditions" below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I understand the above terms and conditions" you consent to be legally bound by this Agreement's terms and conditions. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You also represent that you are authorized to enter into this Agreement for all persons attending a summer camp at St. Francis DeSales High School.
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SFDHS Summer Camps Registration

Student Information

Parent Contact Information

Emergency Contact Information

SFDHS Summer Camps for Boys and Girls

Camps for the week of June 10-13

Camps for the week of June 17-20

Camps for the week of June 24-27

Camps for the week of July 8-11

Camps for the week of July 15-18

Camps for the week of July 22-25

The following page will show the camps selected as well as a total amount due.

SFD Summer Camp Selections

SFDHS Summer Camp Fees:

Electronic Signature Agreement and Application Submission