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CAMP REGISTRATION

GUARDIAN INFORMATION

xxx-xxx-xxxx​​​

CAMPER INFORMATION

Register by June 7 to receive shirt.​

CAMP SESSIONS

Early registration pricing through May 14.​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Not available for all of camp? Register below for the number of days your camper will attend.​ (This option not available for all camps.)​​​​​​​​​​​​​​​​

EMERGENCY CONTACTS

HEALTH HISTORY

Please enter N/A if this section does not apply to your camper.​
If a doctor has placed restrictions on the camper, attach the forms below or email them to BeaneE@Maryvale.com. You can also bring them on the 1st day of camp.​
Max file size: 10 MB
Please enter N/A in this section if does not apply to your camper.​​​​​​

By signing this form, I acknowledge that the above health history of the camper is true and accurate to the fullest extent of my knowledge. I will provide all medications and emergency treatments as needed for the camper (insulin/insulin pump, epi-pen, Benadryl etc.) and disclose any health conditions not listed above. Also, by signing below, I am allowing the athletic trainer (LAT/ATC) to use and perform first aid, CPR and use life-saving maneuvers for the camper as needed.

Waiver and Release Form for Summer Camp (please read and check the box at the bottom of the waiver)

Liability Release and Parental Consent Form

In consideration of the acceptance of my application for the above program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Maryvale Preparatory School, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.

Parental Consent (if applicant is under 18) 

I give consent for my child to participate in the above activities, and I execute the above liability release on their behalf.

Consent for Treatment

I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that Maryvale Preparatory School will provide no medical insurance for such treatment, and that the cost thereof will be at my expense.

Click SUBMIT to continue to the payment page.