Summer Camp Registration

Please complete one form for each child attending camp.

SSJ camps are open to all parish families, but class sizes will be limited. A minimum of fifteen children will be required for each session.

Medical Release
In a medical emergency, I/we hereby authorize the camp/school representative to obtain or administer emergency care and to seek emergency medical assistance for our child if we cannot be reached.  I/We also authorize, if circumstances require, emergency personnel to provide initial examination and treatment.

Photo Release
Parent/Legal Guardian of the children listed on the registration form hereby give the Archdiocese of Philadelphia, its successors and assigns and those acting with its authority, the unqualified right and permission to reproduce, copyright, publish, circulate or otherwise use any school pictures and video of my child produced by the Archdiocese of Philadelphia and Saints Simon and Jude School. This authorization and release covers the use of said camp pictures and video in any published form, including but not limited to newsletters, websites, social media, and any other media of advertising publicity.  I also understand that our school may be identified by name and I fully understand that this is a complete release of all claims against the Archdiocese of Philadelphia or any other person, firm or corporation by reason of any such use of such school pictures.  I hereby warrant that I am free to give this permission. I also understand that Saints Simon and Jude School cannot be held responsible for photographs/video recordings taken by other parents during open performances.

Camp Participation Agreement and Release
We (I), Parent/Legal Guardian of the child(ren) listed on the registration form give permission for the child(ren) to participate in the Summer Camps to which includes all related programs or events. In consideration for our (my) son’s/daughter’s participation and intending to be legally bound, we (I) and our (my) son/daughter agree and understand that we assume risk in full for our (my) son’s/daughter’s participation in the Summer Camps and with full knowledge of the risk inherent in such an activity, we release and hold harmless Saints Simon and Jude School, affiliated parishes, the Archdiocese of Philadelphia, and its priests, religious, teachers, aides, employees, agents, administrators, and any official representatives, from any and all liability, damages, or claims for any and all personal injury, bodily injury, and/or property damage arising or related to our (my) son’s/daughter’s participation.  We (I) and our (my) son/daughter understand and agree to abide by all rules and regulations established by Saints Simon and Jude School pertaining to the Summer Camps and school code of conduct.