Skip To Main Content

Registration for Salesian Summer Camps

Required

Please Learn More and Register for the Following Camps by Clicking on the Links Below (do not complete this form if you are registering for these camps ONLY):

Register for Nike Basketball Camps Here

Participant Informationrequired
First Name
Middle (optional)
Last Name
Gender
Must contain a date in M/D/YYYY format

Parent/Guardian Informationrequired
First Name
Last Name
Addressrequired
Street Address
City, State, Zip
Phone Numberrequired
Are you an alumni or have an alumni family member?required

Emergency Contact Informationrequired
First Name
Middle (optional)
Last Name
Must contain only letters, numbers and spaces

Summer Camps Selectionrequired

Participant Medical Information

My daughter/son suffers from the following physical conditions and/or allergies to drugs, medications, or foods that might result in emergency care (e.g. Diabetes, asthma, hypertension, epilepsy, etc.):required

Medical Release Disclaimer

I hereby give my consent for my child to participate in Salesian College Preparatory’s Red & Black Sports Camps and Enrichment Programs (“the Program”). In rare instances, a medical or surgical emergency requiring treatment arises in which written consent by parents or guardians is legally required, but the proper person cannot be located. In this event, and in order to avoid delay that might jeopardize the life or health of my daughter/son, I hereby provide the following permission, with the understanding that reasonable effort will be made to contact me in an emergency:

I hereby grant permission to medical personnel rendering care to my daughter/son to accept from the staff of Salesian College Preparatory which includes its faculty, permission, and consent for emergency medical and dental evaluation and treatment, including, but not limited to diagnostic, drug, and/or alcohol testing and/or surgical procedures on my daughter/son.

I further give Salesian College Preparatory staff permission to release pertinent health information concerning my daughter/son to the treating hospital and/or physician, and to give the treating hospital and/or physician permission to release copies of all medical records, laboratory and radiology reports to Salesian College Preparatory staff.

I agree that I will be responsible for any medical/pharmaceutical costs incurred that are not covered by medical insurance. I also agree that Salesian College Preparatory, including its staff, agents or employees, will not be liable for unknown or unforeseen conditions arising from medical/nursing treatment or medications received by my daughter/son.

I voluntarily agree, covenant, and promise to accept and assume all responsibilities, and risk for injury, death, illness or disease or damage to myself, my daughter/son identified above, or to my property arising from my daughter/son’s participation in the Program, and the use of the premises, facilities, equipment and services offered by Salesian College Preparatory in connection with the Program.
I, for myself and for my daughter/son, voluntarily release and forever discharge and covenant not to sue Salesian College Preparatory and its staff including its coaches, agents or employees, and all other persons or entities affiliated therewith, from any and all liability, claims, demands, actions or rights or action, which are related to, arise out of, or are in any way connected with my daughter/son’s participation in the Program, any and all activities related to the Program, and the use of the premises, facilities, equipment and services offered by Salesian College Preparatory in connection with the Program, including, but specifically not limited to any and all negligence or fault of Salesian College Preparatory and its staff, including its faculty.
I further agree, promise and covenant, on behalf of myself and my daughter/son specific above, to hold harmless and to indemnify Salesian College Preparatory and its staff, including its faculty, agents or employees, and all other persons or entities related to Salesian College Preparatory, from all defense costs, including attorney's fees, or from any other costs incurred in connection with claims for bodily injury, wrongful death or property damage brought by me, my daughter/son, or on our behalf.

I further acknowledge that I am in the best position to determine the physical ability of my daughter/son to participate in the Program, and acknowledge that my daughter/son is in good physical and mental health, and is not suffering from any condition, disease, or disablement which would or could potentially adversely affect participation in Summer School.

I HAVE READ THIS FORM, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS FORM IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

I have read and agree to the Medical Release Disclaimer

Must contain a date in M/D/YYYY format

Assignment of Photographic, Motion Picture, Video, and Sound Recording Rights

Parents/Guardians authorize Salesian College Preparatory (the “School”) and its officers, agents, and employees, to photograph, record, film, or videotape their student(s) and/or their families in connection with school events and/or activities.

Parents/Guardians understand that any photograph, sound recording, motion picture, or video taken of their student(s) and/or their families under this assignment is for the purpose of collecting and/or representing factual information in the interest of serving the School’s mission of research, education, and public service, and for promoting the public good.

Parents/Guardians hereby assign to the School all rights, title, and interest, including copyright, in and to any and all such photographs, sound recordings, motion pictures, or videos, and they herby irrevocably authorize the School, its officers, agent, and employees, without limitation, to reproduce, copy, sell, exhibit, publish, or distribute, in any medium now known or later developed, and any and all such photographs, sound recordings, motion pictures, or videos in perpetuity for the purpose expressed above.

Parents/Guardians further release and forever discharge the School, its officers, agents, and employees from any and all claims and demands arising out of or in connection with the use of said photographs, sound recordings, motion pictures, or videos, including but not limited to any and all claims for invasion of privacy, defamation, or infringement of copyright.

Parents/Guardians have read and understood the provisions of this agreement, and understand that they are free to obtain from legal counsel of their choice, at their expense, to interpret these provisions. By signing this agreement, they acknowledge that they have freely and voluntarily entered into this agreement.

Must contain a date in M/D/YYYY format

COVID-19 PANDEMIC CHILD/STUDENT WAIVER AND CONSENT FORM SUMMER PROGRAMS: Red & Black Sports Camps and Enrichment Programs (August 2021)

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Salesian College Preparatory has put in place preventative measures to reduce the spread of COVID-19; however, Salesian College Preparatory cannot guarantee that a student, summer camper, or their family or friends or to anyone with whom such persons may have contact, will not become infected with COVID-19. Further, attending any activities associated with Salesian College Preparatory such as but not limited to summer programs, summer school, attendance at school, attendance for athletics, through a club or other co-curricular activity, a school function of any sort on or off its campus (“School Function”) could increase the risk to a student or their family or friends of contracting COVID-19.

The undersigned parent or guardian (“Parent”) of the child/student named below (“Student”) confirms that the Student has not as of the date next to the signature below (“Effective Date”) tested positive for COVID-19, and as of the Effective Date is not presenting any of the following symptoms of COVID-19 listed here: Fever above 100 degrees Fahrenheit, chills, shortness of breath or difficulty breathing, new loss of taste or smell, dry cough, newly exhibited congestion or runny nose, sore throat, fatigue, muscle or body aches, headache, nausea or vomiting, or diarrhea (“Symptoms”).

Parent agrees that on any date when Student has any one of the Symptoms that Student shall not be allowed to attend any School Function.

By signing this agreement, Parent acknowledges the contagious nature of COVID-19 and voluntarily assumes the risk that Student or Student’s family or friends, or anyone who has contact with such persons may be exposed to or infected by COVID-19 because Student attended a School Function and that such exposure or infection may result in personal injury, illness, permanent disability, and death to Student or Student’s family or friends, or to anyone with whom such persons may have contact. Parent understands that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of Parent, Student, and others, including, but not limited to, Salesian College Preparatory employees, volunteers, students, and program participants and their families.

Parent voluntarily agrees to assume all of the foregoing risks and accept sole responsibility for any injury to Student, or Student’s family or friends, or anyone who has contact with such persons (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that Parent or Student or others may experience or incur in connection with Student’s attendance at COVID-19 CHILD/STUDENT WAIVER AND CONSENT FORM - PROGRAMS 1 any School Function.

On Parent’s behalf of Student, Student’s family or friends, or anyone who has contact with such persons, Parent hereby releases, covenants not to sue, discharges, and holds harmless Salesian College Preparatory, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to the attendance at a School Function.

Parent understands and agrees that this release includes any Claims based on the actions, omissions, or negligence of Salesian College Preparatory, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any School Function
Parent agrees to abide by any and all Rules and Regulations promulgated by Salesian College Preparatory concerning COVID-19 or related issues as amended from time to time by Salesian College Preparatory (“Salesian COVID Rules and Regulations”), which such regulations shall be promulgated by placement on the website, sent out via email or posted on Schoology or other Salesian College Preparatory system for contacting students and parents.
Parent understands and consents to Salesian College Preparatory’s employees, agents, or affiliates taking Student’s temperature and observing Student for Symptoms and if any Symptoms are present Parent shall arrange for immediate removal of Student from the premises of Salesian College Preparatory and shall look to Salesian COVID Rules and Regulations daily for any changes.
Print Name of Participantrequired
First Name
Middle (optional)
Last Name
Must contain a date in M/D/YYYY format
Print Parent/Guardian Namerequired
First Name
Middle (optional)
Last Name

Payment Information

Please select a payment typerequired
Credit Cards
Billing Addressrequired
Cardholder Namerequired
Expirationrequired