* Required

Camper Information

Parent Information

Camp Session(s)

A one-time registration fee of $50 is due at registration and is in addition to the cost of camp.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by St. Mark’s Cathedral School during the selected camp. In exchange for the acceptance of said child’s candidacy by St. Mark’s Cathedral School, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless St. Mark’s Cathedral School 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 St. Mark’s Cathedral School including all teachers, directors and volunteers, 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.

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 St. Mark’s Cathedral School and its affiliates including Directors, teachers, and volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

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.

Payment Information

*Once you submit this form, you will be redirected to a page to complete your payment online. You do NOT need to complete payment online since you selected to pay by billing your FACTS account.
Important: Once you submit this form, you will be redirected to a page to complete your payment online. Your registration will not be processed until your payment is complete.
*Once you submit this form, you will be redirected to a page to complete your payment online. You do NOT need to complete payment online since you selected to pay by check or cash.
 
Please make checks payable to "St. Mark's Cathedral School" and return to the school office along with $50 registration fee:
 
Attn: Summer Camp
St. Mark's Cathedral School
2785 Fairfield Ave.
Shreveport, LA 71106
A one-time registration fee of $50 is due at registration and is in addition to the cost of camp. 

Please provide an email address where we can send a link to your current form.

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