Parental authorization & Registration Form
T-shirt Size
Participating Weeks
Week I (June 19 - 23)
Week II (June 26 - 30)
Week III (July 03 - 07)
Week IV (July 10-14)
Week V (July 17 - 21)
Week VI (July 24 - 28)
DISCLOSURE
My Family Summer Camp is independently owned and operated and is not affiliated with, nor associated with Archdiocese of Miami, Archbishop Thomas Wenski, and St. Hugh Catholic School.
In consideration with the opportunity for my child to participate and fully recognizing that such an understanding involves an element of risk, we assume all risks and hazards incidental to such participating and do hereby release, absolve, indemnify, and agree to hold harmless the Archdiocese of Miami, Archbishop Thomas Wenski, St. Hugh Catholic School, My family Summer Camp, Marta Trujillo-Galbis, Maria I. Trujillo, Andres Trujillo, Damaris Carballo, its agents, employees and officers, and the chaperones, leaders, organizers, and sponsors, and persons transporting our child to and/or from these activities. Neither the Archdiocese of Miami, Archbishop Thomas Wenski, My Family Summer Camp, Marta Trujillo, Maria I. Trujillo, Damaris Carballo, Andres Trujillo, nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of this activity.
I/We the undersigned have read this release and understand all its terms and execute it voluntarily and with full knowledge of its significance.
My Family Summer Camp has my permission to publish my child's picture in its webpage, slide shows, and other publications deemed appropriate by My Family Summer Camp management.
Check
Fill out a check to "myfamilysummercamp"
and mail it to this address: 2471 SW 19st, Miami 33145, FL
Convenient!
Credit Card Form
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