ESK Summer Camps 2017
Join the summer fun at ESK for kids and teens! ESK instructors and coaches will host a variety of activities on campus. Please review the Summer Camp options, complete this form, and submit registration as soon as possible since space is limited. Please contact Mary Lovely with questions lovely@esknoxville.org .
Camper Name (First and Last)
Your answer
DOB, Age & Grade by August 2017
Your answer
School Camper Attends
Your answer
Address (street address, city, state, Zip)
Your answer
Camper Gender
Required
Parent One Name (First & Last)
Your answer
Parent One Cell Number
Your answer
Parent One Email Address
Your answer
Parent Two Name (First & Last)
Your answer
Parent Two Cell Number
Your answer
Parent Two Email Address
Your answer
Emergency Contact 1: Name and Cell Number
Your answer
Emergency Contact 2: Name and Cell Number
Your answer
All other person's authorized to pick up camper (Names & Cell Numbers)
Your answer
Doctor's Name and Telephone number
Your answer
Please list if camper has any allergies, medical issues, or special needs
Your answer
Photography Policy: ESK Camp may use any photo or quote from camp for marketing purposes.
Required
Liability Waiver: I give my permission for my child to participate in the ESK Summer Camp referenced below. I understand that my child is under camp supervision, but neither ESK, nor the camp, nor those in charge will be held responsible in case of accident. I hereby fully release and discharge The Episcopal School of Knoxville (ESK) and its officers, instructors, agents, servants, and employees from any and all claims for injuries, including death, damages, or loss which I may have or which may accrue to me on account of my child's participation in this camp(s). I further agree to indemnify and hold harmless The Episcopal School of Knoxville and its officers, instructors, agents, servants, and employees from any and all claims and expenses, including attorney's fees, resulting from injuries, including death, damages and losses sustained by me and arising in any way out of my child's participation in this activity.
Required
In Loco Parentis : I hereby grant permission for the supervising instructor to act "in loco parentis" (in place of the parent) in the event of any medical emergency and I accept fully responsibility for all medical costs in the event of such a medical emergency.
Required
Permission to Treat: I hereby grant permission to ESK camp instructors to treat my child with the following medications or over the counter medications as needed. I will provide written instructions for prescription medications and bring the medications in original, labelled containers.
Your answer
ESK Summer Camp Sessions (Please check box for each session you wish to register camper)
Required
Registration form and $50 deposit (made to ESK) due by March 20th.
Required
Electronic Signature - Registering child for summer camp. (First & Last Name)
Your answer
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