Summer Camp 2019 Registration
Upon completion of this form, a Paypal invoice will be generated within one business day and sent to the email address provided in this form. Invoices include a 3% service charge for all electronic payments. If submitting a check or money order, please pay the subtotal amount of the invoice. Checks should be payable to Episcopal and mailed to the following address:

Episcopal School of Baton Rouge
C/O Casie Burley
3200 Woodland Ridge Blvd.
Baton Rouge, LA 70816

Email address *
Child's First and Last Name *
Your answer
Is child a student of Episcopal School of Baton Rouge? (new or returning) *
Child's Grade Level, 2019-2020 School Year *
Child's Address *
Your answer
Parental Contact First and Last Name *
Your answer
Parental Phone Number(s). *
Your answer
Please list your child's allergies. If none, please indicate such in the space provided. *
Your answer
Summer Camp Selection. Please check all that apply. *
Required
Hold Harmless
I/We, individually and on behalf of our above named child, agree, to the maximum extent allowed by law, to indemnify, defend (including attorney's fees) and hold Episcopal and its faculty, staff, volunteers, and any representatives or persons acting for Episcopal harmless of and from, and release same from, any liability, claims, and/or causes of action of any type, for any losses, damages, and/or injuries sustained by the above named child, and or by us or anyone who may recover under any such claims or for any such losses or damages in connection with any activity or condition in any way related to or associated with Episcopal, including, but not limited to on or off-campus activities, conditions on the School property, academic activities, athletic or other extracurricular activities, field trips, and/or travel in or out of State or Country, and/ or any other activities associated with the School. I/We also understand, acknowledge, and accept the inherent danger associated with the particular activities and waive any claims to hold Episcopal and its faculty, staff, volunteers, and any representatives or persons acting for Episcopal responsible for same. This indemnity, hold harmless and release agreement specifically applies to such inherently dangerous activities and all other activities.
Unless the school is notified in writing otherwise, both parents represent to the school that either parent has authority to sign for both of them all permissions, indemnities, forms, agreements, etc.

A copy of your responses will be emailed to the address you provided.
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