St. Lawrence Martyr Summer School and Summer Camp 2019
Information & Release Form

This form MUST be completed before registering for Summer School or Summer Camp

PLEASE NOTE: ALL fields are required.*

I am registering my child today for: Summer SchoolSummer CampBoth Summer School and Summer Camp

STUDENT INFORMATION

   

Student's Grade in Fall 2019: K123456789

Student's Sex: FemaleMale

For Summer Camp ONLY Student's T-shirt size:
 

 

 

PARENTS/GUARDIANS

1 required*

 

 

 

 

NAMES OF PERSONS AUTHORIZED TO TAKE YOUR CHILD FROM THE SCHOOL FACILITY

 

 


MEDICAL INFORMATION AND PERMISSION

Medical problems, allergies or medication usage must be indicated for any child participating in the summer school program. A medical release form is written below and will be used in case of emergencies. It is extremely important that this form be completed for each child participating in the summer school program.

Allergies/medical conditions we should be aware of: Enter NONE if there are none.

Please check all that apply to this Student.

Yes Student needs an EpiPen.Yes Student needs an inhaler.

My child will carry an EpiPen/inhaler with them at all times.I prefer that the EpiPen/inhaler be kept in the summer school office and will provide one to the office on the first day of school.

To Whom It May Concern: I give permission for any emergency medical care for:
 
who is enrolled in the Saint Lawrence Martyr Summer School and/or Summer Camp Program.

Parent/Guardian:

 


SUMMER SCHOOL POLICIES

Crystal Sepulveda, Summer School Director
crystal.sepulveda@stlm.org

REFUNDS

  • Refunds of 35% of Summer School fee per child will be given for any withdrawals made prior to June 3, 2019. Any withdrawals on June 3, 2019 or after will not receive a refund.
  • There will be no refunds on the summer school fees or class material fees should a student be absent during the summer session.

CHANGE FEES

  • You may request a change of one class once per student. Any additional requests for class changes will incur a fee of $10.

DROP-OFF AND PICK-UP

  • Please use the Church parking lot for drop-off and pick –up of your child. For safety reasons children must not be dropped off prior to 8:45 a.m. unless accompanied by an adult until that time.
  • Any student arriving before 8:45 a.m. must be signed into Morning Day Care with a drop off fee of $5.00.
  • No student is allowed to leave the school campus prior to the 12:00 p.m. dismissal without having an authorized adult sign him/her out with the school director.
  • Parents may pick their child/children up from their teacher in the designated area only. Please do not have them meet you anywhere else or take them while walking to their area.
  • Children must be picked up by 12:15 p.m. in the designated area with their teacher each day, unless they are previously enrolled in summer camp.
  • There is no supervision at St. Lawrence Martyr School after 12:15 p.m.

ABSENCES

  • Please call the summer school office at 310-316-3049 by 9:00 a.m. so we can inform their teachers.
  • This phone number is to be used only from July 1 to July 26, 2019.

CELL PHONES

  • Students are not allowed to use their cell phone during the summer school session from 8:45 a.m. to 12:15 p.m.
  • Should your child need to make a phone call they are to use the summer school office phone while the director is there.
  • Please inform your children of this before the first day of summer school.

SUMMER CAMP POLICIES

Kacie Riordan, Summer Camp Director
stlmsummercamp@gmail.com

ABSENCES

If your child will be absent, please contact me as soon as possible. It’s especially important to know if a student won’t be attending an off-campus field trip. The best ways to reach me are by email (stlmsummercamp@gmail.com) or text (310.525.6250).

CELL PHONES/ELECTRONICS/OTHER PERSONAL ITEMS

Students may not use their cell phones/electronics during camp hours. If your child needs to make a phone call, they are welcome to use the main daycare line or their personal cell phone after checking with me or a counselor. This rule is mainly in place so your child’s electronics are not damaged. St. Lawrence Martyr School/Church is not responsible for any lost/stolen/damaged electronic item of any kind.

PICK-UP OF CAMPERS

All students are to be signed out no later than 6 pm, with the exception of trips where we return later (as noted on calendar). Please let me know if you think you will be late for pick-up; I understand things happen. If this is a regular occurrence, a $20 late fee may be assessed.

MOVIES

On some days, if we’re finished with an activity/field trip early, we’ll put a movie on. All films are rated G through PG; a move will never exceed the “PG” rating.

CAMP SHIRTS

Each student is required to wear their camp shirt at the beginning of camp through the end of the day. This is most important on off-campus days and strictly enforced.
We have a few extra shirts in the daycare room in case a child forgets to bring theirs that day. A $5 fee is assessed for washing the extra shirt at the end of the day, or you can purchase it for $10. You may also purchase shirts as long as they’re available throughout the month for $10.


SUMMER CAMP FIELD TRIPS

Required for Summer Camp attendance. Not required for Summer School attendance only.*
I give my permission for  
to participate in walking across the street and traveling on buses for St. Lawrence Martyr Summer Camp field trips.


PHOTO AUTHORIZATION

(Choose one) I give permissionI do not give permission
to St. Lawrence Martyr Summer School and Summer Camp permission to post pictures of
 
on bulletin boards, in PowerPoint presentations, the school’s social media accounts, and on school and camp websites.
I hereby, waive the right to compensation. I understand that only pictures taken at official Summer School and Summer Camp 2019 events will be posted and that student's full name will not be used.


RELEASE AND WAIVER OF LIABILITY AND INDEMNITY

The undersigned parent/guardian agrees to indemnify and hold harmless, St. Lawrence Martyr School and all their agents, employees, consultants (paid or volunteer) from any loss or liability arising out of the Summer Camp Program, as such loss or liability related to the child covered by this contract. The accident insurance held by the school for each student covers the student(s) in the Summer Camp as well.

I hereby certify that I have read and understand the policies as outlined in this St. Lawrence Martyr School’s Summer School and Summer Camp Program Registration Form.

Parent/Guardian:

 

After you complete and SEND this form you will be sent an email confirmation which includes all the information you provided on this form. Please check your email and print or save for your records.

If you do not see the email in your Inbox, check spam/promotions folder.