Cheer Camp

Camper's First Name REQUIRED Please fill out this field. Please enter valid data.

Camper's Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Age at the Start of Camp REQUIRED Please fill out this field.

School Camper is Attending Fall 2023 REQUIRED Please fill out this field. Please enter valid data.

Grade Entering Fall 2023 REQUIRED Please fill out this field. Please enter valid data.

Mother's Name REQUIRED

If none, enter N/A

Please fill out this field. Please enter valid data.

Mother's Work Phone Please enter a phone number.

Mother's Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Father's Name REQUIRED

If none, enter N/A

Please fill out this field. Please enter valid data.

Father's Work Phone Please enter a phone number.

Father's Cell Phone Please enter a phone number.

Primary Email Address REQUIRED Please fill out this field. Please enter an email address.

Parents Marital Status REQUIRED Please fill out this field.

Marital Status - Other:

Person with whom the child resides? REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship REQUIRED Please fill out this field. Please enter valid data.

T-Shirt Size REQUIRED Please fill out this field.

Does your camper have any food allergies? REQUIRED Yes No Please fill out this field.

Does your camper have any other allergies? REQUIRED Yes No Please fill out this field.

Does your camper have any dietary restrictions? REQUIRED Yes No Please fill out this field.

Does your camper have any special needs or health concerns? REQUIRED Yes No Please fill out this field.

Is your camper on any medications we should be aware of? REQUIRED Yes No Please fill out this field.

If "yes" for any of the above, please explain here

My camper has permission to be released to the following individuals in addition to the emergency contact person above. Please list anyone who has permission to pick-up your child from camp in addition to guardians. (Please notify these individuals that they may be asked to show proof of identity before the camper is released.)

Name #1 Please enter valid data.

Driver's License # Please enter valid data.

Phone Number Please enter a phone number.

Relationship Please enter valid data.

Name #2 Please enter valid data.

Driver's License # Please enter valid data.

Phone Number Please enter a phone number.

Relationship Please enter valid data.

Name #3 Please enter valid data.

Driver's License # Please enter valid data.

Phone Number Please enter a phone number.

Relationship Please enter valid data.

Agreements

Academy of Our Lady High School Cheer Camp reserves the right to expel any child from camp whose behavior is unacceptable. A child could also be dismissed if the parent refuses to sign a referral form.

In case of an emergency or accident, my agreement below authorizes AOL Cheer Camp to seek immediate medical care.

My agreement authorizes the name, voice and/or likeness of campers may be used in news publications, audiovisuals and other electronic transmissions issued by employees or designees of Academy of Our Lady or by members of the media with permission of officials from schools or offices within the Archdiocese of New Orleans School System. These information items may include, but are not limited to, photographs, videotapes, live broadcasts, sound recordings, and/or electronic transmissions related to school activities. Parents/ guardians not wanting their daughter’s name, voice and/or likeness used in the above publications must notify the camp in writing.

Parents/guardians waive compensation or reimbursement of any kind related to use of the above material for themselves or their sons/daughters.

I hereby agree to release, absolve, and indemnify and hold harmless Academy of Our Lady High School/ Cheer Camp and its subsidiaries.
I HAVE READ AND UNDERSTAND THE RULES ABOVE AND DO AGREE TO COMPLY. REQUIRED I Agree Please fill out this field.

Registration Fee140.0

Before/After Care Fees (Optional)

20.0 – Before Care (8-9am)

20.0 – After Care (3-4pm)