HSCS Summer Care Club Enrollment 2024
Holy Spirit Catholic School
540 N. 7th Avenue, Pocatello, ID 83201
Contact us at (208) 232-5763 or office@hscsidaho.org
Registration Fee: $200/child
Tuition for Summer Care Club: $1,750/child
Summer Care Club runs from June 3-August 9, 2024 (Closed July 4 & 5)
8:00am-6:00pm
At late fee of $15 will be charged for every late pick up after 6pm. 
There is not a part time option or prorated tuition option. The fees hold your child's spot in our program. 
Thank you!
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Parent/Guardian Name: *
Phone Number: *
Address: *
Email: (We will send out communications for our summer care program to this email address) *
Student(s) Name: *
Grade(s) in the fall (2024-25): *

Field Trip Consent (initial below):

I give my child/children permission to participate in all field trips approved by the school. These may be walking (within 1 mile radius of campus) or on the school bus. I understand that my child/children will not be able to participate in off campus activities without my consent.


*

Photo Consent (initial below):

I hereby give permission for my child’s photograph or video image to be used in school-related publications; including any annual, website, video, or television advertisement.



*

Emergency Consent (initial below):

 As the parent or legal guardian of the child(ren) listed on the Registration form, I hereby give consent for emergency medical care.  This care may be given under whatever conditions are necessary to preserve the life, limb, or wellbeing of my child(ren).   Recognizing the possibility of physical injury, I hereby release, discharge and/or indemnify Holy Spirit Catholic School, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields, and the facilities utilized for the Programs against any claim by or on behalf of the registrant(s) as a result of the registrant’s participation or being transported to or from the same, which transportation I hereby authorize.  I, the parent/guardian of the registrant(s), a minor, agree that I will abide by the rules of Holy Spirit Catholic School and its affiliated organizations and sponsors.



*
Please list all authorized people who may pick up your child(ren) from summer care and their phone number. Please be advised that our staff may ask for your identification when picking up children. This is for your child's safety to ensure that they are going home with authorized people. Thank you! *
Please indicate how you would like to pay registration fees below: *
Required
Please indicate how you would like to pay Summer Care tuition fees below: *
Required
We must have a copy of your child's birth certificate and immunization records before they can attend our program. Please indicate how you will deliver these items below: *
Required
I understand that by paying the registration fees and submitting this form, I am making a formal commitment to Holy Spirit Catholic School for the 2024 Summer Program. I understand the registration fees are non-refundable and must be paid at time of registration to hold my students place. *
Required
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