Summer Care Registration
June 12-August 18, 2023 (Closed July 4th)
540 N. 7th Avenue, Pocatello, ID 83201
Contact us at (208) 232-5763 or office@hscsidaho.org
Registration Fee: $50/child
Full Time $450/Month - Part Time (Up to 23 hours/week) $245/month
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Parent/Guardian Name *
Phone Number *
Email *
Child Name and Date of Birth: *
Full Time or Part Time (Up to 23 hours/week) *
Required

Field Trip Consent (initial below):

I give my child/children permission to participate in all walking field trips (within a 1 mile radius) approved by the school and for weekly field trips off campus that require use of the school bus.


*

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.



*
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 2023 summer care program. I understand the registration fees are due at time of registration and are non-refundable. *
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