2023 Cor Jesu Summer Camp Registration

Register online at corjesu.org/camps. Or, complete the form below and mail it with a check payable to Cor Jesu Academy; credit cards also accepted.

Mail by May 15, 2023, to Cor Jesu Academy; Attn: Summer Camps; 10230 Gravois Road; Saint Louis, MO 63123. Registrations postmarked after May 15, 2023, will be charged a $25/camp late fee.

My mom is a CJA graduate.

My grandma is a CJA graduate.

2023 Camps Attending:

A check payable to Cor Jesu Academy is enclosed. Total $ AMEX Discover VISA MasterCard

Authorization Form for Media/Marketing Materials

Must be completed for ALL CAMPERS.

Cor Jesu produces marketing/informational brochures, ads and newsletters. Signing this form authorizes the school to capture still and moving images of your child(ren) and use those images in publications and marketing materials or feature stories. The marketing materials may be part of the CJA website and social media posts.

Permission is granted for:

Permission is not granted for:

CAMPER’S NAME (PLEASE PRINT)

Medical and Emergency Releases

The following medical and emergency release must be completed for ALL SPORTS CAMPERS.

I, (parent of ), understand that although Cor Jesu Academy has taken precautions to provide proper use and supervision for the Summer Camps at Cor Jesu Academy, it is impossible to guarantee absolute safety. Also, I understand that I share the responsibility for the safety of my child/myself during the activity and assume that responsibility. Further, I hold Cor Jesu Academy harmless and waive any claim which may arise against Cor Jesu Academy and/or its employees, agents and administrators. PARENT OR is covered by:

CAMPER’S NAME (PLEASE PRINT)

In case of accident or serious illness, I request Cor Jesu Academy contact me. If the school is unable to reach me, I hereby authorize the school to call the physician indicated below and to follow his/her instructions. If it is impossible to contact the physician, the school may make whatever arrangements seem necessary.

LOCAL PHYSICIAN’S NAME

ADDRESS