Filmmaking WildCamp

Please complete and submit this form online on or before the first day of camp.

Both the registration form and camp fee are due on or before the first day of camp in order to complete the registration process and secure your child's spot in the camp.

This form should take approximately 5 minutes to complete. You cannot save and return to the form once you have started to complete it, so please be prepared to complete the form and credit card payment in one sitting.

If you have a gift certificate and promo code for a summer camp, please contact our Finance Department at (216) 651-0222 ext. 4329 before completing this form.

Please be aware that completing this form on a mobile phone may cause duplicate entries. Please complete the form on a desktop browser or tablet if available.

Student First Name:

Student Last Name:

Current School

Student Birthdate

Grade Level (2022-23)

T-Shirt Size

Is your son registered for SEP?

Parent/Guardian Email Address:

Phone Number:

In granting permission for attendance and participation in this activity, I hereby expressly waive any claim for liability against Saint Ignatius High School including its employees and representatives and release them from all liability in connection with this camp. My child is physically able to participate in this camp. We/I have medical insurance for my child. I hereby authorize Saint Ignatius High School to send my child to a hospital for diagnosis or treatment if necessary.

Checking this box is considered by you and the School to be equivalent to your actual signature and shall have the same legal, binding authority.

Payment Information

Total Amount

Name on Card

Card Number

Code

Address Line 1

Address Line 2

City

State

Postal Code

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