Registration for

Your Adventure Awaits at SUA!

Friday, August 14, 2020

12:00 - 3:30 pm

Come explore SUA's beautiful campus with our student leaders! Take a tour of the school, learn classic cheers, make a craft to take home, grab a treat from the ice cream truck and more!

Dawg Day2020

Student Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone Number*
Student cell phone
Please list the participant's cell phone number below if you consent to receiving occasional text messages from Saint Ursula Academy.
Current Grade*
Current Grade School*
Parent Name*
Parent Email*
Emergency Contact Phone Number*
Permission and Release of Legal Guardian on Behalf of Minor (please sign in box below)
The undersigned, on behalf of the minor listed above and for whom the undersigned is the natural or legal guardian, hereby releases Saint Ursula Academy, its trustees, officers, administrators employees and agents, from any and all liability of whatever nature relating to or in any manner arising out of the use by such minor of the Saint Ursula Academy’s program(s) and/or facilities. Furthermore, the undersigned agrees to indemnify and hold harmless Saint Ursula Academy, its trustees, officers, administrators, employees and agents, from any and all damages, expenses or other losses arising from or in connection with any suit, or other legal proceedings or otherwise, including attorneys’ fees with respect to the use of Saint Ursula Academy’s program(s) and/or facilities or any part of them by the minor named above. This release and indemnification shall be binding upon the personal representatives, heirs and assigns of the undersigned and of the minor named above. I also hereby agree that St. Ursula Academy and its agents may use a photograph, video, or other likeness of the minor listed above to be displayed and produced, electronically or in print, by Saint Ursula Academy or its agents. If I do not want Saint Ursula Academy to use the minor’s photograph for promotional purposes, I will notify the Admissions Department electronically at mdellecave@saintursula.com prior to the start of the event requesting that the minor not be photographed during the event. I acknowledge that I have full power of authority to sign this document on behalf of the above minor, that I have read the foregoing paragraph, that I understand it, and that I have the option to have it reviewed by legal counsel prior to signing, and that I freely execute this document on behalf of the above minor.
Are you having difficulty signing above?
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By initialing below, I agree to the terms explained in the above "Permission and Release of Legal Guardian on Behalf of Minor" statement.*
Please list initials in box below.
Name included in signature above*
First Last
Today's Date*
Date Format: MM slash DD slash YYYY