2019 Eastside Express Summer Camp Registration
June 17th-July 26th
Monday-Friday, 9:30-Noon
Marquette Elementary Playground & Field
  • Emergency Contact Information

    Please enter the name of two parents, grandparents or guardians who should be contacted in the case of an emergency.
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  • Informed Consent, Hold Harmless/Release Agreement and Photo Permission Form:

    I understand that participation in camp activities involves a certain degree of risk. I have carefully considered the risk involved and have given consent for my child to participate in these activities. I understand that participation in these activities is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. By typing my name below, I release the Marquette Neighborhood Association, Wil-­‐Mar Neighborhood Center, Eastside Express, the activity coordinators, counselors, director and all volunteers associated with Eastside Express camp activities from any and all claims of liability arising out of this participation. I also agree, by listing my name below, that my child may participate in the weekly fieldtrips to BB Clark Beach and Rutabaga. Finally, I understand that photos may be taken during camp for educational and marketing purposes. By listing my initials below, I give my consent for my child to be photographed and for any photos to be used to promote Eastside Express, the Wil-Mar Neighborhood Center, and the Marquette Neighborhood Association.

  • Type Name Above
  • You will be directed to PayPal to pay the $25 registration fee (per child) after clicking "I'm not a robot" below. Your registration form will not be accepted until this fee is paid.