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Upper SCHOOL THURSDAY MAIL April 16, 2015
“Times change, and we must change too, and modify our views.” St. Madeline Sophie Barat
Hints from the Rule and Plan of Studies: When a student is sick or when an unanticipated absence is necessary, the
student’s parent should call or email Mrs. Aucoin, the Upper School Dean of Students by 8:30 a.m.
A student who anticipates an absence from class is required to complete an Appeal for Credit form. Without an appeal for credit, a student will be considered unexcused and not allowed to make up missed work.
A student who is late or absent unexpectedly, upon arrival/return to school, should have a reasonable, written excuse, from a parent or from a physician, for being tardy or absent. Without a reasonable, written excuse, a student who is tardy will be issued a demerit; a student who has been absent will be marked unexcused; as a result, she will be unable to make up work.
Leaving campus without permission from the Upper School Dean of Students or her designee is an offense that may result in suspension.
Skipping a whole or part of a class, liturgy, assembly, activity period or other school-related event is an offense that may result in suspension.
Upcoming Events
The seniors will make presentations about their May Projects on Thursday, April 16th.
An Upper School Mass in the chapel is planned for Friday, April 17th at 8:00 a.m.
The II Scholastic will participate in the Louisiana Youth Legislature on Monday, April 20th and Tuesday, April 21st.
A meeting for the parents of ASH 6th grade students is scheduled for Wednesday, April 22nd at 6:00 in the library.
The ASH US Variety Show is Friday, April 24th. This event is an upper school student- and faculty-only event.
State Rally is Saturday, April 25th at LSU in Baton Rouge. Geaux ASH Rally
Team! Congé is Sunday, April 26th.
The ACT will be administered to juniors on Tuesday, April 28th.
The ASH Academic Chorus Spring Concert is Wednesday, April 29th.
Senior Alumnae Induction is Thursday, April 30th at 8:00 a.m. in the chapel.
Meeting for Parents of ASH 6th Grade Students There will be an informational meeting for ASH 6th grade parents (parents of rising 7th graders) on Wednesday, April 22, 2015, at 6:00 in the school library. The purpose of this meeting is to discuss your daughter’s transition into the Upper School. The academic program, expectations, activities, and other pertinent information will be shared. There will also be time for questions. Please contact Carol Boudreaux, Upper School Head, at [email protected], should you have any questions.
Community Coffee Cash for Schools Program 2015 Thank you…muchas gracias…merci beaucoup…to our entire A.S.H. community for sending in your Community Coffee UPCs! Our school recently received a check for $230 from Community Coffee. This money helps to run our social justice programs. Please continue to collect the following from Community Coffee ALL YEAR LONG:
retail UPCs from all Community Coffee products. Please cut on gold, jagged line!
high-value, rectangular/triangular-shaped UPCs on boxes of coffee delivered to businesses
Faculty contact person for Community Coffee Cash for Schools Program: Sra. Maggie Stelly (ext 2018)
ASH Shines at District Literary Rally Congratulations to the ASH Rally Team for an excellent performance at this year’s district literary Rally competition. Participation awards include Anne Christian Ardoin in Geometry, Alyson Hetzel in Photography I, and Acca Stoute in Photography II. Reilly Marsh placed fifth in English II. Fourth place: Alice Monceaux in Algebra I and Sarah Nele in English III. Third place: Maci Quebedeaux in Pre-Calculus, Alex Pharr in Algebra II, Cecile Theard in French I, Alyssa Marshall in French II, Eliza Gothreaux in Spanish I, and Opal Thrailkill in Photography. Second place: Brittany Aune in Advanced Math, Victoria Maia in Biology II, Brooke Devillier in Calculus, Malley Gautreaux in English I, Emma Burlet in Environmental Science, Sophie Regard in French III, and Kennedy Chatman in Physical Science.
First place: Emma Bush in Biology, Allison Aymond in Chemistry, Jenny Doucet in Civics, Mia Comeaux in English IV, Anna Paddock in Fine Arts Survey, Alayna Moreau in Health, Sarah Frey in Physics, Alexandra Pellerin in Psychology, Jennifer Muldowny in Sociology, Courtney Aune in Spanish II, Hannah Petitjean in Spanish III, Meghan Bush in US History, and Madison LeBlanc in World History.
Great job Rally participants and faculty! And a special thanks to Mr. Ludeau for
organizing ASH’s participation. Good luck to all at State Literary Rally!
Uniforms: A Plea for Help! Upper School students are still growing, and as a result, they should not be wearing uniform items that are several years old. Many upper school students are in consistent violation of the dress code regulations set forth in the ASH Upper School Rule and Plan of Studies. Specifically, many students’ uniform skirts or shorts are too short and many students’ shoes are in deplorable condition. Uniform skirts and shorts must be no shorter than one inch above the knee and school shoes should not be written on, splitting apart, etc… The Upper School administration asks parents to help us to correct these and other uniform violations, so that students can avoid disciplinary action, beyond warnings, demerits, and detentions. A student who continues to violate uniform policies may be asked to leave the day school, until she can comply with uniform regulations.
Too short
Meets requirements
Must be replaced
Appropriate shoe
(Remaining) ACT Prep Classes Schedule Schools of the Sacred Heart will be the host site for a Princeton Review ACT prep class that begins on March 7. Saturday, April 18 (9AM- noon): Test 4 Wednesday, April 22(3:30- 6:30): Class 6
TOPS Consent Louisiana state law requires that parents must determine at the beginning of each year, starting when their child enters the eighth grade, whether they give or deny consent for Schools of the Sacred Heart to collect their child’s Personally Identifiable Information (PII) and disclose it to the Louisiana Office of Student Financial Assistance (LOSFA) for TOPS and other financial aid or to the state’s colleges and universities (Institutions) for admissions. We will no longer provide your child’s transcript data to LOSFA and the Institutions without your permission. Please read the attached Consent Form and fill out and sign the portion of the Form that applies to your decision to grant or deny consent. Please return this form to Ms. Ziegler via email or as a hard copy.
April 26, 2015
Congé News
This year’s Congé will be held on Sunday, April 26, 2015. Funds from the
event will be used for providing updated technology, faculty and staff
development, offsetting the costs of the robotics and other academic
programs, athletics, and deferred maintenance throughout the school. Thanks
in advance for all of your efforts to make the 2015 Congé a successful event!
The Winners of the Second Raffle Sales Prizes Awarded 4/1/15:
ASH Lower School 1st Place – Lilith Skrmetti
ASH Lower School 2nd Place – Soliyana Jones
ASH Upper School 1st Place – Victoria Broussard
ASH Upper School 2nd Place – Maya Caraveo-Beltran del Rio
BA Lower School 1st Place – Asher Guidry
BA Lower School 2nd Place – Jeremy Reddoch
BA Upper School 1st Place – Max Broussard
BA Upper School 2nd Place – Grant Melancon
***Remember to sell those Congé Raffle Tickets! ***
Please join us on Sunday, April 26 at 9am for mass in The
Schools of the Sacred Heart chapel for all who wish to attend
before Congé begins.
Congé Raffle Congé Raffle Tickets sales have been brisk. The students are eager to sell tickets in hopes of
winning weekly prizes and the chance to win a day off from school. The overall sales awards
will be announced on Friday, April 24th. Please help your students sell raffle tickets and
remember that tickets must be returned by end of school two days before the prize announcement
to be counted in each drawing.
Congé T-shirts Due to the popularity of the 2015 Congé t-shirt, a second order has been scheduled. Order forms
were emailed Monday, April 13th to all parents. The order forms are due by noon Friday,
April 17th. e Thanks to all of you who placed t-shirt orders! Your support is greatly
appreciated.
Confetti Eggs Thanks to your teamwork this booth has been very successful in generating lots of fun and
dollars to our school over the years. Please turn in all empty eggs to the Advancement Office by
Wednesday, April 22nd. Any student who turns in ten dozen eggs will get a FREE dozen for
each ten dozen turned in, at Conge'. Don't forget to put your child's name on your bag or
cartons.
If you have any questions or need more detailed info on cracking the eggs please call Dora Couret at 523-7833.
A confetti egg is a real egg shell that has been emptied, RINSED OUT, then filled with confetti
and taped closed. It is used to surprise friends, family, and maybe faculty by breaking them over
an unsuspecting head.
Here is what to do: Tap the top 1/4 of the small end of an egg in a circle using a spoon or knife. Lift off the
circular lid and pour out the contents. The hole on the top should be about the size of a quarter. The yolk will
pour out without breaking. Throw away the lid and PLEASE RINSE the large shell thoroughly and allow it
to dry upside down. Replace dry eggs in the carton. We will take care of filling and taping them. Please send
as many cartons as you can. Any student who turns in ten dozen eggs will get a FREE dozen for each ten
dozen turned in, at Congé. Don't forget to put your child's name on your bag or cartons. If you have any
questions or need more detailed info on cracking the eggs please call Dora Couret at 667-7832 or 523-7833.
Thanks for your help!!!
Congé Silent Auction Request Congé is quickly approaching, and the Silent Auction committee is looking for great silent
auction items. A variety of items are needed such as weekend getaways, dinners, art work,
concert tickets, fishing leases, gift cards, décor, and season tickets .If you have an item that you
would like to donate, please contact Marie Lukaszeski at [email protected] or 337-277-
6253. We always have such great responses and support from our Sacred Heart family. Please
show your support for this year’s auction.
Books and Video Sale Spring Cleaning Time! We are in need of gently used books, DVDs, and VHS videos for our Congé book and video
sale. Children’s books, fiction and non-fiction, are also needed. If you have any used books or
previously viewed videos that you would like to donate, please bring them to the Advancement
Office. If you have any questions or would like to volunteer, please contact Allison Wiltz at
[email protected] or 337-592-0353.
Congé Volleyball Tournament The 6th Annual Congé Volleyball Tournament will be held Saturday, May 2nd, at Volley Beach.
Check-in begins at 9:00 am. Please contact Laura Cain Miller at [email protected] or
337-298-3385 for additional information.
Congé Sponsors Many thanks to all those who supported Congé with a sponsorship. The deadline for
sponsorships to appear on the 2015 Congé t-shirt has passed, but we are still accepting
sponsorships until Wednesday, April 22nd. Please contact Paula Hidalgo at
[email protected] or 337-662-5275 ext. #5006 with any questions.
Congé Apex Golf Tournament The 2015 Congé Apex Golf Tournament was a resounding success. A special thank you goes
out to Mrs. Christina Cain Popp, tournament chairwoman, for planning a successful and
enjoyable event. Thank you to all who supported the tournament by purchasing sponsorships
and by volunteering your time.
Thanks in advance for all of your efforts to make
The 2015 Congé a successful event!
Dear Parents and Campers,
With spring and summer right around the corner, the staff at the Sacred Heart Equestrian Center
has been diligently planning our summer camp experience. I will explain in detail below how we will be
running our camp this year because it is a little bit different from the previous years. We strongly urge any
student interested in joining the PE equestrian program to participate in summer camp or lessons during
the summer to make sure it is something that they will enjoy throughout the school year.
Our beginner camps will be held during the weeks of June 1-5, and June 22-26. This camp is
designed to accommodate both English and western riders. Any boy or girl who is at least six years old or
going into first grade may attend. It is designed for students that have never ridden before or who have no
formal equestrian training. This would be a great camp for a student who is thinking about joining the PE
equestrian program next school year, but is unsure if it is something that they would like to try.
This year we will be holding an intermediate English camp during the week of June 8-12. This
camp is designed for both girls and boys who are going into second grade through high school. These
students should have previously taken lessons at another barn or ridden with us. Riders should be able
walk and trot on their own.
During the week of June 15-19, the Sacred Heart Equestrian Center will be holding its first ever
western week! This camp is specifically designed for students interested in any aspect of western riding.
This camp is for all levels of riders.
Finally, we will be holding our advanced English camp from June 16-19. This camp is designed
for girls and boys in seventh grade and above. These students must have previously ridden or taken
lessons at another barn or with us. Riders must be able to walk, trot, and canter on their own and jump a
minimum of two feet. Students in the advanced camp will receive a lesson in the morning on their
personal horse, if they have one, and a lesson on a school horse in the afternoon. Students are NOT
required to have their own horse for this camp. We will wrap up this week by attending the HCHJA show
at LeBocage on June 20th, but this is not required of the camper.
All campers MUST have a current physical on file with the Schools of the Sacred Heart before
attending summer camp. Students who play other sports at SSH and already have a current physical on
file do not need to get another one. You will need to mark your application with “Physical on File”. If you
already have a liability waiver on file, you do not need to sign another one.
Thank you for your interest in our summer camp program and we look forward to meeting you!
Sincerely,
Morgyn Roberts, Director
Sacred Heart Equestrian Center
337-662-3920
Equestrian Summer Day Camp
The schedule and fees for day camp are as follows:
June 1-5: Beginner English and Western $400.00
June 8-12: Intermediate English $400.00
June 15-19: Western Week (all levels) $400.00
June 22-26: Beginner English and Western $400.00
Day Camp Schedule:
9:00 A.M. Arrive and prepare for morning lesson. Students will catch and groom their own
horses.
10:00-11:00 Riding lesson/jumping lesson in the ring.
11:00-11:30 Put horses and tack away
11:30-12:30 Lunch
12:30-2:30 Activity period (may include the following: cleaning tack, learning parts of
equipment, breeds of horses, parts of a horse, craft, games and swimming.)
2:30-3:00 Clean up and prepare to go home
3:00 Dismissal
Campers will need to bring:
_____ jeans or riding breeches _____ swimming attire
_____ extra change of clothes
_____ riding boots _____ sun block
_____ an ASTM/SEI certified riding helmet _____ bug spray
_____ water bottle _____ additional snacks (optional)
Lunch is NOT included at camp; all campers need to bring a bag lunch! Snacks are
available from the concession stand at Blue Ribbon camp during swim time.
Advanced English Equestrian Camp
Fees and schedule for the advanced camp is as follows:
June 16th-19th $400.00
Camp Schedule:
9:00 A.M. Arrive and prepare for morning lesson. Students will catch and groom their own
horses.
9:30-11:00 Riding lesson/jumping lesson in the ring.
11:00-11:30 Put horses and tack away
11:30-12:00 Lunch
12:30-1:00 Activity period
1:00-2:30 Tack up for second riding lesson of the day
2:30-3:00 Put horses and tack away
3:00 Dismissal
*Campers will ride personal or school horse during the morning lesson and a school horse during
the afternoon lesson. *
Campers will need to bring:
_____ jeans or riding breeches
_____ sun block
_____ riding boots _____ bug spray
_____ an ASTM/SEI certified riding helmet _____ change of clothes
_____ water bottle
Lunch is NOT included at camp; all campers need to bring a bag lunch!
Application for Summer Equestrian Camp
Name: _____________________________ Allergies or concerns:
________________________________
Address: _________________________________________________________________________
Rider’s age: ________ Height: __________ Weight: ___________
Father’s name: __________________________ Home address:
_____________________________________________
Home phone: ________________________ Work phone: _________________ Cell Phone:
________________
Mother’s name: ______________________ Home Address (if different)
___________________________________
Home phone: ________________________ Work phone: _________________ Cell Phone:
________________
E-mail address: ________________________________________________
Please indicate 1st and 2nd choice of session:
Beginner Camp (English & Western): Intermediate English Camp: Advanced English
Camp:
( ) June 1st-5th ( ) June 8th-12th ( ) June 16th-19th
( ) June 22nd-26th Western Week Camp (all levels): ( ) June 15th-19th
Indicate child’s level of riding: _____________________________ Circle one: English Western
*Lunch is NOT included, all children need to bring a bag lunch!* Snacks are available from the
concession stand at Blue Ribbon camp.
Bus Transportation Information:
Cost is $30.00 extra per child per week. Please circle which service you would like:
Lafayette: all sessions
New Iberia: Weeks 1&2 (June 1-5 & June 8-12)
Broussard: Weeks 1, 2, & 3 (June 1-5, 8-12, 15-19)
Abbeville: Week 3, (June 15-19)
Eunice/Opelousas: Week 3 (June 15-19)
Crowley/Rayne: Week 4 (June 22-26)
Please indicate child’s t-shirt size: Adult S M L Child S M L (circle one)
A deposit of $150.00 per session is necessary to secure a spot. The balance is to be paid one week
prior to your child’s enrollment period.
Camp Fee: $_________ Bus Fee: $_________ Amount enclosed: $____________ Balance
Due: $_________
Permission Slip The following is the health and emergency permission slip for the 2014 Equestrian Camp. Please fill out
the information requested and return the form with your camp application.
In the event that I cannot be reached or in case of an emergency, I give my permission for (child's name)
_______________________________ to have emergency treatment by a doctor requested by the camp
and/or hospitalization judged by a doctor to be necessary.
Signature of Parent or Guardian _______________________________________
Family Physician _________________________________________________
Address ________________________________________________________
Phone Number __________________________________________________
Accident insurance is mandatory for all children participating in Equestrian Camp.
INSURANCE INFORMATION:
Ambulance Insurance: _______________________________________ Insurance Company __________________________________________ Address ____________________________________________________ Insured in the name of ________________________________________ Policy Number ______________________________________________
Emergency Phone Number (to be used if parents are unreachable)
________________________________________
Emergency Phone Number (to be used if parents are not home)
_______________________________________
_______________________________________
Physical on file? ______yes ______no (If no, please complete physical
form in packet)
Sacred Heart Equestrian Center Summer Camp
Camper Health Examination Record
To be completed by parent or guardian:
Name: _____________________________ Sex: _______ Age: ______ Birthdate: __________
Address: ___________________________________________ Phone: ( )__________________
In emergency, notify _______________________________ Relationship: ____________________
Address: ____________________________________________ Phone: ( ) __________________
=====================================================================
Health history: (check) Allergies:
_____ chicken pox _____ measles _____ hay fever _____ insect sting
_____ German measles _____ mumps _____ asthma _____ drugs (specify)
_____ whooping cough _____ other (specify) _____ ivy-oak, etc. _____ foods (specify)
Chronic/recurring illness:
_____ earaches _____ epilepsy _____ infections
_____ sinus _____ diabetes _____ stomach
_____ heart _____ throat _____ rheumatic fever
Details of above __________________________________________________________________
Medications being taken (name and explain). Send to camp in original bottle. _________________
________________________________________________________________________________
________________________________________________________________________________
Operations, injuries, special restrictions (explain and give dates) ____________________________
________________________________________________________________________________
Immunizations: Diphtheria _____ Tetanus _____ Pertussis _____ Polio_____ Measles _____
Mumps ______ Rubella _____ Other _____
Parent or Guardian Authorization:
To my knowledge, this health history is correct, and the person named above has permission to
participate in all camp activities except as noted by me or the examining physician. If I cannot be reached
in an emergency, I hereby give permission to the physician selected by the camp director to hospitalize,
secure proper treatment for, and order injection, anesthesia, or surgery for the person named above. I
understand that these expenses are NOT included in camp tuition. The following information is essential:
Medical Insurance Policy #: ___________________________________
Insurance Company: _________________________________________________________________
Signature: ___________________________________ Date: ______________________________
PHYSICAL EXAMINATION: TO BE COMPLETED BY A LICENSED PHYSICIAN:
Code: (1) Satisfactory (2) Not satisfactory (3) Not examined
Ht. _________ Wt. ________ B.P. ________ Skin ________ Nose ________
Eyes ________ Glasses ________ Contacts ________ Required ________ Condition ________
Ears ________ Hearing right ________ Left________ Throat ________ Heart ________
Lungs_______ Skeletal ________ Abdomen ________ Genitalia ________ Hernia ________
Extremities _______ Teeth ________
TESTS: Urinalysis Glucose? ________ Albumin?________ Tuberculin Testing (type) ___________
If indicated, blood count
_________________________________________________________________
Restrictions, Limitations (Incl. Diet) _______________________________________________________
Medications __________________________________________________________________________
Recommendations _____________________________________________________________________
The above named person is in satisfactory condition and may engage in all equestrian activities except as
noted:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Examining Physician _______________________________________ Date: _____________________
Print physician’s name _________________________________________________________________
State licensed in: _________________ Lic. # _____________________
Address: ____________________________________________________________________________
Phone: ______________________________________________________________________________
(Must be 18 or older)
LIABILITY AGREEMENT
WARNING: Under Louisiana law, a farm animal activity sponsor or farm animal
professional is not liable for an injury to or the death of a participant in a farm animal
activity resulting from the inherent risks of the farm animal activity, pursuant to R.S.
9:2795.1.
WARNING: Under Louisiana law, an equine activity sponsor or equine professional is not
liable for an injury to or the death of a participant in equine activities resulting from the
inherent risks of equine activities, pursuant to R.S. 9:2795.3.
The undersigned acknowledges and agrees to the following terms, individually and on
behalf of his/her minor child:
1. I acknowledge that any interaction between humans and large animals, including horses,
presents an inherent and serious risk of harm, including serious bodily injury and/or death (to
both humans and animals) and damage to property, and I knowingly and freely assume all such
risks arising out or associated with my and/or my child’s physical presence at the Sacred Heart
Equestrian Center and/or participation/involvement in any activities associated with the Sacred
Heart Equestrian Center.
2. I acknowledge that safety equipment may reduce the risk of bodily injury, but that even with
the proper use of safety equipment, any interaction between humans and large animals, including
horses, presents an inherent and serious risk of harm to humans using and/or wearing safety
equipment, including serious bodily injury and/or death. I agree to the use of an ASTM/SEI
certified safety helmet when mounted. I further understand that it is my responsibility to
provide and properly fit and ensure the use such protective headgear.
3. I agree to waive, acquit, release and forever discharge any and all claims against the Schools
of the Sacred Heart, the Academy of the Sacred Heart of Grand Coteau, Inc., their employees,
volunteers, servants, agents, representatives, attorneys, successors, administrators, insurers,
protectors, underwriters, indemnitors, parent companies, subsidiary companies, affiliated
organizations, shareholders, officers, directors, and all Roman Catholic entities (collectively
referred to in this paragraph as “Released Parties”) whatsoever from any and all claims, actions,
lawsuits, and/or liability for injury, death or damage to human, animal or property which may
occur in connection with any activities, occurrences, events, acts and/or omissions directly or
indirectly arising out of, associated with or connected to the Sacred Heart Equestrian Center. I
further agree to defend, indemnify and hold the Released Parties harmless from any such claims
brought by me or on my behalf and agree to be responsible for any litigation expenses (including
reasonable attorney fees) incurred by the Released Parties in connection with defending any such
claims.
4. I agree that I will defend, indemnify, and hold harmless the Schools of the Sacred Heart, the
Academy of the Sacred Heart of Grand Coteau, Inc., their employees, volunteers, servants,
agents, representatives, attorneys, successors, administrators, insurers, protectors, underwriters,
indemnitors, parent companies, subsidiary companies, affiliated organizations, shareholders,
officers, directors, and all Roman Catholic entities whatsoever against any and all claims,
actions, lawsuits and/or liability, or other proceeding (specifically agreeing to be responsible for
all litigation expenses incurred, including reasonable attorney fees, in connection with defending
any such claim, action,lawsuit or proceeding), that in whole or in part arises out of my fault,
negligence, strict liability and/or absolute liability..
5. Notwithstanding any other provision of this Agreement to the contrary, I agree to waive,
acquit, release, exclude and forever discharge any and all claims against the Schools of the
Sacred Heart, the Academy of the Sacred Heart of Grand Coteau, Inc., their employees,
volunteers, servants, agents, representatives, attorneys, successors, administrators, insurers,
protectors, underwriters, indemnitors, parent companies, subsidiary companies, affiliated
organizations, shareholders, officers, directors, and all Roman Catholic entities whatsoever
(hereinafter collected referred to in this paragraph as “Released Parties”) for any and all
damage/harm to property and/or animal except damage caused by intentional or gross fault of
one or more Released Parties.
6. Notwithstanding any other provision of this Agreement to the contrary, in the event of any
liability (whether in contract, tort, or otherwise) on the part of the Schools of the Sacred Heart,
the Academy of the Sacred Heart of Grand Coteau, Inc., their employees, volunteers, servants,
agents, representatives, attorneys, successors, administrators, insurers, protectors, underwriters,
indemnitors, parent companies, subsidiary companies, affiliated organizations, shareholders,
officers, directors, and all Roman Catholic entities whatsoever for any damage (other than
physical injury/death to human), including, but not limited to, damage/harm to property and/or
animal, I agree that such liability shall be limited to $250.00.
7. I further agree that to abide and be bound by the Policies & Procedures of the Sacred Heart
Equestrian Center, a copy of which is made an addendum hereto and made a part of this
Agreement.
8. I agree that the terms of this Agreement constitute the full and complete agreement between
the parties hereto and fully supersede and replace the terms and conditions of any prior
Agreements relating to the Sacred Heart Equestrian Center. Any attempts to amend, modify, or
revise this Agreement shall not be effective or enforceable unless reduced to writing and
executed/dated by the parties. I agree that should any provision of this Agreement be deemed
null and/or void or otherwise prohibited by law, the remaining provisions of this Agreement shall
still be enforceable and given full force and effect. Furthermore, I agree that this Agreement is a
contract which is governed by the laws of the State of Louisiana and that venue and jurisdiction
relative to all disputes arising out of the rights, obligations and/or performance of this Agreement
shall be in the Parish of St. Landry, Louisiana.
I acknowledge that by executing this Agreement, I a presumed to know and understand the
contents thereof. I do understand that by executing this agreement, I am, individually and on
behalf of the listed minor child, relinquishing significant legal rights.
Owner/Parent/Guardian’s Name (Print) ________________________Signature
_____________________ Date_________
Owner/Parent/Guardian’s Name (Print) ________________________Signature
_____________________
Date _________
Minor’s Name (Print) _________________________________
Insurance Company: _______________________Policy Number: _____________________
Exp. Date: _____________________
Schools of Sacred Heart _________________________________ Date ______________
(authorized representative)
Completed forms need to be mailed to:
Sacred Heart Equestrian Center
Summer Camp
PO Box 310
Grand Coteau, LA 70541
**Forms MUST be received ONE week prior to attending camp!!
**Forms MUST be completed or child cannot participate in camp!!
**All cancellations MUST be made two weeks in advance of camp in order to
receive a refund. Deposits are NON-REFUNDABLE!!
