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Little Louies Day Camp Registration

Thank you for your interest in Recreation & Wellness's Little Louies Day Camp!

Payment will be collected at the time of registering. Please complete the form in it's entirety. 

Camper Information











Parent or Legal Guardian Information







Parent/Legal Guardian Address






Emergency Contact






Additional Emergency Contact





Authorized Adult for Pick Up








Session Registration










Medical, Health, & Disability






Waivers & Releases

Electronic Signatures

Electronic signatures and electronically transmitted documents are binding.

Transportation (pick-up and drop-off)

Pick Up/Drop Off

  • Drop off: Between 8:30am - 9:00am 
  • Pickup: Between 4:00pm - 4:30pm 
  • Location: All drop offs and pickups will be held at the Fieldhouse Circle Drive, located off of Lot C1, which is on the north side of the Fieldhouse. Details and a map will be provided in the parent packet delivered via email after registration.

Pick up is only permitted by parent/guardian, emergency contact, or additional 18+ adult as submitted on your registration form. Photo ID verification and signature are required at pick up.

The GVSU Authorized Adult(s) overseeing the pick-up and drop-off of Program Participants shall remain at the specified location until all minor children have been released. If a minor is not picked up, the Authorized Adult(s) will contact the parent/legal guardian, the Program Director, emergency contacts, and finally, Grand Valley Department of Public Safety, if needed.

As the parent/legal guardian of the minor child, I certify that I have received, read, and I understand the drop-off and pick-up procedures provided by the Program. If the minor child is not exempted, and special arrangements need to be made, I understand that it is my obligation to inform the Program in a timely manner. I understand the escalation procedures if the minor child is not picked up in accordance with the pick-up procedures.


Parent/Legal Guardian Initials and Date

Behavior and Conduct

All Programs, Program Directors, Authorized Adults, and Participants, including minor children and their parents/legal guardians are subject to standards outlined in GVSU’s University’s Policies, and (if applicable) Program-specific Conduct or Behavioral Expectations.

As the parent/legal guardian of the minor child, I certify that GVSU’s University’s Policies, and (if applicable) Program-specific Conduct or Behavioral Expectations have been provided to me. I understand that Participation in the Program, including the minor child’s Participation, is subject to those standards. I also understand that if the minor child does not meet the prescribed standards of behavior, they may be asked to leave the Campus and/or Program immediately and may be expelled from the Program.


Parent/Legal Guardian Initials and Date

Media and Likeness Permission & Release

I hereby authorize Grand Valley State University to:

(a) Capture or record the minor child’s name, likeness, image or voice in photographic, audio, video, digital or other forms or technologies (“Recordings”)

(b) Use, reproduce, publish, exhibit, or distribute those Recordings for any lawful reason including promotional, commercial, information, and educational purposes; using any type of media now existing or hereafter developed, as may be consistent with the Program’s mission

(c) Hold ownership, copyrights, and licenses on those Recordings without charge, compensation, or reservation

I waive any rights or action I may have and release Grand Valley State University, its licensees and assigns, from any claim(s) I may have arising from the use of the child’s likeness; including any rights to sue for defamation or violation of any rights of privacy and publicity.



Parent/Legal Guardian Initials and Date

Facilities Waiver

By initialing below, I acknowledge as a parent or guardian that I have read and agree to the guidelines listed in this waiver.

Facilities waiver


Parent/Legal Guardian Initials and Date

Acknowledgement, Waiver/Release and Permission

As the parent/legal guardian of the minor child, I certify that the above information is the most up-to-date and correct to the best of my knowledge. I agree to the conditions noted herein as conditional to the minor child’s participation in GVSU Programs and related activities. I agree to release and agree to hold GVSU, its Board of Trustees, students, employees, and assigns harmless from all claims, actions, damages or liabilities for personal injury, damage, or illness relating to or arising out of any activity; except where the injury, damage or illness is caused by the gross negligence of the university’s employees.

The minor child has my permission to participate in this Program.



Parent/Legal Guardian Signature and Date

Page last modified April 8, 2026