We are looking forward to your family joining us at our 2023 Vision Camp from June 21 – 23, 2023 at LaSalle Manor in Plano! 

Please complete this form by Tuesday, May 30th.

The Registration Fee of $200.00 in addition to the pre-paid meals will complete your registration. Payment in full is encouraged and can be made at the completion of this form, or we are able to offer deferred payment, as long as the final payment is made by the first day of camp. If you would like to defer payment, please indicate that on the form, then COMPLETE THE ENTIRE FORM, and when it takes you to PayPal, do not pay.  You will be contacted separately for payment.

BEFORE COMPLETING THIS FORM, PLEASE NOTE:

– Children under 2 are free for meals; anyone served by LaSalle Manor will be counted and charged.

– Please be sure to include the number of children under 2 in your family on the form, even though they are free, as we need this information for LaSalle Manor.

– There is no access to a kitchen for personal use.  Families are welcome to keep extra snacks and non-messy food items in their rooms.

– Sleeping accommodations and room assignments will be made after we complete the registration process.

Step 1 of 11

Family Name(Required)
For example: Dave, Jen, David - 19, Charlie - 18, Luke - 16, Violet - 15, Ashley - 12, Ben - 10, Matthew - 9, Grace - 6, James - 4
Waiver & Release(Required)
Release And Waiver of Liability, Assumption of Risk, and Indemnity Agreement (''Agreement'') for The Riverside Club Related Events, Field Trips & Activities (“Activity”) I represent that I will understand the nature of an Activity and be sure that all members of my party/family are qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe conditions are unsafe for my party/family, I will immediately discontinue our participation in the Activity. I fully understand that an Activity can involve risks of serious bodily injury, which may be caused by our party/family's actions, or others’ actions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the ''releasees'' named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my party/family's participation in the Activity. I hereby release, discharge, and covenant not to sue The Riverside Club for Adventure and Imagination, NFP, and its respective administrators, directors, agents, officers, volunteers, and employees, other participants, owners and lessors of premises on which the Activity takes place, and all parties employed or working on behalf of these owners/lessors,(each considered one of the ''RELEASEES'' herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the ''releasees'' or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.