2018 French Fun Summer Camp Registration Form-Richmond Hill Location

2018 “J’aime parler français” French Summer Camp - Richmond Hill Location

Please Fill out all areas with * in the form carefully
CAMPER INFORMATION
Student/Camper Name

First NameLast Name
Camper Birth Date

MonthDayYear
Gender
Grade
Camper Day School Name
Camper is/was in following French Program
How many years in above program
Camper's OHIP #
Medical History/Allergies
Please inform us about your child's medical history (including allergies, pre-existing illness, behavioral and emotional concerns)?
Physician's Name
Physician's phone number
PARENT INFORMATION
Parents/Guardian's Name

First NameLast Name
Relation to Camper

Other
Parent/Guardian's E-mail
Mobile Number

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Work Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Name

First NameLast Name
Relationship to family
Emergency Phone Number

Area CodePhone Number
Additional Comments
Registration Details
Camp Schedule:

1st Week: July 9-13 (5 days)

2nd Week: July 16-20 (5 days)

3rd Week: July 23-27 (5 days)

4th Week: July 30-Aug. 3 (5 days)

5th Week: Aug. 7-10 (4 days)

6th Week: Aug. 13-17 (5 days)
Camp Hours:

Regular Hour: 9am-4pm

With Before & After Care: 8:30am-5:30pm
Registrations:

1st week$208.00 CAD

Select Hours:
Item subtotal:

2nd Week$208.00 CAD

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3rd Week-Regular hours$208.00 CAD

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4th Week-Regular hours$208.00 CAD

Select Hours:
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5th Week-Regular hours$168.00 CAD

Select Hours:
Item subtotal:

6th Week-Regular hours$208.00 CAD

Select Hours:
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Registration Fees$10.00 CAD

Enter coupon

Total $0.00 CAD

Total Camp Fees:
Min. 1 week registration is required.
Lunch Program (Optional) :

**Please register the lunch program here but PAY for it on your FIRST day to the camp.
Lunch Program - 10 yrs & under: Survey Only (Please Pay on your first day of the camp.)
Lunch Program - 11 yrs & above: Survey Only (Please pay on your first day of the camp.)
Terms and Policies:
CANCELATION AND REFUND POLICY:

Students can withdraw 14 days before the 1st day of registered camp week. The fee of cancelation is $20.
WAIVER OF CLAIMS AND INDEMNITY:

I give permission to the staff of T.E.A to arrange for any emergency medical care. In all cases attempts will be made to contact the parent first. The participants are responsible for their own medical coverage. I hereby release The Education Academy from any claims which might occur from the consumption of any food provided by third-party catering service providers. These liabilities will include but are not limited to any health hazards resulting from improper or inappropriate handling, storage of any food items.
PUBLICITY: I give permission to T.E.A to take pictures of my child and use them in their publicity.
Should be Empty:

2018 “J’aime parler français” French Summer Camp - Richmond Hill Location