2019 French Fun Summer Camp - Toronto Location Registration Form

2019 “J’aime parler français” French Summer Camp-Toronto 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*

MotherFatherGuardianOther
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 2-5 (4 days)

2nd Week: July 8-12 (5 days)

3rd Week: July 15-19 (5 days)

4th Week: July 22-26 (5 days)

5th Week: July 29-Aug. 2 (5 days)

6th Week: Aug. 6-9 (4 days)
Camp Hours:

Regular Hour: 9am-4pm

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

Please select your camp weeks:*

1st week$120.00CAD

Select Hours:
Item subtotal:$0.00CAD

2nd Week$148.00CAD

Select Hours:
Item subtotal:$0.00CAD

3rd Week$148.00CAD

Select Hours:
Item subtotal:$0.00CAD

4th Week$148.00CAD

Select Hours:
Item subtotal:$0.00CAD

5th Week$148.00CAD

Select Hours:
Item subtotal:$0.00CAD

6th Week$120.00CAD

Select Hours:
Item subtotal:$0.00CAD

Registration Fees$10.00CAD

Enter coupon

Total $0.00CAD

Total Camp Fees:
Min. 2 weeks registration is required.
Lunch Program (Optional) :

**Please register for 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.)

W1: $28 (short week)W2: $35 (regular week)W3: $35 (regular week)W4: $35 (regular week)W5: $35 (regular week)W6: $28 (short week)
Lunch Program - 11 yrs & above: Survey Only (Please pay on your first day of the camp.)

W1: $32 (short week)W2: $40 (regular week)W3: $40 (regular week)W4: $40 (regular week)W5: $40 (regular week)W6: $32 (short week)
Terms and Policies:
CANCELATION AND REFUND POLICY:

Students can withdraw 14 days before the 1st day of registered camp week. The fee for 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. *

YES, I agree to have my child’s picture taken.NO, I do not agree to have my child’s picture taken.
Should be Empty:

2019 “J’aime parler français” French Summer Camp-Toronto Location

CAMPER INFORMATION

PARENT INFORMATION

Registration Details

Lunch Program (Optional) :

Terms and Policies: