Summer Camp Registration Form

Student Information

How many child(ren) you want to register?

Student's Name*

First Middle Last

Student's Grade*

Does your child have any allergies? if yes please specify*

Details

Student's Name #2*

First Middle Last

Student's Grade #2*

Does your child have any allergies? if yes please specify*

Details

Student's Name #3*

First Middle Last

Student's Grade #3*

Does your child have any allergies? if yes please specify*

Details

Registration Option*

Early Bird registration is only available for one time payment: By June 15, 2022

Weekly Fees

Price:

Number of weeks you want to register your child*

Please select the number of week you are interested in

Week 1

Week 2

Week 3

Week 4

Week 5

Are you are interested for after and before school program?*

Select Supervision timings*

Number of weeks your child need supervision

Registration Option*

Early Bird registration is only available for one time payment: By June 15, 2022

Weekly Fees for 2 students

Price:

Number of weeks you want to register your child*

Please select the number of week you are interested in

Week 1

Week 2

Week 3

Week 4

Week 5

Are you are interested for after and before school program?*

Select Supervision timings*

Number of weeks your child need supervision*

Registration Option*

Early Bird registration is only available for one time payment: By June 15, 2022

Weekly Fees for 3 students

Price:

Number of weeks you want to register your child*

Please write the number of week you are interested in

Week 1

Week 2

Week 3

Week 4

Week 5

Are you are interested for after and before school program?*

Select Supervision timings*

Number of weeks your child need supervision*

Total

Parent Information

Parent/Guardian's Name*

First Last

Parent/Guardian's Email*

Parent/Guardian's Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact - Name*

First Last

Relation with Student*

Emergency Contact - Email*

Emergency Contact - Phone*

Pickup Authorization

Do you want to authorize Individuals to Pick-Up Child other than Parents

Name of Person 1 Authorized to Pick up*

First Last

Relation to the child*

Phone Number of Person 1 Picking up*

Name of Person 2 Authorized to Pick up*

First Last

Relation to the child*

Phone Number of Person 2 Picking up*

Parental Agreement

I give permission for my child to be photographed while participating in AHES summer camp activities. I understand that these photos may be used on future brochures, the website, or social media. My child’s personal information, such as his/her name, would not be attached to any photograph used.

When my child is sick, I understand that my child has to stay home, and will not be accepted into AHES camp.

I agree to communicate with AHES camp staff if my child is going to be out sick or absent for the day. I understand that AHES needs to know by 9am if a student won’t be in attendance for the day.

We will be closed Monday, Aug.1st for the Civic Holiday. Weekly tuition will remain the same that week.

Electronic devices are not allowed to be used during camp hours by children. If you choose to send a device with your child for communication it will be required to stay in their bag/lunchbox untill the end of the day. We are not responsible for lost/stolen devices.

I understand that registration fees ($50.00) are non-refundable, and it will be deducted from the full fees. Weekly payment is due before the beginning of the week my child will be participating in, If I register for specific weeks of the camp, otherwise, payment is due before July 10th if I'm registering my child for the 5-week period.

I understand that Any Payment is refundable untill June 30th (minus $50 of the registration fee), in case I have any change of plan. And Starting from July 1st no refunds will be issued.

I understand that parent or guardian of a child enrolled in or attending AHES summer camp are not permitted in the building without permission

I give my child permission to participate in all AHES summer camp activities and field trips, which includes transportation by busing. I hereby release AHES and its employees from any and all liability for any accident, injury or illness which may be sustained while participating in these activities.

I recognise that a risk of injury or potential health risks may exist in participation in the above named program/activity. I hereby willingly assume such risks for the above named person for whom I am in law responsible and assume full responsibility during and after their participation in the program. AHES cannot be responsible for risk willingly assumed, and I therefore hereby release and forever discharge AHES from all actions, damages, claims and demands whatsoever arising from participation in the program or any associated activities. I have read, understood and agree to the contents of this consent in its entirety.

I agreed*

I Agree with all of the above

How did you hear about AHES Summer Camp?*

Total

AHES Sumer Camp Registration*

Kindly do not use American Express for the payment. If used, additional bank charges may be applicable.

Card Details

Cardholder Name

Email

This field is for validation purposes and should be left unchanged.

AHES Summer Camp 2022

Summer Camp Registration Form

Student Information

Parent Information

Pickup Authorization

Parental Agreement