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Montessori
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Montessori
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AHES Summer Camp Registration 2024
"
*
" indicates required fields
Summer Camp Registration Form
Student Information
Student's Name
*
First
Middle
Last
Student's Grade
*
Grade 1 - Age 6
Grade 2 - Age 7
Grade 3 - Age 8
Grade 4 - Age 9
Grade 5 - Age 10
Grade 6 - Age 11
Grade 7- Age 12
Grade 8- Age 13
Does your child have any allergies? if yes please specify
*
Yes
No
Details
Number of weeks you want to register your child
*
1
2
3
4
Please select the number of week you are interested in
*
Week 1 (Week of July 22nd)
Week 2 (Week of July 29th)
Week 3 (Week of August 5th)
Week 4 (Week of August 12th)
Are you are interested for before and after school program?
*
No
Yes
Select Supervision timings
*
Morning Supervision - 8:30 - 9:30 ($25.00 per week)
Evening Supervision - 2:30 - 3:30 ($25.00 per week)
Both- Morning & Evening ($50.00 per week)
Number of weeks your child need supervision
*
1
2
3
4
5
Number of weeks your child need supervision
*
1
2
3
4
Number of weeks your child need supervision
*
1
2
3
4
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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
Yes
No
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. 5th 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.
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 22nd if I'm registering my child for the 4-week period.
I understand that all payments are made, non-refundable for any reason.
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.
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