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ROAD TRIP SUMMER CAMP REGISTRATION – WYNCHEMNA
ESL SUMMER CAMP 2019
STUDENT INFORMATION
Name of Student (exactly as passport)(*)
Please be sure the name you enter here is the student's exact name as it is shown in his or her passport.
Gender(*)
Boy
Girl
Date of Birth(*)
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Special Information
Please provide any details about your child that we should know about - allergies, disabilities, medications, or other important information.
Current School
How did you hear about us?
Attended before
Friends
Internet search
ESL teacher
ESL school
Travel agent
Agent
Newspaper
Radio
Facebook
Television
PARENT INFORMATION
Parent or Guardian Full Name(*)
Parent/Guardian Address(*)
Please enter your full mailing address. This might be required for a visa if required.
Parent/Guardian Job Title
This might be required for visa purposes if required.
Parent/Guardian Employer
This might be required for visa purposes.
Home Phone(*)
Mobile/Cell Phone
Email(*)
COURSE REGISTRATION INFORMATION
My child wants to register for the following course(*)
5 week - Calgary July 4 to Vancouver August 7
4 week - Calgary July 11 to Vancouver August 7
My child wants instruction in:(*)
English
English and French
How many years has your child studied English(*)
How many years has your child studied French?
Child's swimming ability(*)
Non-Swimmer
Beginner Swimmer
Strong Swimmer
I understand that Wynchemna reserves the right to cancel or modify any programme or programmes listed in the brochure because of an insufficient number of participants or for any other reason beyond its control. In such a case, written notification of cancellation will be sent out and the fees will be refunded.(*)
Yes
I understand that Wynchemna reserves the right to withdraw participants whose behavior is likely to affect the smooth operation of the programme or adversely affect the enjoyment or safety of other participants. Wynchemna will be under no liability to such persons. If a child has to be sent home on disciplinary grounds, the parents will be required to pay for any costs incurred.(*)
Yes
SOME OF THE ACTIVITIES LISTED IN THE BROCHURE (FOR EXAMPLE, ROCK CLIMBING) REQUIRE AN ADULT TO SIGN LIABILITY WAIVER-FORMS.
I give permission to the Wynchemna Instructor to sign a waiver-form for my child.(*)
Yes
I understand and permit that my child may have his or her photograph taken, and that these photographs may be used for advertising or other purposes by Wynchemna (for example, in brochures or on its website).
Yes
WYNCHEMNA CALGARY SUMMER CAMP INFO
Camp Registration
Costs and Camp Dates
Calgary Information
Camp Accommodation
Camp Activities
Camp Advantages
Camp Food
Camp Packing List
Camp Schedule
Camp Questions
Camp Registration
Costs and Camp Dates
Vancouver Information
Vancouver Camp Accommodation
Vancouver Camp Activities
Vancouver Camp Advantages
Vancouver Camp Food
Vancouver Camp Packing List
Vancouver Camp Schedule
Vancouver Camp Questions
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