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Registration EFA Spring Break Camp
Please fill out one form per child!
All this information will remain strictly confidential and will only be used to determine which group class your child will attend.

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Student's Last name *
Student's First Name *
Student's DOB *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Please only use abbreviation (TX)
Zip code *
Mother's First & Last name *
Mother's cell phone number *
(123-123-1234)
Mother's email address *
Mother's job, employer *
Language spoken with Mom? *
Father's First and Last name *
Father's cell phone number *
(123-123-1234)
Father's email address *
Father's job, employer *
Language spoken with Dad? *
Emergency contact (other than parents) *
Emergency contact's cell phone? *
Authorized pick up (other than parents) *
Authorized pick up's cell phone? *
How did you hear about EFA ? *
What is your child's level of French ? *
Beginner
Elementary
Intermediate
Advanced
Fluent
Understanding
Spoken
Reading
Writing
In what grade is your child in the American school system for the school year 2018-2019? *
Has your child ever studied at EFA ? *
Any observations ?
Is your child struggling with allergies ? *
Permission to Use Photographs *
I grant to EFA (Education Française Austin), its representatives and employees the right to take photographs of me and my family  in connection with the above-identified subject. I authorize EFA, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that EFA may use such photographs of me and my family  with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Required
School policy *
Required
Confirm registration *
Your registration will be completed once we receive your payment via Paypal (www.efaustin.org) for the total amount of tuition. This will be entirely refunded if the camp ends up being cancelled because of low enrollment.
Required
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