Summer Camp Registration
Camp for 2-5 year olds from Mon 14th July - Fri 22nd August 2025

To register your child for our Summer Camp please follow the instructions below:
1. Fill out this form as accurately as possible answering every question and submit the form at the end.
2. Send the payment required to book to the Republic Bank Account number 180457224901 under the name Shantal Samaroo with the account type as Chequings.
3. Send a screenshot of your payment made to confirm your booking.
Email *
What’s your child’s full name?
What is your child’s address? 
What’s your child’s date of birth?
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What’s your child gender?
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Does your child have any allergies? *
Does your child have any illness or disability ?
Is there any other special requirements or information about your child that you would like us to be aware of?
What are two emergency contacts and their relation to your child? *
What is the child’s mother’s full name, occupation and contact number?
What is the child’s father’s full name, occupation and contact number?
What are the names and contacts of the person(s) who will regularly be dropping off/picking up the child?  *
Which camp week(s) are you registering for? ($600 per week / $3k for all 6 weeks)
Do you give permission for you child to be included in content to be used on social media? *
Would you like to be updated for any upcoming specials, promotions or events at iLearn?
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