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Registration EFA Summer Camp June 10-14, 2019
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.
Student's Last name *
Your answer
Student's First Name *
Your answer
Student's DOB *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Please only use abbreviation (TX)
Your answer
Zip code *
Your answer
Mother's First & Last name *
Your answer
Mother's cell phone number *
(123-123-1234)
Your answer
Mother's email address *
Your answer
Mother's job, employer *
Your answer
Language spoken with Mom? *
Your answer
Father's First and Last name *
Your answer
Father's cell phone number *
(123-123-1234)
Your answer
Father's email address *
Your answer
Father's job, employer *
Your answer
Language spoken with Dad? *
Your answer
Emergency contact (other than parents) *
Your answer
Emergency contact's cell phone? *
Your answer
Authorized pick up (other than parents) *
Your answer
Authorized pick up's cell phone? *
Your answer
How did you hear about EFA ? *
Your answer
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 ? *
Your answer
Any observations ?
Your answer
Is your child struggling with allergies ? *
Your answer
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 canceled because of low enrollment.
Required
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