GASPA Summer Camp 2018 - Registration Form
You are about to register your child for the German-American School of Palo Alto Summer Camp 2018 Program. Please complete all the below questions and double check your responses before clicking "submit" as there is no review process.
You must complete a separate form for each child.
If you have questions about this registration process, please feel free to call us at 650-520-3646 or write to us at office@gaspa-ca.org.
Camp - I am signing my child up for *
Please check all that apply
Required
Extended Care - I am signing my child up for *
Please select all that apply. GASPA-PM (full 4 weeks or single weeks from 2-6pm) or GASPA-PM single days sign-up and or morning care, (separate paper form can be found on our website which needs to be completed for that)
Required
Student's Last Name *
Your answer
Student's First Name *
Your answer
Gender *
Student's Date of Birth *
m/dd/yyyy
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number *
if none, please write "NONE"
Your answer
Mother's First Name *
first name only
Your answer
Mother's Last Name *
last name only
Your answer
Mother's Email Address *
Your answer
Mother's Cell Phone Number *
Your answer
Father's First Name *
first name only
Your answer
Father's Last Name *
last name only
Your answer
Father's Email Address *
Your answer
Father's Cell Phone Number *
Your answer
Does the student have a previous knowledge of German? *
If yes, how many years of German has your child had?
Your answer
Does anyone in the household speak German? *
If yes, who speaks German in your household?
Your answer
What school is your child attending this year? *
Your answer
What grade is your child in this school year? *
refers to the 2017/2018 school year
Your answer
Where did you learn about this year's GASPA Summer Camp Program? *
please check all that apply
Required
Is this your child's first time at GASPA's summer camp program? *
If no, how many years has your child participated in our camp program?
Your answer
What size T-shirt does your child wear? *
youth t-shirt sizes
I hereby give permission for my child's picture to be used in school publications *
Names of students are never used in conjuction with published pictures
Emergency Information
Are there any special requirements for the student (e.g. hearing, vision, allergies, learning difficulites, ect.)? *
If none please write "NONE"
Your answer
In case of Emergency, notify? *
Your answer
Name of relative (not living with family) or neighbor to be called if parent or gaurdian cannot be reached in an emergency *
Please give two (2) names and include their addresses and cell phone numbers.
Your answer
In case of Emergency, is the school (GASPA) authorized to call the nearest available physician? *
Medical Policy and Release
Medical Policy
1.If the parents cannot be reached in case of an emergency, the school will take the child to a nearby urgent care clinic, usually Palo Alto Clinic.
2.In case of an extreme emergency, the school will call an ambulance.
Medical Release
I hereby release the German-American School of Palo Alto (GASPA), its employees and board member from any and all liability for injuries and illness that may occur while the child is at school or engaged in school activities such as field trips.
I herewith give my consent for school personnel to authorize emergency medical treatment for my child and I accept full financial responsibility for said treatment.
I have read the above Medical Policy & Release and agree. *
Required
Completing Registration - Part 1
Registration is complete once you have completed and submitted this form and we have received your registration fee for each student. You will receive an invoice for the registration fee in 1-2 days.
You will receive an email from our office confirming the receipt of your payment and registration.
Thank you!
I have read the above (part 1) and understand. *
Required
Completing Registration - Part 2
I herewith confirm that all the above information is correct. By clicking "I understand", I am aware that I am registering my child for the German-American School of Palo Alto Summer School Camp 2018 Program. Tuition balance is due by or on the first day of camp.
We do not accept credit cards, e-check payment only.
Camp takes place from 9:00am to 2:00 pm Monday-Friday From June 25th to July 20th 2018 on the campus of the ALTO International School at 475 Pope Street, Menlo Park 94025.
I have read the above (part 2) and understand. *
Required
Late Pick-Up Policy
Please be on time to pick up your child. Students not picked up on time (2:00pm sharp) will be sent directly to our afternoon GASPA-PM program where a drop-in fee of $40 per child for the whole of the afternoon until 6pm will be charged. Children not picked-up from extended care by 6pm (sharp) will be charged an additional $60 per child.
I have read the above late pick-up policy and understand. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.