Camp PhilaFLAM - Inscription - Registration
Merci de remplir un formulaire pour chaque élève ! Thanks to fill one form per child!

La plupart des informations devraient se pré-remplir ou se dupliquer pour le 2ème, ou 3ème enfant, etc... en fonction des cookies sur votre ordinateur ! Nous précisons que ces informations resteront strictement confidentielles.

All these information will remain strictly confidential.

Prénom de l'élève / First name *
Your answer
Nom / Name *
Your answer
Grade in 2019-2020 *
Your answer
Numéro d'urgence pour vous contacter / Best phone number to reach you in case of emergency *
(123-123-1234)
Your answer
Allergies ? Thanks for giving us as much details as possible especially for food allergies... *
Your answer
Adresse Email *
Your answer
Semaines choisies ? Selected weeks *
Required
Golden rules
We aim to provide a safe and ethical environment that supports social-emotional learning and empathy development. To achieve it, we partner with you and your children towards the following commitments:

- Respect the adults : Each child commits to respecting all adults present at the camp and to following their instructions at all times (during class, play, meals and extended care).

- Respect their peers : Each child commits to using appropriate language with his/her peers, to respecting each other's differences and to refraining from teasing others. In addition, each child commits to behaving kindly towards his/her peers (no bullying or violence).

- Respect health and safety rules : Each child commits to washing his/her hands consistently when necessary, after using the bathroom as well as before and after meals. Each child commits to dressing appropriately for each day's activities. Each child commits to following instructions in case of an emergency (fire, earthquake, etc.) Each child commits to remaining on the camp's premises. In addition, he/she commits to not leaving his/her group without permission (must ask an adult for permission to go to the bathroom).

- Respect material : Each child commits to respecting the premises, facilities, and equipment, during camp. He/she commits to cleaning up after each activity. Depending on the severity of the misconduct, escalating disciplinary measures will be implemented to support the child in his/her social emotional and moral learning.

We rely on you to help us to achieve this goal.

As a last resort, if campers’ wellness is at stake, the Camp Director could consider suspension or expulsion from an activity or from camp.

THANK YOU !


PS: Late arrivals / Absences
Thank you for letting us know of absences or significantly late drop offs by phone before 9AM. A late fee of $1.00/minute will be charged for children picked up after 3PM or 5PM if enrolled in extended care.

I hereby grant PhilaFLAM the right and permission to use photographs and/or video recordings of me and/or my child on PhilaFLAM.com and other websites and in publications, promotional flyers, educational materials, derivative works, included Internet, for educational, public relations or promotional purposes without compensation to me. *
Required
On behalf of my child, I accept and assume any and all risks associated with his/her attendance and participation in the Programs and all related activities. I understand that my child should not attend the Programs if he/she is not in a healthy condition. Furthermore, I do hereby verify that my child, to the best of my knowledge, is free from contagious disease, is fully immunized, and is able to participate in the Programs. Therefore, I hereby confirm that my child: (i) has no psychiatric, medical, and/or physical condition or history which would prevent him/her from participating in the Programs and/or endanger himself/herself or others at the Programs; (ii) has not been instructed by any physician to refrain from participating in the Programs; and (iii) is physically fit and able to participate in the Programs. *
Required
In case of medical emergency involving my child, I understand every effort will be made to contact me and other emergency contact people whom I have provided. In any event, I hereby authorize PhilaFLAM, and each of their organizers, directors, members, employees, agents and volunteers to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities. I hereby release PhilaFLAM from any liabilities arising out of any medical procedure described above, including but not limited to civil, criminal and financial responsibilities. *
Required
Confirmation inscription / Confirm the registration *
Required
Dates *
MM/DD/YY
Your answer
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