Immersion Island Registration Kids Camps Summer 2019 Grades 2-12
Please fill out completely and submit. You will receive an invoice from us soon and you can submit payment. You will have the choice of paying by check, sending payment via PayPal or calling to give us credit card information. GRACIAS! MERCI! Also, once you submit if it seems like there is just a blank page, scroll up and you will see our note - we are working on this glitch! :)
How did you hear about us? (Google, Facebook, Instagram, Print Ad, Word of Mouth, Sign, etc) *
If you were referred by someone, please give us their name! And earn credit for every family you refer!
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Camper's first name *
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Name used or nickname *
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Camper's last name(s) *
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Gender *
Address *
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City *
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State *
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Zip Code *
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Principal contact phone number *
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Parent email *
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Camper email
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Parent/guardian name *
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Parent/guardian work phone # or cell # *
Please provide at least one different number from principal #
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Additional Parent/guardian name
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Additional Parent work phone # or cell #
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Emergency contact (nonparent) name, relationship and phone # *
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Camper lives with *
(Parents, guardian other than parents, other)
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Camper's school *
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Camper's grade and age as of August 2019 *
Please use this format as example: 7 12 for 7th grade, 12 years old
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Camper's previous foreign language experience *
For example: 1 year high school Spanish or 5 years elementary French. Please feel free to elaborate.
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Please note any food or activity restrictions for this camper and any medical conditions. *
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Summer 2019 - All are Spanish except for week of August 5th- French. (CIT = Counselor in Training) *
Please only check one. In next box you can choose an additional week of camp. See camps page for additional explanation of camps.
Required
Additional week of camp for this camper (or N/A) *
Please only check one. In next box you can choose an additional week of camp. See camps page for additional explanation of camps.
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Discounts
I will pay by the following method once I am invoiced: *
Camp t-shirt size (no additional charge) *
Youth (elementary ages/sizes only) or Adult sizes. Please choose carefully.
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I agree to Immersion Island terms as found on camps page. *
Parent or guardian please type in your full name
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