March Break·March 11——15/2024 Registration Form

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活动时间 Time：2024 年 3月 11日——3月15日 8:30am——4:30pm
活动地址 Location：10 Chesterton drive , Ottawa
联系信息 Contact Info：爱华老师chineseaihua@gmail.com

学校网站 Website：https://www.youngchinese.com/aihua/index.html

注意⚠️报名后立即加贺老师微信RachelChinese，方便入群。

Email *

孩子中文姓名 Kid's Chinese Name
*

孩子英文姓名 Kid's English Name *

出生年月日 Date of Birth
*

YYYY

年龄 Age
*

性别 Gender
*

男 Male

女 Female

父母/监护人姓名及电话 Name of Parent(s)/Guardian(s) and Contact Number(s)
*

紧急情况联系人及电话 Emergency Contact
*

费用：Tuition and caring Fee（单位：加币 CA$）
*
同一家庭的第二/三个孩子，享有CA$10的减免优惠 $10 discount applicable to the kid who is the second or third child from the same family

$178（第一个孩子，或唯一的孩子)

$168（第二个孩子，或第三个孩子）

餐费：Meal expenses（单位：加币 CA$）
*
每人$8.

$8 per person.

Other:

注册费：Registration fee（单位：加币 CA$）
*
每人$20.

两个孩子及以上，共$30.

$20 per person. Two children and above, total $30.

$20（唯一的孩子)

$30（两个孩子或多个孩子）

缴费方式 Payment

现金 Cash

支票 Cheque payable to: Aihua Hu

EMT to: aihuahutong@gmail.com

Clear selection

有无过敏 Allergies *

无 None

麸质食品 Gluten

坚果 Nuts

Other:

Required

朋友同组意愿 Friend Request（最多2人 up to 2 entries of names）

春令营免责声明 Spring Break Camp Participant Parental Consent Form

Please check (√) the appropriate boxes:

I acknowledge that there are risks associated with participation in any physical training, exercise, sports, adventure or activity program. I have informed myself and my child and we understand the risks associated with my child’s participation in the program and (where applicable) their use of the facilities, including the risk of personal injury, and freely accept these risks.

I am also aware that there are additional risks in travelling to and from locations where activities are taking place. It is our policy to notify a parent when a child is ill or needs medical attention. Occasionally we cannot contact parents and we need to get immediate help for the child.

I acknowledge this and by signing the form I confirm that program staff can take appropriate action on behalf of my child. We will take this signed consent to the emergency care.

Required

Parent/Guardian's name:*

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

Permission to Photograph and/or Video Consent Form

Throughout this this camp, photographs and/or videoes will be taken of campers/participants while they are involved in the programs. These photos and/or videoes may be displayed during the program session at one of our facilities and/or they may be used in future promotional ads.

Please check (√) the appropriate boxes:*

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

I give permission for the staff to take photographs and/or videoes of my child/myself during this camp.

I give permission for staff to include and/or display photographs and/or videoes of my child/myself in any future promotional materials.

I do NOT give permission to take photographs and/or videoes of my child/myself.

Required

Parent/Guardian's name:*

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

签署日期 Signing Date
*

YYYY

A copy of your responses will be emailed to the address you provided.

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