2019 TheEdgeCamp Registration
Please fill out one form per child.
Student First Name: 學生的名字 *
Your answer
Student Last Name: 學生的姓氏 *
Your answer
Grade in Fall 2019 今年秋季入學年級 *
Your answer
2nd E-mail: 電郵
Your answer
Weeks attending Camp: (M-F, 9am-4pm) 參加夏令營週數 *
Required
Extended Care: 早上和下午托兒 *
Required
Language Class: 語言課 *
Gender: 性别 *
Birth date: 出生日期 *
MM
/
DD
/
YYYY
T-shirt Size: T恤尺寸 *
Home Address: 地址 *
Your answer
School: 學校 *
Your answer
Name(s) of Parent/Guardian living with student: 家長姓名/同住監護人姓名 *
Your answer
Contact Number(s): 聯絡電話 *
Your answer
Church Affiliation: 教會聯繫
Your answer
Emergency Contact Name: 緊急聯絡人 *
Your answer
Emergency Contact Number: 緊急聯絡電話 *
Your answer
Family Doctor Name: 醫生姓名 *
Your answer
Family Doctor Number: 醫生電話 *
Your answer
Health Plan: 醫療保險計劃 *
Your answer
Policy Number: 醫藥卡號碼 *
Your answer
Health History: 健康状况 *
Required
Please give details on any health issues checked above: 如有以上任何健康問題, 請詳細說明 *
Your answer
Any activity restrictions: 任何活動限制 *
If yes, give details 如有, 請詳细說明 *
Your answer
Authorization to Consent for Emergency Treatment of Minor 同意授權在緊急時治療未成年孩子 *
Required
Waiver of Rights and Release of Liability 放棄權利及免責聲明 *
Required
Admission Agreement 入學協議書 *
Required
Photo Release 照片肖像權許可 *
Field Trip Authorization 允許孩子參加户外活動 *
Field Trip Dates & Locations (Please check to the dates of the field trips your child plans to attend.) 如果您的孩子計劃參加户外活動, 請在日期旁邊打勾 *
Required
Pickup Authorization 我允許下列人員來接我的孩子 *
Required
Name #1
Your answer
Name #2
Your answer
Name #3
Your answer
Name #4
Your answer
FYI: Camp fees and all documents (Admission Agreement, Photo Release, Field Trip Authorization & Pickup Authorization) are avaliable at the top of this form. 所有文件都列在表格上面
TheEdgeCamp fees are non-transferable and non-refundable. 夏令營的費用不可轉讓且不予退還 *
I as Parent/Guardian completed the form above 我作為家長或監護人填寫完上述的表格 *
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