S107 Summer Camp 2019 APPLICATION FORM
This application includes the following forms:
1. Application form
2. Health history form
3. Photography/video permission form
Email address *
Select Session (s) *
Required
APPLICANT INFORMATION
Applicant's NAME (First Name + Last Name) *
Your answer
Preferred Name (Nickname) *
Your answer
Applicant's Date of Birth *
MM
/
DD
/
YYYY
Applicant's Age by July 2019 *
Your answer
Applicant's Gender *
Applicant's Current School *
Your answer
Applicant's Current Grade/ Year *
Your answer
Applicant's Language (s) Spoken *
Your answer
Applicant's English Proficiency *
Required
Applicant's Nationality *
Your answer
PARENT INFORMATION
Main Contact *
HOME Address *
Your answer
Father (First Name + Last Name) *
Your answer
Father's Email *
Your answer
Mobile Number *
Your answer
Mother (First Name + Last Name) *
Your answer
Mother's Email *
Your answer
Mobile Number *
Your answer
EMERGENCY CONTACT!
If parents are not available in an emergency situation, please notify this person (First Name + Last Name) *
Your answer
Relationship to Child *
Your answer
Mobile Phone *
Your answer
Email Address
Your answer
ADDITIONAL INFORMATION
To whom should admission/welfare correspondence be sent? *
HEALTH HISTORY
Does your child suffer from asthma and needs to carry and use a prescribed inhaler? *
Please provide any additional information about the applicant's behavior and physical, emotional, mental health, or any concerns of which we should be aware *
Your answer
ALLERGIES
List all known. Describe reaction and management of the reaction.
Medical allergies (If your child doesn't have any medical allergies, please type 'none') *
Your answer
Food allergies (If you child doesn't have any food allergies, please type 'none') *
Your answer
PICK-UP PERMISSION
Please let us know in advance who will be picking up your child after the programme.
I will be picking up the applicant by myself * *
Guardian 1 Full Name
Your answer
Relationship to applicant
Your answer
Mobile Number
Your answer
Guardian 2 Full Name
Your answer
Relationship to applicant
Your answer
Mobile Number
Your answer
PHOTOGRAPHY PERMISSION
I GIVE St. Andrews International School Sukhumvit 107 permission to use my or my child’s photograph publicly to promote the Summer Camp Programme. I understand that the images may be used in print, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
DECLARATION
The information provided herein is accurate and contains all information requested. We have neither omitted nor embellished any facts relating to our child’s application. St. Andrews International School Sukhumvit 107 reserves the right to amend or withdraw offers of admission due to mitigating circumstances, changes in information or other reason as determined by the Admission Committee. I give permission for the school to provide, seek and consent health care, administration of prescribed medicine and emergency treatment. In the event of an emergency and I cannot be reached, I give permission for the school to assist my child at the time of injury including hospitalization. *
MM
/
DD
/
YYYY
I hereby declare that I have filled out this form truthfully *
Required
I accept the terms and conditions (Please download from the school' s website or contact S107 Summer Camp coordinators) *
Required
PAYMENT (10,000 THB/week) *Early bird by April 5th is 9,000 THB
Once your application is received you will receive an email from our team to confirm the total fee.
BANK DETAILS
Please send a payment/ transfer slip to summercamp107@standrews-schools.com so that we can confirm the payment. If you require a tax receipt please provide your company name, full address, phone number and tax ID Account Name: St. Andrews International School Bangna (Si Yaek Bangna Branch ) Bank Name: Kasikorn Bank (KBANK) Type of Account: Saving Account Account No.: 0562466225
How did you hear about our Summer Camp *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of School. Report Abuse - Terms of Service