Pre-registration for 2019 Summer Camp
Please enter the details below
Email address *
Phone Number *
Your answer
Fathers Name *
Your answer
Mothers Name *
Your answer
Address *
Your answer
Students Name *
Your answer
Next Year Grade *
Additional E-Mail
Your answer
Additional Phone
Your answer
Sibling's Name
Your answer
Sibling's Next Grade
Expected Start Date *
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Expected End Date *
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DD
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YYYY
Pricing
Following are the rates for the summer camp.

1 Week - $275
2 Weeks - $250 / Week
3 Weeks or more - $225 / Week

Terms and Conditions
The submission of this form does not constitute a guaranteed spot in the Summer Camp as we have limited capacity. The availability of the summer camp will be on a first come first serve basis. We will try to accommodate as best as we can to ensure that every interested student can participate in our summer camp.

I hereby waive all claims against Adarsha Academy LLC. and its employees or part-time workers for injury, accident or illness occurring by reason of participation in Summer Camp. Adarsha Academy employees may photograph my child during programs and I hereby consent to the use of these photographs in Adarsha Academy's promotional material. In case of an emergency, I authorize any licensed physician, nurse or hospital to render such medical aid as may be deemed necessary and/or desirable. I also understand that the fee paid is non refundable. *

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