East Link Academy 2022 Chinese Literacy Camp

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Email *

Camper's name *

Which grade? *

Rising 1st

Rising 2nd

Rising 3rd

Rising 4th

Rising 5th

Rising 6th

Rising 7th

Rising 8th

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Parent Contact *

Preferred phone *

Allergies (please be specific and note level of severity, etc.) *

Current medications (please note all medications AND complete the Individualized Care Plan if medications will need to be administered at the ELA Summer Camp): *

I grant permission for the above named child to participate in all planned activities, and absolve East Link Academy and its personnel from any liability for injury or loss sustained by the child while engaged in such camp activities. East Link Academy may use random group and individual pictures of my child for advertising purposes. I authorize the East Link Academy staff to provide emergency medical care at my expense. East Link Academy is not responsible for lost, stolen or damaged personal property. *

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