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Holiday English Camp Registration Form
Camp hours are 8:30-5:15, Monday-Friday.
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* Indicates required question
For purposes of scheduling and allergy/needs information, please complete a separate registration form for each child.
Child's first & last name
*
Your answer
Child's age (as of December 18)
*
Your answer
Please check which days your child will attend.
*
Monday, December 18
Tuesday, December 19
Wednesday, December 20
Thursday, December 21: FULL, not taking anymore registrations
Friday, December 22: FULL, not taking anymore registrations
Required
Parent/guardian's name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
What is the best (fastest) way to contact you?
*
text
phone call
email
Other:
Required
Does your child have any special needs, allergies, or health conditions that we need to know?
*
Your answer
Besides the parent or guardian listed above, who else is allowed to pick up your child from camp? List their names and relation to the child. (If no one other than the parent or guardian listed above, please write "No one").
*
Your answer
Photo Release: Do you give permission for photos and/or videos of your child to be used on The Hello House website and/or Facebook page?
*
I give permission for photos and videos taken of my child to be used by The Hello House on its website and social media.
I DO NOT give permission for photos and videos taken of my child to be used by The Hello House on its website and social media.
Please read the following policies and procedures and check beside each box to show that you agree.
*
I agree to receive a payment link to my email for the registration fee of $55 per child per day, or $260 for the entire week.
Required
Any questions for me? I can also be reached at 706-412-5100 (text or call) or by email at
charlee@thehellohouseathens.com
.
Your answer
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