Japanese Camp Spring 2024
Thank you for registering your child(ren).

If you have more than one child to register, please provide each child's information below. There is no need to fill in separate forms.
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Email *
About the Participant
Participant's First and Last Name *
Participant's Nick Name (if there is a way the child prefers to be called)
Participant's DOB *
Participant's Grade *
Participant's School *
Is there any health concerns we should be aware of? Does your child have any dietary restrictions? (If none, please write "None") *
About the Parents/Guardians
Parents/Guardians' First and Last Names *
Parents/Guardians' Email Addresses *
Parents/Guardians' Mobile Numbers *
Street Address *
1st Emergency Contact Info (Name, relationship to the child, and phone number) *
2nd Emergency Contact Info (Name, relationship to the child, and phone number) *
Please tell us who else has your permission to pick up the child(ren) during camp session. *
What motivated you to sign up your child(ren)? *
Do you have any questions about the camp?
Photo/Video Release
Photos/videos of the camp will be taken and might be used for promotion of the future camps. Please indicate your preference.
*
Emergency Medical Release
As a parent/guardian of the participant, I understand that in case of an emergency, every effort will be made to contact me or the emergency contact listed above.

In the event that none of us can be reached, I hereby give permission to the physician listed below or licensed medical staff to secure proper treatment to my child(ren).

I further understand that if I do not have medical insurance that covers all costs, I will be responsible for such medical costs.
Physician’s Name *
Hospital Affiliation *
Physician’s Phone Number and Address *
Cancellation Policy
As a significant amount of the cost of camp is invested long before the program date, refunds vary based on the amount of advanced notice you are able to provide.

If you need to withdraw your child(ren) from a camp, you must inform us in writing via email (info@akaritranslations.com).

- You will be refunded 60% of the fee minus the non-refundable $50 application fee for cancellations made more than 20 days prior to the first day of the camp, or you will be refunded 100% if you secure another paying family who would take your child's spot. (A refund will be issued once the family's payment is cleared.)

- You will be refunded 30% of the fee minus the non-refundable $50 application fee for cancellations made between 15 and 19 days prior to the first day of the camp, or you will be refunded 100% if you secure another paying family who would take your child's spot. (A refund will be issued once the family's payment is cleared.)

- No refunds will be administered for cancellations within 14 days of camp, or you will be refunded 100% if you secure another paying family who would take your child's spot. (A refund will be issued once the family's payment is cleared.)
Informed Consent and Acknowledgement
I hereby approve my child's participation in the camp prepared by Akari Translations.

I assume all risks and hazards incidental to the camp's activities. I release, absolve, and hold harmless Akari Translations and all its respective instructors and representatives from all liability for incidentals to said child arising out of participating in the camp.
Signature
By typing my name below, I certify that I have read and agreed to the above "Cancelation Policy" and "Informed Consent and Acknowledgement" and that I am electronically signing this registration. *
Payment
How would you like to pay the camp fee of $350.79? ($335 + $15.79 tax) (There is no sibling discount.) *
Have you made the payment? (You can scan the QR code above to pay.) (We will send you a receipt once we confirm your payment.) *
Required
Please email (info@akaritranslations.com) or text Akari (808-280-5729) a photo of your child. This photo will not be shared publicly on any platform. It will be viewed only by the two instructors, Ms. Akari and Ms. Hina, for us to memorize the students' names and faces beforehand. *
Required
How do you pronounce your child's name? Please write it phonetically like [fuh-net-ik-lee ]. I want to teach children how to write their names in Japanese. To do so, I need to know how it's pronounced to transcribe it.
 *
What are your child's two favorite colors? (I ask so I can create a custom binder cover for each child.)
 *
How did you hear about this camp? *
Required
A copy of your responses will be emailed to the address you provided.
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