2024 Friends Academy Summer school Application form
サマースクール参加申込書
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Email *
Child's Name *
Child's Japanese Name (Please write in Hiragana)
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Name of Parent/Guardian *
Address *
Phone *
Desired Week for Participation（If you register for  Mommy and child class, please check so) *
Required
Allergy：Does your child has allergy? *
If yes, please describe it in the box below.
 Dose your child needs to carry an EPI pen?
If you have participated (or you are currently participating) in our programs, please chose as follows.
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*Please be sure to read.

【Precautions】

Children must be at an age-appropriate stage of development. If individualized attention is required and group activities are interfered with, we may take measures such as limiting activities, suspending activities, or dismissing children early.

If we are unable to contact you in the event of an emergency, a park staff member will call 911 and transport you to the nearest St. Luke's Emergency Hospital (1111 Amsterdam Ave) and accompany you until your parent/guardian arrives. The child will be taken to the nearest St. Luke's Emergency Hospital (1111 Amsterdam Ave) for emergency treatment if necessary.

【Cancellation Policy】

Cancellation up to 25 days prior to participation date → 80% of the fee will be refunded.

Cancellation up to 18 days prior to participation date → 50% of the fee will be refunded.

Cancellation less than 11 days prior to the participation date will not be refunded.

If payment is not received by the due date, the registration fee will be automatically cancelled. A $50/week fee will be charged for any change of the participation week.

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