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Summer Boost Camp 2022 Registration
Welcome to Summer Boost registration! We look forward to your family joining us this summer. Please note that you will receive an invoice after this form is complete. You will
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Camp Dates
Select the camp(s) you'd like to register for:
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CAMP FULL Waitlist Only - Summer Boost Camp 1 - July 4-July 15, 2022, 8:30am-12:30 pm
CAMP Full Waitlist Only - Summer Boost Camp 2 - July 18-July 29, 2022, 8:30 am-12:30 pm
Required
Language Skills Development
Select your preference:
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Choose
OG Language Arts Small Group Tutoring
OG 1:1 Tutoring (additional $200 fee/camp)
Parent Contact Information
Parent First Name:
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Your answer
Parent Last Name:
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Your answer
Address (including postal code):
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Your answer
Phone Number:
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Your answer
Email:
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Your answer
Current School
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Fraser Academy
Other:
Alternate Parent/Guardian/Caregiver - Name, Relationship, and Number:
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Your answer
Emergency Contact - Name, Relationship, and Number (include cell and work number when relevant):
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Your answer
How did you hear about this camp?
Choose
Fraser Academy Website
Online Search
Word of Mouth
Email
Social Media
Video
Magazine
Newspaper
Other
Camper Details
Child First Name:
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Your answer
Child Last Name:
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Your answer
Grade entering in September 2022:
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Your answer
Medical Information
Camper's Date of Birth:
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MM
/
DD
/
YYYY
Camper's BC Care Card Number:
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Your answer
Please indicate any medical information or allergies (if this does not apply, please type "N/A"):
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Your answer
Parent/Guardian Consent:
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By checking this box, I hereby grant the camper permission to participate in Fraser Academy Boost Camp activities.
Required
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By checking this box, I understand that my child/ward will be participating in activities where there lies an inherent risk of injury, and I assume all risk of injury that may result. I authorize Fraser Academy to provide or cause to be provided such medical services as Fraser Academy staff deem appropriate.
Required
I agree that photos and media (eg. video) from STEMphilic Spring Camp may be displayed throughout the school, included in our newsletters/eblasts, posted on our website, or placed in online or print ads.
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Agree
Disagree
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By checking this box, the camper and his or her parent(s)/guardian(s) agree to comply with the rules of Fraser Academy.
Required
Signature (type Parent/Guardian Name):
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Your answer
Relationship to Camper
*
Your answer
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