HXPCS Gauss Summer Camp Registration Form (2024)
10 Weeks Camps
06/24 - 08/30
 Sibling Discount, the 2nd and 3rd kids get 10% off ( cannot combine with other Discount) 

Location: 99 Clarksville Rd West Windsor Township, NJ 08550

$20 Registration fee (Non-refundable) (Waived for HXC afterschool students)

Early Drop off 7:45 am to 8:45 am $10 per day
Late pick up 5:00 pm to 6:00 pm $10 per day

Lunch/Snack - $11 per kid per day or bring your own lunch

All the class include one hour swimming/gym time. 


If you have any questions, please feel free to contact us at hxchinese88@gmail.com

Thank You
HXPCS 
www.hxpcs.org 
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Email *
Student's FULL Name( First name Last name) *
Student Date of Birth *
Student Grade on 4/15/2024 *
Parent Full Name *
Parent's Contact information: phone number *
Parent's Contact information: wechat or whatsappt
Home Address *
Enrollment Information:  please put your kid's full name when you zelle  the tuition. thank you *
Captionless Image
Required
MUN Program Option:  for week 5-6 *
Required
Full Day option: for math camp, the camper has choice to choose full day option with additional cost of $220/week.  We offer sports/art/coding/steam class. *
Required
Swimming Option *
Required
Lunch/Snack Option: (lunch starts at 12:15) *
Required
Enrollment Information: Early drop-off or Late pick up $10 per hour per day *
Required
Photo Release: I hereby give permission for my child to be photographed in HXPCS | WULA Academy. I understand the photos will be used to keep a journal of activities, to share during power point presentations. I do not expect compensation and that all photos are the property of WULA Academy *
HXPCS | WULA Academy is not responsible for lost or damaged personal property. All scheduled events are subject to change. By signing this, I understand that there are certain risks of injury inherent in the practice and play of certain activities, and I am willing to assume these risks on behalf of my child. In addition to giving my full consent for my child’s participation, I do hereby waive, release and hold harmless HXPCS | WULA Academy, its officers, teachers, employees and volunteers for any injury that may be suffered by my child in the normal course of participation in the activities incidental thereto, whether the result of negligence or any other cause. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician) *
Refund Policy: 
1.  For any cancellation of the registration, at least 60 days written prior notice is required. A $100 fee will be charged for each week cancellation.  No refund will be issued without written prior notice. 
2. To change the registration week, 30 days of written prior notice is required. A $50 fee will be charged each time changing registration, activities spots are not guaranteed.  
3. No refund will be issued if a student decides not to attend the program or leaves early for any reason. A student is NOT eligible for a full refund if he/she is unable to attend the program due to any reason. 
4. No refund will be issued if the class is closed/canceled due to the weather.  
5. No refund will be issued if the class is closed/canceled due to the State of Emergency 
6.  After 6/24/2024, no refund will be issued if the request to change attending days is denied. 
7. HXPCS | WULA Academy reserves the right to cancel any class and in this case, a full refund will be issued.
*
Late pick up charge:
$1 per minute expect the parents have emergency issues  
*
其他课程要求
Referred By (Refer Code)
Parent's signature and date *
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