爱华中文学校2024“云游中国·梦回三国”夏令营报名表

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·🕘 活动时间 Time：2024 年 7 月 29 日至 8 月 30 日，每天 8:30 a.m 至 4:30 p.m

· 📍活动地址 Location：10 Chesterton Drive, Ottawa

· 📩联系信息 Contact Info：chineseaihua@gmail.com

· 💻学校网站 Website：https://www.youngchinese.com/aihua/index.html

⚠️报名后立即加贺老师微信RachelChinese，方便入群⚠️Add Ms. Rachel's WeChat account "RachelChinese" once registerred

Email *

孩子中文姓名 Kid's Chinese Name

孩子英文姓名 Kid's Official English Name *

出生年月日 Date of Birth *

YYYY

年龄 Age *

报名年龄在2024年7月29日前需4周岁 The participant should be 4 by July 29,2024

性别 Gender *

男 Male

女 Female

父母/监护人姓名及电话 Name of Parent(s)/Guardian(s) and Contact Number(s) *

紧急情况联系人及电话 Emergency Contact *

收费组成 Cost Descriptions

一次性注册费 Non-refundable Registration Fee
营费 Refundable Camp Fee
餐点费 Meal Plan

一次性注册费 Non-refundable Registration Fee

$30 一个孩子 for one child
$45 同一家庭2个及以上孩子for 2 and more from the same family

$30

$45

Clear selection

营费 Refundable Camp Fee *

$168/week 连续报名4周及以上 Registry for 4 weeks and more
$188/week 报名不足4周 Registry for less than 4 weeks

$168/week

$188/week

餐点费 Meal Plan

新鲜现做午餐+两次小点 Freshly made nutritious LUNCH + 2 SNACKS：$8/day/child
第二周Week 2: 8/6-9（4 days）$32/week；其余周都是（5 days）$40/week
披萨热狗、pasta、牛骨汤馄饨面、千层面、寿司……中西合璧的美味午餐！

报名周数及费用 Registration & Fees

因人数有限，每周不超过60人 No more than 60 kids per week due to limit capacity

营费 Camp Fee ($168/week)

营费 Camp Fee ($188/week)

餐点费 Meal Plan

Week 1: 7/29-8/2 (5 days)

Week 2: 8/6-9 (4 days)

Week 3: 8/12-16 (5 days)

Week 4: 8/19-23 (5 days)

Week 5: 8/26-30 (5 days)

总费用 Total Fees *

缴费方式 Payment *

现金 Cash

支票 Cheque payable to: Aihua Hu

EMT to: aihuahutong@gmail.com

有无过敏 Allergies（若有，请补充 If YES, please specify） *

朋友同组意愿 Friends Request（最多2人 up to 2 entries of names）

夏令营免责声明 Summer Camp Participant Parental Consent Form

Please check (√) the appropriate boxes:

I acknowledge that there are risks associated with participation in any physical training, exercise, sports, adventure or activity program. I have informed myself and my child and we understand the risks associated with my child’s participation in the program and (where applicable) their use of the facilities, including the risk of personal injury, and freely accept these risks.

I am also aware that there are additional risks in travelling to and from locations where activities are taking place. It is our policy to notify a parent when a child is ill or needs medical attention. Occasionally we cannot contact parents and we need to get immediate help for the child.

I acknowledge this and by signing the form I confirm that program staff can take appropriate action on behalf of my child. We will take this signed consent to the emergency care.

Required

Parent/Guardian's name: *

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

Permission to Photograph and/or Video Consent Form

Throughout this summer camp, photographs and/or videoes will be taken of campers/participants while they are involved in the programs. These photos and/or videoes may be displayed during the program session at one of our facilities and/or they may be used in future promotional ads.

Please check (√) the appropriate boxes: *

I give permission for summer camp staff to take photographs and/or videoes of my child/myself during this camp, and include and/or display them in any future promotional materials..

I do NOT give permission to take photographs and/or videoes of my child/myself.

Required

Parent/Guardian's name: *

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

Date: *

YYYY

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

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