Summer Camp 2023

Affirmation Form

アクティビティに参加するには下記のフォームを入力してください。

NAME

Birth day

height

Do you allow us to post your child(ren) pictures during the camps on our website, Facebook or promotional material? Yes No

YES

MEDICAL CLEARANCE

By registering your child(ren) in this program, you are giving permission for him/her/them to engage in a variety of physical activities. Please note below any allergies, ailments or other medical conditions that you think the counselor should be informed about.

Please tell us more about your child(ren) -- favorite veges, fruit and dishes, favorite activities or sport. Or anything you would like us to pay more attention on during the camp.

food allergies

I declare that the information I have provided is accurate and complete.

In case of cancellation, only the activity fee will be charged.

Signature of parent:

Emergency contacts : TEL

Thank you!

Summer Camp 2023 Affirmation Form

Summer Camp 2023

Affirmation Form