Awesome Summer Camp Registration

Child's Full Name 学生姓名 *

First

Last

Gender 性别 *

Age 年龄

Birth Date 出生年月 *

My child would like to join 我的孩子希望参加 *

Primary Language 掌握语言 *

English 英语
Chinese 中文
Other 其他

I'd prefer to pay by 付款方式: *

Payment deadline: Space is confirmed only once fee is paid. Priority is given to families that have paid the fee in advance when many registrations come in. I am aware the fee needs to be paid and confirmed at the latest before my child's first camp day. 最晚付款时间：夏令营费用须在开始日之前支付。由于夏令营席位紧张，我们将以付款先后安排席位，未支付的席位将很难为您保留。

I prefer to bring my own lunch and snack 每日自带午餐和点心（适用于有特殊用餐需求的学生，例如过敏等情况） *

No 否
Yes 是

I require an afternoon nap 学生的午睡需求 *

Yes 是
No 否

Comments or questions? 问题及备注

Parent 1 Name 家长1姓名 *

First

Last

Parent 1 Mobile 家长1联系电话 *

Email where you'd like to receive confirmation, information and updates 邮箱地址（用来接收确认信、各类信息及假日营日常更新等) *

List any chronic illness and or physical limitations that the hospital/doctor should know about: (If none, enter none) 列举医院/医生须知晓的学生的各类慢性疾病及（或）肢体障碍，若无请填写“无” *

List all on-going medications: (If none, enter none) 学生正在服用的药品，若无请填写“无” *

List any medical allergies/asthma: (If none, enter none) 学生是否对任何药物过敏？是否患有哮喘？若无请填写“无” *

1st Emergency Contact Name 第一紧急联络人姓名 *

First

Last

1st Emergency Contact Relationship 第一紧急联络人与学生的关系 *

1st Contact Person Preferred Language 第一紧急联络人偏好的沟通语言 *

1st Emergency Contact Mobile Number 第一紧急联络人手机号码 *

2nd Emergency Contact Name 第二联络人姓名

First

Last

2nd Emergency Contact Relationship 第二紧急联络人与学生的关系

2nd Contact Person Preferred Language 第二紧急联络人偏好的沟通语言

2nd Emergency Contact Mobile Number 第二紧急联络人手机号码

I understand Awesome Kids Club often takes photographs or videos of participants during its activities or events. I grant permission that these photographs or videos may be used in publications, presentations, websites or promotion of Awesome Kids Club. Awesome Kids Club will not identify me or my child by name, or release any other personal information without additional permission from me. 我了解Awesome Kids Club和Awesome Day Care经常在课程或活动期间为参与者拍照或录像。我同意无偿使用这些照片或视频，以用于Awesome Kids Club和Awesome Day Care的出版物、演示文稿网站或市场活动。未经本人的允许，Awesome Kids Club不会注明我或我的孩子的姓名，并发布任何其他个人信息。 *

I understand 我理解

AKC's Refund Policy: Inform us with 5 or more days notice to receive a full refund. Between 3-5 days notice, receive an 80% refund. Under 3 days, no refunds will be given AKC退费政策：全额退费须提前五或五个工作日以上通知我们。提前三至五个工作日通知的，可获得80%退费。三个工作日之内通知的，不能获得退费。 *

I understand 我理解

I have read the above statements, have filled out the form to the best of my knowledge and by clicking "I understand" I consent to the above terms. 我已仔细阅读上述声明并按照实际情况填写表格，点击“我理解”即代表本人同意上述条款 *

I understand 我理解

Photo of Child 大头照

Click or drag a file to this area to upload.

Photo of Child's face to help identify them on the first day 学生正面免冠照，用以在入营首日更好地认识学生