Registration Form

First Name: Date of Birth:

Family Name:

School Name:

Class: Section:

Address

District: Building: Email:

Street: Floor:

Contact Information

Parent's / Guardian's Name: Emergency Contact Person:

Phone: Phone:

Duration Options: Please tick the box for the desired option

	4 weeks:	July 10 to August 6
	4 weeks:	July 24 to August 20
	6 weeks:	July 10 to August 20

Program Choices: Please tick the box for the program of your choice

Program Fees			4 Weeks	6 Weeks	Additional 2 weeks
	Option 1:	Summer Day Camp	$550	$780	$300

Transportation:

	Private Transport
	School Transport

School Transportation fees			4 Weeks	6 Weeks	Additional 2 weeks
	Bus fees:		$150	$200	$80

Swimming Competence:

My child knows how to swim My child does not know how to swim

Medical Condition: Kindly detail any medical conditions or food allergies that your child may have.

Please complete in this form and return to the school accountant’s office during the period of registration, along with:

Two recent passport size pictures
Photocopy of participant’s identification document (for non Choueifat students)
Full Payment in cash

Conditions of Admission

I, the undersigned parent/guardian, hereby register my son(s)/daughter(s), whose name appears below, in the school’s Summer Day Camp 2024. In doing so, I acknowledge that I have read and agreed to each of the following conditions of admission:

Refund Policy: The full amount must be paid in advance. Should the student choose not to attend for some reason, fees will not be refunded.
Health: In the event of a medical or surgical emergency, I the student’s parent / guardian hereby give permission to the physician, selected by the school, to secure proper treatment, (including hospitalization if necessary), for the student named below. I understand that the school will make all reasonable efforts to contact me should an emergency arise.
Waivers of Liability: I understand and acknowledge that certain activities have an increased risk of injury associated with them. I hereby release and agree to indemnify and hold harmless the school along with its staff and representatives from any or all losses.
Refusal of Application: The Summer Day Camp administration reserves the right to refuse admission to any applicant, based on its own sole discretion and based on history of discipline or medical condition(s), without having to provide any justification or explanation thereafter.
Photographs: Pictures will be taken during the camp of students in the different activities. Sometimes these photos are published in SABIS^® newsletter, yearbooks, and other publications.

Do we have your permission to use photos of your child for such publications? Yes No Student's Name: Parent's / Guardian's Name:

Date:

Signature: