Summer Camp 2018

Day Camp Application

(Boys 3-14 years/ Girls 3-15years)

For office use only:

Application no: __ __/__ __/ ______

Date application received: ______

Assigned group: ______

This application should be completed in full by the applicant’s parent or legal guardian. Please complete one application for each student. Personal information such as the name of the applicant, nationality, and date of birth should be written in BLOCK LETTERS in accordance with the identity card or passport.

1. Student’s details

Family name: First name:
Date of birth: Age: Sex: Male / Female
Nationality/ies:

2. Contact Information

Parent’s or legal guardian’s name:
Home tel.: Office tel.: Cellular:
Address
Building: Street:
Area: Town/City:
P.O. Box: Country:

3. Emergency contact (if parents or guardian cannot be contacted)

Name:
Relationship:
Home tel.: Office tel.: Cellular:
4. Camp Fees / LL / For Office Use
7 weeks first child / 600,000
7 weeks additional child - Ref. 1st child: / 570,000
4 weeks first child / 480,000
4 weeks additional child - Ref. 1st child: / 450,000
5. Breakfast
7 weeks / 135,000
4 weeks / 75,000
6. Lunch
7 weeks / 260,000
4 weeks / 150,000
7. Others
8. Transport
Two ways - destination:
10. For Office Use Only: TOTAL
Receipt number
Accounts signature:

By signing below, I confirm that I have gathered adequate information from BHSC2018 about the program. I have also read all of the Rules and Regulations and will abide by them. I understand that failure to abide by these regulations (Smoking, Fighting…) may result in immediate dismissal.

I hereby apply to Brummana High School for admission of the applicant named above to the Summer Camp 2017.

Signature parent / legal guardian:

______Date: ______

This application form should be returned to the Summer Camp Office together with the following:

1 passport photos
photocopy of your child’s ID card or passport

BA 03/05/18