École Française Spring-break 2021 / Summer 2021

CALL 352 332-8198 ZELLE PAYMENT ACCEPTED !

WINTER HOLIDAY CAMP 2020 CUISINE EVERYDAY SPRING-BREAK 2021 CUISINE EVERYDAY ! SUMMER 2021 CUISINE EVERYDAY !

To fill online, download French&ForeignLanguagesCampsRegistrationForm W doc ( click on arrow ↓ on the right, further below )

Child's Name__________________________________________________________________

Grade _________________________________ Age_________________ Gender M [ ] F [ ]

School Name_______________________________________________in afterschool? YES[ ] NO[ ]

Parents’ Names________________________________________________________________

Address___________________________________City______________________Zip_________

Home phone ____________________Work phone (Mom)_________________(Dad)__________

Cell #--------------------------------------------------------------- e-mail -------------------------------------------------------------------------

I give permission for my child to participate in all the activities. In case of sickness or injury, Mrs. Charudattan may seek treatment for my child at the nearest emergency center or from the physician named below, if I cannot be reached. I understand that all necessary precautions will be taken by Mrs. Charudattan for the welfare and safety of my child and I will not hold her responsible in case of injury to my child.

Parent's Signature____________________________________________________________

Medical / Emergency Information

Any health concerns__________________________________________________

Emergency contact physician ___________________________________ Phone___________

Registration fee $20. Good for one calendar year: Spring, Summer, Winter Camps & School year

INCLUDES ALL SUPPLIES & CUISINE