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Release Form
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___________
FREE Extended care for all camps according to your needs.
ASK ME ABOUT FURTHER DISCOUNTS
PLEASE CIRCLE YOUR CHOICES: ZOOM CAMPS/CLASSES: $10/40min. camp/class
French / Spanish / Latin / Italian / Chinese / Japanese / German / Portuguese / Tamil
FULL DAY 10am-5pm $40 per day/child/language.
HALF DAY 11am-2pm OR 3-6pm $25 per day/child/language.
To fill online, download French&ForeignLanguagesSpring&SummerCampsRegistrationForm W doc (click on arrow ↓ on the right, further below)
2019-20 HOLIDAY CAMPS Nov.19,20,21, Dec. 19,20,21, 26,27,28,31, & Jan. 2,3,4. Daily cuisine! AM PM
Registration fee $20. Good for one calendar year: Spring, Summer, Winter Camps & School year
INCLUDES ALL SUPPLIES & CUISINE
SPRING BREAK CAMP 2021: March 22 23 24 25 26 AM PM
SUMMER EARLY BIRD DISCOUNT- $25 FOR FULL PAYMENT OF ANY 3 FULL WEEKS BY MAY 1, 2021
SUMMER CAMPS 2021: JUNE 1-30 JULY 1-31 AUGUST 1-6 DAILY CUISINE!
JUNE Wk1. Wk2. Wk3. Wk4 JULY: Wk1. Wk2. Wk3. Wk4. Wk5. AUG. Wk1
Days your child will attend: M T W Th F
MISSED CLASSES/CAMPS MAY BE MADE UP ANY TIME DURING THE SCHOOL YEAR
Please print, fill and mail with fees payable IN ADVANCE to : École Française
8520 NW 2nd place Gainesville, FL 32607.
PAYMENT VIA ZELLE USING: jdcharu@hotmail.com
jdcharu@hotmail.com Phone (352) 332 - 8198. DISCOUNTS / Payment plans available.
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