| ■ Parent/Guardian Information |
| Name |
|
| Relationship to Student |
|
| Home Address |
|
| Tel (Home) |
|
| Tel (Office) |
|
| Tel (Mobile) |
|
| Fax |
|
| E-mail |
|
| ■ Student Information |
| Name of Student |
|
| Student likes to be called |
|
| Gender |
Boy Girl |
| Age |
|
| Date of Birth |
(Month/Day/Year) |
| Name of School |
|
| Grade/Level at current school |
|
| Language(s) used at home |
|
| Select Program |
|
| ■ Session 1 (June 16 - July 18) |
June 16 - 20
June 23 - 27
June 30 - July 04
July 07 - 11
July 14 - 18 |
Extension 15:00 - 17:00
Extension 15:00 - 18:30
|
| ■ Session 2 (July 21 - August 29) |
July 21 - 25
July 28 - August 01
August 04 - 08
August 11 - 15
August 18 - 22
August 25 - 29
|
Extension 15:00 - 17:00
Extension 15:00 - 18:30
|
After School Program
Global Kids Academy will continue to run the regular After School Program until July 20 and resume on September 1, 2008. If you are interested, please let us know the days of the week and time slots for which your child is available and the programs you are interested in having your child attend. We will schedule a meeting and discuss the ideal program and scheduling for your child.
|
Permission
Your electronic signature below will be treated as your consent of the following:
I give my child permission to participate in all field trips and outdoor
activities at Global Kids Academy. My child is in good health and does
not have any conditions that require special medical attention. I will
notify you of any allergies. I understand that the process of documenting
children's activities and output is an important part of the curriculum.
I will notify you if I object to images of my child or his/her work to
appear in any media form. I have read and understood the Summer Programs Cancellation Policy. |
I agree.
|