Adventure English Camps

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Camp Attending:                                  Student's Last name:         Student's First Name:

--- Survival English Camp Mountain Adventure Camp University Adventure Camp Sea Adventure Camp                                           

Sex:          Age:    Parents Phone Number:            Parents Email Address:

- - - Male Female               - - - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30                

Emergency Contact Name:                     Emergency Contact Phone Number:

Address:

1.  Level of English ability:                                                        2.  School Name:  

  can't speak and can't understand anything. - - - - - - - can speak and understand a liitle bit can speak to and understand the teacher but sometimes not sure can speak and understand very well can understand spoken English but can't speak afraid to speak with foreign teachers       

3. Has the student attended English camp before:    4.  How did you know about this English camp?:

Yes    No                                                       - - - - - A teacher told me A postcard came to my mail box I saw a poster at my school A friend told me about it I found it on the internet Other (please explain below)

5.  Is your child coming to camp with a group?

    Yes    No    

    If yes, then what is the name of your group organizer?

6.  Does your child need help with getting to the meeting location?

    Yes    No

    If yes then please tell us how he/she will be coming and what train/bus station or airport he/she will

    be arriving at and what time. (we will have someone meet them there):

7.  Does your child have any special medical or mental problems?

    Yes    No

    If yes, then please explain your child's medical problem and also give us the name of it in English as

    well as the English name of any medication your child takes.  We will admit your child one by one.

    Please do not pay until you speak with us.

8.  How will you pay for the camp?:                   

     - - - - - - - Internet (PayPal) Internet (credit card) Bank funds transfer (my bank name and account number are below) I want to pay cash 2 weeks before the camp