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Superior English Experience  Application Summer 2008

International Language Camp

Participant:

First Name (s): 
Last Name:
 Birth Date: Month Day Year
Nationality
Age
Gender
School Grade
Name of School
Complete Address:
Street name and number:
City:
State:
Postal Code:
Telephone (House):
Fax:
E-mail (student):
Parent’s names:

Parent’s telephone numbers:   Home, office and cellular:
Parent’s email:
Please indicate any allergies the student may have
Would you like your child to attend any religious services? If yes, which religion?

Level of English:
 
Programs Available

Choice of Clinic :   Week  1: July 7 - 11

  • Scuba Diving  1  
  • Sailing Clinic   
  • Golf Clinic   
  • French Clinic

  Choice of Clinic:   Week 2:   July 14 - 18

  • Theater Clinic   
  • Scuba Diving 2 Clinic 
  • Aviation Clinic  
  • Horseback Riding Clinic   

   Choice of Clinic:   Week 2:   July 14 - 18

  • Theater Clinic   
  • Scuba Diving 2 Clinic
  • Aviation Clinic 
  • Horseback Riding Clinic 

   Choice of Clinic:   Week 2:   July 14 - 18

  • Theater Clinic   
  • Scuba Diving 2 Clinic   
  • Aviation Clinic    
  • Horseback Riding Clinic   
 

 
Emergency contact numbers
Contact #1.  
Name
Relationship whit the student:
Telephone (home):
Telephone (work):
Telephone (cellular):
E-mail:
   
Contact #2.  
Name
Relationship whit the student:
Telephone (home):
Telephone (work):
Telephone (cellular):
E-mail:
 

Parents and Students acknowledge receiving and understanding the following documents:

Once the deposit, application form and copy of the passport have reached, SEE will forward the letter of acceptance.   

ACCEPT
 
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