
| Application for Spanish Camp 2010 Thunder Bay Ontario |
| Participant |
First name(s)
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Last name
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| Date of birth | |
| Gender | M F |
Telephone (participant)
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| Email (participant) | |
| School and Grade | |
| Health Card Number | |
T-Shirt Size
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Level of Spanish
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| Years of Study (Spanish) | |
| Indicate any allergies the student may have: | |
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Full Home Address
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Street Number and Name
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| City | |
| Province/State | |
| Postal Code/Zip Code | |
| Telephone | |
| Fax | |
| Parent's/Guardian's Names | |
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Parent's Contact Phone
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Parent's Email
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Alternate Email
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| Program and dates for Participating: |
| SUPERIOR ENGLISH EXPERIENCE, INC., offers the following: |
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| EARLY BIRD SPECIAL. SIGN UP BEFORE APRIL 30, 2010 AND RECEIVE A 10% DISCOUNT |
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| Week 1: July 5 – 9, 2010 SPECIALIZED CLINICS $350.00 + gst Choice of 1 of the following: a) Scuba Diving 1 b) Scuba Diving 2 (Must be at least 12 years of age and have passed Scuba 1) c) Sailing d) Aviation e) Horse Back Riding f) Leadership (Must be at least 12 years of age) g) Theatre / Film Desired Clinic (enter letter) All clinics are taught by professionals within their field. Intense 1 week long courses. Limited enrolment |
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| Week 2: July 12 – 16 Mixed Activities $295.00 + gst Week 3: July 19 – 23 Mixed Activities $295.00 + gst Week 4: July 26 – 29 Mixed Activities (short week) $225.00 + gst 7 night Overnight Camp Sunday 7 pm to Sunday 7 pm $895 +gst Week 1: July 4 – 11 SPECIALIZED CLINICS Choice of 1 of the following: a) Scuba Diving 1 b) Scuba Diving 2 (Must be at least 12 years of age and have passed Scuba 1) c) Sailing d) Aviation e) Horse Back Riding f) Leadership (Must be at least 12 years of age) g) Theatre / Film Desired Clinic (enter letter) All clinics are taught by professionals within their field. Intense 1 week long courses. Limited enrolment Week 2: July 11 – 18 Mixed Activities Week 3: July 18 – 25 Mixed Activities Week 4: July 25 – 29 Mixed Activities (short week) $500 + gst |
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| Please check above on either the day or overnight camp which week (s) you would like to participate. To reserve a deposit of $200 is required per student, balance is due June 15, 2010. Any applications not paid in full by June 30, 2010 will be subject to HST. |
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Weeks 2 - 4 inclusive include a combination of the following activities. Schedule of events will be available June 15, 2010. All activities are subject to change, without prior notice. - Aviation Day - Visit to Police Station - Visit to Fire Station - Forestry Day - Amethyst Mining - Berry Picking - Hike on Suspension Bridge - Kakabeka Falls - Overnight camping at Sibley - Multicultural days - Kayak - Dragonboat - Canoeing - Overnight at Old Fort William - Sailing - Hiking - Craft days - Chill Soccer Games - Bordercat Baseball - Basketball - Volleyball - Golf (mini and driving range) - Laser Tag - Scavenger Hunts - Scuba Days - Water slides - Bowling - Climbing Walls - Movie Nights - Fishing - Tubing - Graduation
Graduation notice will be sent to all parents and students at the time of enrolment
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| Emergency Contact Names and Number: |
| Contact 1. | |
| Name | |
| Relation to participant | |
Telephone (home)
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| Telephone (work) | |
| Telephone (mobile) | |
| E-mail | |
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| Contact 2. | |
| Name | |
| Relation to participant | |
| Telephone (home) | |
| Telephone (work) | |
| Telephone (mobile) | |
| E-mail | |
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Parents and Participants acknowledge receiving and understanding: 1) Rules and Camp Code of Conduct 2) Terms of Program
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| Signed and dated this
| day of 2009 |
Paricipant's Signature
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| Parent's / Guardian's Signature | |
| Parent's / Guardian's Signature | |
| ACCEPT |
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For more information or to reserve your summer camp: Please make all cheques or credit card application form payable to Superior English Experience. Please send payment along with completed application form. Superior English Experience 160 Wolverine Cres. Thunder Bay ON P7C 5Z2 Telephone: (807) 626-3842 Fax: (807) 344-5699 Email: info@experienceenglish.com Web: http://www.experienceenglish.com |
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