2014 Summer Etiquette Camp Registration Form             
Please
print the form and register by mailing the completed form to
Academy of Etiquette
~ Summer Etiquette Camp  Post Office Box 608604 Orlando, Florida 32860
Camps held at The First Academy in Orlando, Florida

PLEASE PRINT CLEARLY BELOW:
Camp dates are posted on our home page

CHILDREN’S CAMP
List Camp Dates that you are enrolling your child in:__________________
Camp Location _____________________
Please Check 1/2 Day ______________ Full Day _________________
Camp Fee $ ______________________
TEEN CAMP
List Camp Dates that you are enrolling your child in:__________________
Camp Location _____________________
Please Check 1/2 Day ______________ Full Day _________________
Camp Fee $ ______________________

 

 CHILD'S FIRST & LAST NAME:                                         SEX:       HEIGHT:        AGE:          BIRTH DATE:

 

 GRADE COMPLETED:                   RISING GRADE:                 SCHOOL ENTERING IN FALL: 

 

 ADDRESS:                                                                  CITY / STATE / ZIP:

 

 PARENTS NAMES:                                                      CHURCH ATTENDED:

 

 HOME PHONE:                                               WHERE DID YOU HEAR ABOUT OUR SCHOOL ? 

 

 MOTHER'S CELL PHONE:                                     FATHER'S CELL PHONE:      

 

  MOTHER'S EMAIL ADDRESS:                                               FATHER'S EMAIL ADDRESS:      
  _____________________________  (Please Print Clearly)  _____________________________________
WHAT ARE THE MOST IMPORTANT LESSONS YOU WOULD LIKE YOUR CHILD TO LEARN?                        

 

 EMERGENCY CONTACT NAME                             WHO MAY PICK UP YOUR CHILD?  

 

 ANY HEALTH or LEARNING DIFFICULTIES?                            ANY FOOD ALLERGIES?

        * Please attach information regarding any medical condition which will impact your child's camp participation. 

 HEALTH INSURANCE CARRIER:                                        CHILD'S  HOBBIES, AWARDS, & ACCOMPLISHMENTS

 

Photo Permission Release:
We take photos during the week to present during the graduation for our parents and sometimes to feature on our website or brochures. Occasionally a local newspaper or news station asked to feature our camp in their paper or news show.    May we use your permission for your child's photo to be featured on our web site or printed brochure?   
YES     NO

THE FIRST ACADEMY'S BEHAVIORAL EXPECTATIONS are aligned with Christ-like character traits, such as obedience, self-control, kindness, and patience. Students not adhering to these standards may be asked to withdraw from the program. I HEREBY REQUEST that my son/daughter be admitted to The First Academy Summer Program and authorize the staff to act for me according to their best judgment in any emergency requiring medical attention, for which I shall pay.

Parent Guardian Signature:____________________________________Date:_____________________

Make checks payable to Academy of Etiquette, and write "Summer Etiquette Camp" in the memo blank. Fee must be paid in full for registration to be accepted.  Remember to mark  your calendar and keep a photocopy of your camp registration form for your records. Please use a separate registration form for each child registering.

Please Mail Form with Class Fee to Hold Space in Class.
Credit Card Enrollment can be Faxed.
Please Make Checks Payable to Academy of Etiquette

TOTAL AMOUNT ENCLOSED $ ____________________ 

Amount Enclosed____________________ Circle Credit Card -   MC   Visa   Discover   AMEX
Credit Card #__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __Expiration Date_____________
Name as it appears on the card:___________________________ Charge Amount ___________
Signature____________________________________________ Date ___________________
 

*Photocopy completed form for your records. Space is limited, so return this form with the required registration fee. Complete a separate form for each child; please photocopy this registration form as needed. Registration is due 3 weeks before each specific camp begins. Late registrations will be accepted, space permitting.

 If cancellations are made prior to 4 weeks before start of specific camp, parent will only receive a 50% refund of camp fee. If parent cancels camp after 4 weeks prior to start of specific camp, there are no refunds. Call Julie Dern at 407-884-4130  for additional information regarding Summer Camp. A detailed letter and map will be mailed to you 2-3 weeks before the camp.

  

 

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Copyright © 2000 Academy of Etiquette.
All rights reserved.
Revised: September 24, 2013 .