SUMMER CAMP REGISTRATION

E.I.G.H.T. SUMMER CAMP REGISTRATION FORM

One student registration per form. Please fill out and return the form with your proof of payment.

Child's Name

Gender

Address

Child's Date of Birth

E-mail

Parent's Name

Phone

Name of Emergency Contact

Emergency Contact Number

Relationship with child

Name of Current School

Medical Conditions if any:

Sensory Overload? Be specific (Noise, scents, tags, etc):

Allergies?

If Yes, please state the specific allergy

Does your child have any known emotional or behavioural problems? If Yes, Please state in details.

Does your child have Epilepsy? If Yes, please advise coach as breathing exercises may trigger a seizure.

Does your child have anaphylaxis. If your child requires an epi-pen, please make sure that it is in the building.

Does your child have Asthma ? If Yes, please advise coach & ensure they bring their inhaler

Is your child taking any medication, if Yes please give details.

How did you hear about us?

Flyers

Friend/Family

Social Media

Please Specify:

I release the Earnest Institute for the Gifted, Hyperactive & Talented "E.I.G.H.T." Limited, from all liability, injury, damage or loss of property and to allow the event organisers to film and/or take photos to use in publicity shots for thr future E.I.G.H.T. events:

Yes

I agree to the Terms & Conditions and Privacy Policy:

Yes

I agree to the Terms & Conditions and Privacy Policy

Submit

E.I.G.H.T. SUMMER CAMP REGISTRATION FORM

One student registration per form. Please fill out and return the form with your proof of payment.

CLASS SIZE IS STRICTLY LIMITED

Pay via local bank transfer or online using the pay pal link.

Ages 4 - 7

$36, 000

Ages 8 - 11

$36, 000

Ages 12 - 14

$36, 000

Ages 15 - 17

$36, 000