| Application |
Please airmail two photos with the application |
| Family name | First
name |
Sex: Birth date (day/month/year) |
| Address | City | Postal
code |
| Home Phone | Home Fax | e-mail |
| Citizenship | Passport
Number |
Place
of Birth |
| Mother's Name | Occupation | Bus.
Phone |
| Father's Name | Occupation |
Bus.
Phone |
| Has
participant lived in a foreign country? Where? |
yes
___ no ___ |
How
long? |
| Does
participant suffer from medical problems? Medical treatment required? |
Yes ___ Please attach explanation. |
No ___ |
| List languages applicant speaks | ||
Name and address of home school
|
Phone | e-mail |
| Name
of home school Principal/Director |
||
| Registering
for the following session: 3 weeks ___ 4 weeks ___ |
Niagara Falls Tour Yes ___ | No __ |
| Provide complete flight schedule to Ottawa Airport (may be submitted at a later date) Date and time of all flights |
|
|
| Permission In enrolling my child I hereby agree to permit the camp doctor or nurse to administer such routine medication as they deem advisable in the event of an emergency. If camp doctors are not able to contact either parents, the directors are hereby given permission to act on the parent's behalf in signing permission for medical care as advised by a medical doctor. |
Signature of Parent/Guardian | Date |
| Signature of Parent / Guardian | Date |
|
With the signed application form you accept the conditions as outlined below. Please
do not forward payment. |
|
Please
select one set of dates provided below for arrival and departure.
If you encounter difficulties while booking a flight,
please inform us immediately.
(Example:
for the 4-week program: If
you book a flight to arrive in Ottawa on July 4, the departure
from Ottawa should be August 1 ( 28 days maximum). We suggest
booking the arrival date for Saturday, if possible. |
| 4-Week
Program: |
Arrival in Ottawa | Departure from Ottawa |
| July
8, 2006 or July 15, 2006 |
August 5 August 5 |
|
| 3-Week
Program: |
||
| July
8, 2006 or July 15 |
July
29, 2006 (maximum 21 days) |
|
Program Fees and Method of Payment |
| Fees
for the 4-Week Program:
|
| Registration (to be paid at time of application) | $ 100 US Dollars | |
| Final payment (not later than June 1) | $ 2 895 US Dollars | |
| Total (without Niagara Tour) | $ 2 995 US Dollars | |
| Total including Niagara/Toronto Tour | $ 350 US Dollar | $ 3 345 US Dollar |
| Note: In order to be accepted after May 1, full payment must be submitted with the application. (After May 15, applications can only be accepted provided spaces are still available. Please first contact info@english-in-canada.com ) |
| Fees for 3-Week Program |
| Registration (to be paid at time of application) | $ 100 US Dollars | |
| Final payment (not later than June 1) | $ 2 350 US Dollars | |
| Total (without Niagara Tour) | $ 2 450 US Dollars | |
| Total including Niagara/Toronto Tour | $ 350 US Dollars | $ 2 800.- US Dollar |
| Note: In order to be accepted after May 1, full payment must be submitted with the application. (After May 15, applications can only be accepted provided spaces are still available. Please first contact info@english-in-canada.com ) |
|
Method
of Payment: Payment
in the form of either a Bank
Draft or Cashier’s Cheque in
US Funds. Conditions of Registration Registration will be accepted by submitting a signed application form and $ 100 US. The remaining fee has to be deposited to the account of Aimco Services not later than June 1. (For
registration after May 1,
the full fee has to be submitted by electronic Bank Transfer). Please inform us immediately if
delays are encountered. Aimco
will acknowledge receipt of
registration forms and fees. With the written acknowledgement of receipt of registration fees we guarantee a place in the camp. In the unlikely event that we have to cancel the Camp, we will reimburse full payment made at the time of cancellation. Cancellation
Conditions Your payment is refundable
in full with the exception of a $ 100 US administration fee after receipt
of a written cancellation notice.
With
the signed application form you accept the conditions as outlined
above. Program Price Includes:
Not
Included in Price: Return
air fare from home country to Ottawa Airport departure taxes (if applicable).
OPTIONAL supervised off-campus activities e.g. movies, water
slides, bike rentals, paddleboat rentals, etc. will be offered at the
students’ own expense. For
these OPTIONAL ACTIVITIES we suggest calculating
$ 35 per week. The camp counselor will collect this
amount. Any money
not used will be reimbursed to the student at the end of the
camp. The two day Niagara/Toronto tour is optional. Visit to the magnificent Niagara Falls, breakfast at the Skylon Tower with an exceptional view of the Canadian and American Falls, boat tour on the famous "Maid of the Mist". Visit Toronto's CN-Tower and hard Rock Café at the SkyDom in Toronto. Transportation, food, accommodation and full supervision ( $ 350 US Dollar)
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