|
|
| 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 ___ |
| Your
English level: Low Beginner ____ High
Beginner ____ Low Intermediate ____ |
High Intermediate____ | Advanced ____ |
Name and address of home school |
Phone | |
Name
of home school Principal/Director |
E-mail: . E-mail: |
|
| 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 |
|
|
| For
Guardians 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 with the application |
| Program
Dates, Fees and Method of 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 9, 2010 |
August 6 (maximum 28 days) |
|
| 3-Week
Program: |
||
| July
9, 2010 July 16, 2010 |
July
30, (maximum 21 days) |
|
Program Fees and Method of Payment |
| Fees
for the 4-Week Program:
|
Please
do not forward payment with the application.
Upon receiving your application form, we will provide you with an
invoice for the total amount. |
||
| Final payment (not later than May 3) | $ 4,175
US Dollars |
|
Total including Niagara/Toronto Tour |
$ 470 US Dollars |
$ 4,645 US Dollars |
| Note: After May 1, applications can only be accepted provided spaces are still available. Please first contact: info@english-in-canada.com |
| Fees for 3-Week Program |
| Please do not forward payment with the application. Upon receiving your application form, we will provide you with an invoice for the total amount. | ||
| Final payment (not later than May 3) | $
3,350 US Dollars |
|
| Total including Niagara/Toronto Tour | $
470 US Dollars |
$
3,820 US Dollar |
Note:
After
May 1, applications can only be accepted provided spaces are still
available. Please first contact info@english-in-canada.com
|
Conditions of Registration After receiving our invoice the fee has to be deposited not later
than May 3. 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 In case YOU
have to cancel before July 1, 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).
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] An International Teachers' Initiative ~ With the personal touch ~ Contact: Aimco
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