• Short Term Study Registration Form

    ESLI at UMD
  • Student Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Terms and Conditions

    I understand that my son/daughter will be required to participate in all classes and activities as outlined in the program schedule, and abide by the rules and regulations of the program.

    I also understand that ESLI reserves the right to dismiss any student who does not abide by such rules and that such student will be returned home at their own expense and without a tuition refund. 

    I give permission to my son/daughter to participate in the full range of activities that will take place during the ESLI at UMD short-term program. I understand that my child’s photos may be taken throughout the program and that they may be used for future marketing purposes by ESLI. 

    I grant ESLI the right to make medical decisions for my child if I cannot be reached by phone immediately, and ESLI is permitted to sign activity waiver and release forms deemed necessary to participate in the program my child is registered in, on my behalf.


    I certify that my answers are true and complete to the best of my knowledge.

     

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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