French Immersion Summer Camp Registration Form

  • French Immersion Summer Camp Registration Form

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  • Petit Castor Information

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  • Medical Information

  • Dates & Hours

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        Total $0.00

      • Parent/Guardian Details

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      • Emergency Contact Details

        If parent/guardian cannot be reached.
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      • Payment Details

      • Acknowledgment, Authorization, and Waiver

      • My child has my authorization to engage in the activities of the Les Castors in Charleston Centre Aere program.

        I allow taking photography of my child that can be used for Les Castors in Charleston portfolio or advertising.(please circle one)

        YES        NO

        I authorized Les Castors in Charleston to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent/guardian. I allow them to apply first aid (bandaid, ice pack) as necessary.

        I allow Les Castors in Charleston to administer sunscreen or bug spray or supervise in self-administration.

        I release Les Castors in Charleston and any of its staff, and director for any responsibility in case of accident, illness, or injury during my child's enrollment.

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      • Signature ______________________________________

         

        Directrice______________________________________

      • Les Castors in Charleston

        1935 Cosgrove Avenue North Charleston 29405

        P 843 640 5981     E directrice.lescic@gmail.com    www.lescic.org

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