Mini-Olympics Summer Holiday Program 2023
REGISTRATION FORM
Student Name
*
English Name
Full name on ID
Gender
Male
Female
N/A
Date of Birth
*
-
Day
-
Month
Year
Date
Which camp dates? (Dalton Student Price)
Camp Full
Which camp dates? (Non-Dalton Student Price)
Camp Full
Are you a Student at Dalton School Hong Kong?
*
Yes
No
Any Food Allergies or Health Concerns?
*
No
Other
Week 1 Total
Week 2 Total
Week 3 Total
Week 4 Total
Week 5 Total
Camp Fee Total
Date
-
Day
-
Month
Year
Date
Parent/Guardian Information
Persons approved for pick-up from camp (please insert multiple if required)
Email
*
example@example.com
Phone Number
*
-
Phone Number
Where did you hear about our camp?
*
Past Holiday Camps at Dalton School
We are students at Dalton School
Flyer/Leaflet
Facebook
Instagram
RED 小红书
PacificPine Sports Website
Dalton Email newsletter
PGA Development Center - Waterfall - Website
PGA Development Center - Waterfall - Email
Other
Remarks
My Products
*
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HKD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: