After School Program Enrollment Form

Day Camp Program Enrollment Form

2023-2024
Bio-Medacademy is pleased to offer our Day Camp Program for those students who are interested in hands on learning. We are offering two different classes.

Students from Grade 7 and up.

1- The basics of commercial robot programming and it's components. Mapping and operation.

2-Basic testing and repair of medical equipment.

Both classes are conducted in 10 students lab setting.

Please complete and submit one form per student being enrolled in each Program.

Please email us for further instruction on the address and dates of classes.

biomedacademy2020@gmail.com

or text us 614-401-1633

Our class time and locations are announced on our facebook page at.

https://www.facebook.com/bio-medacademy.com
Parent's Name*

First NameLast Name
Parent's Phone Number*

Area CodePhone Number
Parent's Email*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Name*

First NameLast Name
Grade in fall (2023-2024)*

Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
We are only offering these classes on Saturday afternoons*

Saturday 1-5 PM
Appointment
Please specify each person, including the name of parents, who has permission to pick up your child from the Day Camp Program.
Is your child allowed to come and leave without a parent accompanying them? (May drive or walk in)

No, parent/ guardian pick up onlyYes, he/ she can leave alone.
Authorized Person 1:

First NameLast Name
Phone Number 1:

Area CodePhone Number
Authorized Person 2:

First NameLast Name
Phone Number 2:

Area CodePhone Number
Authorized Person 3:

First NameLast Name
Phone Number 3:

Area CodePhone Number
Authorized Person 4:

First NameLast Name
Phone Number 4:

Area CodePhone Number
Statement of Fees

Each class is $250 per session.
My Products
prevnext( X )
Basics of Commercial Robots$250.00
Hands on training on UVD-Robots

Quantity

BASICS of Bio-med$250.00
Basics of testing and repairs of medical equipmet

Quantity

Total $0.00
Statement of Policy
- An Enrollment Form is required for all students participating in this program.
- If you have ACE credit, we will apply for that.
- If not, fees are prepaid.
- Student Code of Conduct
  
  While attending our hands-on training activities, students are expected to follow these basic rules, procedures, and expectations:
  
  1.     Your first priority is to learn. Avoid distractions that interfere with or are counter-intuitive to that mission.
  
  2.    Be in the assigned place with appropriate materials, ready to work at the designated time that class begins.
  
  3.    Keep hands, feet, and objects to yourself and never intentionally harm another student.
  
  4.    Use school-appropriate language and behavior at all times while maintaining friendly and courteous behavior.
  
  5.     Be polite and respectful to everyone, including students, teachers, administrators, support staff, and visitors.
  
  6.    Follow individual teacher instructions, class rules, and expectations at all times.
  
  7.     Do not be a bully. If you see someone being bullied, intervene by telling them to stop or immediately report it to school personnel.
  
  8.    Do not become a distraction for others. Give every other student the opportunity to maximize their potential. Encourage your fellow students. Never tear them down.
  
  9.    Attendance and participation in class are an essential part of the educational process. Furthermore, it allows students to achieve the maximum possible benefits from their educational experience. All students are encouraged to be present and prompt. School attendance is the responsibility of both parents and students.
  
  10. Represent yourself in a manner that you will be proud of in 10 years. You only get one opportunity to get life right. Take advantage of the opportunities you have at school. They will help you be successful throughout your life.
  11. Students with a fever or contagious illness may not participate in the program.
  Students may require to wear face masks in case of COVID.
TRASPORTATION REQUIREMENTS
- Only persons authorized by the parent or guardian may pick up your child from the Day Camp program. Please notify the Director in writing if anyone other than a parent/guardian will pick up your child.
- All students attending the Day Camp Program are required to follow all program rules. Behavioral problems will result in parent notification and possible suspension from the program.
- If students are driving themselves or walking to the camp. Please let us know.
I have read and understand the Statement of Fees and Statement of Policy contained here.*

Agree
I give Bio-medacademy permission to bill my student's ACE account for the Day Camp Program services indicated on this Enrollment Form, according to the Statement of Fees.*

Agree
Should be Empty:

Day Camp Program Enrollment Form

Statement of Fees

Statement of Policy