Enrollment Form - Winter 2023 Holiday Program

Enrollment Form - Winter 2023 Holiday Program
Child's Information
Child's Name*

First NameMiddle NameLast Name
Age*
Date of Birth*

DayMonthYear
Gender*

MaleFemaleOther
Check the box below*

I agree that my child can independently use the bathroom and is toilet trained.
Code of Conduct

All participants will be expected to do their best to embody and practice the Shed’s Agreements: - I show Attentive Listening - I show Mutual Respect - I am Attentive, Aware, and Safe - I use appreciations and not put downs - I have the right to participate and the right to pass
Please check the box.*

As a caregiver, I agree to work collaboratively with The Shed to instill the importance of the above agreements. If my child/ren is/are unable to uphold the agreements, The Shed has the right to remove the child/ren from the activity or session at the expense of the child’s family.
To help us better plan our program calendar, please share which school your child attends:
What is the name of the school?
Has your child attended The Shed before?*

YesNo
How did you learn about The Shed?

From friendsKid's sibling joined beforeFacebookInstagramGoogleXiaoHongShuOther
Allergy and/or Dietary Needs

Food plays a big role at The Shed. Children will be interacting, eating and sharing food regularly. To keep your child, and others, safe, it's important we have a clear understanding of your child's dietary needs.
Please indicate below if your child has any food related allergies or food related medical conditions that we need to be aware of?*

YesNo
If yes please specify:
Medical and/or Physical Needs

The Shed is a practical, hands on environment. It's important that we have a clear understanding of any physical or medical needs your child may have. This information will help us to create the best environment possible for your child to make the most of their time with us.
Please indicate below if your child has any specific physical or medical needs that we should be aware of?*

YesNo
If yes please specify:
Supportive Environment

The Shed is an inclusive environment for all of its participants. Please let us know if your child has any specific behavioural or developmental needs that we can be made aware of. Even the smallest of detail can help us to create a better experience for your child and others.
Please share any relevant information that can help us create a more supportive environment for your child.
Parent/Caregivers Information
Parent/Caregivers Name*

First NameLast Name
Mobile Number*

Area codePhone number
E-mail*
example@example.com
Alternative Emergency Contact
Emergency Contact's Name*

First NameLast Name
Relationship*
Mobile Number*

Area codePhone number
Course Information

Please indicate below the program you would like to enrol in.
Please select the program you are enrolling for:*

Half Day Program (3-4 yo)Half Day Program (5-7 yo)
HALF DAY (3-4 yo)- Please select ALL of the sessions you would like to enroll in*

24Holidays Camp Jan 2 - 5 AM – 3-4yo - $2,640 - (Waiting list only)24Holidays Camp Jan 2 - 5 PM – 3-4yo - $2,640
HALF DAY (5-7 yo)- Please select ALL of the sessions you would like to enroll in

24Holidays Camp Jan 2 - 5 AM – 5-7yo - $2,520 (Waiting list only)24Holidays Camp Jan 2 - 5 PM – 5-7yo - $2,520
FULL DAY (8-12 yo)- Please select ALL of the sessions you would like to enroll in*

23Holidays Camp Jan 2 - 5 Full – 8-12yo - $5,280
Check the box below*

I have read and agreed to The Shed Cancellation Policy as stated on The Shed's website https://www.theshedhk.com/cancellation-policy
Photo and Video Consent

Unless otherwise indicated, I give my consent to The Shed to use any photographs, or any edited versions thereof, that are taken of my child and/or myself while participating in The Shed courses or programs for use by The Shed in brochures and/or flyers that are distributed both as printed documents and/or on the Internet. I understand that my child’s name and/or my name will not be identified with such brochures and flyers and I agree that neither my child nor I will receive any compensation for the use of any such photographs.
Please check the box.*

I give consent for photo and video footage to be taken of me and my child.I hereby do not give consent for any photo or video footage to be taken of me/my child during The Shed programs.
Medical Authorisation

In the event of an injury or medical emergency, I allow The Shed to provide first aid, arrange transport to a medical facility, and authorise emergency treatment as recommended by a doctor for the child named above. I understand that all reasonable efforts will be made to contact the child's parent/caregiver and/or emergency contact if an injury or medical emergency occurs.
Please check the box*

I hereby authorise The Shed to provide and arrange appropriate medical treatment should an injury or medical emergency occur.I do not authorise The Shed to provide and arrange appropriate medical treatment should an injury or medical emergency occur.
Are you travelling from outside of Hong Kong?*

YesNo
Non-Hong Kong Residents

Please note, that if your child is attending our program and you reside outside of HK, The Shed STRONGLY recommends that your child has their own individual travel or related accident insurance.
Check the box below*

I acknowledge that attaining individual travel or accident related insurance for my child is my responsibility.
Confirmation

I/We hereby confirm my/our child's registration in The Shed Program and agree to abide by the rules and regulations thereof. By signing my below I confirm my/our child's enrolment.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Enrollment Form - Winter 2023 Holiday Program

Child's Information

Code of Conduct

Allergy and/or Dietary Needs

Medical and/or Physical Needs

Supportive Environment

Parent/Caregivers Information

Course Information

Photo and Video Consent

Medical Authorisation

Non-Hong Kong Residents

Confirmation