HCIK Summer Camp Form

Hana Summer Camp Application

Welcome to our Summer Camp at Hana Christian International Kindergarten! We're so excited you're considering spending part of your summer with us. Our camp is all about fun, learning, and making new friends, in a place where every child is valued and nurtured.We can't wait to offer your child a fantastic summer experience, full of activities that encourage growth, creativity, and joy. Our team is here to answer any questions you have and make the application process smooth and easy. Thank you for thinking of us for your child's summer adventure. We're looking forward to the possibility of welcoming your family to our community!
Basic Information (Required)
Date*

DayMonthYear
Date
Interested in Grade*

Camp Preschool (age 2-3)Camp KG Stars (age 3-4)Camp KG Diamonds (age 5-6)
Academic Session*
Summer Camp Duration*

1 month (Full 4 weeks)1st Week (July 1-5)2nd Week (July 8-12)3rd Week (July 15-19)4th Week (July 22-26)
Student Information (Required)
Name of the student (In English)*

First NameMiddle NameLast Name
Thai spelling name of the student (For Thai Nationals Only)

First NameMiddle NameLast Name
Nick Name (If any)
Date of Birth*

DayMonthYear
Birth Date
Age*
Passport Country*
Photo of Child

Cancelof
Child Passport (For Foreigner)

Cancelof
Child Birth Certificate (For Thai Nationals)

Cancelof
Gender*
First Parent/Guardian Information (Required)
Name*

First NameLast Name
Email*

Confirmation EmailRe-enter E-mail address for verification
Gender*
Phone Number*
Passport Country*
Passport (For Foreigner)

Cancelof
Second Parent/Guardian (Required)
Name*

First NameLast Name
Email*

Confirmation EmailRe-enter E-mail address for verification
Gender*
Phone Number*
Passport Country*
Passport (For Foreigner)

Cancelof
Background Information (Required)
1. Are you currently located in Chiang Mai, Thailand?*

YesNo
2. Has your child ever attended school before?*

YesNo
If yes, please state name of current school:
3. Any allergies?*

YesNo
If yes, please specify allergy/allergies, your child's physical reaction and medication routine:
Does your child have any dietary requirements or restrictions?*
Any special needs or requests?
4. Can the school nurse give Paracetamol and common cold medication for minor aches or fever?*

YesNo
Agreement

Agreement & Authorization
Website and Photos Permission
Documenting the children's activities at school is a key element of our program. We also think it's important for parents to have access to these experiences. Rest assured, we will exercise careful judgment in choosing photos for sharing, ensuring they are appropriate.
I authorize Hana Christian International Kindergarten School to use photos of my child in the classroom, school publications including school official website, school packets, handbooks and school Facebook.*

Yes, I give permissionNo, I do not give permission
Medical Declaration
(Please read carefully before signing)

Our school policy for handling situations where a child falls ill at school or arrives unwell is as follows:

If a child exhibits signs of a developing sickness, such as fever, influenza, chickenpox, Hand, Foot, and Mouth Disease (HFMD), RSV, other common childhood illnesses, or if their symptoms raise concerns about the potential spread of the illness to others, the school is legally obligated to promptly place the child under the care of their parents.

In such cases, the parents will be contacted and asked to pick up their child from the school office. Furthermore, the child must remain at home until they receive a doctor's clearance to return to school.
Do you understand and agree to the terms listed above?*

Yes, I understand and agree to the terms listed above.
HCIK Enrollment Policy
(Please read carefully before signing)

1. I certify that the information contained in this application and supporting documents is complete and correct. I understand that Hana Christian International Kindergarten reserves the right to reassess and withdraw any offer of admission when an application is discovered to be incorrect or incomplete.

2. HCIK is committed to equal treatment for all families, regardless of their race, gender, color, national/ethnic background, or religious beliefs.

3. I understand that the primary goal of HCIK is to cultivate students of Christ-centered character and values. HCIK aims to instill a lifelong love for learning and a deep understanding of God's love, preparing our young learners to become compassionate, responsible, and confident individuals.

4. I acknowledge that my child must adhere to the regulations set by the school during school-related activities and trips sponsored by the school. I recognize that in emergencies, Hana Christian International Kindergarten will attempt to reach parents or guardians, but if they are unreachable, the school is authorized to provide the required emergency medical care or transport my child to an appropriate hospital for treatment.
Do you understand and agree to the terms listed above?*

Yes, I understand and agree to the terms listed above.
Parent's Signature*

Clear
Should be Empty:

Hana Summer Camp Application

Basic Information (Required)

Student Information (Required)

First Parent/Guardian Information (Required)

Second Parent/Guardian (Required)

Background Information (Required)

Agreement