VPK Camp 2025

Child First Name*
Child Last Name*
Child Date of Birth*

MonthDayYear
Date
Parent / Guardian First Name*
Parent / Guardian Last Name*
Your Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Parent / Guardian Email*
example@example.com
Emergency Contact First Name*
Emergency Contact Last Name*
Relationship to Student*
Parent Signatrue*

Clear
Today's Date*

MonthDayYear
Date
Initials*I give permission for my child to be photographed and here I understand that such photographs become property of iLingo Academy and may be used for the purpose of future promotions and material relevant to the program.
Initials*I understand all participants must abide by the regulations rules and guidelines set forth by the program and may be dismissed from the program at the discretion of the director.
Initials*I understand the risk of sustaining injuries from the nature of the activity can occur without fault of the participant, iLingo Academy, iLingo Academy staff or designates or the facility in which activities are taking place.
Initials*I am aware of children will be released into the custody of parent guardian and those listed above unless I notify management.
Initials*I understand that my registration fee and tuition is non-refundable and non-transferable if I decide to cancel enrollment.
Should be Empty:

Summer VPK