Language
  • English (US)
  • Español

  • HCTP Application Form

  • 1. Student Information

    (Please do not submit the application form for the same child more than once. Also, if you wish to register more than one child, please submit a separate application form for each child.)
  • Sex*
  • Has your child attended an HCTP program before?*
  • Current Grade in School (as of May 2025)*
  • Format: (000) 000-0000.

  • 2. Parent/Guardian and Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Can we use the above phone number to send text?*

  • The email fields must match.

  • 3. Additional Information

  • a) Medical or Special Needs
  • Does your child have an IEP?*

  • b) Pickup Arrangements 

  • Will your child be picked up at the end of each class by 3pm either by yourself, the emergency contact or an additional authorized person listed below?*
  • Rows
  • If offered, will your child stay at the camp beyond 3pm and be picked by 5pm?*
  • c) Laptop/Chromebooks
  • We require each student to bring a Windows/Mac laptop or Chromebook in the classroom. Will your child be able to bring one? (Please note that school laptops or school Chromebooks will not work. )*
  • d) Deposit & Attendance
  • e) Enrollment process and Lottery 

  • f) Schedule and Due dates

    The enrollment schedule is shown below. 

    1. Application period  March 17 (Mon) - April 11 (Fri)
    2. Acceptance/lottery result emailed to parents   April 14 (Tue)
    3. Parents' confirmation to enroll  April 15 (Wed)
    3. Deposit check due    April 25 (Fri)

  • g) Cancellation & Refund Schedule 

  • 4. Authorization and Release

  • I, as the legal guardian of the student(s) named above, give him(them) permission to attend HCTP programs and participate in any related activities. I assume all risks and hazards incidental to the programs and transportation (if any), and do further hereby release, absolve and hold harmless HCTP and Hanaim Church and its trustees, officers, directors, teachers, volunteers, staff in case of any incidents or injuries that may occur in relation to the camp and the students above. In the event of an emergency and all the guardians are not available, I give permission for the director or medical coordinator to give authorization for medical treatment. I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or videos of the student(s) registered above for publicity purposes. I understand that HCTP reserves the right to cancel or change its courses, programs, services, or schedule due to lack of enrollment or other necessary reasons.

    By e-signing below, I confirm my agreement to the terms above and certify that all information provided in this application is true and accurate. 

  • Date*
     - -
  • Should be Empty: