2026 Aloha Camp Application Form
Parent's Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
Age when the child join in
*
How well does your child understand English?
*
Very Beginner: Can understand only simple words (e.g., colors, animals)
Very Beginner: Can understand short sentences (e.g., “Please sit down,” “Let’s go”)
Intermidiate: Can follow basic instructions and simple conversations
Advance / Local :Can understand most everyday English without translation
Any additional information of English skill
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address (Home Country)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participation Dates
*
Spring - Week 1: 3/23/2026 - 3/27/2026
Spring - Week 2: 3/30/2026 - 4/3/2026
Summer - Week 1: 7/13/2026 - 7/117/2026
Summer - Week 2: 7/20/2026 - 7/24/2026
Summer - Week 3: 7/27/2026 - 7/31/2026
Summer - Week 4: 8/3/2026 - 8/7/2026
Payment Method
*
Bank Wire Transfer
Credit Card
Debit Card
Cash / Check
Additional Information ex. Allergy Information
Submit
Should be Empty: