Mini-Olympics Summer Holiday Program 2023
REGISTRATION FORM
Student Name
*
English Name
Full name on ID
Gender
Male
Female
N/A
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Which camp dates? (Dalton Student Price)
Camp Full
Which camp dates? (Non-Dalton Student Price)
Camp Full
Are you a Student at Dalton School Hong Kong?
*
Yes
No
Any Food Allergies or Health Concerns?
*
No
Other
Week 1 Total
Week 2 Total
Week 3 Total
Week 4 Total
Week 5 Total
Camp Fee Total
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Parent/Guardian Information
Persons approved for pick-up from camp (please insert multiple if required)
Email
*
example@example.com
Phone Number
*
-
Phone Number
Where did you hear about our camp?
*
Past Holiday Camps at Dalton School
We are students at Dalton School
Flyer/Leaflet
Facebook
Instagram
RED 小红书
PacificPine Sports Website
Dalton Email newsletter
PGA Development Center - Waterfall - Website
PGA Development Center - Waterfall - Email
Other
Remarks
My Products
*
prev
next
( X )
HKD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: