[[[["field274","equal_to","Whistler"]],[["show_fields","field136,field167,field168,field169,field170,field171"]],"and"],[[["field274","equal_to","Vancouver - SFU"]],[["show_fields","field172,field174,field173,field175,field176,field177"]],"and"],[[["field274","equal_to","Toronto - UTM"]],[["show_fields","field178,field179,field180,field181,field182"]],"and"],[[["field274","equal_to","Los Angeles - UCLA"]],[["show_fields","field191,field187,field188,field189,field190,field192"]],"and"],[[["field274","equal_to","San Francisco - SJSU"]],[["show_fields","field193,field194,field195,field196,field197"]],"and"],[[["field274","equal_to","Boston"]],[["show_fields","field183,field184,field185,field186"]],"and"]]
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Student Information

First Name
Last Name
Gender
Date of Birth
Skype Username
Nationality

Street Address
City
State
Country
Postal Code

Home Phone
Mobile Phone
Emergency Phone
Emergency Contact Name
Mother Tongue

T-Shirt size
Height
Weight
Canadian Shoe Size

Legal Guardian Information

First Name
Last Name
Daytime Phone Number
Mobile Phone Number
Home Phone Number

For Agency Use Only

Agency Name
Agency Representative Name
Tamwood Sales Representative

Summer Camp Options

Select all the weeks the camper will be in each program:

Whistler
Whistler
WhistlerJuly 16 - July 23
WhistlerJuly 23 - July 30
WhistlerJuly 30 - August 6
WhistlerAugust 6 - August 13
Vancouver - SFUJuly 2 - July 9
Vancouver - SFUJuly 9 - July 16
Vancouver - SFUJuly 16 - July 23
Vancouver - SFUJuly 23 - July 30
Vancouver - SFUJuly 30 - August 6
Vancouver - SFUAugust 6 - August 13
Toronto - UTMJuly 2 - July 9
Toronto - UTMJuly 9 - July 16
Toronto - UTMJuly 16 - July 23
Toronto - UTMJuly 23 - July 30
Toronto - UTMJuly 30 - August 6
Boston - Curry CollegeJuly 9 - July 16
Boston - Curry CollegeJuly 16 - July 23
Boston - Curry CollegeJuly 23 - July 30
Boston - Curry CollegeJuly 30 - August 6
Los Angeles - UCLAJuly 2 - July 9
Los Angeles - UCLAJuly 9 - July 16
Los Angeles - UCLAJuly 16 - July 23
Los Angeles - UCLAJuly 23 - July 30
Los Angeles - UCLAJuly 30 - August 6
Los Angeles - UCLAAugust 6
San Francisco - SJSUJuly 2 - July 9
San Francisco - SJSUJuly 9 - July 16
San Francisco - SJSUJuly 16 - July 23
San Francisco - SJSUJuly 23 - July 30
San Francisco - SJSUJuly 30 - August 6

Winter Camp Options

AGES 12 TO 18

Select all the weeks the camper will be in each program:

English and Activity CampWeek starting

Accommodation Options

and Optional Service

Days
Days

Airport Transfer Service

Arrival Date and Departure date must be on Sunday

Do you require transportation?
Arrival Date
Departure Date
Arrival Time
Arrival Flight Number
Arrival Flight Origin
Departure Time
Departure Number
Departure Flight Origin

Health InformaciĆ³n

Important: No student will be accepted into a Tamwood Junior Program until Tamwood has received this form completed and confirmed by a parent or legal guardian.


Immunization Record: No student will be admitted without submitting an immunization record. Tamwood recommends that all campers be given Meningitis and Tetanus vaccinations before attending a junior camp. Please fax your student's immunization record to Tamwood at +1 604 899 4481 attention Camps Registrar and mark clearly the student's full name, program location, program dates and Tamwood student number if you have it.


Health Profile: Please confirm and provide dates for any conditions your child has experienced in the past:

Operations and serious injuries
Hay fever
Chronic or recurring illness
Mumps
Other diseases
Diabetes
Frequent ear infection
Measles
Heart defect/disease
Convulsions, Seizures
Bleeding, Clotting disorder
Allergy to Poison Ivy
German measles
Allergy to Insect Stings
Chicken Pox
Allergy to Penicillin
Asthma
Allergies to other drugs

Recommendations and Restrictions While at Tamwood

Current Medication
Swimming and diving
Strenuous activities
Other

For Girls only

Has the menstrual cycle started?
If no, has she been told about menstrual cycle?
if yes, is it normal?

Parent's Authorization

The health history is correct as far as I know, and the person herein described has permission to engage in all prescribed camp activities except as noted. I hereby give permission to the physician selected by Tamwood to order X-rays, routine tests and treatment for the health of my child, and in the event I cannot be reached in an emergency, I hereby give permission to the physician selected by Tamwood to hospitalize, secure proper treatment for and to order injection and or anesthesia and/or surgery for my child as named above. I authorize Tamwood staff to review my child's medical records before and after treatment while in Tamwood Care, and allow medical service providers to release the child's medical record to Tasmwood International and Tamwood Camp staff.

Parent's First Name
Parent's Last Name
Today's Date
Additional Comments
0 /

I have read and understood all of the above and I agree to all these terms and conditions

Parent Name
Date

I understand that any changes of the registration may be a subject to the Course Change Fee as per the pricelist

Parent Name
Date
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