Summer Growth Camp Registration Form

Child information

Child's Full Name:

Date of Birth:

Gender

Parent / Guardian Information

Relationship to Child:

Parent/Guardian 1 Name:

Mobile Number:

Email Address:

Parent/Guardian 2 Name:

Relationship to Child:

Mobile Number:

Email Address:

Emergency Contact (if different from above)

Name:

Relationship to Child:

Mobile Number:

How would you assess the level of English of your child:

Has your child participated in a camp before?

Yes No

Medical Information
Does your child have any allergies?

Other (please specify allergie)

Dietary Requirements

Other (please specify Dietary Requirements)

Medical Conditions
Does your child have any medical conditions we should be aware of?

any medical conditions

No Yes

If yes, please provide details:

Medication
Will your child need medication during the camp?

medication yes no

No Yes

If yes, please provide details and instructions:

Learning & Support Needs
To help us provide the best possible experience for your child, please let us know if
they have any additional support needs.

Please provide any information that would help us support your child:

Activities & Participation
Horse Stable Project
Our camp includes activities connected to a horse stable.
Is your child comfortable being in a horse stable?

learning check

Yes No

If no, we will provide alternative activities such as herb planting and other project-based activities.

Photography & Media Consent
I give permission for photographs and videos of my child to be used for:

permission

Internal camp communications Website and social media Marketing materials No photography permission

About the camp provider:
UStudy Academy@Watersley is a new international secondary school located on the
Watersley campus for students aged 11 and up. Registration is open for both
current Academy students and possibly interested future students.

My child is a UStudy Academy@Watersley student My child is a UStudy Academy@Online student My child is currently not a UStudy Academy student, but is possibly interested in enrolling in the future

Parent Consent

Parent Consent I confirm that the information provided is accurate and complete. I understand that this is a Day Camp and that this registration for full participation in all 5 days of camp activities. I understand that UStudy Academy@ Watersley will take all reasonable care to ensure the safety and wellbeing of my child during the Summer Growth Camp. I confirm that my child will have medical and liability insurance during the camp week.

Summer Growth Camp Registration Form

Online Campus

Watersley Campus