Summer Camp Registration Form JEUNES DIPLOMATES

Camper Information

First name

Last name

Birth Date

MonthDayYear

Age

Nationality

Shoe Size (EU sizes)

T-shirt Size (8, 10 , 12 , XS, S, M or L)

Language Spoken

School Attended and Town

Gender

MaleFemale

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Information

First name

Last name

Home Number

Area CodePhone Number

Cell Number

Area CodePhone Number

E-mail

Nationality

Have you taken out repatriation or cancellation insurance (advised)?

YesNoOther

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.

Information about the stay

Chosen Program

KIDS 6 to 9 yoJUNIOR 10 to 13 yoTEENS 14 tp 16 yoMORNING LANGUAGE LESSONS ONLY from 9am to 12pm (400€ for the week)

Accommodation

YesNo

Language studied in the camp

FrenchEnglish

Language level

BeginnerIntermediateAdvancedOther

Duration of the stay

Beginning of the stay

Ending date

Possible Options: Possibility to take an additional option from 5pm to 6pm, additional cost

	Tennis 310€/week	Climbing 360€/week	Golf 370€/week	Private Languge Lessons 275€/week
1 week
2 weeks
3 weeks

Transfert to/from Geneva Airport: 250€/transfer

Transfer Geneva / MegèveTransfer Megève/ GenevaOther

If you want to inform us about something special:

How did you hear about us?

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Jeunes Diplomates during the selected camp. In exchange for the acceptance of said child’s candidacy by Jeunes Diplomates ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Jeunes Diplomates . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Jeunes Diplomates . including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Payment Procedure

The entire balance of the camp must be paid before the 30th of April of the year of the camp session if I wish for my child to be registered. For registrations made after this date, the total amount must be paid immediately. The number of places being limited, the first registrations received will be the first ones enrolled. I will be notified as soon as possible. If my registration has not been accepted, my deposit will be refunded in full. In case of emergency, I AUTHORIZE the person in charge to take all the necessary actions in case of hospitalization (including surgical intervention). I agree to reimburse JEUNES DIPLOMATES for the total amount of medical expenses. In the event of an accident, JEUNES DIPLOMATES can not be held responsible.

Mes produits

Payment of the deposit€500.00

For campers with or without accomodation

Payment of the deposit for 2 kids€1,000.00

Payment for Language lessons only (from 9.00 to 12.00 from Monday to Friday)€400.00

Total €0.00

Informations sur la carte bancaire
Prénom	Nom de famille
Numéro de carte bancaire	Code de sécurité
Expiration de la carte

I authorize the publication on the website www.jeunes-diplomates.com, on our Social media pages, Blog and on our publicity of photos and videos showing my child.

YesNo

I HAVE READ THE ORGANIZATIONAL CONDITIONS , TERMS AND CONDITIONS for the Summer Camps AND FULLY ACCEPT THEM.

YesNo

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

CAMP JD

Summer Camp 2022 Registration