Camp Registration

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Marriage Status *

Married Separated Divorced Widowed

Please Select Age Group *

Group A (age 14-17) Group B (age 18 - 20) Group C ( age 21 up)

Please Select Camp Dates *

Do you need airport pick up? *

Please answer yes or no for each of the following questions *

Mother Name *

First

Last

Mather's Email *

Mother's Phone Number *

Mather's Highest Education *

Father's Name *

First

Last

Father's Email *

Father's Phone Number *

Father's Highest Education *

Emergency Contact Person's Name *

First

Last

Emergency Contact Phone Number *

Relationship With Student *

Housing/Accommodation *

Please read the enrollment terms before submitted the registration
1. I understand that a nonrefundable and one time $175 registration fee must accompany each camper's registration form. A billing statement will be sent to all enrolled campers participants. Full payment for all programs is due June 25, 2016. These payments are non-refundable, regardless of the reason for withdrawal. All checks should be made payable to 2016 Summer Language Camp - JPLI. The face of all checks should clearly list the name of the camper.

2. I understand that there are no refunds and no make-up days of camp or workshops for time missed.

3. I understand that for campers enrolling after May 20, 2016 full payment, plus the $175 is due at the time of registration.

4. I understand A non-refundable/non-transferable deposit of $175 is required for each student. The remaining balance must be paid in full before the camp started or your student will not be permitted to begin camp. There will be a $125 fee for late payment.

12. I understand that the JPLI 2016Summer Language Camp accepts campers on a first come, first served basis beginning in April 26, 2016, and that enrollment is limited in all programs. JPLI 2016 Summer Language Camp does not discriminate on the basis of gender, race, or creed. All children are admitted equally to all programs.

13. I understand that children who are not enrolled in the JPLI 2016 Summer Language Camp are not permitted to attend a portion of the programs as guests of the enrolled participants.

I understand that all cancellations or changes in registration must be in writing.

Registration​ For Summer or Winter Camp 夏 / 冬令营申请表

Registration

For Summer or Winter Camp 夏 / 冬令营申请表