"Giving Kids A Learning Experience Beyond the Classroom"

Do You Have Georgia Caps? *

Yes

SUMMER CAMP FESS 2019

Passport Explorer Camp

Choose Camp Dates: *

Winter Break Camp (Feb 18-22)

Spring Break Camp (April 1-5)

N/A

PAY FEES HERE

Parent's Night Out Fees

Choose Program(s) *

CampS

Parent's Night Out

Tutoring

After payment is made, forward a copy of the receipt with your child's name for payment identification shirah.frazier@languageinternationalkids.com

**Please note that no refunds are giving for days not attended. Credit for future dates will be applied to individual accounts.**

Custom Payments Here

Program start date? *

Parent 2 Name & Cell Number *

Age & Grade *

I Hereby authorize Language International Educational and Recreational Service to seek emergency medical assistance for my child/children in the event the parent or guardian is not available. I will assume full responsibility for all charges related to the above. Further, I give me child/children permission to participate in all Language International program activities and field trips. I also understand that field trips are listed on the website and they are subjected to change. It is my understanding that all participating children are transported in program vans and that all children are properly secured. *

Yes, I give my permission/understand.

After School Program Fees

Click Here for Ga Caps Quote Sheet

Email Address *

Home Address *

Email Address *

Registration Form

Electronic Signature *

What school does your child/children attend? *

**We accept Georgia Caps for Summer Camp!**

Notes/Special Instructions

Medical Information *

Parent 1 Name & Cell Number *

How did you here about our program? *

The following Person(s) have/has permission to pick up my child/Children from Language International Kids *

Brain Juice Makers Space Camp

After payment is made, forward a copy of the receipt with your child's name for payment identification to: shirah.frazier@languageinternationalkids.com

Child/Children's Name *

​"Giving Kids A Learning Experience Beyond the Classroom"

"Giving Kids A Learning Experience Beyond the Classroom"