Early Summer Care Application Form

Apply for Early Summer Care

AMERICAN KIDS Summer School Agreement

You will find our AMERICAN KIDS Summer School Terms & Conditions below. Please read and AGREE to the Terms & Conditions before confirming your information.

•	According to the judgment of AMERICAN KIDS, inappropriate behavior or disturbances to other members or staff caused by a participant or the guardian of a participant, failure to comply with our school policies and noticeable damages may result in suspension from our activities or dismissal from AMERICAN KIDS. AMERICAN KIDS reserves the right to make judgment in such cases. Program fees will not be refunded.

•	AMERICAN KIDS will not be held responsible for medical information and illness (including allergy symptoms) not written in the participant's application. The same condition applies to food poisoning from foods participants bring from home.

•	Upon enrolling in AMERICAN KIDS program, participants have agreed to be accompanied by the staff in bus or car  (or other modes of transportation) when participating in Outside Activity. (if the participant is a minor, the guardian has agreed to this.)

•	AMERICAN KIDS will not be liable for injuries or theft that occurs during participation in our programs.

•	The participant is personally liable for any injuries, trouble with other members, unpredictable accidents and damage due to natural disasters that occur during program activities.

•	We ask for complete cooperation during lessons and events in the classroom and may use pictures, videos, and comments for promotional purposes and materials to recruit new students even after you stop attendance at American Kids.

AK Member/Visitor(required)
Name of Child(required) ENGLISH Spelling Ex. John Smith
Name of Child(required) Phonetics (in Katakana) Ex ジョン　スミス
Age(required) Ex. 3 years 5 months
Date of Birth(required) (MM/DD/YYYY) Ex. 04/20/2001
Nationality(required) Ex. French, American, Chinese
Current School(required) Ex. ______ International School, ______ Middle School
Current Grade(required) International School students must select the grade completed in June.
English Level(required)
Application for Weeks	June 14(Mon)~18(Fri) June 21(Mon)~25(Fri) June 28(Mon)~July 2(Fri) July 5(Mon)~9(Fri)
Application for 1 Day
Student’s Medical Information(required) Allergies, dietary restrictions, rashes, required medication, etc. (All medication required to be taken at school must be disclosed with the school in this section.)
Name of Parent(required)
Zip(required)
Permanent Address(required)
Phone(required)
E-mail (computer)(required)
Inquiry
I agree with the Terms & Conditions(required)	Agree