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)select oneAK MemberVisitorName of Child(required)ENGLISH Spelling Ex. John SmithName of Child(required)Phonetics (in Katakana) Ex ジョン スミスAge(required)Ex. 3 years 5 monthsDate of Birth(required)(MM/DD/YYYY) Ex. 04/20/2001Nationality(required)Ex. French, American, ChineseCurrent School(required)Ex. ______ International School, ______ Middle SchoolCurrent Grade(required)International School students must select the grade completed in June.select onePreschoolPre KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeEnglish Level(required)select oneNo experienceBeginnerIntermediateAdvancedFluentNativeApplication for WeeksJune 14(Mon)~18(Fri)June 21(Mon)~25(Fri)June 28(Mon)~July 2(Fri)July 5(Mon)~9(Fri)Application for 1 DayStudent’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)InquiryI agree with the Terms & Conditions(required)Agree