Summer Youth Meditation Camp Registration Form

The camp participant and I both fully understand the content of “2020 the 7th Summer Youth Meditation Camp Agreement Form (Appendix 1)”. I give permission for my child to attend the camp’s full curriculum and follow all the camp rules during Aug 3 to Aug 8, 2020.

YES*

Name of Parent:*

If applicable, please provide more details on the health conditions or allergies.

In case of a severe allergy or anaphylactic reaction, I agree to provide my child with the appropriate EpiPen to be used during such a reaction. If any other course of action needs to be taken (such as other emergency medication eg. antihistamines, puffers, etc), please state below and ensure that the camp staff have access to these medications.

Youth English Name*

First

Last

Youth Chinese Name*

Date of Birth:*

day

month

year

Gender:*

Day School:*

Day School Grade*

Youth OHIP Health Card Number:*

Parents E-mail:*

Father’s legal Name:*

First

Last

Father’s Cell phone#:*

Area Code

Phone Number

Mother's legal Name:*

First

Last

Mother’s Cell phone#:*

Area Code

Phone Number

Home address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Emergency Person’s Name:*

Emergency Person’s Cell phone#:*

Area Code

Phone Number

Home Language:*

English

Mandarin

Cantonese

Other (Please specify)

Other Language:

Referral by 介紹人:*

Suggested Donation: Tuition fee：CAD $800/ per participant 每位小朋友
Payment Methods:*

E-Transfer

Cheque 支票

Cash 現金

Please have your child fill out the rest of the form below:

What’s your Chinese level?:*

I don’t know any Chinese.

Beginner: Basic speaking & listening only, can communicate with others in basic Chinese.

Intermediate: Can speak, listen and read some Chinese.

Intermediate to advanced: Can read Chinese newspaper.

Have you participated in Youth Meditation camp before? If yes, what year and what you had learnt? *

What’s the motivation for you to attend the camp?*

Have you participated in Great Compassion Bodhi Prajna temple’s weekend youth program?*

How long do you think you can sit quietly and still? *

Five minutes

Ten minutes

Fifteen minutes

Twenty minutes or more

What’s your hobbies and interests?*

Please describe yourself in a couple of sentences.*

Date:*

day

month

year

By submitting this form, you have read and agree to camp agreement; you also confirm that the information given in this form is true, complete and accurate.

YES 同意*

Summer Youth Meditation Camp Registration Form

2020 the 7th Summer Youth Meditation Camp Application Form (Appendix 3)