Summer Youth Meditation Camp Registration Form

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

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:*
Participant’s Special Health Conditions:
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*
Youth Chinese Name*
Date of Birth:*
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Gender:*
Day School:*
Day School Grade*
Youth OHIP Health Card Number:*
Parents E-mail:*
Father’s legal Name:*
Father’s Cell phone#:*
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Mother's legal Name:*
Mother’s Cell phone#:*
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Home address:*
Emergency Person’s Name:*
Emergency Person’s Cell phone#:*
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Home Language:*
Other Language:
Referral by 介紹人:*
Suggested Donation: Tuition fee：CAD $800/ per participant 每位小朋友
Payment Methods:*

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

What’s your Chinese level?:*
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? *
What’s your hobbies and interests?*
Please describe yourself in a couple of sentences.*
Date:*
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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*