AKS – CETA SWIMMING CAMPS NATIONAL DAY 2015 REGISTER NOW FOR A WEEK OR MORE OF NATIONAL DAY FUN WITH SWIMMING! (6+ Years Old) GENERAL SCHEDULE: 9:45 Bus/kidz.

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AKS – CETA SWIMMING CAMPS NATIONAL DAY 2015 REGISTER NOW FOR A WEEK OR MORE OF NATIONAL DAY FUN WITH SWIMMING! (6+ Years Old) GENERAL SCHEDULE: 9:45 Bus/kidz arrive at camp campus 10:00 – 11:30 In pool training sessions and drills / technical instruction with CETA Pro’s 11:30 – 12:30 Rest and Lunch hour 12:30 – 14:45 In Pool training sessions and drills / technical instruction with CETA Pro’s 15:00 Bus/kids leave the campus (*) daily schedule may be changed due to weather or other unexpected reason CAMP DATES:September 28 to October 3 and also Oct 5 and Oct 6 CAMP FEES:For AKS Members: from Sept 28 to Oct 2, price is RMB2,430; for Oct 3,Oct 5, Oct 6, price is RMB 530 per day. For non AKS Members: from Sept 28 to Oct 2, price is RMB 2,580; for Oct 3,Oct 5, Oct 6, price is RMB 580 per Including daily round-trip transportation, lunch, snacks and drinks Participants should bring swimming gear and towel. *If you request an official Fapiao, there is an extra fee 6% on the top of your camp fee. TRANSPORTATION: Puxi pick up: 8:15am at Shanghai Centre (Downtown: 1376 Nanjing West Road) 8:45am at AKS Office (Hongqiao: 3211 Hongmei Road) Puxi drop off: 3:40pm at AKS Office, 4:00pm at Shanghai Centre Please note the times may be affected by traffic conditions CAMP LOCATION:British International School Puxi Campus 111 Jinguang Road (near Yunle Road), Hucao Town, Minhang District, Shanghai 上海英国学校浦西校区, 上海市闵行区华漕镇金光路 111 号 Camp Registration is made on “first come first serve” basis with payment be made at the AKS Office together with the submission of the registration form in AKS office or by sending it in by fax or by Refund Policy: 100% refund 7 days before the Camp start date 70% refund 1-6 days before the Camp start date. No refunds will be made once the camp starts. Child ’ s Name: __________________________________________ Date of birth: ___________________ Name of school attending: _________________________________ Nationality: ___________________ Contact __________________________________________ Phone number: _________________ Camper is: □ Returning. AWESOME - Welcome back! □ New to AKS-CETA camps; WELCOME! How did you hear about us? □ Friend □ AKS Newsletter □ Internet □ Other:_____________________ Is your child a AKS member? □ Yes/Member ID: ________________________ □ No Which date(s) are you interested in participating? ______________________________________________________________________________________ Will you need the shuttle bus? □Yes □ No Please note that the pick up/drop-off location must be the same. Authorization to pick up: At check-in time on the first day, you will be asked to nominate the person(s) authorized to pick up your child at the end of each day. Mother ’ s Name and Mobile Number: ______________________________________________________________________________________ Father ’ s Name and Mobile Number: ______________________________________________________________________________________ My child has the following allergies, health problems or diet requirements: ______________________________________________________________________________________ Waiver: I am the legal parent or guardian of ________________________. I give permission for my child to participate in the AKS-CETA Summer Camp program. In consideration of my child being allowed to participate in this Summer Camp Programs, I hereby release AKS, CETA, British International School, Rancho Santa Fe, their respective officers, employees and volunteers from any and all liability for any loss or damage to personal property and for any claims or demands I may have on account of personal injury to my child, whether caused by the negligence of the releases or otherwise, which may arise while my child is participating in any program affiliated with the AKS-CETA Summer Camp Program. I assume full responsibility for any risk of bodily injury to my child or property loss or damage as a result of my child participating in the AKS-CETA Summer Camp Program. ______________________________________________________________________________________ Signature Date AKS – CETA SWIMMING CAMP 2015 REGISTRATION FORM