Clone of After school program

Wander with Nicole Photography Afterschool Program Registration

For teens
Summer Camp Weeks:

1. June 22 - 26

2. June 29, 30, July 2, 3 (no class July 1)

3. July 6 - 10

4. July 13 - 17

5. July 20 - 24

6. July 27 - 31

Please fill this form out fully and carefully.

This after school program teaches the basics of photography including composition, colour and natural lighting. Each student will complete a photobook using photographs taken over the term and receive an 'Introduction to Photography' booklet.

Just to confirm you do not need a professional camera to participate. Students may also use a normal digital camera, mobile phone or an ipad.

I also have two cameras to lend out on a first come first serve basis.
Childs Name*

First NameLast Name
Birth Date*

MonthDayYear
Address

Address

Street Address Line 2

DistrictState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Phone number *

Area CodePhone Number
E-mail*
example@example.com
Emergency Contact
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Can your teen travel home by themselves after class?*

Yes!No, someone will meet them after class.
What school do the attend?
Summer Camp Choice*

June 22 - 26June 29, 30, July 2, 3 (no class July 1)July 6 - 10July 13 - 17July 20 - 24July 27 - 31
Payment can be settled by PayMe, FPS, Bank Transfer or via credit card at the bottom of this page.
Please select which device your child will use. If you are not sure of the best option please send me an email and we can discuss together. I do have two cameras I can lend out.
Does the participant have any allergies, chronic illness, or medical conditions that will affect their participation in the camp? If yes, please describe.
Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Wander with Nicole during the selected camp. In exchange for the acceptance of said child’s candidacy by Wander with Nicole ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Wander with Nicole . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Wander with Nicole. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. I also consent to Wander with Nicole using images of camp participants for future advertising campaigns on their website and social media sites.

Please view our terms and conditions here
Signature

Clear
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

This is for credit card payment. If you prefer to pay by FPS/PayMe or bank transfer leave this section blank.

Week 1 (5 day camp)June 22 - 26

5,000.00HKD

Week 2 (4 day camp)June 29, 30, July 2, 3

4,000.00HKD

Week 3 (5 day camp)July 6 - 10

5,000.00HKD

Week 4 (5 day camp)July 13 - 17

5,000.00HKD

Week 5 (5 day camp)July 20 - 24

5,000.00HKD

Week 6July 27 - 31

5,000.00HKD

Total

0.00HKD

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Wander with Nicole Photography Afterschool Program Registration