Student Information
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| First Name (Student) * |
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| Last Name (Student) * |
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| Student's Date of Birth? * |
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German is your or your child(rens)...*
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| Student's grade level in September* |
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Payment Options Option I: ACH Transfer There is a 3 % promo codeavailable if you pay via ACH transfer (bank draft/echeck - no debit cards). These savings in credit card processing fees will be passed on to you. The promo code to use is BANK and can be applied to your invoice before processing your payment. Option II: Credit/Debit Card Payment There is no discount for credit or debit card payments. In case of unwarranted use of the payment discount code, we will reprocess your registration and ask for a $35 administrative fee.
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Please choose your summer camp plan for this student.
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Please select from the choices below.*
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Will you be paying tuition with a credit card or bank draft?*
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Parent / Guardian Information
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First Name: Primary Parental Contact* |
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Last name: Primary Parental Contact* |
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First name: Secondary Parental Contact |
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Last Name: Secondary Parental Contact |
| Address* | |
| Best Email for Correspondence? * |
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| Verify Above Email * |
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| Cell Phone 1 - This number must be reachable during camp hours. * |
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| Cell Phone 2 |
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| Second, Alternate Email |
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Publicity Agreements
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Publicity Consent! Give the German Language School (GLSMC) permission to take and publish, or permit others to take and publish, photographs of my child on GLS’s website, social media pages, news publications, and GLS printed materials (brochures, flyers, etc.), without compensation. I understand that the publication of such photographs may include personally identifiable information about my child, such as the child’s name, age, school affiliation, and places visited.*
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Medical Permission / Emergency Contacts / Other Information
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I/We hereby authorize any of the teachers and/or German School administrators to give consent for medical treatment to be administered to my/our student(s) in case of a medical emergency*
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In case you can't be reached, please provide names & phone numbers of your emergency contacts* |
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Please list any allergies, learning disabilities, medical issues and behavioral concerns |
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Authorized persons, who are allowed to pick up your child/children. Please provide full names, contact information and relationship to child |
Important Camp Information Please note that this is a rain or shine event. Activities will take place outdoors, and in case of rain, we will use our large covered outdoor area. Children should come dressed appropriately for the weather, including a light jacket, rain gear, and sunscreen as needed. Each child must bring their own nut-free lunch every day, as we have campers with severe allergies. Please check ingredients carefully to ensure no nuts are included. A suggested packing list will be sent out one week before camp to help you prepare. Camp-Location: Germania Park - 56 Conger Street, Rockaway Township, NJ 07801-2231 Thank you for your cooperation—we’re looking forward to a fun and safe summer together!
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