Camp Registration Form Id 23713 | Camp Juku Registration Form 2019 1 1

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Sheet 1: 2019

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		CAMP JUKU 2019 - REGISTRATION
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		 
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		Complete one form per family.
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		 
		Step 1: Complete the left box   Step 2: Email this form   Step 3: Receive a confirmation email   Step 4: Return a signed copy with payment  (pre-Excel 2013 will not calc)
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		0
		0
		May 16, 2022
		Apr 02, 2022
		Oct 28/22
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		Mar 15, 2022
		

		

	
	
		

		

		Camp/Student Information  (Check off boxes and input into the grey areas.)
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		0
		

		

		

		Calculation Section  (This section will automatically be calculated)
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Choose a Location:   
		

		

		0
		 Beckett Farm/PET HS
		

		

		

		

		0
		Mount Joy PS (gym)
		

		

		

		

		0
		Bill Hogarth SS (pending)
		

		

		

		

		

		

		

		

		

		Class Fees for the First Child
		Weekly Fees
		Before May 15 or
 3 or more weeks
		Before March 31 or 
5 or more weeks
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Student's Name (1) 
		

		

		
		First and Last Name


		

		

		 Grade 
		
		The grade they will be when school starts in September.
JK,SK,1,2,3...
All participants must be at least 4 years old.

		

		

		

		English 
		
		Entering the student's average school mark (A,B,C-..) will help us assign an appropriate Math and English level of work.  This section is optional.
		

		

		 Math 
		

		

		

		

		 Edufun (JK-gr.1)
		$120
		$100
		$90
		

		a
		

	
	
		

		

		Student's Name (2) 
		

		

		

		

		 Grade 
		

		

		

		English 
		

		

		 Math 
		

		

		

		

		 Regular
		$130
		$110
		$100
		

	
	
		

		

		Student's Name (3) 
		

		

		

		

		 Grade 
		

		

		

		English 
		

		

		 Math 
		

		

		

		

		Additional Children
		130
		130
		0
		0
		0
		0
		

		

		

	
	
		

		

		Student's Name (4) 
		

		

		

		

		 Grade 
		

		

		

		English 
		

		

		 Math 
		

		

		

		

		 Family Disc: (10%)
		 2nd:
		

		3rd:
		

		4th:
		

		#VALUE!
		b
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		0
		Parent Name(s)
		

		

		

		

		Cell / Text 
		
		A cell phone with texting.

		

		

		

		

		Calculations for Partial Weeks ($30/day) or Half Days ($65/week)
		

		

		

	
	
		

		

		Address 
		

		

		

		

		Phone #'s 
		
		Any other phone numbers, including any emergency numbers. Enter the most important one's first.

		

		

		

		

		1st child:
		

		 2nd:
		

		3rd:
		

		4th:
		

		#VALUE!
		c
		

	
	
		

		

		Postal Code
		

		Email 
		
		If more than one, separate emails with a ";".

		

		

		

		

		0
		30
		$0.0
		$0.0
		$0.0
		 -   
		  
		 -   
		

		

		

	
	
		

		

		

		

		

		Optional Extras:
		Meal Plan ($28/wk)
		Before Care ($12/wk)
		After Care ($20/wk)
		

		

		

	
	
		

		

		Comments and special conditions (allergies, disabilities, behavioural…):
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		Weekly Fee   ( x0 )
		

		

		

		

		d
		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		Others:
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Choose Your Schedule - Mon-Friday, 9:00am - 4:00pm   Extended Hours, 8am-6pm
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Weeks Attending: (click on box)
		

		

		Options: 
		

		

		

		

		

		

		

		

		

		

		 Registration & Mat'l x $15 
		$0 
		Total Weekly Fees (a+b+c+d) 
		#VALUE!
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		e
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		 Field Trip(s) $18 per trip 
		$0.0
		Number of Weeks (Days)
		0 wks  (0 days)
		

	
	
		

		

		

		0
		  July 8
		

		

		0
		 July 29
		

		

		    Lunch Meal Plan:
		

		

		

		

		

		0
		

		

		

		

		

		

		

		

		

		

		f
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		 Binder Discount 
		$0 
		Total: Class Fees (e x f)
		

		

		

	
	
		

		

		

		0
		  July 15
		

		

		0
		 Aug 6 (4 days)
		

		

		    Early or After Care:
		

		

		

		

		

		0
		 am (8-9am)
		

		

		0
		 pm (4-6pm)
		

		

		

		

		

		g
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		 MJ Gym/Equipment Fee
		$0 
		

		Total: Others 
		$0.00 
		

		

	
	
		

		

		

		0
		  July 22 (Field Trip)
		

		

		0
		 Aug 12 (Field Trip)
		

		

		    Half days:  
		

		

		

		

		

		0
		 am (9-12pm)
		

		

		0
		 pm (1-4pm)
		

		

		

		

		

		

		h
		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		 Total: Others
		$0.00
		Adjustments 
		

		

		

	
	
		

		

		

		

		

		

		Number of camp days:
		0
		

		

		

		    Partial weeks: 
		

		

		

		0
		  M 
		0
		 T
		0
		 W
		0
		 Th
		0
		 F
		

		

		

		i
		

	
	
		

		

		

		  (note: 4 day weeks have been calculated)
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		Payments can be made by etransfer (camp@juku.ca), cheque (Camp Juku) or cash.        
		Total Camp Fees (g+h+i) 
		$0.00 
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		0
		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		0
		 If you are a returning students, enter the number of binders you will be bringing back?  Save $5.
		

		

		

		

		

		

		

		

		

		

		

		Note: Calculations are subject to a confirmation from Juku.
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		Summary:
		Children (0)  Days (0)  Meal Plan (N)  Extended Hours (None)   Full Weeks + Others
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		0
		 Mount Joy Students: number of students who will be taking morning Sports and Recreation ($1/day gym/equipment fee).
		

		

		

		Add comments here :
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		Manual Users: Take a picture, then email or text this page. We will send back a confirmation.  
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		Excel Users: Review the calculations (right), then email/text this file.  We will send back a confirmation.  
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		0
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Refund Policy:  
		

		

		Before June 1/22, 100% of the fees are refundable, less the registration fees. Email: refunds@juku.ca. After June 1, only the 'Class Fees' are refundable, other fees (reg'n fees, field trips, car transfers, gym fees...) are not refundable.
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Before July 1/22, 70% of 'Class Fees' are refundable and after July 1/22, 50% of 'Class Fees' are refundable. Refunds are available after Oct 7/22.  All refunds must be picked up before Dec 31/22.  To be eligible for a 50% refund for missed classes (class fees only) 
		

		

	
	
		

		

		you must email us before any days are missed.  All refunds must be picked up before December 31/18 and accompanied with the original receipt.  View the full camp refund policy or referral policy at www.juku.ca.
		

		

	
	
		

		

		Approvals:  I, the parent or legal guardian of the students whose names appears on this form: (1) approve of the student's participation in all activities at JUKU Learning Centres or One Red Apple Learning Organization (JUKU/ORA); (2) confirm that my child(ren) are at least 4 years old while attending camp, (3) understand that students not behaving during play or study time can be asked to leave the program; (4) agree to release JUKU/ORA, and its employees, volunteers, contractors, and directors from any and all liability, claims, costs and expenses arising from any activity related to any programs being offered by JUKU/ORA, however caused, inclusive of after and before camp care, meal plan and preparation, field trips, and transportation activities; (5) understand that students are liable for any damage done to school property, (6) classes may be rescheduled or cancelled with a full refund for cancelled classes, and; (7) allow JUKU/ORA to use my child's likeness (photographs/videos/writings) for promotional purposes (online or printed).   
By my handwritten signature below, I have read and agree to the above Approvals, the Referral policy, and Refund policy as stated on the website.
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		All registration is processed by the Camp Director: Paul Tazumi, call/text 416-737-7285 paul@juku.ca,  Once camp starts, contact us during non-camp hours, 6:30-10pm or weekends.
		

		

	
	
		

		

		

		Parent Signature: (not typed)
		
		Once you have submitted this form and we have confirmed the calculations, you can sign here and return it to Juku. 

		

		

		

		Date: 
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		#VALUE!

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet camp juku registration complete one form per family step the left box email this receive a confirmation return signed copy with payment preexcel will not calc may apr oct mar campstudent information check off boxes and input into grey areas calculation section automatically be calculated choose location beckett farmpet hs mount joy ps gym bill hogarth ss pending class fees for first child weekly before or more weeks march student s name last grade they when school starts in september jk sk all participants must at least years old english entering average mark b c help us assign an appropriate math level of work is optional edufun jkgr regular additional children disc nd rd th value parent cell text phone texting calculations partial day half days week address any other numbers including emergency enter most important st postal code if than separate emails quot extras meal plan wk care after comments special conditions allergies disabilities behavioural hellip fee x d others your ...

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