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Pacific Academy

Summer English Adventure Camp 2011

Schedule

費用包括:

 

• 學費


• 所有教材


• 如果成團超過10人包括接、送機。(少於10人按一般接、送機另行收費)


• 寄宿家庭


• 溫哥華最有名且具吸引力旅遊景點


• 高水準的英語教學


• 期末頒獎儀式包括：演說、歌唱 競賽，期末考和Pacific Academy結業證書


• 醫療保險從抵達加拿大境內起算一個月


• PACE – Pacific Academy Community Education 包括：演劇、閱讀、烹飪、運動、電腦等等,,,,

費用不包括：

 

• 機票往返


• 所有機票適用之稅


• 寄宿家庭額外活動


• 購物和個人花費

Summer English Adventure Camp 2011 Registration

10238 - 168 Street, Surrey, BC  V4N 1Z4

Phone: 604-581-5353 ext. 133

Fax: 604-581-0087

Website: www.pacificacademy.net

www.paoutreach.net/international

1.       Student’s Full Legal Name: ___________________________________________

First                           Middle                     Family Name

2.       Sex:  ____ Male   _____ Female

 

3.       Birthdate:  ____/ ____/ ______        4.  Birthplace: _______________________

MM               DD              YY                                                                       Country

 

5.    Mailing Address: ____________________________________________________

Street               City                                Prov.            Country

 

6.    Phone number:_________________ Parent email: _________________________

7.    Registered Camp starting from _____/_____/_____to_____/______/______

                                                         MM             DD             YY               MM               DD               YY

8.   Parent/Guardian Names:______________________    _______________________

Father’s first name    Father’s family name        Mother’s first name        Mother’s family name

9.   Canadian Contact Name: ______________________________________________

                           Address: ______________________________________________

                Phone number: ______________________________________________

10.        Will the student require Homestay arrangements?  ____ Yes    ____ No

 If no, please indicate with whom the student will be staying:

Name: _____________________________________________________________

Address: ___________________________________________________________

Phone number: ______________________________________________________

Is this person related to the student? ____________________________________

11.       Does the student have any known allergies or serious medical conditions?

_____________________________________________________________________________   _____________________________________________________________________________

_____________________________________________________________________________

Summer English Adventure Camp 2011 Registration

10238 - 168 Street, Surrey, BC  V4N 1Z4

Phone: 604-581-5353 ext. 133

Fax: 604-581-0087

Website: www.pacificacademy.net

www.paoutreach.net/international

1.       學生姓名： _____________________________________________________

姓                                                名                                    

2.       性別：  ____男   _____ 女

 

3.      出生年月日：  ____/ ____/ ______ 4.  出生地: _________________________

日              月                 年                                         國家

 

5.     郵寄地址：______________________________________________________

街道                                   城市                           省份               國家

 

6.     電話號碼：_________________ 父母親郵件信箱： ________________________

7.     註冊夏令營日期： _____/_____/_______   至  _____/______/________

                                      日              月                 年                        日                月                    年

8.    父母親/法定監護人姓名：_____________________    ______________________

父親姓名                                                          母親姓名

9.    加拿大聯系人姓名： _________________________________________________

                         地址： _________________________________________________

                         電話： _________________________________________________

10.   學生需要寄宿家庭安排嗎?  ____ 是    ____ 否

如果填否, 請註明學生將會與何人、何處居住？

姓名：__________________________________________________________

地址：__________________________________________________________

電話：__________________________________________________________

與學生的關係：____________________________________________________

11.  學生有對任何藥物過敏嗎？請詳述：

__________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

Pacific Academy

Summer English Adventure Camp 2011

Schedule

l   July 03~July 17, 2011                 (2weeks)           

Price:                                          $2000

(Includes: lessons, resources, all of activities, homestay, and 3 meals a day)

July 03~ July 24, 2011                (3weeks)         

Price:                                          $2800

(Includes: lessons, resources, all of activities, homestay, and 3 meals a day)

July 03~July 31, 2011                 (4weeks)         

Price:                                          $3600

(Includes: lessons, resources, all of activities, homestay, and 3 meals a day)

 

l   Registration deadline: April ~June 17  2011

 

l   Deposit: CND $200 (per person: no refund)

 

l   Contact: Jessica Liu   Tel:1-778-384-9152

              E-mail: jessicafinn_2005@hotmail.com