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World Language Summer Camp Registration

logo for summer camp. all text is available below.

To register, please fill out the questions below.

Please sign student up for only one session.

Please note, no transportation will be provided.

Camp is open to rising 5th grade - 7th grade future Fairfax HS students. Students must live in the Fairfax HS boundary. Registration will close June 5th or when all slots are filled.

Registration is not complete until $20 registration fee is paid. Payment information will be emailed. If you seek financial assistance, please email Nathalie Coyle at [email protected].

Student Information

Did your student attend camp last year? *

Answer Required

Yes, we attended last year

No, this is our first year

First Name*

Answer Required

Last Name*

Answer Required

Nickname (if applicable)

Answer Required

Elementary School - please note, this camp is open to students in the FHS pyramid or City of Fairfax residents only. *

Answer Required

Date of Birth*

Answer Required

Grade (Rising grade, not current. Please note, this camp is open to rising 5th, 6th, and 7th grade students only)*

Answer Required

Parent / Guardian Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Phone Number*

Number Required

Alternate Phone Number

Number Required

Home Address

Street Address*

Answer Required

City*

Answer Required

Zip Code*

Answer Required

Medical Information

Insurance Provider*

Answer Required

Insurance ID#*

Answer Required

Physician Name*

Answer Required

Allergies, Medical, or Special Needs

Answer Required

All sessions have limited availability. Registration openings are filled on a first come, first served basis. Please check the appropriate boxes below to indicate the session you want to attend. All activities and supplies are included. A boxed lunch (TBD) or pizza and bottled water/juice will be provided daily. A bagged lunch is recommended for variety

Session Enrollment Options (please check one box)*

Answer Required

Session 1 (Rising 5th - 7th graders) M-TH July 15 - July 18 9:00 a.m. - 2:00 p.m.

Session 2 (Rising 5th - 7th graders) M - TH July 22 - July 25 9:00 a.m. - 2:00 p.m.

Lunch (pizza or boxed lunch) will be provided daily free of charge to students. If there are any food allergies/other food preferences, please provide a bagged lunch daily for your child. Please check the box below for our planning purposes.*

Answer Required

My child will eat pizza or boxed lunch and bottled water/juice

My child will bring a bagged lunch every day. (Bottled water and juice available every day)

It depends on the meal, I will decide once I know the menu choices.

2024 Fairfax World Languages Camp Registration Agreement

1) Food: Campers may bring their own lunch and water/beverages for the day - pizza or a boxed lunch, bottled water, and juice will be available for campers as well, but a bagged lunch is advised for variety.

2) Personal Belongings: All campers are responsible for their own personal belongings while attending the camp. The camp provides all supplies for activities in language sessions. I understand that all items brought to camp must be clearly marked with the camper's name. I understand that Fairfax HS and Fairfax HS World Languages Camp assume no responsibility for any personal belongings brought to camp.

3) Medical Authorization and Emergency Care: I authorize the Fairfax HS World Languages Camp staff to seek emergency treatment, to administer emergency CPR and/or first aid treatment deemed appropriate, and to arrange to have my child transported to an appropriate medical facility in the event emergency care is necessary. I authorize emergency personnel, doctors, nurses, or hospital/medical facility staff to perform any procedure judged necessary for the treatment and well-being of my child. I understand that Fairfax HS World Languages Camp personnel will NOT administer medicine of any kind to my child. I will not hold Fairfax HS and/or Fairfax HS World Languages Camp directors and staff liable should my child have an accident or sustain an injury on the way to/from or during camp activities.

I understand my child's registration is not complete until I have paid for the $20 registration fee.*

Registration fee payment information will be emailed. Please initial below.

Answer Required

Parent Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required