EmailMeForm
Winter Break Camp- Margate 2023/2024
Margate - Cokesbury
PARENTS INFORMATION
Mothers Name
*
Fathers Name
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
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Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
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Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
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Andorra
Armenia
Austria
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Belarus
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Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
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Lithuania
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Jordan
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North Korea
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Maldives
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Nepal
Oman
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Palestine
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Saudi Arabia
Singapore
Sri Lanka
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New Zealand
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Papua New Guinea
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Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
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Chad
Comoros
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Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Somalia
South Africa
Sudan
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United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Cell Phone Number #1
*
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Cell Phone Number #2
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Email #1
*
Email #2
How many Children are you registering?
*
Please select
Only One Child
Two Children
Three Children
CHILD #1 INFORMATION
#1: Child's Full Name
*
Date of Birth
*
School Name
Grade
*
1st child: Which day will your child be attending:
Child 1: All 7 Days ($180)
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1st child: Wed Dec 27th ($35)
1st child: Thurs Dec 28th ($35)
1st child: Fri Dec 29th ($35)
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1st Child: Tues Jan 2nd ($35)
1st Child: Wed Jan 3rd ($35)
1st Child: Thurs Jan 4th ($35)
1st Child: Fri Jan 5th ($35)
CHILD #2 INFORMATION
#2: Child's Full Name
Date of Birth
School Name
Grade
2nd child: Which day will your Second child be attending:
Child 2: All 7 Days ($170)
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2nd child: Wed Dec 27th ($30)
2nd child: Thurs Dec 28th ($30)
2nd child: Fri Dec 29th ($30)
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2nd Child: Tues Jan 2nd ($30)
2nd Child: Wed Jan 3rd ($30)
2nd Child: Thurs Jan 4th ($30)
2nd Child: Fri Jan 5th ($30)
CHILD #3 INFORMATION
#3: Child's Full Name
Date of Birth
School Name
Grade
3rd child: Which day will your Second child be attending:
Child 3: All 7 Days ($170)
----------------------
3rd child: Wed Dec 27th ($30)
3rd child: Thurs Dec 28th ($30)
3rd child: Fri Dec 29th ($30)
----------------------
3rd Child: Tues Jan 2nd ($30)
3rd Child: Wed Jan 3rd ($30)
3rd Child: Thurs Jan 4th ($30)
3rd Child: Fri Jan 5th ($30)
INSURANCE
Do you need ALM Sports Insurance?
ALM Insurance cost $10
*
Yes, ALM Sports Insurance
No
Will cover up to 7 days of Camp
Primary Insurance Details
(your childs insurance carrier and policy number)
Medical Concerns
Food Allergies
How did you hear about this Camp?
Please select
Current After School Program Camper
Previous Summer Camper
Flyer at my School
Online Advertisement
A Friend Told Me
Searched Online
Other
TERMS & CONDITIONS
I have read and agree to the Terms of Service
*
Yes, I agree.
If your child is covered by a private insurance, you must provide us with proof of your child’s insurance coverage. If your child is not We offer this through WestPoint Insurers at a cost of $10.00 for up to 10 days during the winter break camp. I give consent for my child to take part in the activity and consent to emergency treatment as necessary. I accept that the organizers and their employees are not under any liability whatsoever in respect of injury, loss or damage whilst on the course, other than imposed by law. I also allow ALM Sports to take photos for advertising and promoting purposes only; if you do not want your childs photo to be taken please email admin@almsports.com. I confirm that my personal insurance is correct and bears responsibility in case of accidents. I confirm that I am legally entitled to give this consent and understand all payments received are non-refundable.