Beauty Boot Camp Registration Form
Beauty Bootcamp
Beauty bootcamp
registration form
ParticiPant’s information (please print clearly): *Note: Each participant must have their own registration form
New
Returning
Last Name: __________________________________
Address: _____________________________________
First Name: __________________________________
_____________________________________________
Date of birth: _________________ Age: _________
_____________________________________________
Home number: _______________________________
Email (guardian): ____________________________
*How did you hear about the Beauty Bootcamp?
___________________________________________________
Please select a Camp Date Edmonton
Camp #1: July 10-14 Camp #2: July 24-28 Camp #3: Aug 7-11 Camp #4: Aug 21-25
Calgary
Camp #1: August 7-11 Camp #2: August 21-25
Camp Times 8:30 to 4:30 – Regular Pick up/Drop off
8:00 am to 5:00 pm – Early/Late Pick up/Drop off *Note: Early Drop off is an additional $30 charge
Method of payment Camp registration fee: $350 + 5% GST = $367.50
Early drop-off / Late pick-up: $30 additional (8:00 am to 5:00 pm)
EvelineCharles Academy is pleased to continue our sponsorship program with Big Brothers and Big Sisters of Edmonton. Would you like to sponsor a girl to attend camp this summer? (Min. donation $2.00) No / Yes, for the Amount of $ __________
Fee Summary
Registration $367.50 + Early/Late Fee ___________ + Big Sisters ___________ = $ _____________ Optional
Cheque
Visa
Mastercard
Optional
Total
**Note: All cheques payable to EvelineCharles Academy including GST
Card Number: _______________________________
Cardholder Name: ____________________________
CV: _____
Signature: ___________________________________
Expiry Date: _____ / _____
*Receipt will be emailed directly to Guardian, please keep for tax remittance.
Cancellation & Refund Policy EvelineCharles Academy reserves the right to cancel or combine any programs due to insufficient registration, full refunds granted. Refunds will only be provided for withdrawals that are requested 14 days prior to the start of that week of camp. Once camp has started, there will be no refund in funds.
Medical Information Does the participant have any allergies, medication or special circumstances that we should be made aware of? No / Yes, (please specify): __________________________________________________________ *Note: All participants will be checked for head lice on the first day of camp as per health and safety standards of EvelineCharles Salons and Spas & EvelineCharles Academy
Leggings: All girls will receive a complimentary American Apparel pair of pants on their first day at camp. Please select the correct size:
Youth M
Youth L
Youth XL
Adult SM
Parent/Guardian Information Name: _________________________________
Address (if different from above): ______________
Phone Number:
_____________________________________________
Home __________________________
_____________________________________________
Mobile _________________________
_____________________________________________
Work __________________________ Emergency Contact Information Name: _______________________________________
Relationship: ________________________________
Email (mandatory): ___________________________
Phone #: _____________________________________
Consent to Participate I (parent/guardian) ___________________________________ give permission for (participant’s name) ___________________________________ to participate in the activities and classes taught by EvelineCharles Academy staff and students at the Academy. I also understand that the student will be learning to perform spa services by practising on one another. I have informed myself and my child and we understand that the risks associated with my child’s participation in the camp and (where applicable) their use of the facilities, including the risk of personal injury, and freely accepting these risks. In case of an emergency or illness; every effort will be made to contact the parent(s) or guardian(s). In the event that contact cannot be made, I authorize the supervisors to seek necessary medical treatment/intervention in the event of an emergency. Picture consent The unique curriculum of EvelineCharles Beauty Bootcamp has recently received attention and interest from the local media. The press may wish to visit the camp to take photos of girls in action. As parents and/or guardian, we wanted to make sure you were informed. If you have any concerns about pictures being taken by the media or staff, please feel free to contact us. ________________________________________ Signature of Parent/Guardian Additional Information We will be sending out a welcome package after registration. Please complete and return in one of the following methods:
_______________________ Date By Mail or in Person: EvelineCharles Academy #300, City Centre East 10205 - 101 Street Edmonton, AB T5J 4H5 Attention: Aleks (Beauty Bootcamp) Phone: 780.409.5671 Fax: 780.425.0763 Email: [email protected]
Beauty bootcamp
registration form
ParticiPant’s information (please print clearly): *Note: Each participant must have their own registration form
New
Returning
Last Name: __________________________________
Address: _____________________________________
First Name: __________________________________
_____________________________________________
Date of birth: _________________ Age: _________
_____________________________________________
Home number: _______________________________
Email (guardian): ____________________________
*How did you hear about the Beauty Bootcamp?
___________________________________________________
Please select a Camp Date Edmonton
Camp #1: July 10-14 Camp #2: July 24-28 Camp #3: Aug 7-11 Camp #4: Aug 21-25
Calgary
Camp #1: August 7-11 Camp #2: August 21-25
Camp Times 8:30 to 4:30 – Regular Pick up/Drop off
8:00 am to 5:00 pm – Early/Late Pick up/Drop off *Note: Early Drop off is an additional $30 charge
Method of payment Camp registration fee: $350 + 5% GST = $367.50
Early drop-off / Late pick-up: $30 additional (8:00 am to 5:00 pm)
EvelineCharles Academy is pleased to continue our sponsorship program with Big Brothers and Big Sisters of Edmonton. Would you like to sponsor a girl to attend camp this summer? (Min. donation $2.00) No / Yes, for the Amount of $ __________
Fee Summary
Registration $367.50 + Early/Late Fee ___________ + Big Sisters ___________ = $ _____________ Optional
Cheque
Visa
Mastercard
Optional
Total
**Note: All cheques payable to EvelineCharles Academy including GST
Card Number: _______________________________
Cardholder Name: ____________________________
CV: _____
Signature: ___________________________________
Expiry Date: _____ / _____
*Receipt will be emailed directly to Guardian, please keep for tax remittance.
Cancellation & Refund Policy EvelineCharles Academy reserves the right to cancel or combine any programs due to insufficient registration, full refunds granted. Refunds will only be provided for withdrawals that are requested 14 days prior to the start of that week of camp. Once camp has started, there will be no refund in funds.
Medical Information Does the participant have any allergies, medication or special circumstances that we should be made aware of? No / Yes, (please specify): __________________________________________________________ *Note: All participants will be checked for head lice on the first day of camp as per health and safety standards of EvelineCharles Salons and Spas & EvelineCharles Academy
Leggings: All girls will receive a complimentary American Apparel pair of pants on their first day at camp. Please select the correct size:
Youth M
Youth L
Youth XL
Adult SM
Parent/Guardian Information Name: _________________________________
Address (if different from above): ______________
Phone Number:
_____________________________________________
Home __________________________
_____________________________________________
Mobile _________________________
_____________________________________________
Work __________________________ Emergency Contact Information Name: _______________________________________
Relationship: ________________________________
Email (mandatory): ___________________________
Phone #: _____________________________________
Consent to Participate I (parent/guardian) ___________________________________ give permission for (participant’s name) ___________________________________ to participate in the activities and classes taught by EvelineCharles Academy staff and students at the Academy. I also understand that the student will be learning to perform spa services by practising on one another. I have informed myself and my child and we understand that the risks associated with my child’s participation in the camp and (where applicable) their use of the facilities, including the risk of personal injury, and freely accepting these risks. In case of an emergency or illness; every effort will be made to contact the parent(s) or guardian(s). In the event that contact cannot be made, I authorize the supervisors to seek necessary medical treatment/intervention in the event of an emergency. Picture consent The unique curriculum of EvelineCharles Beauty Bootcamp has recently received attention and interest from the local media. The press may wish to visit the camp to take photos of girls in action. As parents and/or guardian, we wanted to make sure you were informed. If you have any concerns about pictures being taken by the media or staff, please feel free to contact us. ________________________________________ Signature of Parent/Guardian Additional Information We will be sending out a welcome package after registration. Please complete and return in one of the following methods:
_______________________ Date By Mail or in Person: EvelineCharles Academy #300, City Centre East 10205 - 101 Street Edmonton, AB T5J 4H5 Attention: Aleks (Beauty Bootcamp) Phone: 780.409.5671 Fax: 780.425.0763 Email: [email protected]
