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French Immersion Camp
Forms
Form to be filled by parent
Parent information
*
Indicates required field
Parent Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Confirm Email
*
Mobile phone
*
Home Phone
*
Student information
Name
*
First
Last
Email
*
Medical information
Doctor name
*
First
Last
Phone Number
*
Medicare number
*
Previous illnesses, operations or broken bones
*
NA if not applicable
Does your child have any allergies?
*
NA if not applicable
Does your child have any special health support needs? *
*
Yes
No
(i.e. asthma; diabetes; epilepsy; allergies (anaphylaxis); special dietary requirements; skin problems etc.)
If yes, please specify
*
i.e. asthma; diabetes; epilepsy; allergies (anaphylaxis); special dietary requirements; skin problems etc.
If you answered yes, yo
u
an
d
you
r
Docto
r
wil
l
b
e
require
d
t
o
complet
e
a
“Specia
l
Need
s
Healt
h
Suppor
t
Plan
”
and/o
r
a
n
“Individual Emergenc
y
Actio
n
Plan”
,
to ensur
e
th
e
centr
e
i
s
full
y
prepare
d
t
o
manag
e
you
r
child’
s
specia
l
healt
h
needs
,
includin
g
staf
f
appropriatel
y
traine
d
t
o
administer medicatio
n
o
r
othe
r
action
s
require
d
t
o
manag
e
th
e
child’
s
condition.
In the case of an accident or injury when medical care may need to be sought do you give permission for treatment from a registered medical practitioner, hospital or ambulance service?
*
Yes
No
In the case of your child becoming ill during the day and we are unable to contact you or an emergency contact, do you agree to meet the costs of extra staffing required to care for your child away from the other children?
*
Yes
No
Emergency contact
*
First
Last
Phone Number
*
Student behaviour
The accepted expectations for appropriate student behaviour apply whilst attending the Immersion camp. No student is to bring along or be involved in the consumption of alcohol, tobacco or any other non-prescription drugs.
Students are reminded that at no time are they allowed to move away from the campsite or an activity without a staff member’s permission.
They are not allowed to be out of bed at night times after “lights out” without an appropriate reason.
Students’ concern for the safety and well-being of themselves and others must be paramount at all times.
Any breach of the stated behavioural expectations may result in the student concerned being sent home early from the program. In such a situation, the family would be expected to cover any additional costs incurred.
Please confirm you read and agree with the expectation of student behaviour.
*
Yes, I agree
TRANSPORT
Will you bring your child to Fairbridge village
*
Yes
No
Does your child need a lift to Fairbridge village?
*
Yes
No
Can you give a lift to other students?
*
Yes
No
If you answered YES, how many students can you take with you?
*
Do you agree to share your contact details with the participants of the camp?
*
Yes
No
Permission to use photography or video
*
Yes
No
Under some conditions
When you click yes you allow us to use photography for publicity purposes: website, Facebook, Instagram, press.
If Under some conditions, please precise.
*
Fees - All included $1050
Non refundable registration fees of $150 are to be paid before 15 of May
*
I agree to pay
except cancellation of camp due to COVID
An invoice of $900 to pay the remaining fees will be sent to you and will have to be paid before 31 of May.
*
I understand and agree
How did you hear about the French Immersion Camp?
*
School teacher
Friends
Facebook page
Instagram page
Website
Other
If Other, please precise
*
Date
*
I agree to receiving marketing and promotional materials
Submit
Form to be filled by student
Student information
*
Indicates required field
Name
*
First
Last
Email
*
Age
*
Sex
*
Female
Male
Nationality
*
Are you
*
French background
Second language
What language(s) do you speak at home?
*
School information
School name
*
Teacher Name
*
What is your class level?
*
Year 10
Year 11
Year 12
For second language ONLY - Required
Fo year 12 students, at the time of the Immersion camp will you have your Stimulus?
*
Yes
No
I hope
From 1 to 10, please rate your SPEAKING
*
1
2
3
4
5
6
7
8
9
10
From 1 to 10, please rate your LISTENING
*
1
2
3
4
5
6
7
8
9
10
From 1 to 10, please rate your WRITING
*
1
2
3
4
5
6
7
8
9
10
From 1 to 10, please rate your READING
*
1
2
3
4
5
6
7
8
9
10
What do you hope to get out of this immersion camp?
*
For French Background ONLY - Required
For year 12 students, at the time of the immersion camp, will you have your oral ATAR ready?
*
Yes
No
I hope so
Are you confident about your upcoming exam?
*
Yes
No
Not sure
If no or not sure, please specify
*
What do you hope to get out of this immersion camp?
*
Fo all students
What do you enjoy amongst the following ? Please select as many as you like
*
Music
Photography
Video
Dance
Painting
Acting
Other
Please comment
*
Please let us know your special skill: instrument, vocal, dance etc...
Regarding the rooms, do you prefer to be with a nominated friend or would you like to be in a room with French native friends for a full immersion week ?
*
Be with my friend
Be with French native
No preference
If you choose with MY FRIEND, please name the person.
*
We will do our best to please you.
Student behaviour
The accepted expectations for appropriate student behaviour apply whilst attending the Immersion camp. No student is to bring along or be involved in the consumption of alcohol, tobacco or any other non-prescription drugs.
Students are reminded that at no time are they allowed to move away from the campsite or an activity without a staff member’s permission.
They are not allowed to be out of bed at night times after “lights out” without an appropriate reason.
Students’ concern for the safety and well-being of themselves and others must be paramount at all times.
Any breach of the stated behavioural expectations may result in the student concerned being sent home early from the program. In such a situation, the family would be expected to cover any additional costs incurred.
Please confirm you read and agree with the expectation of student behaviour.
*
Yes, I agree
Is there something else we would need to know? Or do you have a question? Feel free...
*
Date
*
I agree to receiving marketing and promotional materials
Submit
Home
Testimonials
Acting groups
Young & Adult group
Performances
Past Performances
Children
School incursions
French Holiday Program
French story to listen
Contact
About us