Summer Camp Registration - New East West Academy

Student Details

Student First Name *

Student Last Name *

Student Grade (Spring 2025) *

Student Date of Birth *

Parent Details

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email *

Parent 2 First Name *

Parent 2 Last Name *

Parent 2 Phone *

Parent 2 Email *

Street Address *

City *

Region/State/Province *

Postal / ZIP Code *

Emergency Contact Name *

Emergency Contact Number *

Other Information

Child Shirt Size *

Class Placement *I am a new New East West Academy studentI am a current New East West Academy student

Does your child have any allergies? *YesNo

Please specify the allergies *

Course Selection

Select a Week You Wish to Attend *

Select a Class Time *

Select a Subject *

Select a Chinese Course *

Select a Coding Course *

Before & After care $10/hr: *

Lunch $8/day age 6 & under , $10/day age 7 & up *

For best results, we recommend to enroll in our Chinese classes for 6+ weeks.

Terms & Conditions

Please review our Waiver for Liabilities, Conduct Policy and Registration and Tuition information included above before sign and submission*

I acknowledge New East West Academy’s Waiver for Liabilities and Conduct Policy

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