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GEMS American Academy Summer Camp (GAA)

For Children Age 4-14 years old

CHILDS FULL NAME: _____________________________________________________________________________

AGE: ______________

PARENTS NAME:

________________________________________________________________________________________________

E-MAIL ADDRESS:

_________________________________________________________________________________________________

MOBILE

__________________________________________________________________________________________________

ALLERGIES

__________________________________________________________________________________________________

MALE

FEMALE

Please choose days:


DATES:
Week 1

Jun 30 ______Jul 1 _______ Jul 2 _______ Jul 3_______ Jul 4 _______

Week 2

Jul 7 _______ Jul 8 _______ Jul 9 _______ Jul 10______Jul 11 _______

Week 3

Jul 14 ______ Jul 15 ______Jul 16 _______Jul 17______Jul 18 _______

Week 4

Jul 21_______Jul 22 _____ Jul 23 _______ Jul 24______Jul 25 _______

Week 5

Aug 11 ______Aug 12 ____Aug 13 _______Aug 14_____Aug 15 ______

Week 6

Aug 18 ______Aug 19 ____Aug 20 _____ __Aug 21____Aug 22 _______

Week 7

Aug 25______Aug 26_____Aug 27_______Aug 28______Aug 29______

________________________________
Signature of Parent or Guardian
Waiver: In signing the above, I understand that I have the full responsibility for the health of my child/children. I will not hold ESports, associated sponsors and venue responsible for any loss, damage or injury to the participant or his/her belongings or claim
for any injury or impairment the participant may incur during the duration of the activity camp 2013. E-Sport reserves the right
to make any necessary changes to the program prior or during the camp. Photos are sometimes taken during the camps which
may be used on our marketing material and on our website.
Please bring: Swimwear, Towel, Snack, Packed Lunch, Drinks EVERY Day!
GAA:

150Dhs per day or 650Dhs per week

TIMINGS:
8.15 8.45 Registration and sign in time
9.00 - 1.30 Activities
1.45- 2.00 Pick-up and sign out time
REGISTRATION:
For bookings E-mail: ben@esportsdubai.com
Booking only guaranteed upon receiving payment.
For further information please call 050-9400704

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