Zaytoona Summer Camp Discount Registration

Tell us about your camper/s!
Please fill out the registration form below and we’ll send you a link for payment reflecting the discount.

Legal Guardian 1

Legal Guardian Name (1)(Required)

First Last

Legal Guardian Email (1)(Required)

Legal Guardian Phone (1)(Required)

Legal Guarian 1 Home Address(Required)

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code

Legal Guardian 2

Legal Guardian Name (2)

First Last

Legal Guardian Email (2)

Legal Guardian Phone (2)

Legal Guardian 2 Home Address (If different than Guardian 1)

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code

Camper Information

I am registering my child/children for:

Session I: June 8 – June 12

Session II: June 15 – June 19

Both Session I & Session II (June 8 - June 19)

Number of Children(Required)

Please enter the number of children you would like to register. If more than 4, please note their names and date of birth in the general comment section at the bottom.

Please enter a number from 1 to 4.

(1) Child's Name(Required)

First Last

(1) Date of Birth(Required)

MM slash DD slash YYYY

(1) Current Alif student?(Required)

YES

(1) Will you need extended care for this camper? ($95/week)(Required)

YES

(1) Arabic skills(Required)

Please note that having Arabic language skills is not a requirement for attending Zaytoona camp. This is for information purposes only.

Speaks and understands Arabic

Understands Arabic but doesn't speak

Understands very little Arabic and doesn't speak

Doesn't understand or speak Arabic at all

(2) Child's Name(Required)

First Last

(2) Date of Birth(Required)

MM slash DD slash YYYY

(2) Current Alif student?(Required)

YES

(2) Will you need extended care for this camper? ($95/week)(Required)

YES

(2) Arabic skills(Required)

Please note that having Arabic language skills is not a requirement for attending Zaytoona camp. This is for information purposes only.

Speaks and understands Arabic

Understands Arabic but doesn't speak

Understands very little Arabic and doesn't speak

Doesn't understand or speak Arabic at all

(3) Child's Name(Required)

First Last

(3) Date of Birth(Required)

MM slash DD slash YYYY

(3) Current Alif student?(Required)

YES

(3) Will you need extended care for this camper? ($95/week)(Required)

YES

(3) Arabic skills(Required)

Please note that having Arabic language skills is not a requirement for attending Zaytoona camp. This is for information purposes only.

Speaks and understands Arabic

Understands Arabic but doesn't speak

Understands very little Arabic and doesn't speak

Doesn't understand or speak Arabic at all

(4) Child's Name(Required)

First Last

(4) Date of Birth(Required)

MM slash DD slash YYYY

(4) Current Alif student?(Required)

YES

(4) Will you need extended care for this camper? ($95/week)(Required)

YES

(4) Arabic skills(Required)

Please note that having Arabic language skills is not a requirement for attending Zaytoona camp. This is for information purposes only.

Speaks and understands Arabic

Understands Arabic but doesn't speak

Understands very little Arabic and doesn't speak

Doesn't understand or speak Arabic at all

Emergency Contact

Name of adults allowed to pick-up your child/children + Relationship to child:(Required)

Please list the name of all adults authorized to pick up your child and their relationship to your child. If there are no alternative adults, please write none.

Emergency Contact Name(Required)

First Last

Emergency Contact Email(Required)

Emergency Contact Phone(Required)

Additional Items

Do we have permission to use photographs?

Alif Institute uses photos or videos taken during various programs and events in order to promote the Institute. Children/youth may sometimes appear in such photos or videos. Parents’ permission is needed before Alif Institute uses photos or videos featuring their child/children. Do you give Alif Institute permission to use photos or videos in which your child/children appear?

Yes

Does your child have any allergies? Are there any special medical needs or other important information about your child that you would like us to know?

Additional Comments or Notes?

Policies and Regulations (Please read):

Alif Institute programs and facilities are available to all persons without discrimination by race, color, creed, age, sex, national origin, or handicap.
Alif Institute has determined a set of rules to ensure a favorable learning environment for every child. Campers must abide by these rules and parents share the responsibility of seeing that their children adhere to these rules:

Each camper should bring their own, lunch, snacks, and refillable water bottle.
Class disruption, inappropriate gestures or language, or throwing objects is not tolerated.
Chewing gum is not allowed in camp.
Camp counselors are allowed to administer the necessary disciplinary actions as in most camps when campers break any of these rules.
Running or causing a disturbance in the building is not allowed.
Defacing or destroying Institute property or other personal property is not tolerated. Parents will be financially responsible for any damages due to inappropriate behavior.
Leaving Alif Institute (or group) without permission is not allowed.
All campers should leave the Institute promptly at the conclusion of camp each day. If it is necessary to wait a short time for transportation home, students should wait in the area designated by their counselors.
Parents will be notified if their campers violate these rules for the first time. Repeated violations of the rules may lead to the camper's expulsion from the camp.

HEALTH REGULATIONS:

We will follow Dekalb & Fulton County and health and safety guidelines.
Campers should not attend camp if they have a fever.
Campers are required to wear closed-toe shoes to attend camp.

Student + Guardian Agreement(Required)

Please share these policies with your child/children as appropriate. Please check the box to indicate you understand and accept these policies.

I agree with Alif's policies and regulations outlined above.

Electronic Signature (Guardian)(Required)

First Last

Electronic Signature Date(Required)

MM slash DD slash YYYY

Tell us about your camper/s!
Please fill out the registration form below and we’ll send you a link for payment reflecting the discount.

Legal Guardian 1

Legal Guardian 2

Camper Information

Emergency Contact

Additional Items

Policies and Regulations (Please read):

Contact Us

Operating Hours

Tell us about your camper/s!Please fill out the registration form below and we’ll send you a link for payment reflecting the discount.

Legal Guardian 1

Legal Guardian 2

Camper Information

Emergency Contact

Additional Items

Policies and Regulations (Please read):

Contact Us

Operating Hours

Tell us about your camper/s!
Please fill out the registration form below and we’ll send you a link for payment reflecting the discount.