English Program Summer & Winter Camp Parent & Child English Program Summer & Winter Camp Parent & Child Summer/Winter Camp Application Summer/Winter Camp Application Thank you for applying to Access English! We guarantee you'll make the most of your learning with our experienced teachers, excellent nationality mix, small classes, great location, and lots of activities. 5 easy steps to apply 1 Fill this form, starting in the next page. Add as many details as possible. 2 Pay the application fee by credit card or bank transfer. 3 Wait for an invoice and notice of acceptance from ACCESS International (by email). 4 Pay your tuition fees by credit card or bank transfer IMPORTANT: We cannot reserve a place for you until we receive your deposit payment. When we receive your payment, we will send your Letter of Acceptance (if required). 5 Use your Letter of Acceptance to apply for a visitor visa (if needed). Application form > Application CAN $520 partially-refundable deposit per student is required before we can process the application ($500 app fee + $20 credit card surcharge). Before completing this application form, please carefully read our Refund Policy and Conditions. CAN $175 from each student's deposit is non-refundable. The remaining will count towards your tuition fee payment, and is only refundable in case of a visa denial. This application form can only be completed online. Unfortunately, we cannot send any letters of acceptance before receiving the deposit payment. Please select the season: Summer Camp Winter CampNow, select the city: Toronto HamiltonProgram Start Date Program Start DateJune 19, 2023June 26, 2023July 3, 2023July 10, 2023July 17, 2023July 24, 2023July 31, 2023Aug 8, 2023 (Tuesday)Aug 14, 2023Aug 21, 2023Aug 28, 2023How many children are participating? How many children are participating?1 child2 children3 children4 children Please note that only siblings are allowed on the same application form. If the children are not siblings, please fill one application for each child, otherwise your application will not be processed. If you have any questions, please contact us. How many weeks? How many weeks?2 weeks3 weeks4 weeks5 weeks6 weeksProgram Start Date Program Start DateJune 19, 2023June 26, 2023July 3, 2023July 10, 2023July 17, 2023July 24, 2023July 31, 2023Aug 8, 2023 (Tuesday)Aug 14, 2023Aug 21, 2023Aug 28, 2023How many children are participating? How many children are participating?1 child2 children3 children4 children Please note that only siblings are allowed on the same application form. If the children are not siblings, please fill one application for each child, otherwise your application will not be processed. If you have any questions, please contact us. How many weeks? How many weeks?2 weeks3 weeks4 weeks5 weeks6 weeks< 5 Easy steps to applyParticipant Information > Junior Participant # 1 First Name Last Name Gender/Sex Male Female OtherDate of Birth First Language Country of Citizenship Country of CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone country code Phone country codeAfghanistan +93Aland Islands +358Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antigua and Barbuda +1-268Argentina +54Armenia +374Aruba +297Australia +61Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bonaire, Saint Eustatius and Saba +599Bosnia and Herzegovina +387Botswana +267Brazil +55British Indian Ocean Territory +246Brunei +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde +238Cayman Islands +1-345Central African Republic +236Chad +235Chile +56China +86Christmas Island +61Cocos (Keeling) Islands +61Colombia +57Comoros +269Congo +243Congo (Republic of the Congo) +242Cook Islands +682Costa Rica +506Cote D'Ivoire +225Croatia +385Cuba +53Curaçao +599-9Cyprus +357Czech Republic +420Denmark +45Djibouti +253Dominica +1-767Dominican Republic +1-809East Timor +670Ecuador +593Egypt +20ElSalvador +503Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Guiana +594French Polynesia +689Gabon +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guatemala +502Guernsey +44-1481Guinea +224Guinea-Bissau +245Guyana +592Haiti +509Honduras +504Hong Kong S.A.R. +852Hungary +36Iceland +354India +91Indonesia +62Iran +98Iraq +964Ireland +353Isle of Man +44Israel +972Italy +39Jamaica +1-876Japan +81Jersey +44-1534Jordan +962Kazakhstan +7Kenya +254Kiribati +686Kosovo +381Kuwait +965Kyrgyzstan +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libyan Arab Jamahiriya +218Liechtenstein +423Lithuania +370Luxembourg +352Macau S.A.R. +853Macedonia +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte +269Mexico +52Micronesia +691Moldova +373-533Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands Antilles +599Netherlands (Holland) +31New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Mariana Islands +1-670North Korea +850Norway +47Oman +968Pakistan +92Palau +680Palestine +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 and 1-939Qatar +974Reunion +262Romania +40Russia +7Rwanda +250Saint Helena +290Saint Kitts And Nevis +1-869Saint Lucia +1-758Saint Pierre and Miquelon +508Saint Vincent and The Grenadines +1-784Samoa +685San Marino +378Sao Tome and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles +248Sierra Leone +232Singapore +65Sint Maarten (Dutch part) +599Slovakia +421Slovenia +386Solomon Islands +677Somalia +252South Africa +27South Korea +82South Sudan +211Spain +34Sri Lanka +94Sudan +249Suriname +597Svalbard and Jan Mayen Islands +47Swaziland +268Sweden +46Switzerland +41Syrian Arab Republic +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Togo +228Tokelau +690Tonga +676Trinidad And Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks And Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States Of America +1Uruguay +598Uzbekistan +998Vanuatu +678Vatican City State +379Venezuela +58Vietnam +84Virgin Islands (British) +1-284Virgin Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number E-Mail Does this participant have any medical conditions? Yes NoPlease explain Does this participant have any allergies? Yes NoPlease specify Does this participant have any medication that he/she takes regularly? Yes NoPlease specify Home Address Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Junior Participant # 2 First Name Last Name Gender/Sex Male Female OtherDate of Birth First Language Country of Citizenship Country of CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone country code Phone country codeAfghanistan +93Aland Islands +358Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antigua and Barbuda +1-268Argentina +54Armenia +374Aruba +297Australia +61Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bonaire, Saint Eustatius and Saba +599Bosnia and Herzegovina +387Botswana +267Brazil +55British Indian Ocean Territory +246Brunei +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde +238Cayman Islands +1-345Central African Republic +236Chad +235Chile +56China +86Christmas Island +61Cocos (Keeling) Islands +61Colombia +57Comoros +269Congo +243Congo (Republic of the Congo) +242Cook Islands +682Costa Rica +506Cote D'Ivoire +225Croatia +385Cuba +53Curaçao +599-9Cyprus +357Czech Republic +420Denmark +45Djibouti +253Dominica +1-767Dominican Republic +1-809East Timor +670Ecuador +593Egypt +20ElSalvador +503Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Guiana +594French Polynesia +689Gabon +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guatemala +502Guernsey +44-1481Guinea +224Guinea-Bissau +245Guyana +592Haiti +509Honduras +504Hong Kong S.A.R. +852Hungary +36Iceland +354India +91Indonesia +62Iran +98Iraq +964Ireland +353Isle of Man +44Israel +972Italy +39Jamaica +1-876Japan +81Jersey +44-1534Jordan +962Kazakhstan +7Kenya +254Kiribati +686Kosovo +381Kuwait +965Kyrgyzstan +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libyan Arab Jamahiriya +218Liechtenstein +423Lithuania +370Luxembourg +352Macau S.A.R. +853Macedonia +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte +269Mexico +52Micronesia +691Moldova +373-533Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands Antilles +599Netherlands (Holland) +31New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Mariana Islands +1-670North Korea +850Norway +47Oman +968Pakistan +92Palau +680Palestine +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 and 1-939Qatar +974Reunion +262Romania +40Russia +7Rwanda +250Saint Helena +290Saint Kitts And Nevis +1-869Saint Lucia +1-758Saint Pierre and Miquelon +508Saint Vincent and The Grenadines +1-784Samoa +685San Marino +378Sao Tome and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles +248Sierra Leone +232Singapore +65Sint Maarten (Dutch part) +599Slovakia +421Slovenia +386Solomon Islands +677Somalia +252South Africa +27South Korea +82South Sudan +211Spain +34Sri Lanka +94Sudan +249Suriname +597Svalbard and Jan Mayen Islands +47Swaziland +268Sweden +46Switzerland +41Syrian Arab Republic +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Togo +228Tokelau +690Tonga +676Trinidad And Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks And Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States Of America +1Uruguay +598Uzbekistan +998Vanuatu +678Vatican City State +379Venezuela +58Vietnam +84Virgin Islands (British) +1-284Virgin Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number E-Mail Does this participant have any medical conditions? Yes NoPlease explain Does this participant have any allergies? Yes NoPlease specify Does this participant have any medication that he/she takes regularly? Yes NoPlease specify Home Address Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Junior Participant # 3 First Name Last Name Gender/Sex Male Female OtherDate of Birth First Language Country of Citizenship Country of CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone country code Phone country codeAfghanistan +93Aland Islands +358Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antigua and Barbuda +1-268Argentina +54Armenia +374Aruba +297Australia +61Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bonaire, Saint Eustatius and Saba +599Bosnia and Herzegovina +387Botswana +267Brazil +55British Indian Ocean Territory +246Brunei +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde +238Cayman Islands +1-345Central African Republic +236Chad +235Chile +56China +86Christmas Island +61Cocos (Keeling) Islands +61Colombia +57Comoros +269Congo +243Congo (Republic of the Congo) +242Cook Islands +682Costa Rica +506Cote D'Ivoire +225Croatia +385Cuba +53Curaçao +599-9Cyprus +357Czech Republic +420Denmark +45Djibouti +253Dominica +1-767Dominican Republic +1-809East Timor +670Ecuador +593Egypt +20ElSalvador +503Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Guiana +594French Polynesia +689Gabon +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guatemala +502Guernsey +44-1481Guinea +224Guinea-Bissau +245Guyana +592Haiti +509Honduras +504Hong Kong S.A.R. +852Hungary +36Iceland +354India +91Indonesia +62Iran +98Iraq +964Ireland +353Isle of Man 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Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number E-Mail Does this participant have any medical conditions? Yes NoPlease explain Does this participant have any allergies? Yes NoPlease specify Does this participant have any medication that he/she takes regularly? Yes NoPlease specify Home Address Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Junior Participant # 4 First Name Last Name Gender/Sex Male Female OtherDate of Birth First Language Country of Citizenship Country of CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone country code Phone country codeAfghanistan +93Aland Islands +358Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antigua and Barbuda +1-268Argentina +54Armenia +374Aruba +297Australia +61Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bonaire, Saint Eustatius and Saba +599Bosnia and Herzegovina +387Botswana +267Brazil +55British Indian Ocean Territory +246Brunei +673Bulgaria +359Burkina Faso 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+974Reunion +262Romania +40Russia +7Rwanda +250Saint Helena +290Saint Kitts And Nevis +1-869Saint Lucia +1-758Saint Pierre and Miquelon +508Saint Vincent and The Grenadines +1-784Samoa +685San Marino +378Sao Tome and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles +248Sierra Leone +232Singapore +65Sint Maarten (Dutch part) +599Slovakia +421Slovenia +386Solomon Islands +677Somalia +252South Africa +27South Korea +82South Sudan +211Spain +34Sri Lanka +94Sudan +249Suriname +597Svalbard and Jan Mayen Islands +47Swaziland +268Sweden +46Switzerland +41Syrian Arab Republic +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Togo +228Tokelau +690Tonga +676Trinidad And Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks And Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States Of America +1Uruguay +598Uzbekistan +998Vanuatu +678Vatican City State +379Venezuela +58Vietnam +84Virgin Islands (British) +1-284Virgin Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number E-Mail Does this participant have any medical conditions? Yes NoPlease explain Does this participant have any allergies? Yes NoPlease specify Does this participant have any medication that he/she takes regularly? Yes NoPlease specify Home Address Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe< Program Information Parent Information > Parent Information #1 First Name Last Name E-Mail Alternate E-Mail Date of Birth Occupation Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone country code Phone country codeAfghanistan +93Aland Islands +358Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antigua and Barbuda +1-268Argentina +54Armenia +374Aruba +297Australia +61Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bonaire, Saint Eustatius and Saba +599Bosnia and Herzegovina +387Botswana +267Brazil +55British Indian Ocean Territory +246Brunei +673Bulgaria +359Burkina Faso 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Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number Business Number Relationship to Junior Participants Parent Information #2 First Name Last Name E-Mail Alternate E-Mail Date of Birth Occupation Home Address City State/Province Postal Code Country of Residency Country of ResidencyAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech 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Island +672Northern Mariana Islands +1-670North Korea +850Norway +47Oman +968Pakistan +92Palau +680Palestine +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 and 1-939Qatar +974Reunion +262Romania +40Russia +7Rwanda +250Saint Helena +290Saint Kitts And Nevis +1-869Saint Lucia +1-758Saint Pierre and Miquelon +508Saint Vincent and The Grenadines +1-784Samoa +685San Marino +378Sao Tome and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles +248Sierra Leone +232Singapore +65Sint Maarten (Dutch part) +599Slovakia +421Slovenia +386Solomon Islands +677Somalia +252South Africa +27South Korea +82South Sudan +211Spain +34Sri Lanka +94Sudan +249Suriname +597Svalbard and Jan Mayen Islands +47Swaziland +268Sweden +46Switzerland +41Syrian Arab Republic +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Togo +228Tokelau +690Tonga +676Trinidad And Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks And Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States Of America +1Uruguay +598Uzbekistan +998Vanuatu +678Vatican City State +379Venezuela +58Vietnam +84Virgin Islands (British) +1-284Virgin Islands (US) +1-340Wallis and Futuna Islands +681Western Sahara +212Yemen +967Zambia +260Zimbabwe +263Phone Number Relationship to Junior Participants < Junior ParticipantsAccommodation > Accommodation Please select the accommodation option No Accommodation Needed Homestay Residence / Dormitory Thank you for selecting Residence/Dormitory as your accommodation option. We will contact you shortly for confirmation of preferences. Homestay While we try to fulfill homestay preferences, we cannot make any guarantees (except in the case of allergies). I understand that while every effort will be made to match all of my requests for homestay placement, no guarantee can be given to match each one. I understand that while every effort will be made to match all of my requests for homestay placement, no guarantee can be given to match each one (except in the case of allergies). Placement Preference Placement Preference Placement PreferenceA private bedroomA shared bedroom with another studentA private bedroom shared with a family member or friendDoes this participant prefer a host family with young children? Yes No Not ImportantDoes this participant prefer a host family with teenagers? Yes No Not ImportantDoes this participant prefer a host family with no children? Yes No Not ImportantComments or Special Requirements What are this participant's hobbies? Does this participant smoke? Yes NoDoes this participant have any foods he/she cannot eat?* Yes NoPlease specify Will the student be travelling without an adult and staying in Canada without a relative? Yes NoMany families in Canada have a dog or cat. Please tell us this participant's preference: Family with a dog Family with a cat Family without pets Will accept a family with or without petsDrive to/from school daily Drive to/from school daily - CAD 150/weekDrive to/from school daily Drive to/from school daily - CAD 150/weekDrive to/from school daily Drive to/from school daily - CAD 150/weekDrive to/from school daily Drive to/from school daily - CAD 150/week Legal Guardian/Custodian while in Canada Guardian/Custodian Name Guardian/Custodian Address Guardian/Custodian Phone Guardian/Custodian Email < Parent InformationArrival details and costs > Arrival Details Expected arrival in Toronto Airline (if known) Flight Number (if known) IMPORTANT INFORMATION FOR JUNIOR PARTICIPANTS IN THE SUMMER ENGLISH LANGUAGE CAMP: Travel information about  Will this child be travelling with the airline as a UM (Unaccompanied Minor)? Yes NoWill this child be travelling with the airline as a UM (Unaccompanied Minor)? Yes NoWill this child be travelling with the airline as a UM (Unaccompanied Minor)? Yes NoWill this child be travelling with the airline as a UM (Unaccompanied Minor)? Yes No There is an additional fee of $150 added for all Unaccompanied Minors. This is in addition to any fees charged by the airline. The airline may require your child to travel as a UM (Unaccompanied Minor). Please check with your airline. If your child is travelling as a Unaccompanied Minor, it is very important that you inform us for the following reasons: Arrival:All Unaccompanied Minors MUST be met at the airport by the same person you name on the UM form. The person meeting your child must show photo ID to airline staff. The child will not be released to any other person. Therefore, it is necessary for us to give you the name of the person who will be meeting your child upon arrival. Departure:All Unaccompanied Minors MUST have a Canadian (18 years or older) WAIT AT THE AIRPORT with them until 10 minutes after their flight has departed. If your child is travelling as an Unaccompanied Minor, it is necessary for us to arrange a person who can WAIT with your child at the airport. Keep in mind that this person must wait for 2 – 3 hours. Total Costs Program Cost Other Costs Total Cost Your payments will be processed by Flywire, offering flexible payment methods from 220 countries supported by banking partnerships globally. Your payment processing surcharge will be applied by Flywire, and varies according to the method of payment (credit card or wire/bank transfer) and country you will be paying from. This is an approximate cost. After you submit this form, and pay the application fee, we will review your application, and send you a link so you can make the full tuition payment. Comments or Questions < AccommodationContinue > Refund Policy ACCESS must be notified in writing about any changes or withdrawals. In all cases, the Application Fee (CAN $520) is non-refundable. Refunds to students who enrolled through a representative must be collected from the representative. ACCESS cannot be responsible for any additional fees charged by agents. DENIED VISA: Students to whom admittance to Canada has been refused are entitled to a refund of all prepaid fees, except for CAD $520 (application fee portion). Students must notify the school in writing and return the original Letter of Acceptance and original letter of denial from the Canadian immigration authorities. The school must be notified in writing at least 14 days before the course start date or a CAD $200 cancellation fee will be charged. If less than 14 days prior to start date, one month homestay may be charged. If the school is notified of a denied visa on or after the course start date, a refund is given according to our policy below. WITHDRAWAL/DISMISSAL*: 30 days or more before start date 70% refund Less than 30 days before start date 60% refund On or after course start date No refund There will be no refunds or extensions for late arrival, failure to arrive, early departure, or early dismissal. Accommodation Cancellation: Each residence / apartment has its own cancellation/refund policy. Some are more strict than others. It is your responsibility, if you are staying in residential accommodation or an apartment, to ask ACCESS for policies at time of contracting. Most offer no refunds after check-in. Homestay: no refunds after check-in. ACCESS will provide one host family change if Homestay Coordinator feels it is warranted. There is no refund for early departures or dismissals. I have read and agree with the refund policy I have read and agree with the refund policy< Costs and PaymentContinue > Conditions All participants are responsible for obtaining their own visas or documents allowing them to enter and remain in Canada. All participants under the age of 18 must be accompanied by a parent, or have a legal custodian in Canada. It is the responsibility of the parents to ensure that all Custodial forms are filled out, notarized, and sent to ACCESS in a timely manner. Participants must respect all rules set by their host family, ACCESS, and their custodian. Any damage to ACCESS or host family property will be charged to the student. Although ACCESS strives to maintain the originally planned activities, schedules, and services, the program is subject to change due to special circumstances. ACCESS, or its appointed agency, will select a host family from those available, based on the information provided on the homestay application form, and cannot guarantee that all personal preferences will be met. ACCESS will not be responsible for loss, damage, or theft of any student’s personal belongings. ACCESS reserves the right to dismiss, without refund, any student who, after being warned and asked to correct his/her inappropriate behavior continues to act in an inappropriate manner either at the school or in any ACCESS arranged accommodation. The legal drinking age in Ontario is 19 years. All participants under the age of 19 years, under no circumstances, are to consume alcohol. Participants under the age of 18 years must abide by all rules set out by ACCESS and their custodian. Any participant repeatedly breaking rules may be sent home without refund. Any additional travel costs incurred will be charged to the participant’s parents. Participants must abide by the conditions outlined above. ACCESS International reserves the right to dismiss, without refund, any participant failing to abide by these conditions. I have read and agree with the conditions above I have read and agree with the conditions above Activitiy Waiver Exclusion of Liability - Assumption of Risk As a condition of involvement in all activities at ACCESS International English Language Centre, the student assumes all risk of person injury, death, or property loss resulting from any cause whatsoever, including but not limited to the inherent risks of these activities, use of equipment, collision with man-made or natural objects or other students, travel within or beyond designated boundaries, or negligence, breach of contract, or breach of statutory duty of care on part of ACCESS International and its employees, directors and agents. The student agrees that ACCESS International and its employees, directors and agents shall not be liable for any such personal injury, death, or property loss and release ACCESS International and its employees, directors and agents and waive all claims and respects thereto. This includes all transport to and from these activities arranged by ACCESS International and its employees, directors, and agents. This means that the student is fully responsible for anything that happens during activities organized by ACCESS. The student does not have to do any activity he/she does not want to. It is the student's responsibility to ensure he/she has adequate insurance coverage. I have read and agree with the waiver above I have read and agree with the waiver above Electronic Signature (eSignature) I consent and agree that by using a key pad, mouse or other device to select an item, button, icon or similar act/action while using any electronic service Access English International English Centre offers; or in accessing or making any transactions regarding any document, agreement, acknowledgement, consent, term, disclosure, or condition constitutes my signature, acceptance and agreement as if actually signed by me in writing. Further, I agree that no certification authority or other third party verification is necessary to validate my electronic signature; and that the lack of such certification or third party verification will not in any way affect the enforceability of my signature or resulting contract between me and Access English International English Centre. I have read and agree with the e-signature terms above I understand and agree that my e-signature executed in conjunction with the electronic submission of my application will be legally binding and such transaction will be considered authorized by me.< ReturnApplication Fee Payment > Application Fee Payment Your application fee for will cost CAD $. The application fee will be deducted when you receive the link to pay for the full tuition. Confirmation I declare that the information I have given on this application is correct and accurate. I declare that the information I have given on this application is correct and accurate.I declare that I have disclosed all medical conditions as well as any medications taken by each participant. I declare that I have disclosed all medical conditions as well as any medications taken by each participant.I understand that discovery of any non-disclosed medical conditions relating to junior participants, may warrant removal from the program without refund. I understand that discovery of any non-disclosed medical conditions relating to junior participants, may warrant removal from the program without refund.I understand that the number of Saturday trips included in the summer camp program is one less than the number of weeks participating I understand that the number of Saturday trips included in the summer camp program is one less than the number of weeks participating. ie: 4 week program = 3 Saturday trips. 1 week program = no Saturday trip. Additional Saturday trips may be purchased at a cost of $75 each. After you submit this form, you will receive the tuition and accommodation payment instructions in your e-mail. Please make the payment within 48 hours of submitting the form. Electronic Signature I understand and agree that writing my full name in the field below will be considered the same as a handwritten signature, and will be legally binding. Write your full name Confirm your E-Mail < Return Submit Form