GEMS American Academy Spring 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

Mar 30 _______ Mar 31 _______ Apr 1 _______ Apr 2_______ Apr 3 _______

Week 2

Apr 6 _______ Apr 7 _______ Apr 8 _______ Apr 9_______ Apr 10 _______

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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 2014. 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