Name *

First Name

Last Name

Date of Birth *

ex. 02/08/1984

MM

DD

YYYY

Permanent Mailing Address (In Country of Citizenship) *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Address (If different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parents Name *

First Name

Last Name

Term's & Policies *

Policies: (1) $500 of the camp tuition will be non-refunadble if cancelled prior to arrival to the U.S. (2) Students MUST purchase their flight tickets no later than a month prior to camp's starting date. (3) If camp is cancelled due to unexpected circumstance, there will be No refund toward your flight ticket

I agree to Terms & Policies above.