Noah’s Academy SuperCamp 2018 ® SuperCamp 2018 Enrollment Form Eligibility Only students born between July 2003 and August 2008, aged 10 - 14 at the time of the camp may apply for this camp. Enrollment Enrollment is on a first come, first served basis. Register early to ensure a space! Complete the Enrollment Form. Please use one enrollment form per child. A confirmation e-mail or letter will be sent upon receipt of the enrollment form and payment confirmation. Terms of Payment 50% of the tuition (HK$8,500) is due as deposit with the Enrollment Form. The balance of tuition less any discounts is due by July 16, 2018. Payment Method： Apply through online enrollment form: Settle of deposit by VISA/MASTERCARD. Settle of balance of tuition less any discounts by cheque or ATM transfer to designated account at The Hong Kong and Shanghai Bank Corporation. Apply using this enrollment form: The deposit and the balance of tuition less any discounts are to be settled by cheque or ATM transfer to designated account at The Hong Kong and Shanghai Bank Corporation. Cancellation Policy Cancellations must be in writing. An administration fee will be deducted from the tuition amount paid. There is no refund on or after June 1, 2018 Cancellation notice received Administration fee Prior to May 31, 2018 HK$3,000 *Mandatory Student Information Noah’s Academy Membership Number: (If you are not yet a member, you will be automatically registered as a member upon the submission of this application form) Student Name Chinese Full Name: English Full Name*: Name student likes to be called: Gender*: Male Female Birth date (mm/yy)*: Age at camp: Name of School: Grade Level in Sept 2018: Has he/ she attended SuperCamp before?: Yes (which year?): No T-shirt size (adult size)*: XS S M L XL Noah’s Academy SuperCamp 2018 Language Skills Language used at home: #1st 2nd # If English is not your child’s first language, please tick proficiency level: Level 1: Students can comprehend simple statements and questions. They can engage in face-to-face conversations with more fluent speakers. They can understand basic reading material and can write short passages on familiar topics with assistance. Level 2: Students can comprehend short conversations on simple topics. They can read and understand passages written in basic sentence patterns. They can write simple notes, brief journal entries, and short reports. Level 3: Students can communicate orally in most situations. They can comprehend the content of many reading passages independently. They can write creative passages as well as many paragraphs for a story. Level 4: Students can understand most standard speech and are fluent and accurate when speaking. Their reading ability enables them to comprehend a wide range of reading material. When writing, they are approaching fluency, using language and vocabulary for each academic subject. Parent / Guardian Information Chinese Full Name*: English Full Name*: Relationship to Applicant*: Mother Father Guardian Contact address: Tel (home): Tel (office): Fax(home): Fax (office): Mobile*: E-mail*: Choice of Language of Noah's Ark Communications*: Traditional Chinese Simplified Chinese English Emergency Contact Recommend to be different from Parent / Guardian Emergency Contact Person*: Emergency Contact Number* (Home): (Office): (Mobile): Relationship to Applicant*: Mother Father Guardian Other Secondary Emergency Contact Person (Optional): Secondary Emergency Contact Number (Optional) (Home): (Office): (Mobile): Relationship to Applicant (Optional): Mother Father Guardian Other Venue Noah’s Ark Hong Kong, 33 Pak Yan Road, Ma Wan, NT, Hong Kong Noah’s Academy SuperCamp 2018 Assembly and Pick Up Location Selection Assembly and Pick Up Location* Assembly Date & Time: Pick Up Date & Time: Near IFC CitySuper Jul 22 - 8:45am Jul 26 – 5:45pm Tsing Yi MTR Station Jul 22 - 9:15am Jul 26 – 5:15pm Noah’s Ark Hong Kong Main Gate Entrance Jul 22 - 9:30am Jul 26 – 5:00pm (Free shuttle service arrangement between IFC Mall, Tsing Yi MTR station and Noah’s Ark) SuperCamp Selection Program Date Please Tuition Tuition √ (HK$) (HK$) SuperCamp, ages: 10-14 (entering G.5 - G.9 in Sept 2018) Jul 22-Jul 26 $17,000 Sub-total: Discounts (Deduct discounts if applicable): Last Call Offer $800 ( ) Group: Registering three or more at the same time. $300 ( ) Student names: ( ) Returning graduate $200 ( ) Other discount: Please fill in Promo Code ( ) Promotion code cannot be used in conjunction with any other offers. Please fill in amount Tuition Total: Bonus Offer: Upon successful enrollment to this activity, the parent or guardian of the participant may enjoy free download of 15 activity images of the participant and an activity video upon the acceptance of the below image release condition I would like to enjoy the bonus offer and therefore unconditionally agree that the above participant is to be photographed by Ma Wan Park Limited (MWPL) appointed staffs and photographers during the course of the activities and agree that the activity images and video may be used by MWPL for any purpose without payment Payment Enclose Payment*: 50 % deposit of Tuition Total at registration to reserve a space. Balance of payment is due by July 16, 2018. Payment Method*: Cheque (Cheque should be crossed and made payable to “Golden Arc Limited”, with the applicant’s name written on the back of the cheque). (Cheque to be deposited to The Hong Kong and Shanghai Bank Corporation, account number 808-580815-001, account name “Golden Arc Limited”) Bank Name: Cheque no.: ATM Transfer Please use transfer service at The Hong Kong and Shanghai Bank Corporation ATMs and transfer to account number 808-580815-001, account name “Golden Arc Limited” Please email a copy of the ATM advice or cheque deposit advice together with the completed application form to [email protected] Noah’s Academy SuperCamp 2018 Remarks Upon the completion of this application form, applicants who are not yet members of the Noah’s Academy program will be enrolled to the program automatically. Only students born between July 2003 and August 2008, aged 10 - 14 at the time of the camp may apply for this camp. Ma Wan Park Limited reserves the rights to request participants to present an original copy of the participant’s valid photo ID (e.g. HKSAR Passport or school handbook) for age verification purpose. If participants fail to produce their original identification documents, Ma Wan Park Limited has the right to refuse any participant from participating in this camp. Payment will not be refunded should the event be cancelled due to adverse weather or under any other circumstances beyond the control of Ma Wan Park Limited. The applicant will receive a participants’ notice and special arrangement application form via email before the camp commences. If the participant has any food allergy, special health condition or special needs, please state on the form so that arrangements can be made. Ma Wan Park Limited reserves the rights to reject applications that are beyond the service scope. For detailed arrangement regarding the camp, please refer to 《SuperCamp - Enrollment Terms and Conditions》. Declaration *I have read and understood the “Terms and Conditions” and the Personal Information Collection Statement of the Noah's Academy program. I agree to comply with and be bound by them and acknowledge that Ma Wan Park Limited may modify them at any time without prior notice. I also agree to allow the above applicant to enroll in this activity. I have read and fully understood the “Enrollment Terms & Conditions”, “Cancellation Policy” and the 'Remarks' of this program or activity, and agree to be bound by them. I accept that if I fail to meet payment schedules, I could forfeit my place in the program(s). I understand that final acceptance for this program is depending on the receipt and approval of the Parent/Student Agreements which will be enclosed in the Pre-Camp Package. I do not wish to receive any promotional and marketing materials from Noah’s Ark Hong Kong. Parent / Guardian Signature Date 2/17 Noah’s Academy SuperCamp 2018 SuperCamp - Enrollment Terms & Conditions 1. General Information The applicant will receive a participants’ notice and special arrangement application form in the Pre-Camp Package sent via email approximately one month prior to camp commencement. If the participant has any food allergy, special health condition or special needs, please state on the form so that arrangements can be made. Ma Wan Park Limited reserves the rights to reject applications that are beyond the service scope. 2. Transportation, Assembly & Dismissal Arrangement: Camp Location Noah’s Ark Hong Kong Assembly and Pick Near IFC CitySuper# or Up location Tsing Yi MTR Station# or Noah’s Ark Main Entrance, Ma Wan (Please state your preferred assembly and pick up location in the application form. No changes allowed afterwards.) Assembly time* Jul 22 - 8:45am (IFC Mall#) / 9:15am (Tsing Yi#) / 9:30am (Noah’s Ark Main Entrance) Pick Up time* Jul 26 - 5:45pm (IFC Mall#) 5:15pm (Tsing Yi#) / 5:00pm (Noah’s Ark Main Entrance) Parents, guardians and participants should arrive at the assembly location at least 5 minutes in advance. Late students are responsible to take other transportation to Noah’s Ark. Parents should arrive at the dismissal location at least 5 minutes in advance for the pickup of participants. Parents and guardians will be informed of the exact assembly and dismissal location before the camp starts. Participants who choose Noah’s Ark Main Entrance as the assembly and dismissal point will need to arrange transportation to the Ark by himself/herself; the transportation fee will be borne by participants. (The road connecting Ma Wan Island from Tsing Ma Bridge is a restricted road managed by the Government; only vehicles with valid permits issued by Transport Department are allowed.