2021 UNIS VIRTUAL SPRING BREAK

2021 - Registration Form

STUDENT INFORMATION

First Namerequired

Last Namerequired

Student Account Numberrequired

PARENT/GUARDIAN INFORMATION

First Namerequired

Last Namerequired

Street Addressrequired

Apartment

Cityrequired

Staterequired

Ziprequired

Preferred Daily Emailrequired

Preferred Parent Contact Cell Phonerequired

Emergency Contact Namerequired

Emergency Contact Numberrequired

Do you (or your spouse) work at UNIS?required

WEEK 1 April 5 to 9 - MORNING - 9:30AM to 11:30AM ($380/week)

Week #1 9:30AM-11:30AM T1-T4 WRINTING YOUR OWN STORY Week #1 9:30AM-11:30AM - M1-M4 WRITING YOUR OWN STORY ON THE PANDEMIC Week #1 9:30AM-11:30AM - J2-J4 WRITING YOUR OWN STORY ON THE PANDEMIC Week #1 9:30AM-11:30AM - J2-J4 FAIRY TALE MOCK TRIAL and BULLY PROUF Week #1 9:30AM-11:30AM - J2-J4 ETIQUETTE and BULLY PROOF

WEEK 1 April 5 to 9 - AFTERNOON 1:30PM-3:30PM - ($380/week)

Week #1 1:30PM-3:30PM - T1-T4 CHESS Week #1 1:30PM-3:30PM - J2-J4 CHESS Week #1 1:30PM-3:30PM - M1-M4 CHESS Week #1 1:30PM-3:30PM - M1-M4 PHOTOGRAPHY and BULLY PROOF Week #1 1:30PM-3:30PM - M1-M4 MOCK TRIAL and BULLY PROOF

WEEK 2 April 12 to 16 - MORNING - 9:30AM-11:30AM ($380/week)

Week #2 9:30AM-11:30AM - T1-T4 WRITING YOUR OWN STORY ON THE PANDEMIC Week #2 9:30AM-11:30AM - M1-M4 WRITING YOUR OWN STORY ON THE PANDEMIC Week #2 9:30AM-11:30AM - J2-J4 WRITING YOUR OWN STORY ON THE PANDEMIC Week #2 9:30AM-11:30AM - J2-J4 FAIRY TALE MOCK TRIAL and BULLY PROUF Week #2 9:30AM-11:30AM - J2-J4 ETIQUETTE and BULLY PROUF

WEEK 2 April 12 to 16 - AFTERNOON 1:30PM-3:30PM ($380/week)

Week #2 1:30PM-3:30PM - T1-T4 CHESS Week #2 1:30PM-3:30PM - J2-J4 CHESS Week #2 1:30PM-3:30PM - M1-M4 CHESS Week #2 1:30PM-3:30PM - M1-M4 PHOTOGRAPHY and BULLY PROOF Week #2 1:30PM-3:30PM - M1-M4 MOCK TRIAL and BULLY PROOF

Total

Parent Waiver

I have carefully read and signed the guidelines/agreement for participation in the Virtual Spring Break and I agree to comply with those regulations. I also understand that participation may involve some risks. As the parent/ guardian of the student named below, I hereby release Spring Break and UNIS from responsibility for all claims or liability in any way attributable to this program regarding any injury my child may incur while participating. I also understand that all liability in case of accident or hospitalization is the responsibility of the parent/guardian. The United Nations International School is not responsible for accident or hospitalization insurance. This authorization shall remain effective until the last day of the season unless sooner revoked in writing delivered by said agent(s).

Additional Information

By returning this form electronically, I acknowledge that I am registering my child for the UNIS Spring Break and I authorize UNIS to charge my account.

Agree

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