i-Immersion | Building a well-rounded language community

Camp Enrollment Form

Use this form to submit camp application for ONE CAMPER. You will receive a confirmation shortly after successful submission. You will sign a camp contract after space and your camp selection have been verified by our office.

Promotional or Coupon Code
How did you find out about us?*
Camper
Type of Student*
- New Student
- Returning Student
Student Name*
FirstLast
Gender*
- Male
- Female
Date of Birth*
Current or Entering Grade/Age*
Parent Information
Parent Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Day Time Phone*
Cell Phone*
Email (for class updates & announcement)*
Emergency
Name of Authorized Adult 1*
FirstLast
Relationship to Camper*
Phone Number*
Name of Authorized Adult 2
FirstLast
Relationship to Camper
Phone Number

Medical Information
Insurance Company
Policy Number
Physician
FirstLast
Phone
Any allergies, medical conditions, diet, or special needs for your child.
Medical and examination reports or doctor's letter describing your child's medical conditions may be required prior to participating in the i-Immersion program.
Upload Doctor's Notes

Enroll

Camp Enrollment Form

Step 1 of 4

Camper

Parent Information

Emergency

Camp Information

Mandarin Camps

Spanish Camps

Medical Information

Camper Code of Conduct

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