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2008 Enrollment Form

Enrollment is on a first come first serve basis. Register early to ensure a space!

• Please use one enrollment form per child.
• Fax the transfer the enrollment Form to “Life Skills Center Co., Ltd” at +66-2-945-6423
• A confirmation e-mail or letter will be sent upon receipt of the enrollment form and/or slip.

Parent(S) Guardian Information

Name:

Mother Father Guardian

Contact address:

Tel (home):

Tel (office):

Fax (home):

Fax (office):

Mobile:

E-mail:

Student Information

Student Name:

Name student likes to be called

Male Female

Birth Date (dd/mm/yy)

Select Birth Date

tmp

Name of School:

Grade Level in Sept 08:

Has he/ she attended SuperCamp before?:

Yes No

(which year?) where

T-shirt size (adult size):

XS S M L XL

Language Skills

English:

Beginning Intermediate Advanced

SuperCamp Selection

Program Code	Program		Date	Please	Tuition (Baht)	Tuition (Baht)
SC-SF	Senior Forum ages: 13-16		Jul. 13-19		47,000
SC-JF	Junior Forum ages: 9-12		Jul. 21-27		47,000
Sub-total:
	\|\|\|
Savings:
	Early bird:	Deposit and registration must be received on or before
		March 31, 2008.				-5,000
		April 30, 2008.				-3,000
		May 31, 2008				-2,000
	Group:	Registering 2 campers at the same time, each camper				-1,000
		Registering 3 campers at the same time, each camper				-1,500

Payment
Full payment by cash By transfer to A/C name “Life Skills Center Co., Ltd. ” / “บริษัท ไลฟ์ สคิลเซ็นเตอร์ จำกัด” Saving A/C no.161-211872-4, Siam Commercial Bank, Watcharapol (Ramintra)
	• Fax the transfer slip to “Life Skills Center Co., Ltd” at +66-2-945-6423 • A confirmation e-mail or letter will be sent upon receipt of the enrollment form and/or slip.
Cancellation Policy
Notification of withdrawal must be in writing to Life Skills Center office.
Cancellation notice received				Refund Given
Before March 31, 2008				25,000 baht
May 1- 31 , 2008				15,000 baht
After May 31, 2008, no refund will be given. We accept an approved substitute enrollment, or you may transfer to another camp for the following year.

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