2022 Deru Academy Future Education Summer Day Camp

YOUTH CAMP AGE GROUP EMPHASES
For the Youth Camp, different age groups will have special topical focuses for the duration of the camp. While all students will participate in all camp activities, each student, according to their age, will also be given particular projects that will capstone their summer camp experience.

Students aged 7-11 will focus on creating their own narratives about building positive futures, utilizing the various artistic skills they will learn throughout each day. They will compose and illustrate detailed stories, and then work together with their classmates to act out their stories, being the heroes of their own narratives and their own futures.

Students aged 12-15 will focus on putting together a complete filmed production of futuristic narratives. They will engage heavily with scriptwriting, storytelling and plot development, and the “fieldwork” of developing characters that embody the spirit of shared struggle towards a positive future.

Students aged 16-17 will focus on greatly expanding their writing and networking skills to not only produce attractive, expertly-written essays for high-conscious institutions (or proposals for creating their own high-conscious, future-focused businesses), but also to connect with other academic, future-focused teens around the world. Students will actively prepare for their next stage in life: becoming conscious minded citizens of humanity.

Click Here For Detail Summer Camp Schedule

Choose Camp	Day Camp Week 1: June 13-17th, Day Camp Week 2: June 20-24th, Day Camp Week 1 & 2, Residence Camp Week 1: June 13 – 17th, Residence Camp Week 2: June 20 – 24th, Residence Camp Week 1 & 2

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Are you registering yourself or someone else (such as your child)? * Myself Someone Else Both
Student (s) First and Last Name(s) *
How many students are you registering? * 1 2 3 4
Date(s) of Birth AND Age(s) of Student(s) *
Describe the grade status of the student(s) *
What do you wish for yourself/child to develop from participation in this Summer Camp Program? * Confidence Reverence Discipline Responsibility Attention Healthy mental attitude Temper control Character Weight Control Energy Common family interests Grades Inner healing Leadership self-defense Inner strength Conditioning Stress reduction Decisiveness
Parent/Guardian First and Last Name(s) Required if student is a minor
Mobile Number *
Email Address *
Mailing Address *
Authorized Pickup for Minor Students (Please enter the names and phone numbers of adults you hereby authorize to pick up your child from the Day Camp. CHILDREN WILL NOT BE RELEASED TO ANY ADULT NOT ON THIS LIST. AUTHORIZED PERSONS WILL BE REQUIRED TO PRESENT PHOTO I.D. AT THE TIME OF PICKUP.)
Does the student(s) have any food or medication allergies, or any chronic health conditions? * Yes No
If you answered "yes" to the previous question, please describe the allergies and/or medical conditions in detail.
For minor students: does the student take any regular medications? If so, list the names, dosages, and conditions being treated for ALL medications.
Student's Primary Care Doctor's First and Last Name. Type "N/A" if student does not have a primary care doctor. *
Primary Care Doctor's Phone Number. Type "N/A" if student does not have a primary care doctor. *
Primary Care Doctor's Address. Type "N/A" if student does not have a primary care doctor. *
Medical Insurance Information Insurance Company; Name of the insurance card holder; Member number; Group number; Type "NONE" if student does not have medical insurance. *
Are there any other physical or mental health conditions of the student that the Summer Camp staff should be aware of? Please detail it here. *
Food The Shaolin Institute does not provide food in any capacity to any student. However, out of an abundance of love and friendship, our headmaster purchases and makes an abundance of (vegetarian) snacks and meals that are openly shared with students. All Summer Camp Program students are certainly welcome to partake of this food at their own risk and discretion. Nevertheless, below are some alternative recommendations: For Day Camp students, we recommend that students pack two separate snacks (morning snack and afternoon snack) in addition to lunch. For Overnight Camp students, we recommend that students pack enough snacks and easy-to-make pre-packaged meals to last the duration of the camp, as well as budget money to purchase food outside off campus.
What Else To Bring DAY CAMP: - A pillow for movie time - Medications [NOTE FOR WEEKS 1 - 2: SHAOLIN INSTITUTE STAFF WILL TAKE POSSESSION OF ALL MEDICATIONS AND SECURE THEM OUT OF CHILDREN\'S REACH. STAFF WILL ONLY ADMINISTER MEDICATION IF IT IS IN ITS ORIGINAL PACKAGING, AND ACCOMPANIED BY A SIGNED LETTER BY THE PARENT OR LEGAL GUARDIAN CONTAINING CLEAR INSTRUCTIONS ON THE TIMING AND DOSAGES THE MEDICATIONS SHOULD BE ADMINISTERED. Residence Overnight Camp: - Sleeping supplies [sleeping bag, blanket, pillow] - Toiletries - Entertainment devices for free time [small handheld game devices, cell phones, headphones, all necessary charging equipment for electronic devices, 1-2 books, etc.; these items, ESPECIALLY CELL PHONES, will NOT be allowed to be used during camp time] - Medications [NOTE FOR WEEKS 1 - 3: SHAOLIN INSTITUTE STAFF WILL TAKE POSSESSION OF ALL MEDICATIONS AND SECURE THEM OUT OF CHILDREN\'S REACH. STAFF WILL ONLY ADMINISTER MEDICATION IF IT IS IN ITS ORIGINAL PACKAGING, AND ACCOMPANIED BY A SIGNED LETTER BY THE PARENT OR LEGAL GUARDIAN CONTAINING CLEAR INSTRUCTIONS ON THE TIMING AND DOSAGES THE MEDICATIONS SHOULD BE ADMINISTERED.] - Seven complete outfits for Weeks 1 - 3 and eleven complete outfits for Week 4 [tops, bottoms, underwear, socks]; light jacket; rain poncho; For students in Weeks 1 - 3, parents should write the full names of the students on each article of clothing.
AGREEMENT I hereby affirm that I have completed this application to fullest of my knowledge and capability. I acknowledge that I have read and understood the terms and conditions of the above agreement. I further understand that my application will not be considered complete and my spot in the camp held until I have paid the full tuition of the camp(s) for which I am registering. By typing my full legal name below, I agree to abide by the aforementioned terms and conditions, and that my electronic signature is the legal equivalent of my manual signature on this application and shall have the same legal validity and enforceability as a manually executed signature or use of a paper-based recordkeeping system to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, or any similar state law based on the Uniform Electronic Transactions Act, and I agree to waive any objection to the contrary. By typing my full legal name below, I authorize the Shaolin Institute to obtain and store my personally identifying information in their database for the purpose of processing my application and contacting me for reasons related to this application. I agree that no certification authority or other third-party verification is necessary to validate my E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of my E-Signature between me and the Shaolin Institute.
Type your full legal name below to sign and submit your application. *

2022 Deru Academy Future Education Summer Day Camp

Register Today And Get $100 OFF For The First 10 Students Enter Code: SUMMER100

Are you registering yourself or someone else (such as your child)?

Student (s) First and Last Name(s)

How many students are you registering?

Date(s) of Birth AND Age(s) of Student(s)

Describe the grade status of the student(s)

What do you wish for yourself/child to develop from participation in this Summer Camp Program?

Parent/Guardian First and Last Name(s) Required if student is a minor

Mobile Number

Email Address

Mailing Address

Authorized Pickup for Minor Students (Please enter the names and phone numbers of adults you hereby authorize to pick up your child from the Day Camp. CHILDREN WILL NOT BE RELEASED TO ANY ADULT NOT ON THIS LIST. AUTHORIZED PERSONS WILL BE REQUIRED TO PRESENT PHOTO I.D. AT THE TIME OF PICKUP.)

Does the student(s) have any food or medication allergies, or any chronic health conditions?

If you answered "yes" to the previous question, please describe the allergies and/or medical conditions in detail.

For minor students: does the student take any regular medications? If so, list the names, dosages, and conditions being treated for ALL medications.

Student's Primary Care Doctor's First and Last Name. Type "N/A" if student does not have a primary care doctor.

Primary Care Doctor's Phone Number. Type "N/A" if student does not have a primary care doctor.

Primary Care Doctor's Address. Type "N/A" if student does not have a primary care doctor.

Medical Insurance InformationInsurance Company; Name of the insurance card holder; Member number; Group number; Type "NONE" if student does not have medical insurance.

Are there any other physical or mental health conditions of the student that the Summer Camp staff should be aware of? Please detail it here.

Food

What Else To Bring

AGREEMENT

Type your full legal name below to sign and submit your application.

2022 Deru Academy Future Education Summer Day Camp

Reviews

Student's Primary Care Doctor's First and Last Name.
Type "N/A" if student does not have a primary care doctor.

Primary Care Doctor's Phone Number.
Type "N/A" if student does not have a primary care doctor.

Primary Care Doctor's Address.
Type "N/A" if student does not have a primary care doctor.

Medical Insurance Information
Insurance Company; Name of the insurance card holder; Member number; Group number; Type "NONE" if student does not have medical insurance.