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World Language Summer Camp Registration

free world language camp logo

To register, please fill out the questions below.

Please sign student up for only one session.

Please note, no transportation will be provided.

Camp is open to rising 5th grade - 7th grade future Fairfax HS students. Students must live in the Fairfax HS boundary. Registration will close June 5th or when all slots are filled

Student Information

Has your student attended this camp before? *

Answer Required

Yes, this will be our third year

Yes, this will be our second year

No, this is our first time at the World Language Camp

Student First Name*

Answer Required

Student Last Name*

Answer Required

Nickname (if applicable)

Answer Required

Elementary School - please note, this camp is open to students in the FHS pyramid or City of Fairfax residents only. *

Answer Required

Date of Birth*

Answer Required

Grade (Rising grade, not current. Please note, this camp is open to rising 5th, 6th, and 7th grade students only)*

Answer Required

Parent / Guardian Information

Parent First Name*

Answer Required

Parent Last Name*

Answer Required

Email Address*

Answer Required

Phone Number*

Number Required

Alternate Phone Number

Number Required

Home Address

Street Address*

Answer Required

City*

Answer Required

Zip Code*

Answer Required

Medical Information

Insurance Provider*

Answer Required

Insurance ID#*

Answer Required

Physician Name*

Answer Required

Allergies, Medical, or Special Needs

Answer Required

All sessions have limited availability. Registration openings are filled on a first come, first served basis. Please check the appropriate boxes below to indicate the session you want to attend. All activities and supplies are included. Pizza and bottled water will be provided daily. Students are welcome to bring a bagged lunch for variety.

Session Enrollment Options (please check one box only)*

Answer Required

Session 1 (Rising 5th - 7th graders) M-TH July 7 - July 10 9:00 a.m. - 2:00 p.m.

Session 2 (Rising 5th - 7th graders) M - TH July 14 - July 17 9:00 a.m. - 2:00 p.m.

Pizza will be provided daily free of charge to students. If there are any food allergies/other food preferences, please provide a bagged lunch daily for your child. Please check the box below for our planning purposes.*

Answer Required

My child will eat pizza and bottled water every day.

My child will bring a bagged lunch every day. (Bottled water available every day)

2025 Fairfax World Languages Camp Registration Agreement

1) Food: Campers may bring their own lunch and water/beverages for the day - pizza and bottled water will be available for campers as well, but a bagged lunch is advised for variety.

2) Personal Belongings: All campers are responsible for their own personal belongings while attending the camp. The camp provides all supplies for activities in language sessions. I understand that all items brought to camp must be clearly marked with the camper's name. I understand that Fairfax HS and Fairfax HS World Languages Camp assume no responsibility for any personal belongings brought to camp.

3) Medical Authorization and Emergency Care: I authorize the Fairfax HS World Languages Camp staff to seek emergency treatment, to administer emergency CPR and/or first aid treatment deemed appropriate, and to arrange to have my child transported to an appropriate medical facility in the event emergency care is necessary. I authorize emergency personnel, doctors, nurses, or hospital/medical facility staff to perform any procedure judged necessary for the treatment and well-being of my child. I understand that Fairfax HS World Languages Camp personnel will NOT administer medicine of any kind to my child. I will not hold Fairfax HS and/or Fairfax HS World Languages Camp directors and staff liable should my child have an accident or sustain an injury on the way to/from or during camp activities.

Parent Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required