Camp Registration Mail-in form here, if preferred Irish Camp 2020 Camp Dates*June 15-19June 22-26Name of Child* First Last Sex of Child*MaleFemaleChild's Date of Birth* Date Format: MM slash DD slash YYYY Child's Age on First Day of Camp*T-Shirt Size*Child's SmallChild's MediumChild's LargeChild's Extra LargeAdultName of Parent/Guardian* First Last Parent/Guardian Phone*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent/Guardian Primary Email* Parent/Guardian Secondary Email Emergency Contacts*NameRelationshipPhoneAuthorized for Pickup (Yes or No) Registration Fees*Camp Only: $300Camp+Extended Care - 8am-6pm: $400Multi-Child Discount: $50 off each child after the First Child Full Price purchase. The discount will be provided in the form of a partial refund after the full transaction has been processed. Payment Options*Pay by CheckPay OnlineMake check payable to "United Irish Cultural Center" and send to: United Irish Cultural Center Attn: Irish Camp 2700 45th Avenue San Francisco CA 94116 Instructions on paying online will be sent to you after completion of this form. If any questions please contact orders@irishcentersf.orgDoes your child sing or play and instument?*NoYesIf Yes, please briefly state the instrument (if applicable), level of playing reached and any experience performing:*How did you hear about UICC Irish Camp? Website Online Newspaper Instagram Flyer Bulletin Family/Friend Participants are expected to carry their own insurance and/or medical insurance . In the event of injury or illness, every effort will be made to contact the parent or guardian. Participants specifically assume all risks of injury arising out of his/her presence on the premises of the United Irish Cultural Center (UICC) , and use of its equipment or facilities and participation in activities, whether on its premises or at another location , and for myself and my heirs and assigns hereby waive, release and agree to hold free from all claims for damages the United Irish Cultural Center and dangers involved in participating in the programs and activities of the UICC, am physically capable of participating in such programs and agree not to participate on any activity that may injure myself or others. My Name/Date below also indicates my permission to use photographs or any other media for promotional purposes. Teachers and coaches are safety conscious and follow appropriate safety procedures. Type your Name for Agreement & Consent*Today's Date* Date Format: MM slash DD slash YYYY Know thyself...
