Covid-19 information

Form FOR Summer Camp

Information form  for summer camps


Please fill one form per child 



1. Parent contact 

Parent/ guardian First Name
Parent / guardian Last Name
E-mail Address
Phone Number
Relationship to the child

Child information

Child last name
Child first name
Child birthdate
Currently enrolled in Grade  (grade for the current ending school year )







Child French proficiency


If your kid has any allergies or medication to take during camp time please enter here :

Medical insurance


Is the kid covered by family medical/hospital insurance ?


If so, please precise Insurance Carrier,   policy# and policy holder name (enter N/A if not applicable)

Authorized pick up 
Please note that we will not release your child to any person not listed here.  If you need to make a change or want to allow exceptionally another person to pick up your child we will need to receive a written confirmation. 

Please enter here information about the First person you authorise to pick up your child. 
 First name, last name, relationship to the kid, phone number (This should be you if you want to be able to pick up your child)
Please enter here information about the Second person you authorise to pick up your child. 
 First name, last name, relationship to the kid, phone number (enter N/A if not applicable)
Please enter here information about the Third person you authorise to pick up your child. 
 First name, last name, relationship to the kid, phone number (enter N/A if not applicable)
Please enter here information about the fourth person you authorise to pick up your child. 
 First name, last name, relationship to the kid, phone number (enter N/A if not applicable)

Contact Us

Alliance Française de San Francisco
1345 Bush Street | San Francisco, CA 94109
+1 (415) 775 - 7755
E-mail: afsf@afsf.com

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Alliance Française de San Francisco is an American Public Charity Nonprofit, tax-exempt under section 501(c)(3) of the Internal Revenue Code.

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