ACS Beirut

Applicant's Information

Filled Byrequired

Please type the Full Name of the person filling in the application form.

First Namerequired

Middle Name

Father's Namerequired

Family/Last Namerequired

Date of Birthrequired (dd/mm/yyyy)

Gender*

Male Female

Home Phone

Mobilerequired

E-mailrequired

Is the applicant a current ACS Beirut Student?*

Yes No

Grade Level Completedrequired

Current Schoolrequired

Grade Level Completedrequired

Home Languagerequired

Second Language

Sibling name(s) attending ACS Summer Program (if any)

Name (1)

Name (2)

Name (3)

Medical Information

Emergency Contact Namerequired

Relationshiprequired

Emergency Phone Number (1)required

Emergency Contact Namerequired

Relationshiprequired

Emergency Phone Number (2)required

Does the applicant require any special medical care?*

Yes No

Please explain the condition and specify the name of the medication(s).required

Please state any medication or food the applicant is allergic to, and what are the symptoms he/she develops in case of accidental ingestion?required

Please type None if this is not applicable.

Registration Requirements

Upload Photorequired

Please upload one recent passport size - high resolution photo.

Max file size: 10 MB

Upload Passport / IDrequired

Please upload one photocopy of a valid Passport / Lebanese ID Card.

Max file size: 10 MB

Summer Camp Friends - I wish to be with my friends:

Friend's Name (1)

Friend's Name (2)

Summer Camp Activities

Activities Listrequired

I would like to register my son/daughter for the duration of:*

4 Weeks 5 Weeks

Terms Agreement*

I have examined the above and agree to all its conditions. I hereby apply to the American Community School Beirut for the admission of the applicant named, for the Summer Program.

Dolphins Group - [8-9 Years Old]

This application must be completed in full by the applicant’s parent or legal guardian.

Please fill in one application per child / camper.

This application cannot be completed without uploading one recent passport size, high-resolution photo, and a photocopy of a valid Passport / Lebanese ID Card.