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SUMMER FUN
2010 REGISTRATION FIRST
NAME_________________ LAST NAME____________________ GUARDIAN’S
NAME______________________GRADE (Sept)________ ADDRESS________________________CITY_____________ZIP________ TELEPHONE:
Home________________Work_______________Cell________________ Email:____________________________________ PLEASE
MARK WHICH PLAN THE STUDENT WOULD LIKE: Preschool
Workshop (Tues and Thurs 5:30 – 6:30 pm)________ ALL DAY
CAMP (9 AM-5:00 PM)_______________ HALF-DAY
CAMP (9 AM-NOON)_____________ HALF-DAY
CAMP (1:30 PM-5:00 PM)____________ TWO
SUBJECTS__________ ONE SUBJECT_________ *Classes will be from 9 AM-5 PM.
Final placement will be assigned by instructor. *Early
Care or After Care is available for
$25.00 per week, please ask us! *Older
students may participate in their own level classes or act as an
assistant in the younger classes. Please
let us know if you would like to help! *Please
include a $10.00 deposit with this form.
THANK YOU!
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