SUMMER FUN 2012 REGISTRATION  
July 2012

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.  
  You will receive a camp schedule in the mail.

*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!