Registration Form

Double-click on link (Google docs) to print out form https://docs.google.com/document/d/1lmJpgV812YHdI9bbS3bwSD0Jwu0UqNbbT8OIr9Fsc0I/edit
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Summer Camp Registration Form

Each Camp is designed to provide an intimate (low ratio) learning experience

designed to develop and master specific techniques, skills and/or concepts

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Kim L. Temple                                                                                                            Beyondthebeanpod@blogspot.com

6207 Glennox Lane                                                                                                         Kimltemple@sbcglobal.net

Dallas, Texas 75214                                                                                                                Phone: 214.733-1313

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Student Name:                                                 Parent Name:                                                
Address:                                                                                                                                  
Mom Email:                                                                         Mom Cell:                                    
Dad Email:                                                                            Dad Cell:                                     
Caregiver Email:                                                                   Caregiver Cell:                            
Allergies/Special Needs:                                                                                                          
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ΓΌ Please check all that apply

Summer Saturdays June  (Age 5-7) -- $30/Saturday - $100/Month
¨  June 9/$30        ¨ June 16/$30        ¨  June 23/$30     ¨  June 30/$30      ¨ June/Month/$100.00

Summer Saturdays July  (Age 5-7) -- $30/Saturday -  $100/Month
      ¨  July 7/$30         ¨ July 14/$30         ¨  July 21/$30    ¨ July 28/$30        ¨ July/Month/$100.00

Weekly Art Camp (Age 6 - 13) – 1 p.m. – 4 p.m. - $125.00
($10.00 discount if registered by June 1; June 20 for July camp)

             ¨  Session 1: June 11-15    Portraits / Cartooning / Animation     
             ¨  Session 2: June 18-22    Masterpieces to Remember
             ¨  Session 3: June 25-29    Amazing Animals
             ¨  Session 4: July   9-13     Bugs & Reptiles Oh My!
             ¨  Session 5: July  16-20    Birds of a Feather
             ¨  Session 6: July  23-27    Dragons / Medieval Marvels

Weekly M-F Spelling/Reading Camp

¨     JUNE - Entering 3rd - 4th Grade: 9-10:30 M-F - June 11-June 29 - $200.00
¨     JUNE - Entering 5th - 6th Grade: 10:30-12:00 M-F - June 11 - June 29 - $200.00

¨     JULY - Entering 3rd - 4th Grade: 9-10:30 M-F - July 9 - July 27 - $200.00
¨     JULY - Entering 2nd Grade only: 10:30-12:00 M-F - July 9 - July 27  - $200.00