Student Registration Form Non Beethoven
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Transcript of Student Registration Form Non Beethoven
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8/14/2019 Student Registration Form Non Beethoven
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GET2IT Art & Games CampStudent Registration Form
register online @ : www.get2it.ezregister.comReturn this form and include payment no later than:
Monday June 15, 2009.
Make Checks Out To: Jennifer Swan, Get2It
Mail registration to: 22 19th Avenue #4 Venice CA 90291, ATTN: JENNIFER SWANCost per week: 200.00
Questions? contact Jennifer Swan @ 310-383-7857, email: [email protected]
If more than one child from your household will attend, complete a separate form for each
child.
Students can attend more than one week as the activities will vary week to week.
My child will attend the following weeks (check off each week child will attend):
{ } Week 1: Monday June 22 Friday June 26
{ } Week 2: Monday July 6 Friday July 10
{ } Week 3: Monday July 13 Friday July 17
{ } Week 4: Monday July 20 Friday July 24
{ } Week 5: Monday July 27 Friday July 30
{ } Week 6: Monday August 10 Friday August 14
As enrollment per week is limited to 15 participants and fills up quickly, indicate a first
and second choice for the weeks you would like your child to attend.
First choice: Week ( ) 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 select one
Second choice: Week ( ) 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 select onePARTICIPANT INFORMATIONStudents Name
________________________________________________________________________last first middle initial
Grade: _______ Classroom Teachers Name:_________________________
PARENT GUARDIAN INFORMATION
MOTHER/GUARDIANS NAME: ___________________________________________
ADDRESS:
_____________________________________________________________________
PHONE #1: ___________________________ PHONE #2: ___________________ email: ____________
FATHER/GUARDIANS NAME: ____________________________________________
mailto:[email protected]:[email protected] -
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ADDRESS: _____________________________________________________________
PHONE #1: _____________________________ PHONE #2: ___________________ email: ____________
IN CASE OF EMERGENCY, AND PARENT/GUARDIAN CANNOT BE REACHED, CONTACT:
NAME:____________________________________ PHONE #:____________________
RELATION TO STUDENT: _________________________________________
OTHER THAN ABOVE GUARDIANS AND EMERGENCY CONTACT, WHO HAS PERMISSION TO
PICK UP CHILD?
NAME:_____________________________RELATION TO STUDENT:_____________
PHONE #:__________________________
Walking Field Trip/General Activity Permission SlipTo Farmers Market, Beach, Paddle & Basketball Courts
Walking field trips and art studio activities are an integral part of the Art & GamesCamps, I/we request that my/our child, _______________________, be permitted toparticipate in all art studio/games activities and attend all walking field trips. I/weunderstand and agree that neither camp staff or volunteers shall be liable to me/us ormy/our child for any claims arising out of any such art studio activity, field trip or gameouting, such claims being hereby waived.I/we assume responsibility for any acts ofmy/our child during any field trip and will indemnify (reimburse or repay for any lossincurred) and hold the camp staff harmless from any claims of any person arising frommy/our childs acts.
_______________________________________________________ _____________________Signature of parent or legal guardian Date
_______________________________________________________ _____________________Signature of parent or legal guardian Date
CUT HERE AND SAVE THE ACTIVITY SCHEDULE AND CONTACT INFORMATION
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Activity Schedule CAMP HOTLINE: 310-383-7857 JENNY SWANS EMAIL: [email protected]
8:15 am 8:25 am Arrival @ 22 19th
Place curbside drop off - look for the smiling valet!8:30-10 am Art Every morning begins with free choice open art studio activities followed bygroup instruction in a variety of visual art techniques. Fridays culminating event will featurestudent artwork. We will be painting and moving so wear comfy clothes that can get
dirty. Please wear sunscreen.10:00-11 am Outdoor Physical Activities: Basketball, handball, beach games, sand sculptures,mural painting.Lunch 11:00-12 Please be sure to pack three healthy drinks, two protein-rich snacks, and aBIG lunch for your camper! We will also be preparing healthy dishes to supplement lunches.Afternoon Summer Fun in the Afternoon12:00- 12:30 Read Aloud:We will be reading from books like Sharon Creechs Love That Dog books that celebrate creative young people.12:30-2 Creative Digital Documentation, Journaling, Open Studio. Photographs and stories willbe used to capture participant work and ideas. Students design their own web site pagedepicting their work.
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2:00-2:30 End of Day and Pick up
Things to bring everyday: water, bathing suit and shorts for water play or sand sculpture building,
tennis shoes, a picture of a building you would like to draw (can be your home), any art projects you
are working on, art supplies you want to use, towel, and a smile.
