Arts Summer Camp 2010
|
DATES: June 21st - July 30th TIMES: 9AM-4PM (M-F) AGES: 5 -12 |
**Concert will be held on July 30th to show case top talent from camp**
COST PER CAMPER: $100 per week for 1 week, $90 per week for 2 weeks, $80 per week for 4 weeks and $70 per week for 6 weeks. 10% discount for additional siblings.
LOCATION: A Place Called Hope at Golden Glades location– 16601 NW 8th Ave. Miami, FL 33169.
WHAT TO EXPECT: A FUN, creative atmosphere where experienced, degreed artists teach fundamental and advanced skills in performing and visual arts. In addition, character building and spiritual concepts will be shared.
Return form and check payable to: “Hope Church” – 3761 NW 94th Ave, Cooper City 33024
Camper’s Info:
Name:____________________________________________________________________________ Age: ______
Address and zip: ________________________________________________________________________________
Email Address: _________________________________________________________________________________
Week(s) attending camp:
□ June 21-June 25 □ June 28-July 2 □ July 5-July 9 □ July 12-July 16 □ July 19-July 23 □ July 26 -July 30
Total amount paid: __________________________
Extended Care: Morning- M T W TH F Afternoon- M T W TH F
Emergency Contact Info:
Name: ________________________________ Relation to Camper: ________________________
Phone #: HM________________ Work ____________________ Cell __________________
Name: ________________________________ Relation to Camper: ________________________
Phone #: HM________________ Work ____________________ Cell __________________
Insurance Info:
Name of Carrier: __________________________________________________________________________________
Policy #: _____________________________________________________
Please list any health or medical concerns for your child: __________________________________________________
In case of emergency, every attempt will be made to contact the person(s) above. If contact is unsuccessful, I authorize the camp staff to provide emergency medical care if necessary. Any expense arising from injury or illness is the responsibility of the person signing below and A Place Called Hope will not be held responsible in any way.
Signature of Parent or Legal Guardian: _______________________________ Date: ___________________________
Please Print Name: _________________________________________________________________________________
954-623-HOPE