

| Summer Camps Children bring their lunch. All camps include structured activities, arts & crafts, group and independent learning fun based on weekly theme. Ages 2 - 5 9:00am - 1:00pm June 7-10 All About Bugs June 14-17 Arts & Crafts June 21-24 Animals are Everywhere June 28- July 1 A Day at the Beach July 12-15 We have 5 Senses July 19-22 Kids in the Kitchen July 26-29 A Trip to Outer Space August 2-5 Dig for Dinosaurs Options #1: Option #2: Weekly (Monday – Thursday) Tuesdays & Thursdays for 6 weeks $65/Week $220.00 (2 weeks available for make |
| Summer Camps 2010 |

| The Starting Line Preschool 2010 Summer Enrollment Application & Agreement Student Information: Student Name ________________________________________________ Age ____________ Birthday _____________________ _____ June 7-10 All About Bugs _____ June 14-17 Arts & Crafts ______June 21-24 Animals are Everywhere _____ June 28- July 1 A Day at the Beach ______ July 12-15 We have 5 Senses _____ July 19-22 Kids in the Kitchen _____ July 26-29 A Trip to Outer Space ______ August 2-5 Dig for Dinosaurs ______ T&Th 6 Weeks $220.00 Week Camps (M,T,W,Th) $65/Week Student’s brother(s) and sister(s): Name ________________________ Age ____________ Name ________________________ Age ____________ Name ________________________ Age ____________ Name ________________________ Age ____________ Parent Information: Mother’s Name _________________________________________ Father’s Name _____________________________________ Home Address ___________________________________________________________________________________________ City __________________________________________________ Zip _____________________________ Home Phone _________________________________________ Cell Phone __________________________________________ Father’s Employment ___________________________________________________ Wk Phone ___________________________ Mother’s Employment ___________________________________________________ Wk Phone __________________________ Email Address: ___________________________________________________________________________________________ ANY MEDICAL CONDITIONS WE SHOULD KNOW ABOUT. (FOOD ALLERGIES, ETC.): ________________________________________________________________________________________________________ IN CASE OF AN EMERGENCY, OTHER THAN PARENTS WHOM MAY WE CONTACT? Name _________________________________________________________________ Phone ___________________________ RELEASE: All precautions will be taken to prevent accidents while your child is in class. Simple first aid will be administered to all minor injuries; parents or doctors will be notified when necessary. I hereby consent to have my child participate in programs offered by the Starting Line Preschool and their employee’s. It is hereby agreed that I, my child, my heirs and executors, waive and release all rights and claims for damages that I may have at any time against the Starting Line Preschool, their employee’s, and its representatives, whether paid or volunteer, for any injury or damages in connection with the Starting Line program. The risks involved in respect to such a program are fully understood. SIGNATURE (Parent or Guardian) ___________________________________________________ Date ______________________ |