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 ______________________