Saturday, March 18, 2017


Art Camp, June 2017,
 ____  Week 1, June 5 Found in water (fish, submarines,sea creatures,  create your own…
_____ Week 2, June 12 Ways to get around, skate
boards to, space rockets and back again      ____Week 3, June 19 Places, if I could travel anywhere…city, state, or country…(research, story)
_____Week 4, June 26 In my future/  careers, could be fireman, chef, zoo keeper…
Be sure to mark the week or weeks you choose.
Parent (guardian) names___________________________
child's name and age______________________________
 City___________________________  Zip_____________________
Phone (s)____________________, _________________________
Emergency number(s) ______________________________
Contact, if Emergency _______________________________
and if you think needed, Doctor or clinic with phone number _____________________________________
_______________________________________________________....Please list any allergies, conditions teachers need to know about
If medications needed, who administers with phone# __________________________.
.List names of authorized  persons who will be picking up your child, children and phone #s.
Please write a note , dated and signed if your child is to walk or bike home after each art camp..
If we have a  field trip ,  we will notify you. To facilitate this please sign and tell us your child (children ) may do so.
For field trips  (Fruita Dino Journey, or the Mall to Children’s Nature Center) we will need volunteer drivers with liability insurance.
If you could, please write your name  phone number below with the number of seats
you have to place children. I can take 4 as I have 5 seat belts. Thank you.
__________________________________________________________...._________________________________________________________Camp fee, $80 per camper, sibling $50.
Mail checks and form to: Vera Mulder, Art Camp, 983 E. Pabor Ave., Fruita 81521
Mailing deadling: must be postmarked May 28.

Space limited…  phone 970 314 1245   home 970 858 9008 leave message here...

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