FRUITA ART CAMP 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______________________________
______________________________________________Address:_______________________________________________
child's name and age______________________________
______________________________________________Address:_______________________________________________
City___________________________ Zip_____________________
Phone (s)____________________, _________________________
Email___________________________________________________
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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