Art Campers work on mural. |
You can just click on this form to print it out. Send to one of addresses listed for the form.
REGISTRATION FOR FRUITA ART CAMP
REGISTRATION FOR FRUITA ART CAMP
Name of
Camper________________________________________________Age____________________
Name of
Parent/Guardian______________________________________________________________
Home Phone___________________________ cell phone______________________
Address____________________________________City____________________Zip__________________
Any allergies or
medical conditions, and or medications,
teachers should be aware of, for safety’s sake.__________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Family Doctor
__________________________________________Phone__________________________
If medication
required, who is person handling?_____________________________________
Emergency contact
_________________________________________phone 24/7_______________
Alternative emergency
contact _____________________________ phone___________________
Email address
(for announcements, etc.)______________________________________________
Make check or money order for $65.00 out to FMS
Art Club Fruita Art Camp Acct.
Mail to: Mulder, 983
E. Pabor Ave. Fruita 81521… or Lauri Baker, Fruita Middle School, 239 N.
Maple, Fruita, 81521
Names of persons
who will pick up your camper, campers at 3pm, end of camp for the day.
________________________________________, relationship_____________________
_________________________________________,
relationship____________________
_________________________________________,
relationship_____________________
If you have a change
in plans, please write a note for teachers so we know who that someone is, if not
listed in registration form for pick up.
_____________________________________________________________________________________
*Please sign here
if your camper has your permission to take a field trip, if we manage to
arrange one._____________________________________________________________
*Please sign here
if we have permission to use sun screen if needed:
_________________________________________________________________________________________
Camp dates are: ______June 2 through June 6, Wearable
Art;
_______June 9
through June 13, Animals in Art;
_______June 15
through June 19, Energy and Art;
______ June 23
through June 27, Artist, Camper’s Pick.
Check off the camp
or camps you are registering for.
You may sign up for one, two, three , or four camps. If you sign up for one week and would like to
add another week later, that is fine. Just tell us or call before the Monday of
the added week. (Vera Mulder, cell 314
1245 or home, 858 9008, vmulder505@gmail.com) Each week’s theme is different. Art
activities vary accordingly. Any field
trips vary as well.
Location of camp
is: FMS Art Room entry north door, which faces the track and ball field. There is a parking lot between the school and
those fields.
Remember: Campers
bring own lunches with extra snacks, waterbottle, a hat, wear comfortable shoes for breaks, outdoor
games. Please mark all camper’s lunch boxes, water bottles and personal
belongings with camper’s name and phone.
No comments:
Post a Comment