DUPAGEDISCOVERY CAMP

SUMMER 2010

DUPAGE MONTESSORI SCHOOL24 W500 MAPLE AVE. NAPERVILLE, IL 60540

dupageschool.org

BUGS ABOUND!, LEGOS, CREATIVE WRITING/STORYTELLING, SOCCER, SPANISH, YOUNG CHEFS

DIGGIN’ DINOSAURS, YOUNG SCIENTISTS, HARRY POTTER, ART WITH THE MASTERS, T-BALL/SOFTBALL,

SPACE CAMP, EXPLORE NAPERVILLE, DIG INTO FLOWERS, TENNIS,, JAPANESE, EGYPT UNWRAPPED, POTTERY, CERAMICS & CLAY!

CSI: A FORENSIC PUZZLE, CHESS, MARTIAL ARTS, CHILDREN OF THE EARTH & SKY

CREATION STATION, CASTLES, DIGITAL PHOTOGRAPHY, FABRIC ART, GYMNASTICS

ANATOMY: ALL ABOUT ME, ABC’S OF SAVING MONEY, AVATAR, EARTH FRIENDLY ART, ITALIAN

SIMPLE MACHINES, ROCKIN’ THE SUMMER AWAY

MOVIN’ ON UP TO ELEMENTARY, CHESS TOURNAMENT, CHINESE, ANIMALS IN YOUR NEIGHBORHOOD

ENROLL NOW!

630-369-6899DuPage Montessori School

40 AMAZING CAMPS

march 19: early bird registration Special

$25 off first camp!April 5th: registration deadline

Welcome to DuPage Discovery Camp

atDuPage Montessori School

Discovery Camp at DuPage Montessori School is here! We are so ! excited to invite you to our New Summer Camp Program. We have exciting ! camps for the children to explore this summer like: Bugs Abound!, Young ! Scientists, Art with the Masters, Harry Potter Camp, Diggin’ for Dinosaurs, ! Chess Camp with a Chess Tournament, Drama Camp, and many, many more.!! We want you and your children to have an exciting summer. Please look over ! our new program and feel free to give us your feedback. Many of these new ! ideas came from your responses to our survey. We appreciate your interest and ! hope these camps satisfy your needs. Please call or email the school office ! after you have gone through the program guide with any questions or ! suggestions.

! Registration for our programs will begin on March 1st. We are looking forward ! to a fun and exciting summer and we hope you are too!

! Thank you,

! Bob and Sharon Breen, Directors$25

Credit for Each “NEW” Referral

(New Sibling, Friend, Relative, Neighbor)

4 - 5 Referrals = 1 week FREE Camp

Choose From Our 2 Summer Programs

Discovery Camps

Our Summer Discovery camps are:

• 3 hours• 5 days a week• A.M. 9 a.m. - 12 p.m.• P.M. 1 p.m. - 4 p.m.

Ages: 3 - 6 years & Elementary CampsHours: 9 a.m. - 12 p.m., & 1p.m. - 4 p.m.

See Pages 3 - 8 for information

CAMP STAFF

Our carefully selected, experienced and well-trained staff have diverse backgrounds working with children. They bring their talents and enthusiasm to connect with each childʼs unique personality and interests.

Educational Classroom Instruction

(with options for camps)

Ages: Montessori Toddler and 3 - 6 Year Old ClassesHours: 9 a.m. - 12 p.m., & 9 a.m. - 4 p.m.Long sunny days, sweet lemonade and field trips, what more can you ask for? Children in this program will follow our Montessori educational curriculum, while still enjoying all the fun and excitement of summer!

THEMES FOREDUCATIONAL CLASSROOM INSTRUCTIONS

Week 1 June 7 - 11: Musical ExperiencesWeek 2 June 14 - 18: Light & ColorWeek 3 June 21 - 25: Pioneer DaysWeek 4 June 28 - July 2: Our 50 StatesWeek 5 July 6 - 9: Ocean LifeWeek 6 July 12 - 16: Water & BubblesWeek 7 July 19 - 23: Everyday HeroesWeek 8 July 25 - 30: Rain Forests of the WorldWeek 9 August 2 - 6: On The FarmWeek 10 August 9 - 13: Let’s Go On A Safari! Ages: Elementary ClassesHours: 9 a.m. - 12 p.m., & 9 - 4 p.m.The Elementary teachers will offer customized tutoring for academic skills. Along with their daily instruction they will also go to the Jurica Museum at Benedictine University, walk to Dairy Queen on Fridays, take field trips and enjoy many more summer activities in this specially designed summer program!

Educational Classroom Instruction will be taught by staff members at DuPage Montessori School.

Montessori Education is an 100-year old method of education that is based on individual and small group instruction using hands-on materials to make learning easy and fun. This natural educational process allows children to learn at their own pace and level. Montessori materials are designed to engage every part of the child, including their academic, emotional, and social development. The outcome is a confident, independent, and happy child.

Extended HoursEARLY MORNING Times: 7:30 to 9 a.m.COST: $15 weekly

P.M. CARE Times: 4 - 6 p.m.COST: $20 weekly

Optional FeesMaterial Fee: (Educational Instruction)• Add a $25 material fee if you are attending the

Day Camp a.m./p.m. and also a specialty camp(Discovery Camp)

Water Park:• Add $15 a week if you would like to join us

for open swim at the Lisle pool

Swim Lessons:• Swim lessons still available at Naperville

YMCA - see swimming flyer

MATH, SCIENCE & ENGINEERING CAMPS

#202, 801 Young ScientistsDate: Weeks 2 & 8, June 14 - 18, July 26 - 30Ages: 3 - 6 a.m., Elementary p.m.

Be a mad scientist in the DMS lab, with hands-on experiments and creative concoctions. Scientific concepts are really going to stick as you learn basic principles and watch them come alive right before your eyes. You bring your enthusiasm, and we will bring the aprons and the goggles.

#201, 702 Diggin’ Dinosaurs Camp (*)Date: Weeks 2 & 7, June 14 - 18, July 19 - 23Ages: 3 - 6 a.m., Elementary p.m.

Who came first Allosaurus or T-Rex? In this camp we will form a time line placing dinosaurs in Cretaceous or Jurassic periods. Weʼll use materials from the Field Museum to view claws, teeth and poop! Weʼll experience what a real dinosaur dig is like and then take a field trip to the Evolving Planet at the Field Museum.

#101, 507 Bugs Abound! (*)Date: Weeks 1 & 5, June 7 - 11, July 6 - 9Ages: 3 - 6 a.m., Elementary p.m.

Get ready to learn all about the world of little critters! We will look up close at live specimens to see how they move. Weʼll look at other specimens to compare similarities and differences. Weʼll also take an up close look at spiders to learn why they arenʼt insects but something else. We will have an in-house field trip from the Field Museum and weʼll go to Morton Arboretum as well.

(*) = Field Trip

#601,901 Anatomy: All About Me (*)Date: Weeks 6 & 9, July 12 - 16, August 2 - 6Ages: 3 - 6 a.m., Elementary p.m.

In this camp we will learn all about our bodies, our minds and how they are connected. We will make a life sized model of our insides. We will end this week long class with a trip to the Museum of Science and Industry to visit the new exhibit, YOU! the experience.

#501 Creation StationDate: Week 5 July 6 - 9Ages: 3 - 6, Elementary - a.m. or p.m.

Campers will use their minds and imaginations while learning the techniques for building a ship, plane, bridge, and pine derby car.

#102, 1002 LEGOsDate: Weeks 1 & 10, June 7 -11, August 9 - 13Ages: 3 - 6, Elementary - a.m. or p.m.

Put your engineerʼs cap on and come explore everything with LEGO building. In this camp children will design and assemble their own models.

#502 Castles, Crusaders and Moats!Date: Week 5 July 6 - 9Ages: 3 - 6, Elementary - a.m. or p.m.

Design and build your own castle. Children will use different materials to construct and decorate their very own castle. They will use science, history and art to help them to learn about daily life in the Medieval Times.

#403 Are You Computer Clever?Date: Week 4 June 28 - July 2 Ages: 3 - 6 a.m., Elementary p.m.

In this camp, students will be introduced to basic computer technology and skills. Your child will learn to navigate a wide variety of child-friendly software and websites while learning skills that will be useful in creating outstanding classroom assignments. Older campers will learn basic computer programming as well. Children will safely explore the internet under the watchful eye of our instructors.

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Some of the Elementary Camps can be offered in the morning if there is a high demand. Call office for details.

#104 Creative Writing and StorytellingDate: Week 1, June 7 - 11Ages: 3 - 6 a.m., Elementary p.m.

Campers will become authors when they are finished with this class. This course is designed to help the camper in the writing process from the beginning to the end. They will brainstorm ideas, draft, proofread and edit each others stories. Younger campers will work on simpler creative writing activities to begin connecting their imagination to their words. At the end of this week long class they will have published their very own book.

#106,206,305,406,506,606,706,806,906,1005 Do You Speak Spanish?Date: Runs Continuously AM & PM for Both AgesAges: 3 - 6, Elementary

#705, 805 Do You Speak Italian?Date: Weeks 7 & 8, July 19 - 30Ages: 3 - 6 a.m., Elementary p.m.

#905, 1004 Do You Speak Chinese?Date: Weeks 9 & 10, August 2 - 13Ages: 3 - 6 a.m., Elementary p.m.

#306 Do You Speak Japanese?Date: Week 3, June 21 - 25Ages: 3 - 6 a.m., Elementary p.m.

Campers will be introduced to a new foreign language during their camp session. These sessions are designed for beginning and intermediate-level language students who want to practice their conversational skills and learn more about the culture of the language they are speaking.

STUDIO ARTS and CRAFT CAMPS

#504 Fabric ArtDate: Week 5, July 6 - 9Ages: 3 - 6, Elementary a.m. or p.m.

Design and customize your own clothing. Create tie dyes and other fabric art that is fun and easy. Campers will be provided with T-Shirts, bags & more!

MATH, SCIENCE & ENGINEERING CAMPS(continued)

#701 Simple MachinesDate: Week 7, July 19 - 23Ages: 3 - 6 a.m., Elementary p.m.

This camp program instills creative problem-solving and critical-thinking skills that will encourage children to use their minds. There are 6 simple machines that help make work easier. The six simple machines are pulleys, levers, wedges, wheels, inclined planes and screws. Older campers will learn that most machines consist of a number of elements, such as gears and ball bearings, that work together in a complex way.

#401 CSI: A Forensic PuzzleDate: Week 4, June 28 - July 2Ages: Elementary a.m. or p.m.

Campers will be introduced to some of the items used in a crime scene lab like fingerprint analysis. They will spend a week learning about our basics of DNA fingerprinting and why the process is so accurate.

#301 Space Camp: Black Holes, Galaxies & Quasars!Date: Week 3, June 21 - 25 (*)Ages: 3 - 6 a.m., Elementary p.m.

In this camp children will spend a fun-filled week learning about space as they explore different worlds in our solar system and their imaginations will be excited by life beyond Earth. They will learn through projects they will design and some they may even eat! Field trip to the Adler Planetarium.

LANGUAGE, MUSIC & LITERATURE

#503, 1003 Digital PhotographyDate: Weeks 5 & 10, July 6 - 9, August 9 - 13Ages: 3 - 6 a.m., Elementary p.m.

Put your imagination and creativity to work! Students will use the digital photos they shoot around camp and combine them with graphics and text to tell their tales. These stories will be shared during the last class. (*) Field Trip

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STUDIO ARTS and CRAFT CAMPS

#404 Passport Around the World: Music & CulturesDate: Week 4, June 28 - July 2Ages: 3 - 6, Elementary a.m. or p.m.

Grab your passport because weʼre taking you around the world this summer! Research the origin of cultures using different concepts to create music, dance, arts and crafts, cooking, costumes, customs, rituals, games and more. We will make this camp a hands-on cultural experience!

#604 Earth Friendly ArtDate: Week 6, July 12 - 16Ages: 3 - 6, Elementary a.m. or p.m.

Art takes on a new look as we get creative with recycled and reused materials. Students will explore the world of color and design while learning about the importance of turning used objects into something new. Creative thinking and imagination will lead this class through a variety of materials and artistic development.

#703, 804 Rockin’ the Summer Away at Drama Camp! Featuring songs from 1950, 1960 & 1970Date: Weeks 7 & 8, July 19 - 30Ages: 3 - 6, Elementary a.m. or p.m.

This is a musical theatre camp where students will have fun improving their singing, dancing and musical theatre acting skills as they put together a rock and roll celebration! Students will receive instruction and positive critiques from instructors to help them become a triple threat (actor, singer, dancer). They will perform various song and dance numbers in a showcase musical revue at the end of camp.

#308, 907 Pottery, Ceramics, and ClayDate: Weeks 3 & 9, June 21 - 25, August 2 - 3Ages: 3 - 6, Elementary a.m. or p.m.

Campers will use their imaginations by molding and painting with different materials to create bowls, plates, etc.

EXPLORATION CAMPS

#103, 803 Young ChefsDate: Weeks 1 & 8, June 7 - 11 & July 26 - 30Ages: 3 - 6, Elementary a.m. or p.m.

In this camp we will learn about measurements, basic cooking skills and different recipes for making snacks that do not require any cooking. Each day campers will have a theme like ʻFood Safetyʼ, ʻHow to Measureʼ, ʻPreparing Ingredientsʼ and ʻKitchen Safetyʼ and ʻFrozen Funʼ. At the end of the week they will come home with their very own cookbook.

#204 Art with the MastersDate: Week 2, June 14 - 18Ages: 3 - 6 a.m., Elementary p.m.

This week long art class will focus on different artists like Picasso, Van Gogh, Monet, Casset, etc. We will learn a brief history of the artist we are replicating along with different techniques and skills. Each day they will complete a new project.

#303 Dig Into Flowers: Origins, Colors, FestivalsDate: Week 3, June 21 - 25Ages: 3 - 6, Elementary a.m. or p.m.

Egyptian ceramics are decorated with Daisies. Japanese emperors sat upon the Chrysanthemum throne, they put a single chrysanthemum petal on the bottom of a glass to sustain a long and healthy life and thatʼs only the beginning. Campers will learn which flowers are used to celebrate life, death, health and wealth. At the end of the week campers will create and arrange a beautiful bouquet of their very own.

#902 Movin’ On Up to First Grade (A.M. Only)Date: Week 9, August 2 - 6Ages: Kindergartners going into First Grade

Yeah! You have just finished the Kindergarten program and are now moving up to a new classroom where you will meet many new friends, have new experiences and challenges. Find out what is familiar and what is different, and what you can look forward to in the fall! We will explore the skills you will develop during your time in 1st grade while working together to become familiar with the new environment. 5

EXPLORATION CAMPS

#407 Children of the Earth and Sky (*)Date: Week 4, June 28 - 2Ages: 3 - 6 a.m., Elementary p.m.

Who were the first Americans? What were their homes like? What games did kids play? In this camp we will learn all these things and more as we look at tribes from the Northwest, Southeast, Plains and Northeast. The culmination will be a trip to the Pawnee Earth Lodge at the Field Museum.

#302 Explore Naperville: Yesterday and Today (*)

Date: Week 3, June 21 - 25Ages: 6 - Elementary 9 a.m. - 4 p.m. ($195 -No additional field/swim fee)

In this camp we will take a guided walking tour of 10 of Downtown Napervilleʼs Historic buildings. Each camper will be given a disposable camera and will walk through town taking pictures of the buildings they learn about. Weʼll visit Centennial Beach, Andersonʼs Bookstore, Millennium Tower, the Riverwalk, Nichols Library, & go out for ice cream. Everyday the campers will enjoy their snacks and lunch at local parks where they can play and enjoy the best summer has to offer while learning about the history of Naperville!

#1001 Animals in Your Neighborhood (*)Date: Week 10, August 9 -13Ages: 3 - 6, Elementary a.m. or p.m.

Campers will learn about the animals they see everyday in their neighborhood. They will start their week with a visit to Green Trails Animal Clinic and take a behind the scenes tour of the exam rooms and lab. Then they will spend the week learning more about the animals they saw and put together their very own animal book. We will also take a trip to the pet store.

#307 Egypt Unwrapped (*)Date: Week 3, June 21 - 25Ages: 3 - 6 a.m., Elementary p.m.

Campers will unlock the secrets of tombs, mummies, treasures and will make a pyramid and mummify their own object. Field Museum field trip.

#402, 903 Chess Camp & TournamentDate: Weeks 4 & 9, June 28 - July 2, August 2 - 6Ages: 3 - 6 a.m., Elementary p.m.

This camp is a fun and exciting way to learn about chess. No previous experience is necessary. Each class will consist of time spent learning the basicsof chess through a guided teaching period and time spent solving problems using logic. During week 9 campers will have a chess tournament!

#203, 802 Harry Potter Camp: Do You Want To Be A Hogwart?Date: Weeks 2 & 8, June 14 -18, July 26 - 30Ages: 3 - 6 a.m., Elementary p.m.

Youʼre just a “muggle” but would you like to become a Hogwart? Campers will have fun learning to mix potions, playing games of Quidditch, dressing up and learning how to make their own secret potions!

#603 Avatar CampDate: Week 6, July 12 - 16Ages: 3 - 6 a.m. , Elementary p.m.

Do you speak Naʼvi? Would you like to take a trip to the Pandora moon? Learn about floating mountains and glowing plants? Campers will study the Avatar; where they live, how they talk and how an entire mountain range can float over their “planet.” Older campers will learn that floating mountains and glowing plants have to do with superconductors, magnetic fields and bioluminescence.

#602 The ABC’s of Saving MoneyDate: Week 6, July 12 - 16Ages: 3 - 6 a.m., Elementary p.m.

Saving money is smart! When you save and spend money wisely, you will be able to buy things you need and want. Campers will follow along from A-Z to find out tips for being a money-smart kid! Older campers will learn how to be the “banker”, they will make loans, learn basics of how the economy runs, write checks, and more!

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(*) Field Trip

Some of the Elementary Camps can be offered in the morning if there is a high demand. Call office for details.

SPORTS CAMPS

#205, 904 T-Ball CampDate: Weeks 2 & 9, June 14 - 18, August 2 - 6Ages: 3 1/2 - 7

Young campers will learn the basic introduction to T-ball including hitting, catching, and throwing. They will have fun and learn about team work.

#205, 904 Softball CampDate: Weeks 2 & 9, June 14 - 18, August 2 - 6Ages: Elementary p.m.

Campers will learn the basic introduction to softball including hitting, catching, and throwing. They will have fun and learn about team work.

#105, 605 Soccer CampDate: Weeks 1 & 6, June 7 - 11, July 12 - 16Ages: 3 - 6 a.m., Elementary p.m.

This is a great way for campers to get outside and active while learning valuable skills to help with coordination, teamwork and self-confidence.

Swimming LessonsAges: 3 - 6, Elementary

Swimming lessons at Naperville YMCA available. See office for cost and dates.

Open Swim @ Lisle Water ParkAges: 3 - 6, Elementary

A new option available this year is to add a trip to the Sea Lion Aquatic Park. A zero-depth shallow end is just one of the many amenities.

#405 Martial Arts CampDate: Week 4, June 28 - July 2Ages: 3 - 6 a.m., Elementary p.m.

This class is designed to teach students various aspects of the Korean martial arts, including kicking and punching and forms, but also “rolling,” i.e. learning how to fall and how to do basic rolls, cartwheels, etc. There will also be some limited instruction in the basics of boxing. The philosophy behind the course is simple: students will learn aspects of both “hard-linear” movements (kicking, punching) and “soft-circular” movements (rolling, falling), as both kinds of movements are necessary for complete training in the martial arts. Most of all, the students will practice coordination, balance, and body-control while learning martial arts in a safe and fun environment. 3 - 6 campers will learn basic stances, balance, rolling, kicking, and punching. Elementary campers will will learn the basics mentioned above as well as an introduction to forms and combination movements.

#505 Gymnastics - Tumbling CampDate: Week 5, July 6 - 9Ages: 3 - 6 a.m., Elementary p.m.

Tumbling develops coordination, strength, balance and self-confidence. This camp is for children who are new to tumbling. Form and positions will be taught at this level in addition to forward and backward roll, straddle roll, dive roll, lunge to handstand, cartwheel and bridge.

#304, 704 Tennis CampDate: Weeks 3 & 7, June 21 - 25, July 19 - 23Ages: 5 - Elementary (1 - 3 p.m.)

This program is geared towards teaching tennisʼ fundamentals while promoting proper behavior on the court and encouraging children to make tennis a lifelong game. 7DuPage Montessori School is a non-profit school admitting

students of any race, color, and national or ethnic origin.

6WEEK

1

7 8 9 10 11 12

13WEEK

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14 15 16 17 18 19

20WEEK

3

21 22 23 24 25 26

27WEEK

4

28 29 30 1 2 3

JUNE

#101 BUGS ABOUND! #102 LEGO’S #103 YOUNG CHEFS #104 CREATIVE WRITING/STORYTELLING #105 SOCCER #106 SPANISH

#201 DIGGIN’ DINOSAURS #202 YOUNG SCIENTISTS #203 HARRY POTTER #204 ART WITH THE MASTERS

#205 T-BALL/SOFTBALL #206 SPANISH

#301 SPACE CAMP #302 EXPLORE NAPERVILLE #303 DIG INTO FLOWERS #304 TENNIS #305 SPANISH #306 JAPANESE #307 EGYPT UNWRAPPED

#308 POTTERY, CERAMICS & CLAY

#401 CSI:A FORENSIC PUZZLE #402 CHESS #403 COMPUTER CLEVER #404 PASSPORT AROUND THE WORLD #405 MARTIAL ARTS #406 SPANISH

#407 CHILDREN OF THE EARTH & SKY

4WEEK

5

5CLOSED

FOR HOLIDAY

6 7 8 9 10

11WEEK

6

12 13 14 15 16 17

18WEEK

7

19 20 21 22 23 24

25WEEK

8

26 27 28 29 30 31

#501 CREATION STATION #502 CASTLES #503 DIGITAL PHOTOGRAPHY #504 FABRIC ART

#505 GYMNASTICS #506 SPANISH #507 BUGS ABOUND!

#601 ANATOMY: ALL ABOUT ME #602 ABC’s of SAVING MONEY #603 AVATAR #604 EARTH FRIENDLY ART #605 SOCCER

#606 SPANISH

#701 SIMPLE MACHINES #702 DIGGIN’ DINOSAURS #703 ROCKIN’ THE SUMMER AWAY #704 TENNIS #705 ITALIAN #706 SPANISH

#801 YOUNG SCIENTISTS #802 HARRY POTTER #803 YOUNG CHEFS #804 ROCKIN’ THE SUMMER AWAY #805 ITALIAN #806 SPANISH

1WEEK

9

2 3 4 5 6 7

8WEEK

10

9 10 11 12 13 14

AUGUST

#901 ANATOMY: ALL ABOUT ME #902 MOVIN’ ON UP TO 6-9#903 CHESS TOURNAMENT #904 T-BALL/SOFTBALL #905 CHINESE

#906 SPANISH #907 POTTERY, CERAMICS & CLAY

#1001 ANIMALS IN YOUR NEIGHBORHOOD #1002 LEGO’s #1003 DIGITAL PHOTOGRAPHY #1004 CHINESE #1005 SPANISH

JULY

8

Summer at a GlanceCAMPS ARE A.M., P.M. OR BOTH

Week Field Trip/ Swim Fee Total

AM Camp 9 - 12$125

PM Camp 1 - 4$125

Half Day9 - 12 or

1 - 4$100

Full Day9 - 4$200

add camp $25

Early Bird7:30 -9

$15

PM Care4 - 6$20

$15See Camp

Description

Week 16/7 - 11

Week 2 6/14 - 18

Week 36/21 - 25

Week 46/28 - 7/2

Week 57/6 - 9

Week 67/12 - 16

Week 77/19 - 23

Week 87/26 - 30

Week 98/2 - 6

Week 108/9 - 13

TOTAL:

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Camp #

Discovery Camp Educational Classroom(includes tutoring for all ages) Extended Care

Camp #

Camp # Camp #

Camp #Camp #

Camp # Camp #

Camp # Camp #

DuPage Discovery Camp

2010 Summer ProgramFees and Schedules

$25 Credit for each “NEW” Referral(new sibling,friend, relative, neighbor)

4 - 5 Referrals = 1 Week Free Camp

Discounts After First Week

10% Off After 1st Additional Week

15% Off After 2nd Additional Week

20% Off 3rd-10th Additional Weeks

Du Page Montessori School24 W. 500 Maple Ave.Naperville, IL 60540

630-369-6899

Summer Application2010

Child Information: Male Female

___________________________________________________________First Middle Last Name

_______________ ______ ___________________________________Date of Birth Age Place of Birth

Programs:

Registration Fee $25 (non-refundable)

Toddler 3 - 6 years Elementary

Parent (Guardian) Information:

________________________________________________Motherʼs Name

________________________________________________Motherʼs home address

________________________________________________City State Zip

________________________________________________Home phone: area code - number

________________________________________________Motherʼs Cell phone: area code - number

________________________________________________Motherʼs Email Address

________________________________________________Motherʼs Occupation

________________________________________________Motherʼs Company Name

________________________________________________Company City State Zip

________________________________________________Company phone: area code - number

Marital Status (circle one): married, single, divorced

Parent (Guardian) Information:

_______________________________________________Fatherʼs Name

_______________________________________________Fatherʼs home address

_______________________________________________City State Zip

_______________________________________________Home phone: area code - number

_______________________________________________Fatherʼs Cell phone: area code - number

_______________________________________________Fatherʼs Email Address

_______________________________________________Fatherʼs Occupation

_______________________________________________Fatherʼs Company Name

_______________________________________________Company City State Zip

_______________________________________________Company phone: area code - number

Marital Status (circle one): married, single, divorced

Childʼs brothers and sisters:_________________________ _________________________Name Age Name Age_________________________ _________________________Name Age Name Age

Important Health Information:Allergies: __________________________________________ __________________________________________________Health Restrictions:_____________________________________________________________________________________Physical Impairments:_________________________________

Permissions: I grant permission to the school to take my child on school sponsored field trips, and to include him or her in school photographs and evaluation programs.

_____________________________________ _________________ Signature of Parent or Guardian date

Du Page Montessori SchoolOptional Summer

Swimming Program 2010for

Educational Classroom Program2 days / week

Our swimming program for the summer will begin on June 15th. Swimming lessons will be offered through the YMCA at the Kroehler Family Center located in downtown Naperville. The program is available to children who are 3 1/2 years or older. Swimming lessons are in two 4-week sessions, 2 days a week, Tuesday and Thursday, for 1 hour each day. (This is a total of 8 lessons per session.) Lessons are from 10 am to 11 am.

A school bus/van will be rented to transport the children, accompanied by our staff to the pool. The cost for the swim lessons, instructors and the transportation for the session is $150.00 per child.

There is one instructor for every 4 children and a lifeguard at the pool. Children will be tested the first day and put into an appropriate level according to their skills.

Please send your child dressed in a swimsuit underneath his/her clothes. They should wear slip-on shoes or sandals on lesson days. (No tie shoes, please.) Have underwear and a towel in a swim bag. Girls with long hair need to tie it back in a ponytail or in a swim cap.

RETURN THIS FORM TO SCHOOL WITH THE FEE BY THE DATE INDICATED.

Session I fee is due by May 14th. Session II fee is due by June 11th.

Name:________________________________________I am interested in signing my child up for: _____ Session I (June 15 - July 8th) - fee due May 14I am interested in signing my child up for : _____ Session II (July 13th – Aug 5th) - fee due June 11$__________ Amount enclosed

2010 SWIMMING LESSON WAIVER & RELEASE FORM:

As a participant of the Naperville Area YMCA Program, I recognize and acknowledge that there are certain risks of physical injury. I agree to assume the full risk of any injuries which my child or children may sustain as a result of participating in any and all activities connected with or associated with the Naperville Area YMCA.

______________________________ ____________________SIGNATURE DATE- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -

PLEASE CUT AT DOTTED LINE

Return Only this portion of the form by April 5 - so we know how many students attending.

Name: _________________________________

_____ Yes, I am interested in attending: Session I _____ , and/or Session II ______