exeter township school district · 2013. 5. 13. · or mrs. emily holleman at (610) 406-4580, ext....

14
i K-12 EXETER TOWNSHIP SCHOOL DISTRICT SUMMER ENRICHMENT BAND CAMPS Owatin Creek Elementary School Reiffton School 5000 Boyertown Pike 4355 Dunham Drive Reading, PA 19606 Reading, PA 19606 (610) 779-0700, Ext. 1028 (610)-779-7640, Ext. 7123 [email protected] [email protected] STRINGS CAMP Owatin Creek Elementary 5000 Boyertown Pike Reading, PA 19606 (610)-406-4580, Ext. 8415 [email protected] http://www.exeter.k12.pa.us/summer_enrichment

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Page 1: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

i

K-12

EXETER TOWNSHIP SCHOOL DISTRICT

SUMMER ENRICHMENT BAND CAMPS Owatin Creek Elementary School Reiffton School 5000 Boyertown Pike 4355 Dunham Drive Reading, PA 19606 Reading, PA 19606

(610) 779-0700, Ext. 1028 (610)-779-7640, Ext. 7123 [email protected] [email protected]

STRINGS CAMP Owatin Creek Elementary

5000 Boyertown Pike Reading, PA 19606

(610)-406-4580, Ext. 8415

[email protected]

http://www.exeter.k12.pa.us/summer_enrichment

Page 2: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 1

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

TABLE OF CONTENTS

INTRODUCTION:

Summer Enrichment and Band Camp Overview .................................................................... 2

SUMMER ENRICHMENT COURSES:

Welcome to the Stage! - Grades 1 – 5 .................................................................................. 3

World Drumming and African Folklore……………………………………………………………………………………………….3

Summer Spotlight Series: Junior - Grades 1 - 5.................................................................... 3

Stagestruck – Acting & Musical Theatre Techniques - Grades 6 - 9 ........................................... 3

Creative Crafts - Grades 1 – 6 ............................................................................................. 4

Baubles, Bling & Glitz for Girls! - Grades 3 - 7 ....................................................................... 4

Travel the World with Art – Grades 1 - 6 .............................................................................. 4

Be Inspired by Artists - Grades 2 – 6 ................................................................................... 4

Catch the Jewelry Spirit! - Grades 5 – 8 ............................................................................... 5

Body Flow (Tai Chi, Pilates, and Yoga) - Grades 4 - 6 ............................................................. 5

Yo Ho! A Pirates Adventure to the Magic Castle - Grades 1 - 4 ................................................ 5

Let’s Play Tennis – Grades 3 – 6..………………………………………………………………………………………………….….5

Creative Writing - Grades 7 – 8… ......................................................................................... 6

Spanish – Any Age ............................................................................................................. 6

Summer Enrichment Registration Form ................................................................................ 7

BAND CAMP COURSES:

Rookie Bank Camp at Reiffton School – Grade 5 .................................................................... 8

Registration Form for Rookie Bank Camp at Reiffton School .................................................... 9

Advanced Band Camp at Reiffton School – Grades 6 - 7 ....................................................... 10

Registration Form for Advanced Band Camp at Reiffton School .............................................. 11

Beginners’ String Camp……………………………………………………………………………………………………………………12

Registration Form for Beginners’ String Camp…………………………………………………………………………………13

Page 3: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 2

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

EXETER TOWNSHIP SCHOOL DISTRICT

Enrichment courses will be offered this summer in the Exeter Township School District. Enrollment in

each of the courses listed is also offered to students in neighboring school districts on an “as available basis.”

The fee is determined according to the length of the course and cost of materials required. All summer school

enrichment classes are self-supporting. If a class is canceled due to insufficient enrollment, your payment will

be returned to you. If a student is unable to attend after classes have been established, refunds will not be

made since this is a self-supporting program and course offerings are based on sufficient enrollment.

If your child is interested in attending one or more of the offerings listed in this catalog, please complete

and return the registration form on page 7 of this catalog by June 3, 2013, to your building principal OR Mary

Ann Gibney, Exeter Township School District, 200 Elm St., Reading, PA 19606. Please include a check

payable to the Exeter Township School District along with the registration form(s).

Classes will be held at the Owatin Creek Elementary School, 5000 Boyertown Pike, Reading,

Pennsylvania, 19606.

The Summer Band Camp courses and registration forms are listed on pages 8 through 11 of this

catalog. The courses will be held at the Reiffton School, 4355 Dunham Drive, Reading, Pennsylvania 19606. If

you have any questions regarding Band Camp, please contact Mrs. Patricia Kline by phone at (610)-779-7640,

Ext. 7123 or by email at [email protected].

NEW THIS YEAR!! The Summer Strings Camp course and registration forms are listed on pages 12

through 13 of this catalog. The course will be held at Owatin Creek Elementary School, 5000 Boyertown Pike,

Reading, Pennsylvania 19606. If you have any questions regarding Strings Camp, please contact Mr. Brian

Mishler at [email protected] or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415

[email protected].

Page 4: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 3

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Welcome to the Stage! Grades 1 - 5 9 days for 2 hours each day In this two-week program, students will work on developing beginning performance skills, including pantomime, dancing, singing, and improvisation. Students will use their imaginations to create original

performance pieces, to be presented to parents on the final day of the program. This workshop is a great lead-in to the Summer Spotlight program, the last two weeks in July. Class is limited to 15 students and will be held at the Owatin Creek Outdoor Theatre.

Entering Grades 1 – 5 Grade Level:

July 1-12 (9 Days) Date: 9:00 – 11:00 a.m. Time:

Mrs. Abigail Rutt Instructor: $100 Cost:

World Music Drumming & African Folklore Grades 6 – 8 5 days for 3 hours each day

Join us as we explore the African culture using music, art, and theater as our medium. Students will play instruments from Africa, sing songs from Africa, and use theater to bring the folklore to life. The session will

end with a performance for the families.

Entering Grades 6 – 8 Grade Level:

July 22-26 (5 Days) Date: 9:00 – Noon Time:

Mrs. Melissa Crotty and Instructor: Mrs. Kathy Galtere

$65 Cost:

Summer Spotlight Series: Hansel & Gretel Grades 1 – 5 10 days for 2 hours each day

Bring the excitement of the stage to your summer! Over

the course of each two-week session, students will

experience every aspect of producing a children’s show –

from auditions, to rehearsals, to costumes and scenery –

resulting in a final performance for family and friends.

Students will learn about various aspects of theater

through rehearsals, theater games, and improvisations,

while at the same time developing important social skills

and having a blast! Class is limited to 15 students and

will be held in the Owatin Creek Outdoor Theatre.

Entering Grades 1 – 5 Grade Level: July 22-August 2 (10 DAYS) Date: 9:00 – 11:00 a.m. Time:

Mrs. Abigail Rutt Instructor: $100 Cost:

Stagestruck Acting & Musical Theatre Techniques Grades 6 – 9 5 days for 3 hours each day Do you like to act? Do you like to be onstage? Would you like to try acting for the first time? Then this workshop is for you! Join us for a fun week of

pantomime, theatre games, and acting and singing for the stage. Students who have taken this session before are encouraged to join us again! Class is limited to a maximum of 30 students.

Entering Grades 6 - 9 Grade Level: July 8-12 (5 Days) Date: 9:00 – 12:00 noon Time:

Mrs. Melissa Crotty and Instructor: Mrs. Kathy Galtere

$60 Cost:

Summer Enrichment

Grades 1 – 12

Page 5: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 4

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Creative Crafts Grades 1 - 6 5 days for 3 hours each day

Students will create a wide variety of crafts from various materials. We will take a look at specific artists and be

inspired by their art and style. Students will use clay, Paper Mache, glaze, paint, and many

other materials to create projects, 2 and 3 dimensionally. Students will leave the course with kiln-fired

clay projects, sketch journals, banks and much more. Class limited to a maximum of 12 students.

Entering Grades 1 to 6 Grades: July 8-12, 2013 Dates:

9:00 a.m. –12:00 noon Time: Owatin Creek Elementary School Location:

Mrs. Christina Pinkerton Instructors: $60 Cost:

Baubles, Bling & Glitz for Girls! Grades 3 - 7 ✦ 5 Days for 1.5 Hours

We will be making fabulous, glitzy

bracelets, necklaces, hats, scarves, tote

bags/purses, and pillows perfect for any

young lady who likes a little “SPARKLE”

in her life! Come join the fun! Class

limited to a maximum of 20 students.

Entering Grades 3 – 7 Grades: July 15-19, 2013 Dates:

9:00 - 10:30 a.m. Time: Owatin Creek Elementary School Location:

Mrs. Patricia Kline Instructors:$35.00 Cost:

Travel the World with Art Grades 1 - 6 5 days for 3 hours each day

This course will take students on a tour of Asia, Africa, and the Americas as they learn about other cultures and their arts and crafts. Students will use various materials to create projects such as, but not limited to, Chinese Calligraphy Scrolls, Tiberian Mandalas, Egyptian Amulets and African Tribal Masks, Mexican Folk Art, Hex Signs and Mardi Gras Masks. Class limited to a maximum of

12 students.

Grades Entering Grades 1 to 6 :

July 29 – August 2, 2013 Dates: 9:00 a.m. –12:00 noon Time:

Owatin Creek Elementary School Location: Mrs. Christina Pinkerton Instructors:

$60 Cost:

Be Inspired by Artists Grades 2 – 6 ✦5 days for 3 hours each day

Students will learn about artists throughout history and create artwork in various mediums inspired by the artists

they learn about. Students will create 2 and 3

dimensional work throughout the week. Class limited to a maximum of 12 students.

Grades Entering Grades 2-6 :

July 22-26, 2013 Dates: 9:00 a.m. – 12:00 Noon Time:

Owatin Creek Elementary School Location: Mrs. Christine Pinkerton Instructors:

$60 Cost:

Summer Enrichment

Grades 1 – 12

Page 6: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 5

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Catch the Jewelry Spirit! Grades 5 – 12 ✦5 days for 3 hours each day Students will make jewelry using beads, metal findings, and recycled materials. We will bring out their sense of style and creative spirit making

bracelets, necklaces, earrings, anklets and purse/backpack charms. Beginner to Advanced welcome! All experience levels welcome! Class limited

to a maximum of 18 students.

Entering Grades 5-12 or adults with Grades: child in class

July 22 – 26, 2013 Dates: 9:00 a.m. – 12:00 noon Times:

Owatin Creek Elementary School Location: Mrs. Patricia Kline Instructors:

$48 Cost:

Yo Ho! A Pirates Adventure to the Magic Castle Grades 1 – 4 ✦ 5 Days for 1.5 Hours

Love to Play? Enjoy Crafts? Let’s discover some

cool facts about pirates,

sailing, castles, knights,

princesses, princes &

dragons. We will sing

songs, make craft

projects, draw, and

perform plays. We will

make Pirate Ships, Family Crests, Pillows, Fairies,

and Dragons. Love to have fun? Then come join

us as we sail away on the high seas. Yo Ho! A

Pirate’s Life is for Me! Class limited to a maximum of

18 students.

Entering Grades 1 - 4 Grades: July 15-19, 2013 Dates:

10:30 – 12:00 noon Time: Owatin Creek Elementary School Location:

Mrs. Patricia Kline Instructors:$32.00 Cost:

Body Flow (Tai Chi, Pilates, and Yoga) Grades 4 – 6 ✦5 days for 1 hour each day Tai Chi, Pilates, and Yoga class that focusses on flexibility, balance, and coordination. This is a holistic workout that brings the mind into harmony and balance. The students will have fun being challenged with new

and unique poses and will feel refreshed when the class is over. Class limited to a maximum of 30 students.

Entering Grades 4-6 Grades:

July 8 - 12, 2013 Dates: 9:00 – 10:00 a.m. Time:

Owatin Creek Elementary School Location: Mrs. Dorta Instructors:

$10.00 Cost:

Let’s Play Tennis Grades 3 - 6 Session 1 ✦ July 1 – 12, 2013

Session 2 ✦ July 22 – August 2, 2013

10 Days for 2 Hours Run by EHS’s Varsity Girls Tennis Coach, each two-week session will help younger students develop beginning

tennis skills, in accordance with the USTA 10 and Under Tennis guidelines. Special equipment and court sizes will allow students to experience early success, and tennis games and challenges will help them develop a love of the sport. Students must

provide their own racquets; all other equipment will be provided for them. Each session is limited to a maximum of 20 students. Grades: Entering Grades 3 - 6 Time: 12:00 Noon – 2:00 p.m.

Location: Tennis Courts

Instructor: Mrs. Abigail Rutt Cost: $100.00

Summer

Enrichment

Grades 1 – 12

Page 7: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 6

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Creative Writing Grades 7 - 8 ✦ 24 Days for 3 Hours

This class will be designed

for students who are

creative writers/artists.

Over the course of five

weeks, students will have

the opportunity to write

poetry, plays and short

stories. Those students

who are artistic can create comic strips and graphic

short stories. Students will need to follow certain

guidelines each week, but otherwise can enjoy a

free and relaxing writing environment. A more

detailed curriculum will be provided at the

beginning of week one. Class limited to a maximum of

20 students.

Entering Grades 7 - 8 Grades:

July 8-12, July 15-19, July 22-26 Dates: and July 29-August 2, 2013

9:00 – 12:00 noon Time: Owatin Creek Elementary School Location:

Mr. Brad Galuska Instructors:$130.00 Cost:

Spanish Any Age ✦

Session 1 OR Session 2 4 Days for 2 Hours

This Spanish Summer Enrichment Program is an

introduction to the fundamentals of the Spanish

language. Students will learn basic Spanish

vocabulary based around fun and entertaining

activities. Curriculum will include topics such as

colors, numbers, animals, basic conversation

vocabulary and much more!

Any Age Grades: July 15-18, 2013 Session 1 - Dates:

July 22-25, 2013 Session 2 - Dates: 9:00 – 11:00 a.m. Time:

Owatin Creek Elementary School Location: Miss Kelsey Billie Instructors:

$23.00 Cost:

Summer Enrichment

Grades 1 – 12

Grades K-12

Page 8: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District i

2012 Summer Enrichment & Band Camp Catalog K-12

SUMMER ENRICHMENT REGISTRATION FORM

(Please submit one form for each student)

Student Name:

Address:

School Currently Attending:

Grade Completed in June 2013:

Name of Parent/Guardian:

Home Phone: Emergency Phone:

Please list any pertinent medical conditions and allergies for your child:

Please list your course selections below:

NOTE: Please make note of the fee, time and date that the course is offered for your records.

Course Name Dates Time Cost

Please return registration form by June 3, 2013, with your check payable to “Exeter Township School District,” to your building principal. Payment may also be delivered to the office of: Exeter Township School District Mary Ann Gibney – Superintendent’s Office 200 Elm Street Reading, PA 19606

Page 9: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 8

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

REIFFTON ROOKIE BAND CAMP

We are excited to offer the Reiffton Rookie Band Camp

for our current 4th

grade Band Students! (entering gr. 5)

The Reiffton Rookie Band camp will continue the progress 4th

graders have made on their

band instrument with Mrs. Holleman as they work with Ms. Kline, the band director of

Reiffton School. You can choose any 5 dates among the 2 week sessions for $50.00, or

attend all 10 dates for $70.00!

There is a separate Advanced Summer Band Camp for band students in 5th & 6th grade

Please select any 5 dates from either session:

Session 1: Monday 7/29-Friday 8/2

Flutes, Oboes, Clarinets, Saxophones 9:30-10:15

Trumpets, Trombones, Baritones, 10:15-11

Percussion (Drums & Bells) 11-11:45

French Horns 11:45-12:30

OR

Session 2: Monday 8/5- Friday 8/9

Flutes, Oboes, Clarinets, Saxophones 9:30-10:15

Trumpets, Trombones, Baritones, French Horns 10:15-11

Percussion (Drums & Bells) 11-11:45

French Horns 11:45-12:30

I hope to see you this summer! Ms. Patricia Kline [email protected] 610-779-7640 ext 7123

Summer Band Camp

Reiffton Rookie Band Camp

Page 10: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 9

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

REIFFTON ROOKIE BAND CAMP REGISTRATION FORM

STUDENT’S

NAME____________________________________________________________ INSTRUMENT___________________________________________________

CURRENT SCHOOL & HOMEROOM TEACHER

__________________________________________________________________

HOME PHONE______________________ CELL PHONE_________________

PARENT EMAIL: __________________________________________________

EMERGENCY CONTACT PERSON AND PHONE NUMBER:

*Please make check payable to:

EXETER TOWNSHIP SCHOOL DISTRICT

$50 for 5 Sessions or $70 for all 10 sessions!

(Checks will also be accepted at the first lesson.)

Forms due back by July 18th.

We need at least 15 enrolled to hold the camp.

Return this form and fee to Reiffton School in care of Ms. Patricia Kline

(4355 Dunham Drive, Reading, Pa 19606, phone 610-779 7640 ext 7123) or give it to Mrs.

Holleman before the end of school. [email protected]

PLEASE CIRCLE THE DATES YOU PLAN ON ATTENDING:

7/29 7/30 7/31 8/1 8/2 8/5 8/6 8/7 8/8 8/9

Page 11: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 10

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

SUMMER ADVANCED BAND CAMP

We are excited to offer Summer Advanced Band Camp

for our current Reiffton Band Students (entering gr. 6 & 7)

We are offering a Summer Advanced Band Camp in order to continue to provide musical opportunities for your child’s musical instrumental education. We are pleased to offer 5 band sessions to our current Reiffton band students for only $50.00! You can also attend all 10 sessions for a discounted price of $70.00!

Summer Band will be held in the REIFFTON band room

There are 2 sessions: Both sessions will cover the same music packet. You can choose any 5 dates that fit your schedule from both weeks!

Session 1: Monday 7/29-Friday 8/2

Session 2: Monday 8/5-Friday 8/9

Instrument Lesson Time Brass &Woodwinds 8:00-8:45 AM

Percussion 8:45-9:30 AM

I hope to see you this summer! Mrs. Patricia Kline [email protected] (610-779-7640 ext. 7123)

Summer Band Camp

Advanced Band Camp

Page 12: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 11

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

ADVANCED BAND CAMP REGISTRATION FORM

STUDENT’S NAME________________________________________________

INSTRUMENT_____________________________________________________

CURRENT HOMEROOM_____________________________________________________

HOME PHONE__________________CELL PHONE_____________________

PARENT EMAIL:_________________________________________________

EMERGENCY CONTACT PERSON AND PHONE NUMBER:

*Please make any checks payable to:

EXETER TOWNSHIP SCHOOL DISTRICT

$50.00 for 5 sessions or $70.00 for all 10 sessions

(Checks will also be accepted at the first lesson.)

Forms due back by July 18th.

We need at least 15 enrolled to hold the camp.

Return this form and fee to Reiffton School in care of Ms. Patricia Kline

4355 Dunham Drive, Reading, Pa 19606

Phone 610-779 7640 ext 7123 Email: [email protected]

PLEASE CIRCLE THE DATES YOU PLAN ON ATTENDING:

7/29 7/30 7/31 8/1 8/2 8/5 8/6 8/7 8/8 8/9

Page 13: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 12

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Beginners’ String Camp

Exeter Township School District

We are excited to offer a Beginners’ String Camp for students

who will be joining the strings program this fall!

The Exeter Township Beginners’ String Camp will give young musicians a head start as they work with Mr. Brian Mishler, senior high school orchestra director, and Mrs. Emily Holleman, elementary instrumental music teacher. Students will receive one small-group 45-minute lesson each day. By the end of the week, students will be able to play simple tunes using the bow on their instrument of choice! Students who rent instruments from The String Tree will receive their instrument on the first day of camp. The camp will be held from Monday, August 12th through Friday, August 16th. Please indicate your preferred times on the attached form. The cost of camp is $5 a day, at a total cost of $25 for the entire week. Please feel free to contact Emily Holleman or Brian Mishler with any questions. We hope to see you this summer! Yours in Music, Brian Mishler Emily Holleman Senior High Orchestra Director Elementary Instrumental Music Exeter Township School District Exeter Township School District [email protected] [email protected] (610) 406-4580, ext. 8415

Summer Strings Camp

Camp Camp

Beginners’ String Camp

Page 14: EXETER TOWNSHIP SCHOOL DISTRICT · 2013. 5. 13. · or Mrs. Emily Holleman at (610) 406-4580, Ext. 8415 erholleman@exeter.k12.pa.us. Exeter Township School District Page 3 2013 Summer

Exeter Township School District Page 13

2013 Summer Enrichment & Band Camp Catalog Grades 1 –12

Beginners’ String Camp Registration Form

Student’s Name ________________________________________________ Instrument (please circle): Violin Viola Cello Bass Are you renting from The String Tree? (please circle): Yes No Current Homeroom Teacher: _____________________________________ Home Phone: ___________________ Cell Phone: _____________________ Parent/Guardian Email: __________________________________________ Emergency Contact Person and Phone Number:

Please circle all times that would work for a lesson during the week of August 12th: 8:00-8:45 8:45-9:30 9:30-10:15 10:15-11:00 11:00-11:45 11:45-12:15 12:15-1:00 1:00-1:45

*Please make check payable to:

EXETER TOWNSHIP SCHOOL DISTRICT $25 for the whole week!

(Checks will also be accepted at the first lesson.)

Please return this form to Jacksonwald, Lorane, or Owatin Creek Elementary School in care of

Mrs. Emily Holleman by June 3rd.