summer program application form
TRANSCRIPT
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8/14/2019 Summer Program Application Form
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glen urquhart school summer program
june 28-august 6, 2010
childs name
nickname
address
zip
home phone
parents name
address
zip
home phone
work phone
cell phoneemail
childs t-shirt size, i registered by june 8th (circle one) child s m l adult s m l
riend request: please try to place my child with
my child will be a new student at gus in the all o 2010 yes no
this waiver must be signed to complete registration.
i agree to fully complete medical and emergency forms and have them delivered to gus summer program by june 8, 2010.
i understand that my child may not attend the program until fully completed medical and emergency forms, a condition
of camp attendance per the massachusetts board of health, are delivered to gus. refunds will not be given for days missed
sex m dob
entering grade in all 2010
school
how did you learn about gus summer program?
parents name
address
zip
home phone
work phone
cell phoneemail
registration orm
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8/14/2019 Summer Program Application Form
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week 3july 12july 16
week 5july 26july 30
week 1june 28july 2
please check the boxes to make your choices.
week 4july 19july 23
week 6august 2august 6
week 2july 5july 9
ages 68 voyagers
ages 68 voyagers specialty workshops
can you dig this | $225 young naturalists| $225 un in the garden| $225
hip hop dance| $225art sampler| $225 game time! | $225
oobleck and other weird
science experiments| $225basic dance| $225
american girl doll | $225
junkyard lego robotics
| $225
kids in the kitchen with
angela| $225
designing, naturally| $225
angelas kitchen | $225
graphic novel book club| $225
math busters| $225 beginning digital photography,iphoto, and photoshop| $225
south american cuisine
| $225
digital painting | $225
antastic fbers | $225
environmental science| $225outdoor living skills
| $225
chocolate actory| $225hip hop dance | $225
experimental drawing and
painting| $225 art sampler| $395
flmmaking (choose either session a or session b) $395session a 9:00 am-12:00 pm | session b 1:00 pm-4:00 pm|
ashion and abric design workshop | $395
creating and perorming an original script | $395
ages 13-14 teen apprentice program (tap)
session 1 the wild west | $495
session 1 the wild west | $325
session 2 art adventures | $495
session 2 art adventures | $325
session 3 the science o cooking | $495
session 3 the science o cooking | $325
session 1 make your own| $495 session 2 wearable art| $495 session 3 rom trash to treasure | $495
ages 912 explorers
adventures in the garden| $395
ages 48 aternoon activities
ages 912 aternoon adventures
aternoon activities The Afternoon Activities program of fers play and adventure for ages 4-8. Any child, regardless of being registered for a morning workshop, may enroll in this program. | $95
aternoon adventures The Afternoon Adventures program offers play and adventure for ages 9-12. Any child, regardless of being registered for a morning workshop, may enroll in this program. | $95
teen apprentice program The Teen Apprentice Program (TAP) was started in 1997 to give teens the opportunity to prepare for future employment as camp counselors, teachers, and other professionals who work with children. | $275
gus summer program tuition total:send completed registration orms to: debora diggins
director of summer program and after-school careglen urquhart school
74 hart street, beverly farms, ma 01915
978 927-1064 ext. 131 fax 978 921-0060
glen urquhart school summer programjune 28 august 6, 2010
registration form
WE HAVE REDUCED OUR FEES FOR SUMMER 2010
per two-weeksession
ages 45 pioneers