My name is ________________________________, Im a parent of _______________________________
Class:______________________________________
I would like to enroll my child into Summer Program as follow:
Select Session:
ÿ Around the World in 5 Days June 29 July 3
ÿ Construction Week July 6 July 10
ÿ Animal Planet July 13 July 17
ÿ What's Your Passion? July 20 July 24
ÿ Kitchen Chemistry July 27 July 31
ÿ It's the Ladybird Got Talent August 3 August 7
FULL PAYMENT SHALL BE RECEIVED NO LATER THAN JUNE 21st, 2015
Parent or Guardian Your signature below indicates compliance with school regulations.
________________________________
Parent/Guardian Signature
Date ___________________
Summer of Discovery, Using Our Multiple Intelligences
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