Class:______________________________________

My name is ________________________________, I’m 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 21^st, 2015

Parent or Guardian – Your signature below indicates compliance with school regulations.

________________________________

Parent/Guardian Signature

Date ___________________

Summer of Discovery, Using Our Multiple Intelligences

	Around the World in 5 Days June 29 – July 3 Construction Week July 6 – July 10 Animal Planet July 13 – July 17 What's Your Passion? July 20 – July 24 Kitchen Chemistry July 27 – July 31 It's the Ladybird Got Talent August 3 – August 7

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