*NEW* CLC SUMMER MUSIC CAMP:



CLC SUMMER ART & MUSIC CAMPS:

GLOBAL BEAT: Celebrating the Earth through Art and Music

Dates: July 21 - 25, 2014

1 Ages: Rising Pre-K through Rising 4th grades

Time: Full (9:00 –4:30) or half day (9:00 –12:15) options!

Instructors: Julie Ernst, Patty Callender

. WAM!: World Art and Music

. Dates: July 28 – August 1, 2013

2 Ages: Rising 4th through Rising 8th grades

Time: 9:00 –4:30

Instructors: Julie Ernst, Annmarie Small, Patty Callender

Join us for a week filled with multicultural music and art experiences. Art projects include painting, drawing, sculpting, textiles, and printing. Drumming, world percussion, song and dance will all be explored, as well as outdoor fun and games! Campers will work cooperatively to create a multimedia art gallery and music presentation for parents, family and friends at the conclusion of each week!

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LOCATION: Cornerstone Learning Community,

2524 Hartsfield Road, Tallahassee 32303

COST:

Half Day, 12:15 pick-up: $95 tuition for the week, $65 for siblings

Full Day, 4:30 pick up: $155 tuition for the week, $125 for siblings

MATERIALS: There is a $25 required materials fee per camper.

REGISTRATION: Registration and medical/consent forms are included with this flier.

All forms must be accompanied by the materials fee and $50 DEPOSIT OR FULL TUITION to ensure placement in the camp.

CONTACT PERSON: Patty Callender, pacallender@, 850-545-2337

Registration form for CLC Music and Arts Camp

CHILD’S NAME

DATE OF BIRTH

GRADE COMPLETED ‘13-‘14 ________________AT____________________________

PARENT(S) /GUARDIAN(S)

NAME(S)

HOME PHONE NUMBER

CELL PHONE/ALTERNATE PHONE________________________________________

WORK PHONE__________________________________________________________

EMAIL_________________________________________________________________

DATES OF CAMP(S) ATTENDING (please circle): July 21- July 25 July 28- Aug 1

Tuition, 4:30 pick up $155 ___________

Tuition, sibling $125 ___________

Tuition, 12:15 pick up $95 ___________

Tuition, sibling $65 ___________

Materials $25 per camper ___________

1 TOTAL paid $__________

(please make checks payable to Cornerstone Learning Community)

QUESTIONS/COMMENTS/CONCERNS?

Please email pacallender@ or call 850 545 2337.

Medical/consent form for CLC Music and Art Camp

NAME OF PERSON(S) RESPONSIBLE FOR DROP-OFF AND PICK-UP :

______________________________________________________________________________

PHONE NUMBER _____________________________________________________________

ADDITIONAL PERSON(S) ALLOWED TO DROP-OFF AND PICK-UP :

NAME____________________________________NUMBER____________________________

NAME____________________________________NUMBER____________________________

EMERGENCY CONTACT INFORMATION:

1. NAME ___________________________ PHONE NUMBER___________________

2. NAME ___________________________ PHONE NUMBER___________________

3. NAME ___________________________ PHONE NUMBER___________________

MEDICATION INFORMATION:

My child is currently taking the following medications: (please list all medications, including those taken at home)

Please list any health problems or concerns:

In the event my child is injured or becomes ill and the personnel at Cornerstone Learning Community are unable to contact either parent or emergency contact, I authorize my child’s teacher and/or a representative of Cornerstone Learning Community to contact the physician listed and obtain any and all care this physician deems necessary. Should CLC personnel be unable to contact said physician I understand the child will be transported to an emergency medical facility and care obtained as deemed necessary by the physician on duty.

Physician_____________________________________

Telephone_____________________________________

Hospital preference: _____________________________

Parent Signature: _____________________________________ Date: ___________

CONSENT:

I, _____________________________, give my child(ren), _________________________ permission to attend the following Music and Arts Camp(s) at Cornerstone Learning Community:

July 21 – 25, 2014 &/OR July 28 – August 1, 2014.

I have read and understand the above information. INITIAL HERE________

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