*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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