Minds On ~ Hands On
Science
Science Camps–2008
REGISTRATION FORM
Student's Name (1):______________________________________________
Student's Age: ________ Grade entering in the fall: _____
Name (2):______________________________________________
Student's Age: ________ Grade entering in the fall: _____
Address: ______________________________________________________
City:
Parent Names: ____________________ _________________
Phone: _______________ Work: ___________ Cell: ______________
Fax: ____________ Email: ________________________________________
Emergency Contact: ____________________ Phone #: __________________
Four Science Camps (check 1 box or all 4)
0 Week One--May 19 - 22 “Daring Detectives”
Solve a mystery using forensic chemistry and other sciences.
Choose
0 Week Two--May 27 - 30 “Machine Mayhem”
Build & test simple machines that demonstrate laws of physics.
Choose
0 Week Three--June 2 - 5 “Wet & Wild” Choose CampTime: ___9 a.m. – 12 p.m. ___1p.m. – 4 p.m.
Safari through nature to discover God's creatures.
0Week Four--June 9 -12 “Rocks & Rockets”
Be a rock hound and launch a data balloon & rocket toward space.
Sub-total $____
X # Students ______
Total $ ____
Please note: Classes will be filled on a first-come, first serve basis. Registration fees are due at the time of registration. The fee cannot be refunded after 5/15/08. Instructor may cancel classes and refund entire amount if a minimum class size of seven (7) is not met.
MAIL REGISTRATION FORM, MEDICAL WAIVER & PAYMENT TO:
Patti Jelinek
6663 Spencer Forrest Cove West