AKey West Art & Historical Society
ArtCamp Summer 2010 Registration Form
| COST: |
$150 per week |
| $135 KWAHS members. |
Student Info:
First Name: _____________________________Last Name: ___________________________________
Age:_________ Grade: ______ School: ____________________________________________________
Address:_________________________________________ City _________State_____ Zip__________
May we photograph your child (please circle)
Parent / Guardian Info:
First Name_____________________________ Last Name____________________________________
Phone/Home__________________ Work___________________ Cell___________________________
Email Address_________________________________________________________________________
Emergency Contact ____________________________________Phone_________________________
Method of Payment (Please circle one)
| Check | Visa | Mastercard | Amex | Cash |
CC# ____________________ __________________ ___________________ ____________________
Expire Date:_____________________ Today’s Date:_______________ Amt Paid_________________
Signature on Card:____________________________________________________________________
Make checks payable to KWAHS
Send to: KWAHS, 281 Front Street, Key West, Fl 33040
Attention: Suzanne Pereira Education
Contact; Suzanne Pereira 305-295-6616 Ext 27 Fax # (305)-295-6649
Class Selection (please circle class)
|
Week 1 | Grade K -1 | June 7-11 | Time 9:30 -12:30 | Blue Elephants Rule! |
| Week 2 | Grade 1-2 | June 14-18 | Time 9:30 -12:30 | What’s Your Line |
| Week 3 | Grade 3 | June 21-25 | Time 9:30 -12:30 | Babar and Shut-Up-You-Mouth |
| Week 4 | Grade 4 | June 28-July 2 | Time 9:30 -12:30 | Babar USA |
| Week 5 | Grade 5 | July 5-9 | Time 9:30 -12:30 | Strike A Pose |
| Week 6 | Grade 6 | July 12-16 | Time 9:30 -12:30 | A Pinhole with a View
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