Young At Art Children's Museum

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Secure Online Registration

Summer Camp 2006 Enrollment Form

Please complete the enrollment information below. A Young At Art registrar will call or email the final tuition amount prior to processing billing. If you're not already a member, you can join as a member online and enjoy member rates immediately! Thank you.

General Information
Please complete a separate enrollment form for each camper.

Student Name:

Parent Name:

Parent 2 Name:

Student Birthdate:

Address Line1:

Address Line2:

City:

State:

Zip Code:

Phone #:

E-Mail:

Membership

Are you a Museum Member?

SUMMER CAMP 2006 -
Members $175 per week; Non-members $200 per week.

*Special Cartooning Camp! Join professional cartoonist Rob Cabrera, the creator of nationally syndicated cartoon strip Silo Roberts.

Limited space for campers age 9-12 with adjusted fee. Members: $200 per week/ Non-members: $225 per week. Only available Sessions 7 and 10.

	Week 1 - May 30 - June 2 (Payment due May 22) No camp on May 29, fee pro-rated.
	Week 2 - June 5 – 9 (Payment due May 29)
	Week 3 - June 12 – 16 (Payment due June 5
	Week 4 - June 19 – 23 (Payment due June 12)
	Week 5 - July 26– 30 (Payment due June 19)
	Week 6 - July 3– 7 (payment due June 26) No camp on July 4th, fee pro-rated.
	Week 7 - July 10 – 14 (payment due July 3)
	Week 8 - July 17– 21 (payment due July 10)
	Week 9 - July 24– 28 (payment due July 17)
	Week 10 - July 31 – August 4 (payment due July 24)
	Week 11- August 7 – 11 (payment due July 31)

Before and After Care ($50/week)
8:00 - 9:00 a.m. and 5:00 - 6:00 p.m.

Week 1 -
Week 2 -
Week 3 -
Week 4 -
Week 5 -
Week 6 -
Week 7 -
Week 8 -
Week 9 -

Week 10 -

Week 11 -

Summer Camp T-Shirts: $10 each
A colorful Tye-Dye Heavy-weight Shirt
Get a Free T-Shirt for Registration before April 30, 2006

Child S (6-8):

Child M (10-12):

Child L (14-16):

Adult S:

Adult M:

Adult L:

Adult XL:

Payment Information
(50% non-refundable deposit will be charged upon receipt of your online summer camp registration.)

Credit Card Type:

Credit Card #:

Expiration Date:

Other

Message or notes to Young At Art Education Staff:

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Young At Art of Broward, Inc.
11584 West State Road 84
Davie, Florida 33325

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