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GET2IT Art & Games Camp
Student Registration Form
register online @ : www.get2it.ezregister.com
Return this form and include payment no later than:Monday June 15, 2009.Make Checks Out To: Jennifer Swan, Get2ItMail registration to: 22 19
th
Avenue #4 Venice CA 90291, ATTN: JENNIFER SWANCost per week: 200.00Questions? contact Jennifer Swan @ 310-383-7857, email:cree1326@mac.com
If more than one child from your household will attend, complete a separate form for eachchild.Students can attend more than one week as the activities will vary week to week.My child will attend the following weeks (check off each week child will attend):{ } Week 1: Monday June 22 – Friday June 26{ } Week 2: Monday July 6 – Friday July 10{ } Week 3: Monday July 13 – Friday July 17{ } Week 4: Monday July 20 – Friday July 24{ } Week 5: Monday July 27 – Friday July 30{ } Week 6: Monday August 10 – Friday August 14As enrollment per week is limited to 15 participants and fills up quickly, indicate a firstand second choice for the weeks you would like your child to attend.First choice: Week ( ) 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 – select oneSecond choice: Week ( ) 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 – select one
PARTICIPANT INFORMATIONStudent’s Name ________________________________________________________________________ lastfirstmiddle initialGrade:_______Classroom Teacher’s Name:_________________________ PARENT GUARDIAN INFORMATIONMOTHER/GUARDIANS NAME: ___________________________________________ ADDRESS: _____________________________________________________________________ PHONE #1:___________________________PHONE #2: ___________________ email: ____________ FATHER/GUARDIANS NAME: ____________________________________________ 
 
ADDRESS: _____________________________________________________________ PHONE #1: _____________________________PHONE #2: ___________________ email: ____________ IN CASE OF EMERGENCY, AND PARENT/GUARDIAN CANNOT BE REACHED, CONTACT: NAME:____________________________________ PHONE #:____________________ RELATION TO STUDENT: _________________________________________ OTHER THAN ABOVE GUARDIANS AND EMERGENCY CONTACT, WHO HAS PERMISSION TOPICK UP CHILD? NAME:_____________________________RELATION TO STUDENT:_____________ PHONE #:__________________________ 
Walking Field Trip/General Activity Permission Slip To Farmer’s Market, Beach, Paddle & Basketball CourtsWalking field trips and art studio activities are an integral part of the Art & GamesCamps, I/we request that my/our child, _______________________, be permitted toparticipate in all art studio/games activities and attend all walking field trips. I/weunderstand and agree that neither camp staff or volunteers shall be liable to me/us ormy/our child for any claims arising out of any such art studio activity, field trip or gameouting, such claims being hereby waived.
 
I/we assume responsibility for any acts of my/our child during any field trip and will indemnify (reimburse or repay for any lossincurred) and hold the camp staff harmless from any claims of any person arising frommy/our child’s acts.
 _______________________________________________________ _____________________ 
 
Signature of parent or legal guardian Date
 
 _______________________________________________________ _____________________ 
 
Signature of parent or legal guardian Date
 CUT HERE AND SAVE THE ACTIVITY SCHEDULE AND CONTACT INFORMATION---------------------------------------------------------------------------------------------------------------------------------------Activity Schedule CAMP HOTLINE: 310-383-7857 JENNY SWAN’S EMAIL: cree1326@mac.com
8:15 am – 8:25 am
Arrival
@ 22 19
th
Place – curbside drop off - look for the smiling valet!
8:30-10 am Art
Every morning begins with free choice open art studio activities followed bygroup instruction in a variety of visual art techniques. Friday’s culminating event will featurestudent artwork.
We will be painting and moving so wear comfy clothes that can getdirty. Please wear sunscreen.10:00-11 am
Outdoor Physical Activities: Basketball, handball, beach games, sand sculptures,mural painting.
Lunch 11:00-12
Please be sure to pack three healthy drinks, two protein-rich snacks, and aBIG lunch for your camper! We will also be preparing healthy dishes to supplement lunches.
Afternoon “Summer Fun in the Afternoon”
 
12:00- 12:30
Read Aloud:
 
We will be reading from books like Sharon Creech’s ‘Love That Dog’ –books that celebrate creative young people.
12:30-2
Creative Digital Documentation, Journaling, Open Studio. Photographs and stories willbe used to capture participant work and ideas. Students design their own web site pagedepicting their work.
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