Fine Arts Camp Students currently in K-5 Grades See It! Be It! Lead it! June 13-17th, 2016 Open to all CISD students currently in K – 5th grade Bess Race Elementary School Doors open: 7:30, Classes start at 8:00 am Pick up: 5:00 – 5:30 pm Cost: $120.00 per child. Additional Siblings $100.00 each 6 Classes per day: All Students: Art, Percussion, Music/Choir, and Theater Morning Choice: Cheer OR Video/Photo Afternoon Choice: Dance OR Computer FREE Breakfast 7:30 – 8:00 am FREE Lunch 12:30 – 1:00 (packed lunch acceptable) Snack Time 3:30 – 4:00 (provided by the student) Register by May 20, 2016 to receive a FREE T-shirt to wear during camp Tennis shoes required Friday, June 17, 2016, 4:30 pm Closing Program Any child picked up after 5:30pm will be charged $10.00 each day. Terms of Payment and refund policy: Registration must be submitted by May 20, 2016 in order to guarantee a t-shirt. You may mail the registration form along with check or money order to: Attention: Karen Garcia, Fine Arts 512 Peach Crowley, TX 76036 or deliver it in person to the administration building located at 512 Peach Street. If registering after May 20, 2016 there is no guarantee of a t-shirt or open spots in elective choices. Due to commitments to faculty and facility arrangements, applicants who withdraw after June 3, 2016 will forfeit all fees. Bess Race Elementary 537 S. Heights Crowley, Texas 76036 817-­‐297-­‐5080 817-­‐297-­‐5084 (Fax) Registration Form/ Formulario de Inscripción Registration Fee $120.00 per child Additional Siblings $100.00 each Registration must be received by May 20, 2016 to guarantee a t-shirt and elective choices. Mail registration and check or money order to Attention: Karen Garcia, Fine Arts 512 Peach Crowley, TX 76036 or you may drop it off at the Administration Building at 512 Peach Street. (Please note, students may be photographed and videoed for promotional purposes.) _____________________________________________________________________________________________ Student Information {Información del Estudiante]: ____________________ _____________ DOB [Fecha de nacimiento] Grade [Grado actual] _____________________________ Last Name [Apellido ] ___________ Male [Hembra ] _____________ Female [Varón ] ______________________________ ________________________ First Name [Nombre ] MIddle Initial [Segundo nombre ] __________________________________ Street [Calle] ____________________________ ____________________ City [Ciudad] Zip Code [ Código postal] ____________ CISD Student? _________________________________________________________ If so, what is your homeschool? ¿Es estudiante de CISD? Si es así, escriba el nombre de la escuela donde está asistiendo Please list any medical or food allergies: Haga una lista de cualquier necesidad médica o si es alérgico a los alimentos: _____________________________________________________________________________________________ T-shirt Size YS____ YM _ ___ YL ___ Camiseta Talla de Niño – Pequeña Mediana Grande AM_______ AL_______ AXL_________ Mediana Grande Extra grande AS____ Camiseta Talla de Adulto – Pequeña AM Courses Choose 1: _____ Art, Percussion, and Cheer _____ Video/Photo PM Courses Choose 1: _____ Choir/Music, Theater, and Dance _____ Computer Parent/Guardian Information [Información del Padre, Madre o Tutor] Name: ___________________________________________________________________________________________ Relationship [Relación ] ___________________ E-Mail________________________________________________________ Dirección del correo electrónico Daytime Phone_________________ Evening Phone______________ Nº Teléfono de día Nº Teléfono de tarde Name and phone number of individual picking up the above child. Person must be listed to pick up. [Nombre y nº de teléfono de la persona que va a recoger al niño mencionado en la parte superior]: _________________________________________________________________________________________________ _________________________________________________________________________________________________ Bess Race Elementary 537 S. Heights Crowley, Texas 76036 817-­‐297-­‐5080 817-­‐297-­‐5084 (Fax)