Super Summer Science Camp 2019
This camp is full of hands-on science fun. We will explore the world through many science experiments. Your child will come home filled with enthusiasm and excitement for Science.
Dates: Monday–Wednesday, July 29–31
Time: 9:00–11:30a.m. Grades K-5
12:30–3:00p.m. Grades K-5
(For your convenience families may enroll their children in the same session regardless of grade level.)
Place: Assumption School
Teacher: Mrs. Julie Brinson
Student Ages: 5–10
Please fill out the form below. Be sure to check the session you want your child to attend. To register just return the attached paper to Mrs. Brinson. You may pay now or on the first day of camp. Make checks payable to Julie Brinson. It is very important that you register now, so I have an idea of how many students will be attending. There is always room for more students later, so you may call at anytime to register this summer. If you are not positive about coming to the camp, sign up anyway and I will call you to confirm. (If your child cannot attend all 3 days, the cost can be divided by the number of days they attend.) Feel free to invite children from your extended family and other schools in the area. This is not exclusive to Assumption school students.
Mrs. Julie Brinson (509) 301-5051
Super Summer Science Camp 2019
Monday-Wednesday, July 29-31
Child’s Name _______________________________________
Parent’s Name ______________________________________
Age ___ Grade in 2019-2020 ____ Phone # _______________
Cost $75.00 (Make checks payable to Julie Brinson)
Allergies or medication ___________________________________________________
Health Ins. (optional) ____________________________________________________
Liability Release: I understand that reasonable precautions will be taken to safeguard the health and well being of the participant in this science camp and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the science camp instructor, or other volunteers of the science camp to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge the School from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child’s attendance of the science camp.
Unless other written instruction is submitted, I also consent to allowing my child’s image to be recorded, either by photograph or video, and used during the science camp or for future advertisement of the science camp. Any other use will require your further consent.
Parent / Guardian Signature Date
Please check the session your child will attend.
__________ Session 1 – 9:00-11:30 grades K-5
__________ Session 2 – 12:30-3:00 grades K-5
__________ I want my children to attend the same session.
__________ My child may be coming. Please call me before the start of the camp.
Please return to the office or fill it out the day of camp C/O Julie Brinson