Initiate Learning Summer Camp Registration

Miss Amanda's Home
Quincy and Buckley
Aurora, C0 80013
http://www.initiatelearning.blogspot.com

InitiateLearningCO@gmail.com

Participant Information

First Name

Last Name

Gender

Birth Date +

Grade as of August 2018

Special Needs

Allergy Concerns

Camp Selections: *

Kindergarten/1st Grade Prep Tues/Thurs July 3-Aug 2, 9:30-11:30 ($250) (9 remaining)

Robotics 1 Tues/Thurs July 3&5, 1-4pm ($115) (9 remaining)

Robotics 2 Mon/Wed/Fri July 9,11,13, 1-4pm ($140) (10 remaining)

Robotics 3 Tues/Thurs July 17&19, 1-4pm ($90) (10 remaining)

Robotics 4 STEM EdCreate Mon/Tues/Wed/Thurs/Fri July 23-27, 1-4pm ($215) (11 remaining)

Makerspace Paper Circuits Tues/Thurs July 10&12, 1-4pm ($95) (8 remaining)

Writing Workshop Wednesday July 18, 1-4pm ($45) (9 remaining)

K-1 Prep Camp Information

Summer Robotics 1 Information

Summer Robotics 2 Information

Summer Robotics 3 Information

Summer Robotics 4 Information

Summer Makerspace Information

Summer Writing Workshop Information

Coupon Code

Did someone refer you?

Current Total:

0.00

Coupon Code WILL NOT update in the "Current Total" box, but will show on your final invoice.

Payment must be paid by cash, check, or PayPal to InitiateLearningCO@gmail.com in order to complete your registration and secure your spot.

Household / Adult Primary Contact

Relationship to Participant: *

Parent

Guardian

Other Other

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

Extras

Camp Policy Handbook, Click to Review

Please mark that you understand the policies. *

Parents will provide a snack for the child to be eaten part way through camp.

I have read the Parent Handbook and agree with the terms and conditions of this agreement. I will make a conscientious effort to cooperate with Miss Amanda Biles and to abide by the policies of the camp.