| All About The Arts Camp - Registration Form |
| To pay by check or money order, please print and mail this completed form to: Lessons From Abroad PO Box 6454, Largo, MD 20792 |
| To pay by credit card, please send an email to info@lessonsfromabroad.com Additional fees apply |
| Camper Information |
| Camper Name __________________________ DOB_______________________ |
| Parent/Guardian’s Name _____________________________________________ |
| Address __________________________________________________________ |
| Phone Numbers (H)_______________ (C ) ______________(W)_______________ |
| Email Address __________________________________ |
| In case of emergency, whom may we contact? |
| Name ____________________________ Relationship______________________ |
| Phone Numbers (H) _________________ (C)______________ (W)_____________ |
| Program Information |
| Session 1: June 27 - July 8, 2011 ___ Session 2: July 11 - July 22, 2011 ___ |
| Payment Information |
| Camp Tuition |
| $300.00/per session |
| Camp Fees |
| $ 40.00 (one time) |
| LESS: Deposit |
| $ 50.00 |
| Total due |
| $_______ |
| Payment Total $__________ |
| Please print and mail this completed form with your check or money order to: Lessons From Abroad PO Box 6454, Largo, MD 20792 |
| A confirmation email will be sent to you as soon as your registration form and deposit have been received. There is a $30 service charge for all returned checks. |
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