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Capri Elementary School
After School Enrichment Program Registration Form
September 2 through November 4, 2014 (seven week class)
Hands on Clay
Tuesday, Grades K-6 Materialfee: 14
Students will create from the clay itself, cups, bowls, slab
rolled and pinched pots..maybe a dragon or two! How about
a picture frame or a wall vase? We supply the clay and all
the colorful glazes. New challenges for continuing students.
Comejoin the fun!
All classes meet in the covered lunch area. if you do not hear from us, your child is confirmed.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution of thisflyer does not imply
endorsement by the Encinitas Union School District, its schools or staff and is distributed in compliance with federal and state law
Open
to students K-6 grades-No class October 14,21 & 28
Location: Capri Elementary School
Camp Hours: Tuesday: 2:25 p.m. to 3:25 p.m.
Fees: 8O.OO per child, per seven week class (plus $14 material fee)
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Parent or
Zip
Guardian’s Name
Home Phone
Extended Day Care Yes
[]
No []
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE asiD CAREFULLY BEFORE SIGNING)
1 understand and agree that by signing this waiverform, I am freeing Capri Elementary School and Camp Imagine, Inc., its
officers, consultants or other agents from any liability resultingfrom my childs participation in the sponsored activity. I recognize
the event can be dangerous to my child and accept those dangers. I understand that fmy child is injured this waiver can be used
against me and anyone else claiming damages because ofmy child’s injury in any legal action. I certft that I have personally read
and understand this waiver and release.
Signature (Parent or Guardian)___________________________________ Date__________________
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V
El Camino Creek Elementary
After School Enrichment Program Registration Form
September 3 through November 6, 2014 (seven week class)
Hands on Clay
Magic
Thursday, Grades K-6
Just good clean fun. Card tricks,
Wednesday, Grades K-6
Students will create from the clay
itself, cups, bowls, slab rolled and pinched
How
pots.. .maybe a dragon or two!
about a picture frame or a wall vase? We
supply the clay and all the colorful glazes.
New challenges for continuing students.
Come join the fun!
Materialfee: 12
rope tricks, coin tricks, even the slight
-of-hand. Did you ever see a rabitt dis
appear? Entetaining whimzies to show
family and friends. A NEW CLASS, don’t
miss out.
Material Fee: $12
All classes meet in the covered lunch area. ifyou do not hearfrom us, your child is confirmed.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution ofthis flyer does not imply
endorsement by the Encinitas Union School Diostrict, its schools or staff and is distributed in compliance with federal and state 1a6$1
Open to students K-6 grades--No class October 15, 16,22,23,29 & 30
Location: El Camino Creek Elementary School
School Hours: Wednesday and Thursday: 2:25 p.m. to 3:25 p.m.
Fees: 80.OO per child, unless otherwise indicated, per class, plus $12 material fee.
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
Parent or Guardian’s Name
ASPIRE Yes
Home Phone
D No III
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to : P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE REM) CAREFULLY BEFORE SIGMNG)
1 understand and agree that by signing this waiverform, I am freeing El Camino Creek Elementary School and Camp Imag
ine, Inc., its officers. consultants or other agents from any liability resultingfrom my chikis participation in the sponsored activity.
I recognize the event can be dangerous to my child and accept those dangers. I understand that f my child is injured this waiver
can be used against me and anyone else claiming damages because ofmy child’s injury in any legal action. 1 certify that I have
personally read and understand this waiver and release.
Signature (Parent or Guardian)
Date
Flora Vista Elementary School
After School Enrichment Program Registration Form
September 8 through November 3, 2014 (six week class)
More Hands on Clay
Guitar 9O
Mondays, Grades K-6
Mondays, Grades 3-6
Students will create from the clay
itself, cups, bowls, slab rolled and pinched
pots.. .maybe a dragon or twot How about
a picture frame or a wall vase? We supply
the clay and all the colorful glazes. New
challenges for continuing students. Come
join the fun!
Pius Materialfee: 12
Come learn guitar with a master
instructor. You will practice basic chords,
strumming, scales and lead guitar tech
mques. Have fun playing songs everyone
can sing to. Bring your own guitar or a
rental is available. Beginning and continu
ing students invited. No material fee.
All classes meet in the covered lunch table area. If you don’t hear from us, your child is confirmed.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution of thisflyer does not imply
endorsement by the Encinitas Union School District, its schools or staff and is distributed in compliance with federal and state law.
Open to students K-6 grades No class October 13,20 & 27
Location: Horn Vista Elementary School
Camp Hours: Mondays- 2:25 p.m. to 3:25 p.m.
Fees: 7O.OO per child, (plus $12 material fee), unless otherwise indicated
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
-
Student Name
Class Title_____________________ Grade
Parent or Guardian’s Name
Home Phone
Email Address
Cell
Attend ASPIRE Yes
Q
No
Q
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE READ CAREFULLY BEFORE SIGNING)
I understand and agree that by signing this waiverform, I am freeing Flora ñsta Elementary School and Camp Imagine, Inc.,
its officers, consultants or other agentsfrom any liability resulting from my chiklc participation in the sponsored activity. 1 recognize
the event can be dangerous to my child and accept those dangers. I understand that if my child is injured this waiver can be used
against me and anyone else claiming damages because ofmy childs injury in any legal action. 1 certify that I have personally read
and understand this waiver and release.
Signature (Parent or Guardian)
Date
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La Costa Heights Elementary School
After School Enrichment Program Registration Form
September 2 through November 5, 2014 (seven week class)
Hands on Clay
Tuesday, Grades K-6
Students will create from the
clay itself, cups, bowls, slab rolled
and pinched pots...maybe a dragon or
two! How about a picture frame or
a wall vase? We supply the clay and
all the colorful glazes. New challenges
for continuing studennt. Come join
the fun
1
Materialfee: $14
Digital
Photography 85
Wednesday, Grades K-6
Not just your point-n-shoot. Les
sons in composition, lighting and even
that “manual” mode will be explored.
Archive your photos on a CD to share
with family and friends. Cameras not
provided. Just the fun!
Material fee: $8
All classes meet in the covered lunch area. Ifyou don’t hearfrom us, your child is confirmea
Any questions or concerns should be addressed to Camp imagine, inc. at 761J-603-8254. Distribution of this flyer does not inply
endorsement by the Encinitas Union School District, its schools or staff, and is distributed in compliance with federoi and state lan
Open to students K-6 grades-No class October 14, 15,21,22,28 & 29
Location: La Costa Heights Elementary School
Camp Hours: Tuesday and Wednesday: 2:25 p.m. to 3:25 p.m.
Fees: 8O.OO per child, unless otherwise indicated, per seven week class (plus material fee)
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
Parent or Guardian’s Name
ASPIRE Yes Q No
Home Phone
Q
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013.0481
For further information please call: Mike McClure, Program Director at (760) 603.8254.
Release From Liability
(PLEASE REAl) CAREFULLY BEFORE SIGMNG)
I understand and agree that by signing this waiverform, lam freeing La Costa Heights Elementary School and Camp Imag
ine, Inc., its officers, consultants or other agentsfrotn any liability resultingfrom my childs participation in the sponsored activity.
I recognize the event can be dangerous to my child and accept those dangers. I understand that fmy child is injured this waiver
can be used against me and anyone else claiming damages because ofmy child’s injury in any legal action. I certify that I have
personally read and understand this waiver and release.
Signature (Parent or Guardian)
Date
$UIM? IMkG*
Mission Estancia Elementary
/
After School Enrichment Program Registration Form
September 3 through November 6, 2014 (seven week class)
Hands on Clay
Wednesday, Grades K-6
Students will create from the clay
itself, cups, bowls, slab rolled and pinched
pots...maybe a dragon or two!
How
about a picture frame or a wall vase? We
supply the clay and all the colorful glazes.
New challenges for continuing students.
Come join the fun!
Guitar- $95
Thursday, Grades 3-6
Come learn guitar with a master
instructor. You will practice basic chords,
strumming, scales and lead guitar techmques. Have fun playing songs everyone
can sing to. Bring your own guitar or a
rental is available. Begirming and continuing students invited.
Materiojfee: 14
All classes meet in the covered lunch area. if you do not hearfrom us, your child is confirmeS
Mv questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution ofthis flyer does not imply
endorsement by the E’icinitas Union School Diostrict, its schools or staff, and is distributed in compliance with federal and state law
Open to students K-6 grades--No class October 15,16,22, 23,29 & 30
Location: Mission Estancia Elementary School
School Hours: Wednesday and Thursday: 2:25 p.m. to 3:25 p.m.
Fees: 8O.O0 per child, unless otherwise indicated, per class, plus $14 material fee.
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
Parent or Guardian’s Name
ASPIRE Yes
Home Phone
[] No
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to : P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE READ CAREFULLY BEFORE SIGNING)
I understand and agree that by signing this waiverform, lam freeing Mission Estancia Elementary School and Camp bnag
me, Inc., its officers, consultants or other agentsfrom any liability resulting from my chikl.s participation in the sponsored activity.
I recognize the event can be dangerous to my child and accept those dangers. I understand that f my child is injured this waiver
can be used against me and anyone else claiming damages because ofmy child’s injury in any legal action. I certify that! have
personally read and understand this waiver and release.
Signature (Parent or Guardian)..
Date
P £MkG
*
Ocean Knoll Elementary School
After School Enrichment Program Registration Form
September 8 through November 3, 2014 (six week class)
Hands on Clay
Monday, Grades K-6 Materialfee: 12
Students will create from the clay itself, cups, bowls, slab
rolled and pinchedpots...maybe a dragon or two! How about
a pictureframe or a wall vase? We supply the clay and all
the colorful glazes. New challengesfor continuing students.
Comejoin the fun!
All classes meet in the covered lunch area. Ifyou do not hearfrom us, your child is confirmed.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution of thisflyer does not imply
endorsement by the Etwinitas Union School District, its schools or staff, and is distributed in compliance with federal and state law.
Open to students K-6 grades-No class October 13,20 & 27
Location: Ocean Knoll Elementary School
Camp Hours: Monday: 2:25 p.m. to 3:25 p.m.
Fees: 70.00 per child, per six week class (plus $12 material fee)
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
ASPIRE Yes [] No
Parent or Guardian’s Name
Home Phone
Cell Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE READ CAREFULLY BEFORE SIGNiNG)
I understand and agree that by signing this waiverform, lam freeing Ocean Knoll Elementary School and Camp Imagine,
Inc., its officers, consultants or other agents from any liability resultingfrom my childs participation in the sponsored activity. I
recognize the event can be dangerous to my child and accept those dangers. I understand that if my child is injured this waiver
can be used against me and anyone else claiming damages because ofmy child’s injury in any legal action. 1 certify that 1 have
personally read and understand this waiver and release.
Signature (Parent or Guardian)___________________________________ Date__________________
P IMkG*
Olivenhain Pioneer Elementary
S.’
After School Enrichment Program Registration Form
September 4 through November 7, 2014 (seven week class)
Hands on Clay
Piano-95
Thursday, Grades K-6
Learn familiar folk songs and pop
style songs m this keyboard class! \ our
child can enjoy the nch rewards of music
through this fundamental music experi
ence! Begmmng and continuing students
welcomed! Keyboards will be provided.
No matenal fee.
•
.
.
.
•
•
.
.
.
.
.
Friday, Grades K-6
Students will create from
clay
itself cups, bowls slab rolled and pinched
pots.. .maybe a dragon or two! How about
a picture frame or a wall vase? We supply the clay and all the colorful glazes.
New challenges for continuing students.
Come join the fun!
Plus nwierrnlfee: 14
the
All classes meet in the covered lunch area. Ifyou don’t hear from us, your child is confirmerd.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution ofthis flyer does not imply
endorsement by the Encinitas Union School District, its schools or staff and is distributed in conpliance with federal and state law.
Open to students K-6 grades-No class October 16, 17,23,24,30 & 31
Location: Olivenhain Pioneer Elementary School
Camp Hours: Thursday: 2:25 p.m. to 3:25 p.m., Friday: 12:50 p.m. to 1:50 p.m.
Fee: $80.00 per child, unless otherwise indicated, plus $14 material fee.
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
City____________
ASPIRE Yes
Parent or Guardian’s Name
Home Phone
Zip
[J No []
Cell Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE READ CAREFULLY BEFORE SIGNING)
1 understand and agree that by signing this waiver form, I am freeing Olivenhain Pioneer Elementary School and Camp
Imagine, Inc., its officers, consultants or other agents frotn any liability resulting from my chi Isis participation in the sponsored
activit’v. I recognize the event can be dangerous to my child and accept those dangers. I understand that if my child is injured this
waiver can be used against me and anyone else claiming damages because ofmy child’s injwy in any legal action. 1 certify that I
have personally read and understand this waiver and release.
Signature (Parent or Guardian)..
Date
P IMkG*
Park Dale Lane Elementary School
After School Enrichment Program Registration Form
September 3 through November 6, 2014 (seven week class)
Hands on Clay
Wednesday, Grades K-6
Students will create from the
clay itself, cups, bowls, slab rolled
and pinched pots.. .maybe a dragon or
two! How about a picture frame or
a wall vase? We supply the clay and
all the coloiful glazes. New challenges
for continuing studentc. Come join
the fun!
Materialfee: $14
Digital
Photography $ 85
Thursday, Grades K-6
Not just your point-n-shoot. Les
sons in composition, lighting and even
that “manual” mode will be explored.
Archive your photos on a CD to share
with family and friends. Cameras not
provided. Just the fun
Material fee: $8
All classes meet in the covered lunch area. Ifyou don’t hear from us, your child is confirmed.
Any questions or concerns should be addressed to camp imagine, Inc. at 760-603-8254. Distribution of this flyer does not inpiy
endorsement by the Encinitas Union School District, its schools or staff, and is distributed in compliance with federal and state law.
Open to students K-6 grades-No class October 15, 16,22,23,29 & 30
Location: Park Dale Lane Elementary School
Camp Hours: Wednesday and Thursday: 2:25 p.m. to 3:25 p.m.
Fees: 80.O0 per child, unless otherwise indicated, per seven week class (plus material fee)
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
Parent or Guardian’s Name
ASPIRE Yes Q No
Home Phone
Q
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE READ CAREFUUX BEFORE SIGNING)
I understand and agree that by signing this waiverform, I am freeing Park Dale Lane Elementary School and Camp Imag
ine, Inc., its officers, consultants or other agents from any liability resulting from my childs participation in the sponsored activity.
I recognize the event can be dangerous to my child and accept those dangers. I understand that fmy child is injured this waiver
cmi be used against me and anyone else claiming damages becaure ofmy child’s injury in any legal action. I certfy that I have
personally read and understand this waiver and release.
Signature (Parent or Guardian)..
Date
4fM? IMftG*
Paul Ecke Central Elementary
After School Enrichment Program Registration Form
September 4 through November 6, 2014 (seven week class)
Hands on Clay
Thursday, Grades K-6 MaterioJ fee: tj4
Students will create from the clay itself, cups, bowls, slab
rolled and pinched pots..maybe a dragon or two! How about
a picture frame or a wall vase? We supply the clay and all
the colorful glazes. New challengesfor continuing students.
Comejoin the fun!
All classes meet in the covered lunch area. ifyou do not hearfrom us, your child is confirmed.
Any questions or concerns should be addressed to Camp Imagine, Inc. at 760-603-8254. Distribution of thisflyer does not imply
endorsement by the Encinitas Union School District, its schools or staff, and is distributed in compliance with federal and state law
Open to students K-6 grades--No school October 14,23 & 30
Location: Paul Ecke Central Elementary School
Camp Hours: Thursday: 2:25 p.m. to 3:25 p.m.
Fees: 80.00 per child, per seven week class (plus $14 material fee)
REGISTER EARLY. CLASSES FILL OR ARE CANCELLED.
Student Name
Grade
Class Title
Address
Zip
Parent or Guardian’s Name
Home Phone
ASPIRE Yes
11 No III
Phone
Please make checks payable to:
Camp Imagine, Inc.
Send to: P.O. Box 130481, Carlsbad, CA 92013-0481
For further information please call: Mike McClure, Program Director at (760) 603-8254.
Release From Liability
(PLEASE REAl) CAREFULLY BEFORE SIGNING)
I understand and agree that by signing this waiverform, I am freeing Paul Ecke Central Elementary School and Camp
Imagine, Inc., its officers, consultants or other agents from any liability resultingfrom my chills participation in the sponsored
activity. I recognize the event can be dangerous to my child and accept those dangers. 1 understand that if my child is injured this
waiver can be used against me and anyone else claiming damages because ofmy child’s injury in any legal action. I certfy that 1
have personally read and understand this waiver and release.
Signature (Parent or Guardian)___________________________________ Date__________________