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<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-size:13.0pt'>SUMMER CAMP REGISTRATION FORM<o:p></o:p></span><=
/b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:13.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Parent name<span class=3DGramE>:_</=
span>_________________
Signature______________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Address:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>________________________________________City________________________=
_______<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span class=3DSpellE>Zip___________=
_____Phone</span>:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>________________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Child name:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________<span
class=3DGramE>_<span style=3D'mso-spacerun:yes'>&nbsp; </span>Age</span>: _=
________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'>Allergies:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Yes ___<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>No ___<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'>Medications: (Please =
list is
applicable<span class=3DGramE>)_</span>____________________<o:p></o:p></spa=
n></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'>Emergency Contact:<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>________________<span class=3DGram=
E>_<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_</span>______________<o:p></o:p><=
/span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span style=3D'mso-ta=
b-count:
5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>name</span><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>phon=
e<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:13.0pt'><span style=3D'mso-ta=
b-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:1.0in'><span style=3D'font-size:1=
3.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Weeks attending:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>(Please circle a=
ll
that apply)</p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><o:p>&nbsp;=
</o:p></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><i>T-shi=
rt size
requested</i></b>_______________</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>June 22-26th&#8211; &#8220;Ceramic =
<span
class=3DSpellE>Fashionista</span><span class=3DGramE>&#8221;<span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'font-weight:normal'=
>Kids</span></span></span></b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'> cre=
ate
functional one-of-a-kind pieces of their choice using color harmony and
context, design, and the &#8216;you made it&#8217; factor!<o:p></o:p></span=
></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>July
6-10&#8211; &#8220;<st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on"><st1:P=
laceName
  w:st=3D"on">Happy</st1:PlaceName> <st1:PlaceType w:st=3D"on">Garden</st1:=
PlaceType></st1:PlaceName></st1:place>&#8221;
</span></b><span style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"M=
aiandra GD"'>Flowers
and birds and bees, oh, my!<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>July
13-17&#8211; &#8220;Animal Planet<span class=3DGramE>&#8221;<span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'font-weight:normal'=
>We</span></span></span></b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'> hon=
or our
scaly, feathered and furry friends, including ourselves, with a variety of
different pieces, products and techniques to create distinctive art works.<=
o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>July
27-31- &#8220;Let&#8217;s Eat!&#8221;<span style=3D'mso-spacerun:yes'>&nbsp;
</span></span></b><span style=3D'font-family:"Maiandra GD";mso-bidi-font-fa=
mily:
"Maiandra GD"'>A food theme runs through every<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span class=3DGramE>project</span>.=
<span
style=3D'mso-spacerun:yes'>&nbsp; </span>YUMMY!<span
style=3D'mso-spacerun:yes'>&nbsp; </span>My favorite!<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>Augu=
st 3-7
&#8220;Painting With the Masters&#8221; </span></b><span style=3D'font-fami=
ly:
"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>Van Gogh, Kandinsky, <o:p=
></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>Poll=
ack,
Monet, Klee, Picasso, O&#8217;Keefe - &#8216;<span class=3DSpellE>Fun&#8217=
;ctional</span>
art by <o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-family:"Maiandra GD";mso-bidi-font-family:"Maiandra GD"'>&#82=
20;YOU-the
ARTIST&#8221; on pieces of your choice-as always!<o:p></o:p></span></p>

<p class=3DMsoNormal><b><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><o:p></o:p></b></p>

<p class=3DMsoNormal><b><span style=3D'font-size:13.0pt'><o:p>&nbsp;</o:p><=
/span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><b>Camp runs from 10am -1:00pm
Monday-Friday, except where otherwise noted.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b>Please b=
ring a
lunch every day.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p><=
/b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b>Camp is =
$175 a
week (except mirror camps) plus tax or $40 + tax per day. <o:p></o:p></b></=
p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'mso-spacerun:yes'>&nbsp;</span>A $75/week or $20/day pre-registrat=
ion
fee is required to hold your spot and is non-refundable.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b>Cancella=
tion
Policy:<span style=3D'mso-spacerun:yes'>&nbsp; </span>If the unfortunate
situation occurs that YMI must cancel any session<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>that you have signed up for due to lack of enrollment, a full refund
will be issued.</b></p>

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