Summer Program Registration Form

If you are paying by MasterCard or Visa, register using this form. Otherwise, please download the printable summer programs form, fill it out and mail it to us with your payment. PLEASE NOTE: you need to send a separate form for each child being registered.

Student Information

Student Name: *

Remember that you must fill out a new registration form for each student!

Student Age: *

Grade entering in the fall: *

School: *

Parent Name(s): *

Street Address: *

City: *

Zip: *

Email Address: *

Main Phone

This is the main phone number you want us to use to reach you.

Phone: *

Type: *

Home Phone

Work Phone

Cell Phone

Alternate Phone

Phone:

Type:

Home Phone

Work Phone

Cell Phone

Photo Release

May FSM use photographs of your child or your child's artwork in FSM publications?

Confirm: *

Yes

No

Summer Scholars

Session 1: June 21-July 2

Math:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon

Each class is $210.

Reading:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon (Eager Readers)

Each class is $210.

Session 2: July 6-July 16

Math:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon

Each class is $210.

Reading:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon (Eager Readers)

$210 Each. Session runs from July 19 to July 30

Session 3: July 19-30

Math:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon

Each class is $210.

Reading:

8-9 a.m.

9-10 a.m.

10-11 a.m.

11 a.m.-noon (Eager Readers)

Each class is $210.

Imagine That

Each session is $500.

Imagine That:

Session 1: June 21-July 2

Session 2: July 6-July 16

Session 3: July 19-July 30

Each session is $500. You may register for one, two, or all three sessions

Just For Fun, Manos con Centro, and Boredom Busters

Be sure to check all classes you have chosen.

Session 1: June 21-25

June 21-25

9 a.m.-3 p.m.:

Hello Hollywood: $280

Stop Action Animation: $65

Mysteries of Fire: $65

9 a.m.-noon:

Hip Hop: $150

Good Sports: $150

Mad Scientist: $175

1-3 p.m.:

Cartooning: $100

Magic Show: $100

Inside Out: $100

Session 1: June 28-July 2

June 28-July 2

9 a.m.-3 p.m.:

Lights, Camera, Action: $280

Summer Bike Club: $250

Bakers Dozen: $65

Jewelry: $65

9 a.m.-noon:

Gym Games: $150

Mad Scientist: $175

1-3 p.m.:

Cartooning: $100

Ultimate Frisbee: $100

Session 2: July 6-9

July 6-9

9 a.m.-3 p.m.:

Rock Climbing: $75

Broadway In A Day: $65

9 a.m.-noon:

Photo Pro: $125

Fabulous Fiber: $275 (This class runs for two weeks, July 6-16.)

Rocket Science: $150

All Creatures: $150

Easy Riders (9 a.m.-1 p.m.): $165

1-3 p.m.:

3-D Animation: $200 (This class runs for two weeks, July 6-16.)

Be a Clown: $90

Bad Snacks: $90

Session 2: July 12-16

July 12-16

9 a.m.-3 p.m.:

All Creatures Great and Small: $250

Iron Chef: $65

Disc Golf: $75

9 a.m.-noon:

Picture This: $155

Rocket Science: $175

1-3 p.m.:

Teen Improv: $100

Bad Snacks: $100

Session 3: July 19-23

July 19-23

9 a.m.-3 p.m.:

A Trip to the Zoo: $75

Swing Dance (2-8 p.m.): $75

9 a.m.-noon:

Print and Book Arts: $150

Storybook Theater: $150

Kingdoms/Castles: $150

Robots: $175

1-3 p.m.:

Woven Threads: $100

Computer Animation: $200 (This class runs for two weeks, July 19-30.)

Inside Out: $100

Session 3: July 26-30

July 26-30

9 a.m.-3 p.m.:

Manos con Centro: $230

Eat Around Town: $75

Critter Care: $65

9 a.m.-noon:

Everything Aztec: $150

Wee Garden: $150

Robots: $175

1-3 p.m.:

Builders and Buildings: $100

Inside Out: $100

Session 4: August 2-6

August 2-6

9 a.m.-3 p.m.:

Good Olde Summertime: $250

Mock Trial: $250

9 a.m.-noon:

Salsa: $150

Billing Information

Total Tuition: * $

Enter the amount you expect to be charged for the classes you have signed up for.

By submitting this form, I affirm that have read and agreed to the tuition payment and refund policies as explained in the brochure.