| Registration Form Summer Camp July 2008 (Please print) Name child _____________________________ DoB: _________ Name of child's parent(s): ___________________________________ Address: _________________________________________________ City, State and Zip #:_______________________________________ Cell or Emergency Phone: __________________________________ Phone: ________________________ E-mail address: ___________________________________________ Food Allergies: ___________________________________________ Circle Camp(s): Days: Monday and Tuesday Time: 9:30 am - 1:00 pm Camp 1 July 7 and 8 Camp 2 July 14 and 18 Camp 3 July 21 and 22 Camp 4 July 28 and 29 Please make deposit ($40) payable to Patty Wright, and mail registration form and check to: 140 Thomas Crossing Drive Newnan, GA 30265 The balance is due on first day of chosen Camp. Date: ___________________ Check no.: ________ |


| SUMMER CAMP SCHEDULE Revised as of 7/1/08 |
| Camp 1 "Sleep-over Stuff" Back Pack and Big Foot Pillow Monday/Tuesday July 7 and 8 ---------------- Camp 2 "Pack-n-Things" Heart Pillow, Pencil Case and Reversible Head Band Monday/Tuesday July 14 and 15 --------------- Camp 3 "On-the-Go" Pocket Pillow, Denim Purse and Pod Pouch Monday/Tuesday July 21 and 22 --------------- Camp 4 same as Camp 1 "Sleep-over Stuff" Back Pack and Big Foot Pillow Monday/Tuesday July 28 and 29 |