Calvary Brochure 09-10 by Sarahsinthekinchin

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									                      Home School-Souderton Area
              Physical Education Program Registration Form
Parent/Legal Guardian_______________________________________________
Address__________________________________________________________
Home #___________________________ Work #__________________________
Cell #___________________Email_____________________________________

                                                                                      Souderton Area Home School
Name                                  DOB        Please circle which session(s)
1.__________________________ __________                   1 2 3 4                     Physical Education Program
Medical Conditions/Allergies____________________________________________

2.__________________________ __________                  1 2 3 4
                                                                                         2009-2010 School Year
Medical Conditions/Allergies____________________________________________

3.__________________________ __________                   1 2 3 4
Medical Conditions/Allergies____________________________________________

4.__________________________ __________                   1 2 3 4
Medical Conditions/Allergies____________________________________________

5..__________________________ __________                 1 2 3 4
Medical Conditions/Allergies____________________________________________

6.__________________________ __________                  1 2 3 4
Medical Conditions/Allergies____________________________________________

7.__________________________ __________                  1 2 3 4
Medical Conditions/Allergies____________________________________________                Push The Rock is committed to running a
                                                                                      quality, Biblically-based home school physical
Payment Example:                                                                       education program to assist your child(ren)
Each attending 1 session:   Each attending 2 sessions:   Each attending 4 sessions:
 John $56                   John $56, $56                John $51, $51, $51, $51       in the development of their physical bodies
 Mary $51                   Mary $51, $51                Mary $46, $46, $46, $46
 Daniel $51                 Daniel $51, $51              Daniel $46, $46, $46, $46
                                                                                               as well as their spiritual lives.
 Shawn $51                  Shawn $51, $51               Shawn $46, $46, $46, $46

AMOUNT ENCLOSED: $_______________
Please return your payment to: Push The Rock
                                    P.O. Box 95, Emmaus, PA 18049
                  Souderton Area Home School                                     Where: Calvary Church located on Rt. 113 in Souderton

                  Physical Education Program                                     When: Thursday afternoons from 1:00 pm—3:00 pm
                     2009-2010 School Year                                       Who: Children ages 6-17 (We split them up by age group)

                                                                                 Cost: $56.00 for each session
Session 1: Sept. 10, 17, 24, Oct. 1, 8, 15, 2009
                                                                                 Discounts:
Field Trip: Oct 8 Mini Golf                                                      There is a $5.00 discount for each additional family member attending the same
                                                                                 session.

Session 2: Oct. 29, Nov. 5, 12, 19, Dec. 3, 10, 2009                             There is also a $5.00 discount per session for each family member that is paid in
                                                                                 full for all four sessions by September 11th. (Total price would be $204)
Field Trip: Dec 10 Bowling
                                                                                 Session 1: Payment due          September 10, 2009

                                                                                 Session 2: Payment due          October 29, 2009
Session 3: Jan. 14, 21, 28, Feb 4, 11, 19, 2010
                                                                                 Session 3: Payment due          January 14, 2010
Field Trip: Friday, Feb 19 Swimming
                                                                                 Session 4: Payment due          March 11, 2010

                                                                                 If paying for all sessions, payment is due by Thursday, Sept. 10, 2008
Session 4: March 11, 18, 25, Apr. 1, 9, 16, 2010 (the last date will change
based on the Iron Pigs Schedule)                                                 Upon receipt of your registration we will send you a confirmation

Field Trip: Iron Pigs Game
                                                                                 PLEASE NOTE: We are only capable of taking a limited number of
                                                                                 students per session. We anticipate we will fill up quickly for each of
                                                                                 the 4 sessions.

  Our program offers great athletic instruction in a variety of sports and fun   If you have any questions about our program, please give us a
  games each session. Along with that we will challenge your children with
                                                                                 call at the office at 610-967-6861 or email Dustin Leatherman at
  a sports devotional each week focused around our theme First Step.
  This years theme is centered around Faith.                                     dustin@pushtherock.org.


                                                                                                         www.pushtherock.org

								
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