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1999 BLAIR OAKS SUMMER SCHOOL - DOC

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1999 BLAIR OAKS SUMMER SCHOOL - DOC Powered By Docstoc
					                   2009 SUMMER SCHOOL ENROLLMENT FORM
                               Deadline for enrollment June 1, 2009

Student's Name: _____________________________________Grade in Fall 2009________

Parents’/Guardians’ Name: _____________________________Student Birth Date__________

Mailing Address: ____________________________ City/State: _______ Zip Code: ________

Phone #: Home: ______________        Work: Mom _____________ Dad ___________________

Email_______________________________Cell phone____________ Cell phone____________

Mom’s employment____________________Dad’s employment__________________________

Your child’s regular school of attendance: _______________________________________




Please check the course(s) you wish to enroll in:


PS300-S Portfolio Development 11
                                           _________


VFX300-S 3D Animation
                                           _________


GR300-S Digital Design 1
                                           _________


GR301-S Digital Design 2
                                           _________
TUITION
Deadline for enrollment June 1, 2009


A 50% Deposit is required in addition to the completed enrollment form.

Payment can be in the form of a personal cheque, money order or cash.
Please make the payment to: X2oCreative

There will be a 35.00 service charge applied for any NSF cheques received.

The final balance is due by the first day of class.

Please mail this completed form along with the deposit to:

Sybil Worthington
PO BOX 412
Port Alice, BC

Please enroll as soon as possible to ensure enrollment. Once enrolled there are no compensatory days
for days missed.

.
MATERIALS
Students are required to purchase at minimum a 2 gigabyte USB flash drive. This drive will be
used to store all personal in class projects and lessons, so students must bring their USB drive to
every class in order to back up their work.


ATTENDANCE: Students are expected to be punctual and attend every class. Students risk being
withdrawn from the program if three (3) absences are accumulated or if excessive lates accumulate.
Two (2) significant lates will be treated as one (1) absence.
BEHAVIOUR: Students must be respectful of their teachers, fellow classmates and other support staff
on site at the high school. Students who cannot fulfill these expectations will be withdrawn from the
course.
CELL PHONES: All cell phones must be turned off and put away during class time



Student Signature                                       Signature of Parent/Guardian



__________________________________                    ___________________________________
                           EMERGENCY INFORMATION
                                      SUMMER SCHOOL
                                          2009



Student's Name: _______________________________________________________________




Parents/Guardian to contact in the event of an emergency:

Name ____________________________ Daytime Phone : _____________________________
        Relationship to child ______________________
and if he /she can not be reached:

Name ____________________________ Daytime Phone : _____________________________
      Relationship to child ______________________

List allergies, medical conditions, or disabilities:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________



In case of a medical emergency, and I cannot be located, I authorize the school to make
arrangements, as necessary, in my child's best interest.

                                    _________________________________________
                                                Parent/Guardian's Signature




If the school is unable to reach me, I hereby authorize them to contact the physician below
and follow his/her instructions.


Physician's Name __________________________ Phone Number: 250 - ________________


Hospital Preference: ___________________________________________________________

				
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