ASEF TUTORING SUNSHINE SUMMER CAMPS

							       ASEF TUTORING SUNSHINE SUMMER CAMPS
                 2009 Enrollment Forms
                                        281-376-2100

Student Name:_____________________________________________D.O.B.______________
Grade going into:__________Age:__________School:________________________________

How did you hear about us?_____________________________________________________
We will email a confirmation to you.
Your email address is:__________________________________________________________

PARENT NAME:______________________________________________________________
HOME PHONE:__________________________________CELL:_______________________


MATH FACTS AND READING ENRICHMENT CAMP SCHEDULE
      CHECK THE FOLLOWING CAMPS OF YOUR CHOICE
           *Note: In the line provided, please indicate addition (+) OR multiplication (x)

    ____Camp 1-Math             June 22 – 25          9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 2-Reading          June 29 - July 2      9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 3-Math             July 13 - 16          9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 4-Reading          July 20 - 23          9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 5-Math             July 27 - 30          9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 6-Math             August 3 - 6          9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 7-Reading          August 10 - 13        9:30 a.m. - 2 p.m.        Monday – Thursday

    ____Camp 8-Math             August 17 - 20        9:30 a.m. - 2 p.m.        Monday – Thursday



       •   Extended Camp Time: ONLY 8 SPOTS AVAILABLE!
           ROSETTA STONE SPANISH will be offered from 2:00 – 3:00 for those
           students registered in the camp. Please see our website for details on SUMMER SPANISH
           PROGRAM.


   Registration Deadline – May 1, 2009 ($100 due at the time of registration)
Register by phone or in our office by check, debit card, visa, m/c, or discover. At the time of
registration, $100 (non-refundable) is due and the remainder $70 will be due on the first day of
camp. Please visit our website at www.afterschooleducation.com


Credit Card: _______________________________Zip Code______________________
Name on Credit Card______________________________________________________
Number:_________________________________________________________________
Exp.Date:_________________Signature:______________________________________
Office Notes: