Camp Culinaire. Camp Dates June 22-24, :30 5:30 p.m. each day

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Camp Culinaire. Camp Dates June 22-24, 2016 12:30 5:30 p.m. each day"

Transcription

1 Camp Culinaire Camp Dates June 22-24, :30 5:30 p.m. each day For more information contact Jessica Hoffman or Phone:

2 Ivy Tech Community College Central Indiana Camp Culinaire I & II and Bake Shop Camp: June 22 24, :30 5:30 PM each day ABOUT THE PROGRAM The Hospitality Administration Department at the Indianapolis Campus of Ivy Tech Community College is offering three camps especially for high school juniors and seniors with an interest in the culinary and baking industry. Camps to be held in our state of the art kitchens in our Corporate College and Culinary Center at 2820 N. Meridian Street Indianapolis, IN Camp Culinaire I & Camp Culinaire II Do you have an interest in working in the culinary field? Or maybe you just love cooking? Camp Culinaire is a fun way to explore the kitchen! Ivy Tech's Hospitality Program offers two levels of Camp Culinaire to accommodate skill levels from beginner to experienced. At each day of camp we will cover several different dishes and culinary techniques, culminating in a banquet for the students and their parents on the final day. Here's a sample of some of the techniques students will learn at Camp Culinaire: Meat Fabrication Making Sauces Sausage Making Knife Skills Cooking Techniques such as grilling, smoking, sautéing and frying Plating and Presentation Bake Shop Bake Shop Camp explores yeast breads, cakes, cookies and some simple composed desserts. We will definitely tempt your sweet tooth! Yeast Breads Pastries Non-refundable Registration Fee: $50.00 per student Fees Include: Mercer Knife Tool Kit or Baking Kit and Chef Jacket Closing Dinner for Students and Parents on Friday evening at 5:30 PM TO REGISTER: Complete the attached application, medical waiver and emergency contact form. The form can be faxed to or mailed to Ivy Tech Community College, 50 W Fall Creek Pkwy. N Dr., Attn: K-12 Initiatives - NMC 540, Indianapolis, IN FOR MORE INFORMATION: Chef Lauri Griffin at: or or Jessica Hoffman at: or Update 1/26/2016

3 Ivy Tech Community College-Indianapolis Camp Culinaire I & II and Bake Shop Camp Application Due: Friday, May 13, 2016 Mail this application along with the emergency contact form, the medical waiver form, and a $50.00 check payable to: Please Print Clearly: Ivy Tech Community College Attn: K-12 Initiatives - NMC W Fall Creek Pkwy. N. Dr. Indianapolis, IN Student s Name: Date of Birth (mm/dd/yy) Home Address: City: State: Zip Code: Home Phone ( ) Cell Phone ( ) High School: Current grade level: Freshman Sophomore Junior Senior Do you qualify for free or reduced lunch? Yes No Ethnic Origin: African-American Native American Indian European America/Caucasian Asian/Pacific Islander Latino/Afro Caribbean Other Gender: Male Female Camp Selection: Camp Culinaire I or Camp Culinaire II* Bake Shop *If you are registering for either Camp Culinaire I or Camp Culinaire II, please complete the survey to help us determine your level of experience at the following web address: Circle your jacket size: S M L XL XXL XXXL Parent/Guardian Name Daytime Phone: ( ) List of student s allergies (including food allergies), health conditions, or medications if applicable: I, give permission for my child, to participate in the Camp Culinaire Summer Camp and if the opportunity arises during this event, to be photographed for informational or educational purposes. I understand that it is my responsibility to make transportation arrangements for my child to get to and from the camp location. Parent/Guardian Signature Date INCOMPLETE APPLICATIONS OR APPLICATIONS WITHOUT PROPER SIGNATURES OR PAYMENT WILL NOT BE PROCESSED. LIMITED SCHOLARSHIPS ARE AVAILABLE WITH PROPER DOCUMENTATION OF NEED. Update 1/26/2016

4 Summer Camp Emergency Contact Form Student Personal Information Address: Last First M.I. Home Phone: ( ) Alternate Phone: ( ) Address: Birthday: SSN: - - Primary Emergency Contact Information Address: Last First M.I Primary Phone: ( ) Alternate Phone: ( ) Relationship: Secondary Emergency Contact Information Last First M.I Primary Phone: ( ) Alternate Phone: ( ) Relationship: INCOMPLETE EMERGENCY CONTACT FORMS WILL NOT BE PROCESSED. THE FORM MUST BE SUBMITTED WITH APPLICATION, NON REFUNDABLE APPLICATION FEE, AND MEDICAL WAIVER.

5 IVY TECH COMMUNITY COLLEGE OF INDIANA IVY TECH SUMMER CAMPS RELEASE AND WAIVER OF LIABILITY I,, in exchange for permission to participate in one or more summer camp program, but not limited to, assisting and helping in such summer camp activities, for myself, my heirs, representatives, agents and assigns, do hereby fully and irrevocably release, waive and discharge Ivy Tech Community College of Indiana, its trustees, officers, employees, volunteers, agents and assigns from any and all claims for injuries, including death, to myself or other persons and from any and all claims for damages to my or other persons property, arising out of or in any way relating to my participation in, including but not limited to travel to and from, said summer camp activities and programs. It is acknowledged and understood that I am responsible for the cost of any and all medical and health services I may require as a result of such participation in said summer camp activities and programs. It is also acknowledged and understood that Ivy Tech Community College of Indiana disclaims any responsibility for summer camp participants and others who travel to summer camp programs and activities in vehicles not owned by Ivy Tech Community College of Indiana, and I hereby assume all risks associated with driving myself and/or others, or being driven by others, to or from such summer camp activities and programs. Further, I hereby agree to indemnify and at Ivy Tech Community College of Indiana s request, defend and save harmless, Ivy Tech Community College of Indiana, its trustees, officers, employees, volunteers, agents and assigns from and against any loss, damages, costs, claims or expenses arising from any actual or claimed death or injury to any person or actual or claimed damage to property, whether owned by me, Ivy Tech Community College of Indiana, or third parties, including loss of use, that actually or allegedly results from my conduct, by act or omission, relating to my participation in said summer camp activities and programs. Finally, it is understood and agreed that this Release shall remain in full force and effect during such time, as I am a participant of summer camp programs and activities at Ivy Tech Community College of Indiana. I HAVE READ AND I UNDERSTAND THIS RELEASE AND AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS. Student Name: (Printed) Student Signature: Date: Date of birth: Preferred address: Signature of Parent/Legal Guardian: Date: (If Student is a minor)

CAMPS KENDALL UP TO $ 10O OFF * 2015 CLASS DESCRIPTIONS TASTE MEMBERS RECEIVE 10% OFF ALL TEEN CAMPS. BECOME A MEMBER TODAY AT KENDALL.

CAMPS KENDALL UP TO $ 10O OFF * 2015 CLASS DESCRIPTIONS TASTE MEMBERS RECEIVE 10% OFF ALL TEEN CAMPS. BECOME A MEMBER TODAY AT KENDALL. 2015 CLASS DESCRIPTIONS BASIC CULINARY Every successful chef begins with the basics! Experience life as a culinary student as you learn the essentials of professional cooking knife skills, kitchen terminology,

More information

June 4, 2015. Dear Parents,

June 4, 2015. Dear Parents, June 4, 2015 Dear Parents, We are excited to offer a special opportunity for your students for the 2015-2016 school year from the Vetri Foundation and the Free Library of Philadelphia. The Free Library

More information

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Participant Last Name: Participant First Name: Grade: Age: Gender: Male

More information

CAMP MSC SENSATIONAL SUMMER SCIENCE

CAMP MSC SENSATIONAL SUMMER SCIENCE CAMP MSC SENSATIONAL SUMMER SCIENCE Thank you for choosing Camp MSC for your summer camp experience. Our camp programs are designed to be engaging, hands-on, challenging, and of course, fun! All full day

More information

CAMP MSC SENSATIONAL SUMMER SCIENCE

CAMP MSC SENSATIONAL SUMMER SCIENCE CAMP MSC SENSATIONAL SUMMER SCIENCE Thank you for choosing Camp MSC for your summer camp experience. Our camp programs are designed to be engaging, hands-on, challenging, and of course, fun! All full day

More information

2016 Bowdoin Summer Art Camp Registration

2016 Bowdoin Summer Art Camp Registration 2016 Bowdoin Summer Art Camp Registration Hours and Location Bowdoin Summer Art Camp will run for four weeks from June 27 th through July 22 th. The times and length of each session vary. Please refer

More information

JUNE 20 24, 2016 VIDEO GAME DEVELOPMENT SUMMER CAMP

JUNE 20 24, 2016 VIDEO GAME DEVELOPMENT SUMMER CAMP Attention upcoming 7 th - 10 th graders: You are invited to join the IT and Web Design faculty at Carteret Community College for an action packed week of Video Game Design, Development, and Play. JUNE

More information

Youth Summer Cooking CAmp

Youth Summer Cooking CAmp Youth Summer Cooking CAmp The Restaurant School at Walnut Hill College Youth Summer Cooking Camp Brochure 2012 Does your child love to cook? The Restaurant School at Walnut Hill College has a unique cooking

More information

2016 Summer Camp Registration Form

2016 Summer Camp Registration Form 2016 Summer Camp Registration Form 1 of 6 2016 Summer Camp Registration Form All forms can be found online: http://go.dtcc.edu/swcamps q New Camper q Returning Camper Office Use Only: Identification Number

More information

GATEWAY DISCOVERY CAMP

GATEWAY DISCOVERY CAMP GATEWAY DISCOVERY CAMP SUMMER 2 0 1 6 REGISTRATION FORM Gateway Science Museum will host three sessions of the Gateway Discovery Camp. All sessions run 9am to 3pm and include daily snacks and lunches.

More information

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com 2009/2010 Policy Agreement I have received a copy of the 2009/2010 studio policy and current class schedule. I agree to adhere to all studio policies as contained in this document and explained to me.

More information

Oasis Christian Youth Ministry Presents Camp H2O Summer Reading Enrichment Program 4524 East Brookstown Dr. Baton Rouge, LA 70805

Oasis Christian Youth Ministry Presents Camp H2O Summer Reading Enrichment Program 4524 East Brookstown Dr. Baton Rouge, LA 70805 Oasis Christian Youth Ministry Presents Camp H2O Summer Reading Enrichment Program 4524 East Brookstown Dr. Baton Rouge, LA 70805 Are you looking for a summer of reading enrichment and fun???? Then look

More information

Cyber Defenders Summer Camp Application Form Instructions

Cyber Defenders Summer Camp Application Form Instructions Cyber Defenders Summer Camp Application Form Instructions The Cyber Defenders Summer Camp is put on by the San Antonio College Computer Information Systems Department. It will be an overview of material

More information

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms All forms and payment are due no later than June 15, 2015 Note: There is a $25 non-refundable registration fee, and no refunds

More information

M I G E A R U P S U M M E R A D V E N T U R E A P P L I C A T I O N 2016

M I G E A R U P S U M M E R A D V E N T U R E A P P L I C A T I O N 2016 M I G E A R U P R E T U R N C O M P L E T E D A P P L I C AT I O N S B Y M AY 20, 2 0 1 6 TO Y O U R M I G E A R U P O F F I C E KING - CHAVEZ PARKS INITIATIVE AND THE STATE OF MICHIGAN S DEPARTMENT OF

More information

Youth Programs Registration Form Summer of Service (SOS) 2015

Youth Programs Registration Form Summer of Service (SOS) 2015 Youth Programs Registration Form Summer of Service (SOS) 2015 Participant s Information PHONE GENDER: FEMALE OF BIRTH SCHOOL GRADE IN FALL 2015 MALE ETHNIC BACKGROUND AFRICAN ASIAN INDIAN LATINO NATIVE

More information

HealthCareers. Discovery Camp. Post Acute Medical Specialty Hospital Corpus Christi, TX June 17 & 18, 2015. Application Packet

HealthCareers. Discovery Camp. Post Acute Medical Specialty Hospital Corpus Christi, TX June 17 & 18, 2015. Application Packet HealthCareers Discovery Camp Post Acute Medical Specialty Hospital Corpus Christi, TX June 17 & 18, 2015 Application Packet Personal Information Name: Address: City: State: Date of birth: ZIP code: Home

More information

ETS & UB New Student Application

ETS & UB New Student Application REACHING AND TEACHING THE NEXT GENERATION www.near-north.org ETS & UB New Student Application Federal TRiO Program Funded by the U.S. Department of Education Please note that all applications are accepted

More information

COMMUNITY FOR NEW DIRECTION PARTICIPANT REGISTRATION FORM

COMMUNITY FOR NEW DIRECTION PARTICIPANT REGISTRATION FORM COMMUNITY FOR NEW DIRECTION PARTICIPANT REGISTRATION FORM Child s Name (Last) (First) (Middle Init.) Address Apt. # Zip Code Home Telephone Message Telephone Birth Age *Gender: Male Female *Race (please

More information

2016 Summer Art Camp Scholarship Application Parental Consent Form

2016 Summer Art Camp Scholarship Application Parental Consent Form QUINLAN VISUAL ARTS CENTER April 17, 2016 Georgia Schools Attn.: Art Instructors, Principals Re: 2016 Summer Art Camp Scholarship Application Parental Consent Form Dear School Art Instructor and School

More information

This registration form is also accessible online at: https://www.csuohio.edu/business/gyes-2015

This registration form is also accessible online at: https://www.csuohio.edu/business/gyes-2015 STUDENT REGISTRATION FORM Camp Session Dates: June 22, 2015- June 26, 2015 This registration form is also accessible online at: https://www.csuohio.edu/business/gyes-2015 Last Name: First Name: M.I.: Preferred

More information

2015 Coach E s Flagler College Basketball Camps

2015 Coach E s Flagler College Basketball Camps 2015 Coach E s Flagler College Basketball Camps Necci Brown 2015 Averaged a 31.9 field goal percentage during her career as a Saint July 13-17 Camp Registration Campers cannot be admitted without full

More information

The Northwest Arkansas Conservatory of Classical Ballet RETURNING STUDENT REGISTRATION FORM (One form for each student)

The Northwest Arkansas Conservatory of Classical Ballet RETURNING STUDENT REGISTRATION FORM (One form for each student) The Northwest Arkansas Conservatory of Classical Ballet RETURNING STUDENT REGISTRATION FORM (One form for each student) Today s Date: *PLEASE PRINT CLEARLY* Student s Name: Trainee or Jr. Trainee Program

More information

SPRING 2016 Youth STEM REGISTRATION PACKET Oakton Community College. Alliance for Lifelong Learning and Center for Promoting STEM

SPRING 2016 Youth STEM REGISTRATION PACKET Oakton Community College. Alliance for Lifelong Learning and Center for Promoting STEM SPRING 2016 Youth STEM REGISTRATION PACKET Oakton Community College Alliance for Lifelong Learning and Center for Promoting STEM 1 Table of Contents OAKTON YOUTH STEM OVERVIEW...3 PROGRAM STRUCTURE...3

More information

CONTRACT FOR PRIVATE MUSIC INSTRUCTION

CONTRACT FOR PRIVATE MUSIC INSTRUCTION CONTRACT FOR PRIVATE MUSIC INSTRUCTION I. GENERAL CONDITIONS i. Lessons will be offered over the academic year in each of the instruments for which the student is registered. Students will be scheduled

More information

Georgia Tech North Ave. NW Atlanta Ga. 30332

Georgia Tech North Ave. NW Atlanta Ga. 30332 Welcome to Fun Weird STEM Saturdays 2014 The functioning objective of Fun Weird Science STEM Saturdays is to: 1. Provide students with hands-on STEM experience; and 2. Engage students in the exciting ways

More information

MEMBER INFORMATION Member First Name: Middle: Last: F Date of Birth: / / Child s Student Identification Number:

MEMBER INFORMATION Member First Name: Middle: Last: F Date of Birth: / / Child s Student Identification Number: Office Use: Entry Date: / / Expiration Date: / / Member #: Receipt Number for Membership Payment: Unit Name: (please circle) 01: Pathfinders Children s Center 02: Mary Bremer Patrick Teen Center MEMBER

More information

PALMETTO Cyber Security Summer Camp 2015

PALMETTO Cyber Security Summer Camp 2015 PALMETTO Cyber Security Summer Camp 2015 Student Registration Form Full Name of Student: Parent/Guardian Name: Parent/Guardian Email: Parent/Guardian Phone Number: County: Tee-Shirt Size: S M L XL XXL

More information

without a signed waiver Santa Fe, NM 87506 Fax: 505 820 Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City:

without a signed waiver Santa Fe, NM 87506 Fax: 505 820 Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City: Please mail application to: Las Campanas Compadres, Inc. 15 Buckskin Circle Santa Fe, NM 87506 Fax: 505 820 2709 Las Campanas Compadres, Inc. Student Application Form Please be sure to sign the waiver

More information

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Youth s name: Address: Date of birth: Parent/guardian phone: Home Work Pager/Cellular Medical Information

More information

2015 Summer Fun Classes Keyboarding on the PC

2015 Summer Fun Classes Keyboarding on the PC 2015 Summer Fun Classes Keyboarding on the PC All materials are included! Grades 4th 12th Three classes available CRN 95287 - June 15 - June 25 CRN 95288 - July 13 - July 23 Locate home row keys automatically

More information

Virginia Aquarium & Marine Science Center 2016 SUMMER DAY CAMPS REGISTRATION FORM. Participant s Name Birth Date Camp Title Camp Date Camp Fee

Virginia Aquarium & Marine Science Center 2016 SUMMER DAY CAMPS REGISTRATION FORM. Participant s Name Birth Date Camp Title Camp Date Camp Fee Virginia Aquarium & Marine Science Center 2016 SUMMER DAY CAMPS REGISTRATION FORM Please bring this completed form to on-site registration on April 6, 2016. Registrations will not be accepted by mail or

More information

Big House 2015. Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th

Big House 2015. Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th Big House 2015 June 11-14 Bellville, TX Big House is a summer mission

More information

SWE HSV UVA SEAS PO BOX 400751 351 MCCORMICK RD CHARLOTTESVILLE, VA 22904-7451. September 9, 2013. Dear Student,

SWE HSV UVA SEAS PO BOX 400751 351 MCCORMICK RD CHARLOTTESVILLE, VA 22904-7451. September 9, 2013. Dear Student, SWE HSV UVA SEAS PO BOX 400751 351 MCCORMICK RD CHARLOTTESVILLE, VA 22904-7451 September 9, 2013 Dear Student, The Society of Women Engineers at the University of Virginia invites you to apply for a place

More information

Chatham Community Center Fitness Room

Chatham Community Center Fitness Room Chatham Park & Recreation 702 Main Street Chatham, MA 02633 Telephone Fax (508) 945-5159 www.chathamcommunitycenter.com Fitness Room Hours of Operation: Monday Saturday 8:00 A.M. to 9:00 P.M. Sundays 1-5:00

More information

GENERAL INFORMATION Mission Statement Summit Goals Indiana Black Expo Youth Leadership Summit Creed

GENERAL INFORMATION Mission Statement Summit Goals Indiana Black Expo Youth Leadership Summit Creed GENERAL INFORMATION Since 1984, Indiana Black Expo, Inc. (IBE) has prepared Indiana youth to be the change they want to see. The Youth Leadership Summit invites area youth to become empowered and equipped

More information

Arkansas Teen College

Arkansas Teen College Arkansas Teen College Central Arkansas Premier Summer Enrichment Program June 15-26, 2015 Half Day Sessions 8 a.m. 12 p.m. /1 p.m. 5 p.m. Grades 6 th through 12 th Application Please complete and return

More information

Registration Form Penn State Weather Camp June 14 19, 2015 Penn State Advanced Weather Camp June 21 26, 2015

Registration Form Penn State Weather Camp June 14 19, 2015 Penn State Advanced Weather Camp June 21 26, 2015 Registration Form Penn State Weather Camp June 14 19, 2015 Penn State Advanced Weather Camp June 21 26, 2015 TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN. Date of Program Please print in ink or type, and

More information

SUMMER ZOO CAMP 2016

SUMMER ZOO CAMP 2016 Scholarships are non-transferable INDIVIDUAL ZOO CAMP SCHOLARSHIP SUMMER ZOO CAMP 2016 APPLICATION AND GUIDELINES APPLICATION DEADLINE March 18, 2016 1 2016 SCHOLARSHIP GUIDELINES Thank you for your interest

More information

North Dakota College Tour

North Dakota College Tour North Dakota College Tour University of North Dakota North Dakota State University Minnesota State University, Moorhead Friday, October 31 - Saturday, November 1, 2014 Open to Sophomores, Juniors, and

More information

Presents The 8th Annual Atlanta Ice Dance Weekend June 5-7, 2015 The Cooler, Alpharetta, Georgia

Presents The 8th Annual Atlanta Ice Dance Weekend June 5-7, 2015 The Cooler, Alpharetta, Georgia http://atlantaicedanceweekend.weebly.com/index.html Presents The 8th Annual Atlanta Ice Dance Weekend June 5-7, 2015 The Cooler, Alpharetta, Georgia The Atlanta Figure Skating Club is pleased to host the

More information

YOUTH MENTORING PROGRAM. Mentee Application (To Be Completed by the Parent/Guardian)

YOUTH MENTORING PROGRAM. Mentee Application (To Be Completed by the Parent/Guardian) Personal Information YOUTH MENTORING PROGRAM Mentee Application (To Be Completed by the Parent/Guardian) Youth s Name: Date: Parent/Guardian Name: Relationship to Youth: Mother Father Other, specify: Street

More information

Motorcycle RiderCourse WAIVERS

Motorcycle RiderCourse WAIVERS Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State

More information

Fall, Spring, & Summer Sessions and One Year Career Certificate Programs

Fall, Spring, & Summer Sessions and One Year Career Certificate Programs Fall, Spring, & Summer Sessions and One Year Career Certificate Programs Apicius International School of Hospitality - Florence Florence University of the Arts - Florence Application 2015-2016 Procedure

More information

Oberlin Dance Intensive

Oberlin Dance Intensive Oberlin Dance Intensive July 6-11, 2014 For Ages 14-18 Early Registration Deadline: March 1, 2014 = $585 tuition Regular Registration Deadline: April 10, 2014 = $625 tuition Email completed registration

More information

STUDENT APPLICATION FORM 2016

STUDENT APPLICATION FORM 2016 STUDENT APPLICATION FORM 2016 July 10 - July 15 and July 17 - July 22, 2016 Engineering Your Place in Space Camp Information: The ExxonMobil Bernard Harris Summer Science Camp (EMBHSSC) is organized to

More information

Want to Use Media to Make a Difference? Wide Angle Youth Media s Summer Video Production Workshop

Want to Use Media to Make a Difference? Wide Angle Youth Media s Summer Video Production Workshop Want to Use Media to Make a Difference? Wide Angle Youth Media s Summer Video Production Workshop is an intensive 2-week media production program for Baltimore High School students. In the workshop, young

More information

SMOKY MOUNTAIN CHRISTIAN CAMP REGISTRATION SUMMER 2016

SMOKY MOUNTAIN CHRISTIAN CAMP REGISTRATION SUMMER 2016 SMOKY MOUNTAIN CHRISTIAN CAMP REGISTRATION SUMMER 2016 Student s Name: Grade Entering: Date of Birth: / / Gender Male Female Address: City, State, Zip: Home Phone ( ) Email: Parent s Name(s): *Parent s

More information

Project Connect. Connecting Youth and Their Community

Project Connect. Connecting Youth and Their Community Project Connect Connecting Youth and Their Community You are invited! The Indiana University Health Tipton Hospital Foundation is pleased to invite local sophomores, juniors and seniors to participate

More information

LATE PAYMENT FEES WITHDRAWAL FROM THE PROGRAM THIRD PARTY (SPLIT) PAYMENTS RESPONSIBLE PARTY. Parent/Guardian Agreement: Dear Parents and Guardians,

LATE PAYMENT FEES WITHDRAWAL FROM THE PROGRAM THIRD PARTY (SPLIT) PAYMENTS RESPONSIBLE PARTY. Parent/Guardian Agreement: Dear Parents and Guardians, Dear Parents and Guardians, In order to simplify and provide better service to everyone, Rancho Simi Recreation and Park District ( the District ) has implemented the following payment processing procedures

More information

Thursday, July 9th, 2015 and Friday, July 10th, 2015 from 7:30 AM to 5 PM

Thursday, July 9th, 2015 and Friday, July 10th, 2015 from 7:30 AM to 5 PM Dear Applicant to Nurse Academy and Parent/Guardian, Thank you for your interest in Nurse Academy 2015. Nurse Academy is designed for the student who is interested in exploring the profession of nursing

More information

YALE UNIVERSITY CITIZENS, THINKERS, WRITERS: REFLECTIONS ON CIVIC LIFE APPLICATION FOR SUMMER 2016

YALE UNIVERSITY CITIZENS, THINKERS, WRITERS: REFLECTIONS ON CIVIC LIFE APPLICATION FOR SUMMER 2016 NOTE: This application can also be completed online at http://humanities.yale.edu/apply APPLICANT INFORMATION First Name Last Name M.I. Street Address Apt/Unit # City State ZIP Code Student Cell Phone

More information

Application for Tufts-in-Chile Fall 2016 or Year

Application for Tufts-in-Chile Fall 2016 or Year Application for Tufts-in-Chile Fall 2016 or Year 2016-17 In order for an application to be complete, each applicant must submit to the Office of Programs Abroad by February 1, 2016 the following: 1. The

More information

UT Arlington Pre-Freshman Engineering Program (PREP) Year 1 Application 2014

UT Arlington Pre-Freshman Engineering Program (PREP) Year 1 Application 2014 UT Arlington Pre-Freshman Engineering Program (PREP) Year 1 Application 2014 Arlington TexPREP Dates: Tuesday, June 10 th Friday, July 18 th, Weekdays 8:30 AM 3:30 PM. Hosted by UTA Department of Mathematics

More information

K I D S C A M P 2 0 1 4

K I D S C A M P 2 0 1 4 K I D S C A M P 2 0 1 4 June 9-12 8 a.m. 4 p.m. Grades 3-12 Fee: $50 Join us for a fun-filled learning experience! For an application packet Please stop by the Ben Hill-Irwin Campus at 667 Perry House

More information

Bartow County C.E.R.T.

Bartow County C.E.R.T. Dear Applicant, I would like to take this opportunity to thank you for your interest in the Community Emergency Response Team. The CERT Program is presented by the Bartow County Emergency Management Agency

More information

YOUTH & TEEN INSTRUCTIONAL CLASSES

YOUTH & TEEN INSTRUCTIONAL CLASSES YOUTH & TEEN INSTRUCTIONAL CLASSES Introduction to Diving* - $200/ 12 sessions: June 28-July 14 Intermediate Diving* - $216/ 12 sessions: June 28-July 14 + 1 Meet TIME 12:45-1:30 PM (M-F) 12:00-12:45 PM

More information

City of Gulfport Recreation Division, 5730 Shore Blvd. S., Gulfport, Florida 2016 Summer Program READ/SIGN THIS PAGE BEFORE CONTINUING

City of Gulfport Recreation Division, 5730 Shore Blvd. S., Gulfport, Florida 2016 Summer Program READ/SIGN THIS PAGE BEFORE CONTINUING City of Gulfport Recreation Division, 5730 Shore Blvd. S., Gulfport, Florida 2016 Summer Program READ/SIGN THIS PAGE BEFORE CONTINUING EARLY LEARNING COALITION PARENTS ONLY ELC payments are due on Friday

More information

Culinary Arts Academy Admission Application

Culinary Arts Academy Admission Application Culinary Arts Academy Admission Application Institute for Hospitality & Tourism Education and Research 3000 N.E. 151st Street, KCC 3RD FL North Miami, FL 33181-3000 Please download, complete and save the

More information

SPORK Application. Please return this form along with all other SPORK paperwork to Mrs. Greer NO later than July14 th.

SPORK Application. Please return this form along with all other SPORK paperwork to Mrs. Greer NO later than July14 th. SPORK Application SPORK is a program that teaches students through hands-on experience how to prepare and shop for healthy and delicious foods. The SPORK class last 8 weeks and will be on Tuesdays or Thursdays

More information

Community House High School Programs Standing with families since 1969

Community House High School Programs Standing with families since 1969 Dear Parents/Guardians, Founded in 1969, Community House is devoted to standing with Princeton families by providing tools for academic success and social- emotional wellness through programs that bolster

More information

Registration Form Spots are limited and on a first come first serve basis

Registration Form Spots are limited and on a first come first serve basis UT Houston Medical School s JAMP Symposium March 27 th or April 17 th, 2015 Registration Form Spots are limited and on a first come first serve basis Please Note: Registration is not complete until you

More information

Chang Scholarship Student Information

Chang Scholarship Student Information Chang Scholarship Student Information The mission of the Davis Schools Orchestral Music Association (DSOMA) is to support music students and the music program in general. Our music teachers believe that

More information

Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program

Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program Please see the enclosed information and application for more information. The Baylor Autism Resource Center (BARC) Applied

More information

Building Bridges through Music Participant Registration Form

Building Bridges through Music Participant Registration Form SOCIAL DIVERSITY FOR CHILDREN FOUNDATION EMPOWERING YOUTH TO EMPOWER CHILDREN WITH DISABILITIES Building Bridges through Music Participant Registration Form Administration Use Only Registration #: Date

More information

Participant Application for Short-term Faculty-led Programs

Participant Application for Short-term Faculty-led Programs Participant Application for Short-term Faculty-led Programs DATE PERSONAL INFORMATION Name as it appears on your passport: (last) (first) (middle) Gender: Male Female Date of Birth: / / Do you smoke? Yes

More information

Experience. Summer College Tour. College Tour Includes: Hotel Room Ground Transportation Breakfast each day Lunch each day

Experience. Summer College Tour. College Tour Includes: Hotel Room Ground Transportation Breakfast each day Lunch each day Experience Summer College Tour July 18 th, 2012 July 22 nd, 2012 College Tour Includes: Hotel Room Ground Transportation Breakfast each day Lunch each day Visits to: Wilberforce University (Oldest Private

More information

JOB SHADOWING / CLINICAL OBSERVATION REQUEST FORM

JOB SHADOWING / CLINICAL OBSERVATION REQUEST FORM JOB SHADOWING / CLINICAL OBSERVATION REQUEST FORM Thank you for your interest in a job shadowing at Summa Health System. Job shadowing is a career development activity that will allow you to explore potential

More information

2015 RACE REGISTRATION packet

2015 RACE REGISTRATION packet 2015 RACE REGISTRATION packet First annual Delaware Charity Challenge Saturday, May 2, 2015 Lums Pond State Park Bear, Delaware delawarecharitychallenge.com Saturday, May 2, 2015 Lums Pond State Park 2015

More information

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT TOWN OF POUGHKEEPSIE POLICE DEPARTMENT INFORMATION PACKET OVERVIEW The Town of Poughkeepsie Police Department is seeking to provide an innovative program for youth residing in the Town of Poughkeepsie.

More information

1. COMPLETE & SUBMIT YOUR APPLICATION

1. COMPLETE & SUBMIT YOUR APPLICATION Dear Prospective Young At Art Museum Teen Volunteer, YAA Teen Leadership Program Sponsored by American Express Charitable Fund Thank you for your interest in volunteering with Young At Art Museum. The

More information

PROJECT EXCEL MENTORING PROGRAM Creating Vision Through Mentoring / What They See is What They Will Be

PROJECT EXCEL MENTORING PROGRAM Creating Vision Through Mentoring / What They See is What They Will Be Personal Information Mentee Application (To Be Completed by the Parent/Guardian) Youth s Name: Date: Parent/Guardian Name: Relationship to Youth: Mother Father other, specify: Street Address: City: State:

More information

STUDENT APPLICATION FORM 2015

STUDENT APPLICATION FORM 2015 Camp Information: STUDENT APPLICATION FORM 2015 July 5 - July 10 and July 12 - July 17, 2015 Engineering Your Place in Space The ExxonMobil Bernard Harris Summer Science Camp (EMBHSSC) is organized to

More information

2016 CAMP DISCOVERY REGISTRATION

2016 CAMP DISCOVERY REGISTRATION 2016 CAMP DISCOVERY REGISTRATION We must have 2 weeks written notice prior to a child canceling camp or you will be charged the full amount Please print all information clearly (blue or black pen only)

More information

Tech Judo Open II Invitational Judo Tournament

Tech Judo Open II Invitational Judo Tournament Tech Judo Open II Invitational Judo Tournament USA Judo Sanction # 2015-12-02 Date: Sunday, February 15, 2015 Tournament Director: Clyde Worthen Tournament Coordinator: Leonardo Victoria Head Referee:

More information

Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215

Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215 Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215 Columbus City Schools will offer the Summer Institute to assist

More information

Please note: Once your child leaves campus, he/she WILL NOT be allowed back on campus to participate in the after school program.

Please note: Once your child leaves campus, he/she WILL NOT be allowed back on campus to participate in the after school program. VALOR Before/After School Program School Year 2016-2017 Mar Vista Academy Enrollment Form and General Release for the Before/After School Program State and Federal Programs Student First Name Middle Name

More information

AVIATION DEPARTMENT 2015 SUMMER INTERNSHIP PROGRAM APPLICATION

AVIATION DEPARTMENT 2015 SUMMER INTERNSHIP PROGRAM APPLICATION 2015 SUMMER INTERNSHIP PROGRAM APPLICATION SUBMIT APPLICATIONS TO: BROWARD COUNTY ATTN: TAWANA GUTHRIE 2200 S.W. 45 TH STREET, SUITE 101 DANIA BEACH, FL 33312 For questions, please contact Tawana Guthrie

More information

Sign-up students NOW!

Sign-up students NOW! Formally known as SEMAA MAA is a K-12 Hands-on, Minds-on STEM (Science, Technology, Engineering, and Mathematics) engagement at its best! Sign-up students NOW! Tri-C MAA offers fun STEM education activities

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

EMAIL: Reservations are on a first come and paid, first served basis. Make checks payable to: Bonneville School District #93

EMAIL: Reservations are on a first come and paid, first served basis. Make checks payable to: Bonneville School District #93 Pine Basin Outdoor Education Camp 2016 Application Form Thank you for your interest in Bonneville School District s Pine Basin Summer Camp! The camp is for students who have completed 4 th, 5 th or 6 th

More information

Study Abroad Application

Study Abroad Application Study Abroad Application 1. Name Last Name, First Name Middle Initial 2. Student ID # 3. E-Mail Address (mandatory) 4. Application for University City Country 5. Passport (Issuing Country & Number) Expiration

More information

Member of USA Swimming

Member of USA Swimming Registration Form Apr 2016-Aug 2016 Member of USA Swimming Birth Certificate: If this is your first time joining a USA Swimming team, you must provide a copy of the athlete s birth certificate. Swimmer

More information

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail.

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail. OUR CAMPS ARE FOR GIRLS AND BOYS (AGES 5 THRU 14) Visit our website at Junior Golf Camp (9:00am 12:30pm) We start camp early (8:45am) on Monday for check-in and orientation. The camp is designed for beginners

More information

Attention Sophomore & Junior High School Students Interested in the Sciences You Are Cordially Invited To Attend the

Attention Sophomore & Junior High School Students Interested in the Sciences You Are Cordially Invited To Attend the Attention Sophomore & Junior High School Students Interested in the Sciences You Are Cordially Invited To Attend the Friday, April 16 th (6:00pm) Saturday, April 17 th (3:00pm) We have planned an exciting

More information

Winter Camp 2015 Church Registration Instructions and Policies

Winter Camp 2015 Church Registration Instructions and Policies Winter Camp 2015 Church Registration Instructions and Policies Registration Instructions: 1) Choose your weekend(s). Prayerfully consider which available weekend is the best for your church. Bring your

More information

CSUN Rebel Road Trip 2015 UNLV vs. SJSU

CSUN Rebel Road Trip 2015 UNLV vs. SJSU CSUN Rebel Road Trip 2015 UNLV vs. SJSU Represent the UNLV Rebellion in San Jose, CA for the UNLV Runnin Rebels vs. SJSU Spartans. This is the final regular season basketball game of the year and we need

More information

2016 Alabama Volleyball Camps

2016 Alabama Volleyball Camps 2016 Alabama Volleyball Camps MIDDLE SCHOOL DAY CAMP (JULY 5-6) $140 Commuter Check-in: July 5th - 8:00a.m. - 8:45 a.m. 4 training sessions Ages: 5th-8th grade Camp will begin at 9:00 a.m. and conclude

More information

2015 Nature Explorers Registration Form (Rising 1st to 3rd graders)

2015 Nature Explorers Registration Form (Rising 1st to 3rd graders) Information 2015 Nature Explorers Registration Form (Rising 1st to 3rd graders) Camper Name: DOB: Parent/Guardian Name(s): Address: City: State: Zip: Home Cell Work Email: *If emergency contact is different

More information

SCHOLARSHIPS FOR THE ACADEMIC YEAR 2011-2012 GENERAL INFORMATION

SCHOLARSHIPS FOR THE ACADEMIC YEAR 2011-2012 GENERAL INFORMATION 1 INSTITUTE OF HISPANIC CULTURE OF HOUSTON 3315 Sul Ross Houston, Texas 77098 Ph. 713-528-1492 Fax 713-529-1992 E-mail: institute@ihch.org SCHOLARSHIPS FOR THE ACADEMIC YEAR 2011-2012 GENERAL INFORMATION

More information

West Virginia University 2015 Forensic Science Summer Camp

West Virginia University 2015 Forensic Science Summer Camp Thank you for registering for the! This packet contains the following forms that must be completed and returned before the student will be allowed to attend camp: Participant Information Form Event Participant

More information

SUMMER 2016 TRACK AND FIELD REGISTRATION PACKAGE. Website:

SUMMER 2016 TRACK AND FIELD REGISTRATION PACKAGE. Website: SUMMER 2016 TRACK AND FIELD REGISTRATION PACKAGE Website: www.theheattrackclub.com E-Mail: admin@theheattrackclub.com 770-234-6834 2016 REGISTRATION FORM PLEASE PRINT Athlete s Name: Date of Birth: / /

More information

GRADUATE APPLICATION PROCEDURE

GRADUATE APPLICATION PROCEDURE GRADUATE APPLICATION PROCEDURE $30 non-refundable application fee (make checks payable to Texas A&M University- Central Texas). Sealed, official transcript showing degree conferral must be provided for

More information

THEATRE. 2016 Summer PROGRAMS. Lunch included! Information & Registration Booklet

THEATRE. 2016 Summer PROGRAMS. Lunch included! Information & Registration Booklet 2016 Summer THEATRE PROGRAMS Fun, instructional theatre arts programs for children & young adults in grades 1-12 Lunch included! IP12-03 Rev:Mar15 Information & Registration Booklet PROGRAMS & SCHEDULES

More information

Scholarship application deadline: April 15, 2014

Scholarship application deadline: April 15, 2014 THE KIWANIS CLUB OF ABILENE FOUNDATION, INC. 473 CYPRESS ST., SUITE 107, ABILENE, TX 79601 (325) 673-1341 Building One Child and One Community at a Time Scholarship application deadline: April 15, 2014

More information

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP 2011 SUMMER FASHION PROGRAM STUDENT APPLICATION CHECKLIST To apply for the Summer Fashion Program, please submit the required documents to The Center for Global

More information

juilliard.edu/summerjazz

juilliard.edu/summerjazz Juilliard JAZZ Summer 2013 Camp in Atlanta,GA June 17-21, 2013 One-week program for dedicated and disciplined students ages 12-18, who are passionate about jazz music For details see Juilliard s Web site:

More information

HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) SUMMER 2010 HEALTH SCIENCES ACADEMIC PROGRAM APPLICATION

HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) SUMMER 2010 HEALTH SCIENCES ACADEMIC PROGRAM APPLICATION HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) SUMMER 2010 HEALTH SCIENCES ACADEMIC PROGRAM APPLICATION 1 I. APPLICATION To receive full consideration for acceptance into the Summer 2010 Health Sciences Academic

More information

12 th Annual Bethel Lutheran School Track Meet Kindergarten 8 th grade

12 th Annual Bethel Lutheran School Track Meet Kindergarten 8 th grade 12 th Annual Kindergarten 8 th grade Bethel Lutheran School their hosting the 12th annual youth track meet track held at Cupertino High School on May 18th. The meet is open to all runners of all abilities.

More information

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program!

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! Greetings! Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! These waiver forms must be completed and submitted in order for your application

More information