summercampregform

Virginia Discovery Museum

Summer Mini-Camp 2008 Registration Form

Check off my choices!		Member	Nonmember
______	Art Adventures! Camp I FULL June 9 – 11, Ages 4-6	$80	$100
________	Art Adventures! Camp II June 16-18, Ages 6-8	$80	$100
______	Ancient Egypt! Camp I FULL June 23-25, Ages 4-6	$80	$100
______	Ancient Egypt! Camp II June 30 – July 2, Ages 6-8	$80	$100
______	Astronomy! July 7-9, Ages 8-10	$80	$100
______	Summer Science Fun! Camp I July 14-16, Ages 4-6 FULL	$80	$100
______	Summer Science Fun! Camp II July 21-23, Ages 6-8 FULL	$80	$100
Total _________

Child’s Name _______________________________________ Child’s Age ______

Adult’s Name _______________________________________ Member: Yes No

Address_____________________________________________________________

Phone ________________________ Email______________________________

Credit Card #_________________________________

Exp. date ______________ VCode_______________

Signature____________________________________

Check off my choices!