SUMMER ART @ SWIFT CREEK MIDDLE : REGISTRATION FORM

1. SUMMER ART @ SWIFT CREEK MIDDLE : REGISTRATION FORM • Registration for Weekly ART Sessions: Summer 2012 • Name of participant _______________________ Age _____ Grade in Fall 2012 ______ • Additional participant ______________________ Age _____ Grade in Fall 2012 ______ • IDENTIFY DESIRED ART SESSION(S): • Thomson’s 2D Workshop , Thomson’s Art Explorations or McDowell’s Clay Workshop • Name & Session Dates: _______________________________________________ • Additional Sessions: _________________________________________________ • Possible alternate session _____________________________________________ • Name of Parent /Guardian ________________________________________________ • Address ______________________________________________ Zip____________ • Email _______________________________________________________________ • Phone # ________________________ Cell/ Work# _____________________________ • Person to contact in case of an Emergency _____________________________________ Phone# ____________________________ • Please email me information regarding your child’s allergies/ special medical problems and/ or any other information you would like me know about your child. • Please make checks payable to: LCS (Leon County Schools) FEES: Clay Workshops w/ McDowell ~ $110 per session 2D Art Workshops w/ Thomson ~ $90 per session Art Explorations w/ Thomson ~ $45 per session • Class size: Minimum of 5; Maximum of 15 •                     ** Due to the length of each class and the level of skill needed for the workshops, we request that students participating the workshops be at least 9 years of age. We will consider 8 year olds only if minimum attendance in class is not met. ** • Please return this form and payment to reserve your space. You will receive confirmation of your registration by email. Checks payable to LCS (Leon County Schools) • Registration/ payment can be dropped off at Buck Lake Elementary (Office hrs: 7am- 5pm M-TH) • or mailed to Buck Lake Elementary, Attn: Sonia McDowell,1600 Pedrick Road, Tallahassee, FL 32317 • For any questions, please call or email me at mcdowells@leonschools.net or • call 850.320.5548. Email is the best way to communicate with me.