Trinity Episcopal School: 2010 Camp Trinity Registration

Trinity Episcopal School 3901 Bee Cave Road, Austin, TX 78746, (512)472-9525

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Camp Trinity is open to students entering grades 1-6 in Fall 2010. Please complete a separate registration for each camper.

	Camper First Name*

	Camper Last Name*

Gender*

	Male
	Female

	Date of Birth (mm/dd/yyyy)*

	Entering Grade Fall 2010*

	School Attending Fall 2010

	Address Line 1*

	Address Line 2

	City*

	Zip Code*

	Home Phone Number*

T-Shirt Size

	Youth Small
	Youth Medium
	Youth Large
	Adult Small
	Adult Medium
	Adult Large
	Adule X-Large
	Other:

Parent/Guardian 1

	First Name*

	Last Name*

	Office Phone*

	Mobile Phone*

	E-Mail Address*

Parent/Guardian 2

	First Name*

	Last Name*

	Office Phone*

	Mobile Phone*

	E-Mail Address*

Emergency Contact

	Relationship*

	Name*

	Phone*

	E-Mail Address

Authorized Pickup

	Relationship

	Name

	Phone

	E-Mail Address

Health Information

	Physician Name*

	Physician Phone*

	Insurance Name*

	Insurance Policy Number*

	Please List Allergies

Other Medical Considerations

	Yes
	No

If yes, please complete and submit medical information in writing with your payment.

Camp Trinity Course Selection

Session 1 -- June 7-11 -- Morning 9:00-12:00*

	Krazy Krafts Grades 1-5, $210
	Golden Guitars Grades 1-4, $210
	Fiesta Time!! Grades 1-3, $210
	Trinity's Mystical, Magical School Bus Grades 1-5, $215
	Fun in the Sun Sports Grades 1-5, $200 (WAIT LIST ONLY)
	Jewelry Making Grades 1-4, $210
	Engineering, Catapults, Bridges and More Grades 3-6, $205
	Not Attending

Session 1 -- June 7-11 -- Afternoon 1:00-4:00*

	Chez Gourmet Grades 1-3, $215
	Engineering, Catapults, Bridges and More Grades 3-6, $205
	Show Camp! Grades 1-5, $205
	Crafty Science Grades 2-4, $220
	Stop Motion Animation Grades 2-6, $210
	Trinity's Mystical, Magical School Bus Grades 1-5, $215
	Hip-Hop -- Get Down and Groove, $210
	Not Attending

Session 2 -- June 14-18 -- Morning 9:00-12:00*

	Golden Guitars Grades 1-4, $210
	Fun in the Sun Sports Grades 1-5, $200
	Krazy Krafts Grades 1-5, $210
	Jewelry Making Grades 1-4, $210
	Not Attending

Session 2 -- June 14-18 -- Afternoon 1:00-4:00*

	Science Camp! Grades 1-5, $210 (WAIT LIST ONLY)
	Pretty Paper Grades 1-3, $215
	3-D Art Grades 2-5, $210
	Chez Gourmet Grades 1-3, $215
	Hip-Hop -- Get Down and Groove! Grades 1-5, $210
	Not Attending

+Lunch Option

Session 1 -- June 7-11 -- 12:00-1:00*

	Session 1 +Lunch: No charge - enrolled in both AM & PM camps in the same session
	Session 1 +Lunch: $40 - enrolled in AM or PM camp only
	Session 1 +Lunch & Sack Lunch: $35 - enrolled in both AM and PM camps in the same session
	Session 1 +Lunch & Sack Lunch: $75 - enrolled in AM or PM camp only
	Not Attending

Session 2 -- June 14-18 -- 12:00-1:00*

	Session 2 +Lunch: No charge - enrolled in both AM & PM camps in the same session
	Session 2 +Lunch: $40 - enrolled in AM or PM camp only
	Session 2 +Lunch & Sack Lunch: $35 - enrolled in both AM and PM camps in the same session
	Session 2 +Lunch & Sack Lunch: $75 - enrolled in AM or PM camp only
	Not Attending

	Check Number and Total Payment Amount

Classes are filled on a first-come, first-served basis, and all classes have limited enrollment. You will receive email confirmation that we have received your registration. Camp slots are reserved upon receipt of payment in full. A one-time $20 non-refundable deposit per camper is included in the tuition.

Notice of the addition of extra or alternative sessions and course closings or cancellations will be made as soon as this information is available, but no later than two weeks before the start of the session. If a camp is closed or canceled by Camp Trinity, you will receive a full refund including the $20 deposit.

Please make check payable to Trinity Episcopal School for the full amount and include your camper’s name in the memo section on the check. Mail payment to: 3901 Bee Cave Road, Austin, Texas 78746.

THANK YOU FOR ENROLLING IN CAMP TRINITY!

Please share with us how you found out about Camp Trinity:

	Current Trinity Family
	Friends who attend Trinity
	CampZoom.com
	Austin Family Magazine
	Westlake Picayune
	Camp Trinity instructor or coach
	Other

Please Note: Questions marked with an asterisk (*) are required.