Teaching the Monart method since 1992                                                                                                              858.259.7154

Camp Release Form

__________________        > PRINT VERSION <

 

* Camp:

* Age Group:

* Student Name(s): * Age(s):

* Primary Phone:  Secondary Phone:

* Email Address:

* Mailing Address:

 

(By typing my full name below, I hereby consent for my child to attend Monart summer camp)

*

 

* (check one):  PAYMENT MUST BE ARRANGED IN ORDER TO SECURE A SPOT

pay by check  (make checks payable to "Monart" for amount listed on flyer)

pay by credit card  (fill out card info below  or  call in your card with the office)

       Name: (as it appears on card)

       Card #  Exp.  Total $

       Comments:

                           * Required Fields