Class Registration Form 2012 / 2013

Class Registration Form
2012 / 2013
Child’s Name: ______________________________ Parent Name: ______________________________
Weekly Classes at the Trailhead Children’s Museum
* For a detailed description of each class, please vist www.trailheadkids.org and
click on the Education tab.
Session
Age
Session 1, 6 weeks
Sept 10 – Oct 26
(No Class: 10/5
10/8 -10/12, 11/2)
5 - 8 yrs
Session 2, 6 weeks
Nov 5 – Dec 21
(No Class:
11/19 - 11/23)
5 - 8 yrs
Session 3, 6 weeks
Jan 7 – Feb 25
(No Class: 1/21
2/18 - 2/22)
5 - 12 yrs
9 - 12 yrs
Classes Offered
Time
Day
Primary Art: MIXED MEDIA AND DESIGN
3:45pm - 5pm
Focus: Design & Build Your Own Mini Tree House
Claymania!: Mexican Pottery Clay
3:45pm - 5pm
Advanced Art: Jewelry with Kelly Frimel
3:45pm - 5pm
Check boxes
of sessions
you would
like to attend
Session Price
Member Price
$
$
Total
M
Session 1
$108.
$102.
____
W
Tr
Session 1
Session 1
$108.
$108.
$102.
$102.
____
____
Primary Art: ARTISTIC CRAFT SECTION
Focus: Mosaics
Claymania!: Ceramic Bowls & Containers
Advanced Art: Speed Painting and
Graffiti with Jon Meckes
3:45pm - 5pm
M
Session 2
$108.
$102.
____
3:45pm - 5pm
3:45pm - 5pm
W
Tr
Session 2
Session 2
$108.
$108.
$102.
$102.
____
____
5 - 8 yrs
5 - 12 yrs
9 - 12 yrs
Primary Art: DRAWING Focus: TBA
Claymania!: Focus TBA
Advanced Art: Film Making with Western
State Film Department
3:45pm - 5pm
3:45pm - 5pm
3:45pm - 5pm
M
W
Tr
Session 3
Session 3
Session 3
$108.
$108.
$108.
$102.
$102.
$102.
____
____
____
Session 4, 6 weeks
Mar 4 – Apr 12
5 - 8 yrs
5 - 12 yrs
9 - 12 yrs
Primary Art: PAINTING Focus: TBA
Claymania!: Focus: TBA
Advanced Art: Focus: TBA
3:45pm - 5pm
3:45pm - 5pm
3:45pm - 5pm
M
W
Tr
Session 4
Session 4
Session 4
$108.
$108.
$108.
$102.
$102.
$102.
____
____
____
Session 5, 6 weeks
Apr 22 – Jun 3
(No Class: 5/27)
5 - 8 yrs
5 - 12 yrs
9 - 12 yrs
Primary Art: SCULPTURE Focus: TBA
Claymania!: Focus TBA
Advanced Art: Focus TBA
3:45pm - 5pm
3:45pm - 5pm
3:45pm - 5pm
M
W
Tr
Session 5
Session 5
Session 5
$108.
$108.
$108.
$102.
$102.
$102.
____
____
____
5 - 12 yrs
9 - 12 yrs
Class Prices Include the 4% Mt. Crested Butte Admissions Tax
* Drop in price for a currently running class is $20 per day.
www.trailheadkids.org
970.349.7160
[email protected]
Total: _________
P.O. Box 1508 Crested Butte CO 81224
Child’s Name: ______________________________ Parent Name: _______________________________
After School SCIENCE Club at CBCS
K-5
Tuesdays, 3:45 pm - 5 pm
Multi Purpose Room at the
Crested Butte Community School
After School ART Club at CBCS
K-5
Fridays, 3:45 pm - 5 pm
Multi Purpose Room at the
Crested Butte Community School
Little Innovators
Fridays
Half Day K:
11:30 am - 4 pm
4 and 5 year olds:
1 - 4pm
Mini Innovators
Tuesdays
3 to 5 year olds:
9 - 11 am
9/4
11/6
1/8
3/5
5/7
9/11
11/13
1/15
3/12
5/14
9/18
11/27
1/22
3/19
5/21
9/25
12/4
1/29
3/26
5/28
10/2
12/11
2/5
4/2
10/16
12/18
2/12
4/9
9/7
11/9
1/11
3/1
5/10
9/14
11/16
1/18
3/8
5/17
9/21
11/30
1/25
3/15
5/24
9/28
12/7
2/1
3/22
5/31
10/19
12/14
2/8
3/29
10/26
12/21
2/15
4/5
10/23
10/30 $12. per class
2/26
4/23
4/30
Total
Due: _________
$12. per class
4/12
4/26
Total
Due: _________
Entire Fall Session: 11 classes, 9/14 - 12/21
Half Day K
9/14, 9/21, 9/28, 10/19, 10/26, 11/9, 11/16 , 11/30, 12/7, 12/14, 12/21
$45 to drop-in
$440.
(no member price
for this already
discounted class).
Entire Fall Session: 11 classes, 9/14 - 12/21
4 and 5 Year Olds
9/14, 9/21, 9/28, 10/19, 10/26, 11/9, 11/16, 11/30, 12/7, 12/14, 12/21
$38 to drop-in
$374
$341. for Trailhead
Members.
Entire Spring Session: 18 classes, 1/11 - 5/31
Half Day K
1/11, 1/18, 1/25, 2/1, 2/8, 2/15, 3/1, 3/8, 3/15, 3/22, 3/29, 4/5, 4/12, 4/26, 5/10, 5/17, 5/24, 5/31
$45 to drop-in
$720
(no member price
for this already
discounted class).
Spring Session: 18 classes, 1/11 - 5/31
4 and 5 Year Olds
1/11, 1/18, 1/25, 2/1, 2/8, 2/15, 3/1, 3/8, 3/15, 3/22, 3/29, 4/5, 4/12, 4/26, 5/10 , 5/17, 5/24, 5/31
$38 to drop-in
$612.
$558 for Trailhead
Members.
Fall Session: 13 classes, 9/11 - 12/18
9/11, 9/18, 9/25,10/2,10/16, 10/23, 10/30, 11/6 , 11/13, 11/27, 12/4, 12/11, 12/18
$25 to Drop-In
$286.
$260 for Trailhead
Members
Spring Session: 19 classes, 1/8 - 5/28
1/8 , 1/15, 1/22, 1/29, 2/5, 2/12, 2/26, 3/5, 3/12 , 3/19, 3/26, 4/2 , 4/9, 4/23, 4/30, 5/7,
5/14, 5/21, 5/28
$25 to Drop-In
$418.
$380 for Trailhead
Members
www.trailheadkids.org
970.349.7160
[email protected]
Total
Due: _________
P.O. Box 1508 Crested Butte CO 81224
Where kids design with their minds!
Child’s Name: ______________________________ Parent Name: _______________________________
M
SCHOOL BREAK CAMPS
T
W
Th
F
10/9
10/10
10/11
10/5
10/12
Fall Break Camp
ages 5 - 12
10/8
9 am - 3 pm
CBCS Teacher Workday Camp
The Trailhead Children’s Museum
Thanksgiving Camp
* Camp has a 72 hour
cancellation policy.
Holiday Break Camp
11/2
11/19
11/20
11/21
12/31
1/1
12/26
1/2
12/27
1/3
12/28
1/4
CBCS Teacher Workday Camp
1/21
Winter Break
2/18
2/19
2/20
2/21
2/22
Spring Break Camp
4/15
4/16
4/17
4/18
4/19
CBCS Teacher Workday Camp
5/3
Total
Due: _________
* Please visit www.trailheadkids.org for more detailed information on camp themes.
Please complete registration
and mail with payment to:
PAYMENT
The Trailhead appreciates cash or check when possible.
Total Amount Due: (tax included in camp cost) ___________________________
Cash
Check Enclosed, Please make payment to the Trailhead Children’s Museum
Credit Card (Visa, MasterCard or Discover)
The Trailhead
P.O.Box 1508
Crested Butte CO 81224
For Office Use Only:
Credit Card Number ____________________________________________________
Exp. Date __________ Security Code ________ Billing Zip Code ______________
Signature _______________________________________________________________
www.trailheadkids.org
$42 per day
$40 per day for
Trailhead
Members
970.349.7160
[email protected]
google doc
paid
pp
form filed
form in binder
P.O. Box 1508 Crested Butte CO 81224
Where kids design with their minds!
Please complete registration
and mail with payment to:
Waiver
The Trailhead
P.O.Box 1508
Crested Butte CO 81224
registration
at
Child Name: ____________________________________________
D.O.B. ________________________________Age: _____________
Parents/Guardians: ______________________________________
Mailing Address: _________________________________________
Email Address: ___________________________________________
Best Phone Number to Reach You: ________________________
Emergency Contact: _____________________________________
Emergency Contact Phone: ______________________________
Food Allergies/ Health Concerns: __________________________
_________
Initials
I will not hold The Trailhead Children’s Museum liable in the event of injury or loss, except in cases of The Trailhead’s
negligence.
_________
Initials
I grant The Trailhead Children’s Museum permission to use any photograph taken of my child during programs for
promotional purposes.
_________
Initials
I understand that my child’s continued attendance at programs is contigent upon his/her willingness to abide by
The Trailhead rules.
_________
Initials
I accept personal responsibility for prompt payment of all fees when due. I understand that I may not drop my child off
at The Trailhead without payment and this form filled out completely.
_________
Initials
I understand that once I have committed to a program, if I choose to cancel a refund will not be given, except in cases
of medical or family emergencies. I have read and understand The Trailhead’s Cancellation Policy (can be downloaded
from the same page on the
Trailhead website as this registration form).
_________ I give my child permission to ride the Mountain Express Buses with camp or class during camp or class hours.
Initials
I have initialed by each statement that I am in agreement with. I understand that my child’s enrollment in these programs
is contigent upon my agreement with the above statements, except the statement regarding photographs.
Student Name: _____________________________________________
Signature of Parent: _________________________________________
Date: ______________________
Parent’s Name (please print): ________________________________
www.trailheadkids.org
970.349.7160
[email protected]
P.O. Box 1508 Crested Butte CO 81224