Week 9 August Sports Foot Golf, Elevated Sportz, Ice Skating, Mini-Golf & Driving Range, Campers Choice

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1 Week 1 June Hittin the Trail Rattlesnake Ridge, Ballard Locks/Discovery Park, Franklin Falls, Cherry Creek Falls, Campers Choice Week 2 June 27-July 1 Farms and Beasts Woodland Park Zoo, Bryant Blueberry Farm, Point Defiance Zoo, PAWS, Campers Choice Week 3 July 5-8 (no camp 7/4) Movies & Gaming King 5 Tour, IMAX Movie and PSC, Microsoft Tour, Campers Choice Week 4 July Beaches and Waterfront Juanita Beach, St. Edwards Park, Picnic Point Beach, Golden Gardens Park, Campers Choice Week 5 July Seattle Team Sports YMCA Ropes Challenge Course, Everett Aquasox Game, UW Athletic Tour, Century Link Field Tour, Campers Choice Week 6 July Out & About Seattle Ferris Wheel, Fremont Troll and Greenlake, Museum of Flight, Yost Pool and Edmonds, Campers Choice Week 7 August 1-5 Gettin Around Community Transit to Seattle, Traxx Racing, River Rafting on Upper Skagit, Ferry to Kingston, Campers Choice Week 8 August 8-12 Downtown Seattle MOHAI Museum, Seattle Center & Monorail, Seattle Underground Tour, Aquarium & Pike Place Market, Campers Choice th Ave W (425) Week 9 August Sports Foot Golf, Elevated Sportz, Ice Skating, Mini-Golf & Driving Range, Campers Choice Week 10 August Soakin Wet Jetty Island, Juanita Beach, Birch Bay Waterslides, Golden Gardens Beach Park, Camp BBQ & Swimming

2 JUNE Team Brighton Sunday Monday Tuesday Wednesday Thursday Friday Week 1 Hittin' The Trail Rattlesnake Ridge Ballard Locks/Discovery Park Franklin Falls Cherry Creek Falls Week 2 Farms & Beasts Woodland Park Zoo Bryant Blueberry Farm Point Defiance Zoo PAWS th Ave W. (435) Fax (425) May July Notes: Field trips are subject to change.

3 JULY Team Brighton Sunday Monday Tuesday Wednesday Thursday Friday Week 3 Movies & Gaming Independence Day King 5 Tour IMAX Movie & PSC Microsoft Tour No Camp Week 4 Beaches & Waterfront Juanita Beach St. Edwards Park Picnic Point Beach Golden Gardens Week 5 Seattle Team Sports YMCA Ropes Challenge Course Everett Aquasox Baseball Game UW Athletics Tour Century Link Field Tour Week 6 Out & About Ferris Wheel & Waterfront Fremont Troll & Green Lake Museum of Flight Yost Pool and Edmonds th Ave W. (435) Fax (425) June August Notes: Field trips are subject to change.

4 Sunday Monday Tuesday Wednesday Thursday Friday Week 7 Getting Around AUGUST Team Brighton Community Transit to Seattle Traxx Racing River Rafting Upper Skagit Ferry to Kingston Week 8 Downtown Seattle MOHAI Museum Seattle Center & Monorail Seattle Underground Tour Aquarium & Pike Place Market Week 9 Sports Foot Golf Elevated Sportz Ice Skating Mini-Golf & Driving Range Week 10 Soakin' Wet Jetty Island Juanita Beach Birch Bay Waterslides Golden Gardens Camp BBQ & Swimming th Ave W. (435) Fax (425) July September Notes: Field trips are subject to change.

5 Team Brighton Camp Registration Form 1 Camper Name Birthdate Today's Date Parent/Guardian Name Grade in Fall 2016 T-Shirt Size (circle one) Circle your selections and record total at bottom. Some camps may be full. Check for availability. YM YL AS AM AL Camp Dates Team Brighton Registration Paperwork Grades 5-8 Checklist Week 1 June $300 Proof of Health Insurance Week 2 June 27 July 1 $300 Sunscreen Permission Slip Week 3 July 4-8 $240 Camp Registration Form Week 4 July $300 Payment Week 5 July $300 Submit all forms and fees to Office Week 6 July FULL Week 7 August 1 5 $300 Week 8 August 8 12 $300 Week 9 August FULLL Week 10 August FULL Sub Total Registration Fee $20 Total Deposit Minimum One Week Prepayment and Registration Fee Payment Policy: A deposit of one week camp tuition and the registration fee is required at time of enrollment to hold your reservation. The deposit will be applied to your camper's final week of camp. Weekly camp fees are due every Monday morning at drop-off for that week of camp and is subject to a $25 late fee if not received by 9 a.m. Monday. Cancellation Policy: Brighton must receive cancellation in writing at least 7 days before the date camp starts. Late Pickup Fee: Extended care closes at 5:30 p.m. A late fee of $5 per minute will be charged after 5:30 p.m. I understand and agree to the above polcies Parent/Guardian Signature th Ave. W. (425) Fax (425) For Office Use Only Check # Check payable to "" Amount:

6 Applicant Information Student Information Last Name First Name Middle Name Nickname Date of Birth Gender Home Phone Home address Name & address of previous school Dates attended Grade or Program Completed Does the student live full time with both parents? If not, please describe custody arrangement & provide documentation. Siblings (list name, date of birth and current school) Parent/Guardian Information Name Relationship to student Home address Mobile phone Work phone Home phone Driver license # and state Employer name & address Name Relationship to student Home address Mobile phone Work phone Home phone Driver license # and state Employer name & address 2016 Nobel Learning Communities, Inc. NLCI Applicant Information Page 1 of 2

7 Applicant Information Emergency Contacts & Pickup Authorization Name Authorized to pick up? Relationship Emergency Contact 1 Emergency Contact 2 Emergency Contact 3 Address Phone Alt. phone Medical Information Name of Child s Physician Physician Address Physician Phone List any allergies Additional Information Please use this space for any additional information you wish to share. Parent/Guardian Signature Parent/Guardian Signature Date Parent/Guardian Signature Date Office Use Only School # Tour Date Start Date Program / Grade School Year 2016 Nobel Learning Communities, Inc. NLCI Applicant Information Page 2 of 2

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