SUMMER ARTS THEATRE! CAMP 2015 The Southern Kentucky Performing Arts Center (SKyPAC) is excited to partner with the Missoula Children s Theatre for two funfilled weeks of summer camp! WHEN Sleeping Beauty June 22-27, 2015 Schedule for the week: Monday - Thursday from 10:00AM - 4:00PM Friday and Saturday - Times TBA *Week concludes with performances. A complete detailed schedule will be provided at the beginning of camp. Aladdin July 13-18, 2015 Schedule for the week: Monday - Thursday from 10:00AM - 4:00PM Friday and Saturday - Times TBA *Week concludes with performances. A complete detailed schedule will be provided at the beginning of camp HOW TO REGISTER Visit TheSKyPAC.com to download your application today or contact Education Associate,Tiffany Deaton, by phone at 270-904-7009 or tdeaton@theskypac.com Missoula Children s Theatre, one of the country s leaders in youth theatre education, will be at SKyPAC for two separate week-long sessions. Set up in a camp-like structure, participants will audition, rehearse, and perform in a fulllength production. Every camper will be cast in a role or be an assistant director for the performance. When campers are not in rehearsal they will participate in theatre games and activities concentrating on developing core theatrical skills such as: acting, singing, dancing, teamwork, and building self-confidence. WHO Rising Grades 1 ST -12 TH WHERE SKyPAC 601 College Street Bowling Green, KY 42101 PRICING Early Bird Registration: $175.00 (Before May 1, 2015) Regular Registration: $200.00 (After May 1, 2015) MORE DETAILS ON THE FLIP SIDE The Kentucky Arts Council, the state arts agency, provides operating support to the Southern Kentucky Performing Arts Foundation, Inc. with state tax dollars and federal funding from the National Endowment for the Arts.
SYNOPSIS SLEEPING BEAUTY June 22-27, 2015 An original adaptation of the classic fairy tale. A new princess is born, and from far and wide the people of the kingdom gather to celebrate. One simple mistake is made - an invitation is misplaced - and the wrath of the vicious Scarella falls upon the poor infant in the form of a spell. Sleeping Beauty is now destined to sleep for eternity if she should prick her finger on a spindle before she reaches her sixteenth birthday. Sleeping Beauty s Fairy Godmothers do their best to amend the spell, but Scarella, with the help of some nasty Trolls, tricks Sleeping Beauty into pricking her finger and the spell takes effect. Five hundred years pass, and Sleeping Beauty wakes to find herself in a Rock n Roll dream! Also featured in this production are the King and the Queen, Spot, the Fairies, the Palace Attendants, and the Caterpillars. SLEEPING BEAUTY--a Rock n Roll Fable for the ages. This is definitely no sleeper! SYNOPSIS ALADDIN July 13-18, 2015 For Aladdin it s not easy to find a magic lamp but it s even harder to get a date! It s a swirling sandstorm of famous Arabian Tales from Ali Baba to Scheherazade, and even Sinbad the Sailor, as Aladdin journeys to find a magic lamp in a Cave of (not-so-great) Wonders. Along his way Aladdin seeks answers and advice from wise Genies, a powerful Sultan, and his own Mother to find a way to meet the Princess. However, even with the lamp in hand, Aladdin will have to learn that it takes more than a wish to make a good impression. Full of memorable characters, from lost Penguins to talking Palm Trees, this is an adventure worthy of 1001 laughs. Pricing Details: The pre-registration fee is $175.00* per week if you register before May 1, 2015. If you register after May 1, 2015 the fee is $200.00. Fees include the full week of camp and 2 adult tickets to the performance. Space is limited to 60 campers per week so be sure to register now for this exciting opportunity! T-shirts will be available for $15 each per camper through MCT. *A limited number of scholarships are available. For more information about scholarships please contact SKyPAC s Education Associate, Tiffany Deaton, at (270) 904-7009 or send an email to tdeaton@theskypac.com. Age Ranges and Prerequisites: SKyPAC s curriculum is developmentally appropriate with classes delineated by age. Advanced classes may require previous experience. Please check with SKyPAC before enrolling. Please observe those recommendations to ensure your student s success as well as that of the entire class. The SKyPAC staff pays special attention to make sure that students are in the appropriate level and will work individually to ensure the best success for every student no matter the age or skill level. Any concerns or questions about the correct camp for your camper should be directed to SKyPAC Education Director, Zac Bush, at zbush@theskypac.com or (270) 904-5016. Camp Size: We limit camp size to provide quality instruction. Session sizes typically range from camp to camp. Larger classes will work with multiple teaching artists. Instructors: Instructors are professional teaching artists and actors. Drop-off/Pick-up Information: Missoula Children s Theatre campers need to be dropped off and picked up at the SKyPAC main entrance located at 601 College Street. Campers must sign-in every morning and a parent or guardian must sign them out at the end of each day. If someone other than a parent or guardian is picking them up, campers must have a note with them informing the staff. Attendance & Lunch: All rehearsals and performances are MANDATORY. Campers unable to attend all rehearsals may not be able to participate in the final performance. Campers who will be staying all day need to bring their own sack lunch (no refrigerator or microwave available). It is also recommended that all campers bring a water bottle labeled with their full name and at least one nutritious snack. Clothes, Shoes & Electronic Devices: Campers need to wear comfortable clothing. If a camper must wear a skirt there MUST be shorts or leggings worn underneath. Campers must also wear closed-toed shoes. Please, NO FLIP FLOPS. Please leave all electronic devices at home. Parents, if your camper is required to carry a cell phone, it MUST be on silent during all rehearsals, classes and performances. Confirmations: Enrollment will be confirmed by email. Additional camp information will be sent to your email address 2 weeks prior to the session for which you are enrolled or, if enrolled week of or day of you will be provided all information at that time. Cancellations: SKyPAC will issue a refund for cancellations made at least two weeks prior to the first day of class less a mandatory $50.00 cancellation fee. Within two weeks of a class, there will be no refunds. Tax Information: If you are using camp in place of your regular day-care provider and would like credit for your taxes, please contact SKyPAC CFO Becky Furbush for the tax ID number at bfurbush@theskypac.com
SUMMER ARTS MAGIC CAMP 2015 International Magician of the Year, Kevin Spencer, teaches campers how to perform incredible magic tricks with everyday objects. This week-long, half-day camp combines learning magic tricks with storytelling, music, theatre and creative movement. Through the art of magic, campers will explore their curiosity, develop their magical creativity, and discover new confidence. Campers will learn to perform tricks using ropes, cards, rubber bands, paper clips, and how to create a big illusion. Campers will also learn how to select music and write a script to go along with their tricks. When camp concludes at the end of the week, campers will perform a live show for family and friends that is sure to baffle and amaze them all! WHEN Magic Camp with Kevin Spencer July 27-31, 2015 Schedule for the week: Morning Session (Ages 8-10): 9:00AM - 12:00PM Afternoon Session (Ages 11-16): 2:00PM - 5:00PM *Camp size is limited to 20 campers to provide quality instruction. See back of this form for wait list details. HOW TO REGISTER Visit TheSKyPAC.com to download your application today or contact Education Associate,Tiffany Deaton, by phone at 270-904-7009 or tdeaton@theskypac.com WHO Ages 8-16 WHERE SKyPAC 601 College Street Bowling Green, KY 42101 PRICING Early Bird Registration: $150.00 (Before May 1, 2015) Regular Registration: $175.00 (After May 1, 2015) MORE DETAILS ON THE FLIP SIDE The Kentucky Arts Council, the state arts agency, provides operating support to the Southern Kentucky Performing Arts Foundation, Inc. with state tax dollars and federal funding from the National Endowment for the Arts.
MAGIC CAMP INSTRUCTOR: Kevin Spencer is an educator, researcher, writer, and artist. He believes in the power of the arts to make a difference in people s lives. Spencer is widely considered the leading authority on the therapeutic use of magic tricks in physical and psychosocial rehabilitation. He is the founder of the HEALING OF MAGIC program, a systematic approach to integrating magic tricks into rehabilitation therapy. His continuing education organization has the Approved Provider Status of the American Occupational Therapy Association (AOTA). Spencer is an Education Researcher who is engaged in the study of the benefits of arts integration in the learning process of children, including those considered at-risk and with learning challenges. His groundbreaking research has been published in two leading education journals: the Journal of the International Association of Special Education (July 2012) and the Journal of the International Society for Teacher Education (December 2012). He is the founder of the HOCUS FOCUS project and the author of an 11-week, magic trick based curriculum with activities that align to National and Common Core State Standards of Learning. Spencer has his Certification in Autism Studies and is in the process of receiving his certification as a Qualified Autism Services Practitioner. Spencer performs with his wife, Cindy, and tours internationally with one of the largest and most respected illusion productions in the world. They have performed in 19 countries on 5 continents. Pricing Details: The pre-registration fee is $150.00 per week if you register before May 1, 2015. If you register after May 1, 2015 the fee is $175.00. *A limited number of scholarships are available. For more information about scholarships please contact SKyPAC s Education Associate, Tiffany Deaton, at (270) 904-7009 or send an email to tdeaton@theskypac. com. Camp Size: Camp size is limited to 20 students to provide quality instruction. If one of our sessions is full, your child can be placed on a waiting list. There is no fee for being on the waiting list, nor is any credit card information required. If a spot becomes available, the waiting list is called. You can accept or decline the offer with no penalty. Your name will stay on the waiting list until the day that session begins. * Cancellations are unknown and unpredictable events that occur at any time up to and including the first day at camp. Drop-off/Pick-up Information: Campers need to be dropped off and picked up at the SKyPAC main entrance at 601 College Street. Campers must sign in every morning and a parent or guardian must sign them out at the end of each session. If someone other than a parent or guardian is picking them up, campers must have a note with them informing the staff. Attendance & SNACK: It is important for Campers to be present at all sessions of camp. If any sessions are missed, Campers may not be able to participate in the final performance. It is also recommended all Campers bring a water bottle labeled with their full name and at least one nutritious snack. Clothes, Shoes & Electronic Devices: Campers need to wear comfortable clothing and closed-toed shoes (no flip-flops). If a skirt or dress is worn, there must be shorts or leggings underneath. Please leave all electronic devices at home. Parents, if your Campers need to carry a cell phone, it MUST be silenced during sessions and the performance. Confirmations: Enrollment will be confirmed by email. Additional camp information will be sent to your email address 2 weeks prior to the session that you are enrolled or, if enrolled week of or day of you will be provided all information at that time. Cancellations: SKyPAC will issue a refund for cancellations made at least two weeks prior to the first day of class less a mandatory $50.00 cancellation fee. Within two weeks of a class, there will be no refunds. Tax Information: If you are using camp in place of your regular day-care provider and would like credit for your taxes, please contact SKyPAC CFO Becky Furbush for the tax ID number at bfurbush@theskypac.com For More Information or to register: For registration information, contact Tiffany Deaton, Education Associate, at (270) 904-7009 or tdeaton@theskypac.com. Any concerns or questions about camp should be directed towards SKyPAC Education Director, Zac Bush, by phone at (270) 904-5016 or email at zbush@theskypac.com
SUMMER ARTS PAPER WORKS CAMP 2015 In the PaperWorks visual art camp, campers will explore a variety of visual art techniques using paper as the primary medium. Campers will discover new ways to create art, while also learning about famous artists throughout history who inspired each activity. WHEN July 6-10, 2015 Schedule for the week: Monday - Friday 8:30AM - 12:00PM WHAT WILL I DO? Paper Mache Animals Collage Block Printing Recycled Magazine Art And More! HOW TO REGISTER Visit TheSKyPAC.com to download your application today or contact Education Associate,Tiffany Deaton, by phone at 270-904-7009 or tdeaton@theskypac.com WHAT DO I GET? A chance to create your very own art MASTERPIECE! WHO Ages 8-18 WHERE Capitol Arts Center Houchens Gallery 416 East Main Street, Bowling Green, KY PRICING Early Bird Registration: $150.00 (Before May 1, 2015) Regular Registration: $175.00 (After May 1, 2015) Registration fee includes basic art supplies for week s activities. MORE DETAILS ON THE FLIP SIDE The Kentucky Arts Council, the state arts agency, provides operating support to the Southern Kentucky Performing Arts Foundation, Inc. with state tax dollars and federal funding from the National Endowment for the Arts.
PAPERWORKS INSTRUCTOR: SKyPAC Gallery Director and professional artist, Jessica Snodgrass Kem, will teach this year s visual arts summer camps. Jessica not only manages the galleries at SKyPAC, but is also the Marketing Manager for the center. She is a graduate from the Atlanta College of Art & Design where she received a Bachelor of Fine Arts degree in sculpture. Pricing Details: The pre-registration fee is $150.00 per week if you register before May 1, 2015. If you register after May 1, 2015 the fee is $175.00. Registration fee includes basic art supplies for the week s activities. *A limited number of scholarships are available. For more information about scholarships please contact SKyPAC s Education Associate, Tiffany Deaton, at (270) 904-7009 or send an email to tdeaton@theskypac.com. Camp Size: Camp size is limited to 15 students to provide quality instruction. If one of our sessions is full, your child can be placed on a waiting list. There is no fee for being on the waiting list, nor is any credit card information required. If a spot becomes available, the waiting list is called. You can accept or decline the offer with no penalty. Your name will stay on the waiting list until the day that session begins. *Cancellations are unknown and unpredictable events that occur at any time up to and including the first day at camp. Drop-off/Pick-up Information: Campers need to be dropped off and picked up at the Capitol Arts Center. Campers must sign in every morning and a parent or guardian must sign them out at the end of each session. If someone other than a parent or guardian is picking them up, campers must have a note with them informing the staff. Attendance & SNACK: It is important for Campers to be present at all sessions of camp. It is also recommended all Campers bring a water bottle labeled with their full name and at least one nutritious snack. Clothes, Shoes & Electronic Device: Wear clothes that can get messy! Campers will be working with various paints and other media that may stain clothing. Campers need to wear comfortable clothing and closed-toed shoes (no flip-flops). If a skirt or dress is worn, there must be shorts or leggings underneath. Please leave all electronic devices at home. Parents, if your Campers need to carry a cell phone, it MUST be silenced during sessions. Confirmations: Enrollment will be confirmed by email. Additional camp information will be sent to your email address 2 weeks prior to the session that you are enrolled or, if enrolled week of or day of you will be provided all information at that time. Cancellations: SKyPAC will issue a refund for cancellations made at least two weeks prior to the first day of class less a mandatory $50.00 cancellation fee. Within two weeks of a class, there will be no refunds. Tax Information: If you are using camp in place of your regular day-care provider and would like credit for your taxes, please contact SKyPAC CFO Becky Furbush for the tax ID number at bfurbush@theskypac.com For More Information or to register: For registration information, contact Tiffany Deaton, Education Associate, at (270) 904-7009 or tdeaton@theskypac.com. Any concerns or questions about camp should be directed towards SKyPAC Gallery Director, Jessica Snodgrass Kem, by phone at (270) 904-5001 or email at jkem@theskypac.com
SUMMER ARTS MIXED WORKS CAMP 2015 In the MixedWorks visual art camp, campers will explore a variety of visual art mediums and techniques using pastels, paint, paper, cardboard, recycled objects, and more! Campers will discover new ways to create art, while also learning about famous artists throughout history who inspired each activity. WHEN July 20-24, 2015 Schedule for the week: Monday - Friday 8:30AM - 12:00PM WHAT WILL I DO? Abstract Painting Masterpiece Mosaic Art Journal Collaborative Mural And More! HOW TO REGISTER Visit TheSKyPAC.com to download your application today or contact Education Associate,Tiffany Deaton, by phone at 270-904-7009 or tdeaton@theskypac.com WHAT DO I GET? A chance to create your very own art MASTERPIECE! WHO Ages 8-18 WHERE Capitol Arts Center Houchens Gallery 416 East Main Street, Bowling Green, KY PRICING Early Bird Registration: $150.00 (Before May 1, 2015) Regular Registration: $175.00 (After May 1, 2015) Registration fee includes basic art supplies for week s activities. MORE DETAILS ON THE FLIP SIDE The Kentucky Arts Council, the state arts agency, provides operating support to the Southern Kentucky Performing Arts Foundation, Inc. with state tax dollars and federal funding from the National Endowment for the Arts.
MixedWORKS INSTRUCTOR: SKyPAC Gallery Director and professional artist, Jessica Snodgrass Kem, will teach this year s visual arts summer camps. Jessica not only manages the galleries at SKyPAC, but is also the Marketing Manager for the center. She is a graduate from the Atlanta College of Art & Design where she received a Bachelor of Fine Arts degree in sculpture. Pricing Details: The pre-registration fee is $150.00 per week if you register before May 1, 2015. If you register after May 1, 2015 the fee is $175.00. Registration fee includes basic art supplies for the week s activities. *A limited number of scholarships are available. For more information about scholarships please contact SKyPAC s Education Associate, Tiffany Deaton, at (270) 904-7009 or send an email to tdeaton@theskypac.com. Camp Size: Camp size is limited to 15 students to provide quality instruction. If one of our sessions is full, your child can be placed on a waiting list. There is no fee for being on the waiting list, nor is any credit card information required. If a spot becomes available, the waiting list is called. You can accept or decline the offer with no penalty. Your name will stay on the waiting list until the day that session begins. *Cancellations are unknown and unpredictable events that occur at any time up to and including the first day at camp. Drop-off/Pick-up Information: Campers need to be dropped off and picked up at the Capitol Arts Center. Campers must sign in every morning and a parent or guardian must sign them out at the end of each session. If someone other than a parent or guardian is picking them up, campers must have a note with them informing the staff. Attendance & SNACK: It is important for Campers to be present at all sessions of camp. It is also recommended all Campers bring a water bottle labeled with their full name and at least one nutritious snack. Clothes, Shoes & Electronic Device: Wear clothes that can get messy! Campers will be working with various paints and other media that may stain clothing. Campers need to wear comfortable clothing and closed-toed shoes (no flip-flops). If a skirt or dress is worn, there must be shorts or leggings underneath. Please leave all electronic devices at home. Parents, if your Campers need to carry a cell phone, it MUST be silenced during sessions. Confirmations: Enrollment will be confirmed by email. Additional camp information will be sent to your email address 2 weeks prior to the session that you are enrolled or, if enrolled week of or day of you will be provided all information at that time. Cancellations: SKyPAC will issue a refund for cancellations made at least two weeks prior to the first day of class less a mandatory $50.00 cancellation fee. Within two weeks of a class, there will be no refunds. Tax Information: If you are using camp in place of your regular day-care provider and would like credit for your taxes, please contact SKyPAC CFO Becky Furbush for the tax ID number at bfurbush@theskypac.com For More Information or to register: For registration information, contact Tiffany Deaton, Education Associate, at (270) 904-7009 or tdeaton@theskypac.com. Any concerns or questions about camp should be directed towards SKyPAC Gallery Director, Jessica Snodgrass Kem, by phone at (270) 904-5001 or email at jkem@theskypac.com
SUMMER ARTS clay WORKS CAMP 2015 In the ClayWorks visual art camp, campers will explore clay as a form of art. Campers will create a variety of clay projects throughout the week using traditional hand buidling techniques. WHEN July 20-24, 2015 Schedule for the week: Monday - Friday 1:30PM - 5:30PM WHAT WILL I DO? Coil Pot Ceramic Tile Fantacy Animal Sculpture And More! HOW TO REGISTER Visit TheSKyPAC.com to download your application today or contact Education Associate,Tiffany Deaton, by phone at 270-904-7009 or tdeaton@theskypac.com WHAT DO I GET? A chance to create your very own art MASTERPIECE! WHO Ages 8-18 WHERE Capitol Arts Center Houchens Gallery 416 East Main Street, Bowling Green, KY PRICING Early Bird Registration: $150.00 (Before May 1, 2015) Regular Registration: $175.00 (After May 1, 2015) Registration fee includes basic art supplies for week s activities. MORE DETAILS ON THE FLIP SIDE The Kentucky Arts Council, the state arts agency, provides operating support to the Southern Kentucky Performing Arts Foundation, Inc. with state tax dollars and federal funding from the National Endowment for the Arts.
CLAYWORKS INSTRUCTOR: SKyPAC Gallery Director and professional artist, Jessica Snodgrass Kem, will teach this year s visual arts summer camps. Jessica not only manages the galleries at SKyPAC, but is also the Marketing Manager for the center. She is a graduate from the Atlanta College of Art & Design where she received a Bachelor of Fine Arts degree in sculpture. Pricing Details: The pre-registration fee is $150.00 per week if you register before May 1, 2015. If you register after May 1, 2015 the fee is $175.00. Registration fee includes basic art supplies for the week s activities. *A limited number of scholarships are available. For more information about scholarships please contact SKyPAC s Education Associate, Tiffany Deaton, at (270) 904-7009 or send an email to tdeaton@theskypac.com. Camp Size: Camp size is limited to 15 students to provide quality instruction. If one of our sessions is full, your child can be placed on a waiting list. There is no fee for being on the waiting list, nor is any credit card information required. If a spot becomes available, the waiting list is called. You can accept or decline the offer with no penalty. Your name will stay on the waiting list until the day that session begins. *Cancellations are unknown and unpredictable events that occur at any time up to and including the first day at camp. Drop-off/Pick-up Information: Campers need to be dropped off and picked up at the Capitol Arts Center. Campers must sign in every morning and a parent or guardian must sign them out at the end of each session. If someone other than a parent or guardian is picking them up, campers must have a note with them informing the staff. Attendance & SNACK: It is important for Campers to be present at all sessions of camp. It is also recommended all Campers bring a water bottle labeled with their full name and at least one nutritious snack. Clothes, Shoes & Electronic Device: Wear clothes that can get messy! Campers will be working with various paints and other media that may stain clothing. Campers need to wear comfortable clothing and closed-toed shoes (no flip-flops). If a skirt or dress is worn, there must be shorts or leggings underneath. Please leave all electronic devices at home. Parents, if your Campers need to carry a cell phone, it MUST be silenced during sessions. Confirmations: Enrollment will be confirmed by email. Additional camp information will be sent to your email address 2 weeks prior to the session that you are enrolled or, if enrolled week of or day of you will be provided all information at that time. Cancellations: SKyPAC will issue a refund for cancellations made at least two weeks prior to the first day of class less a mandatory $50.00 cancellation fee. Within two weeks of a class, there will be no refunds. Tax Information: If you are using camp in place of your regular day-care provider and would like credit for your taxes, please contact SKyPAC CFO Becky Furbush for the tax ID number at bfurbush@theskypac.com For More Information or to register: For registration information, contact Tiffany Deaton, Education Associate, at (270) 904-7009 or tdeaton@theskypac.com. Any concerns or questions about camp should be directed towards SKyPAC Gallery Director, Jessica Snodgrass Kem, by phone at (270) 904-5001 or email at jkem@theskypac.com
2015 SUMMER CAMP CAMPER/PARENT CONTRACT Please read this with your child in order for you both to understand what is expected during Summer Arts Camp. Campers are expected to be in attendance every day, on time, and to fully participate in all activities. Campers are to treat all instructors, guest instructors & performers, and staff with respect. If disrespectful or disruptive behavior becomes a problem, he/she will be referred to the Youth Theater Associate. If the behavior continues, he/she may be removed from the program. Campers may not bring any toys, electronic devices or other personal items that may distract from the daily camp activities. Cell phone use and texting is NOT allowed during classes, rehearsals or performances. There is a zero tolerance policy in regards to possession of weapons, drugs or alcohol. Anyone in violation of this policy will be immediately removed from the program. All information provided is accurate and correct. I am the parent or legal guardian of the named participant in this program. I understand that it is my obligation to have health and accident insurance for my child/ward while they are participating in this program. PHOTO/VIDEO RELEASE AND CONSENT Initialing in the blank to the left, I grant permission for the use of any photos or video footage taken of my child for publications and documentation. MEDICAL CONSENT I do hereby grant permission for to participate in the Southern Kentucky Performing Arts Center summer camp. I understand and agree that neither the Southern Kentucky Performing Arts Center, the staff thereof, nor the owners of the premises shall be held responsible or liable for any injury or occurrence regarding my child. I hereby release, hold harmless and forever discharge the entities listed in the previous sentence and their agents from any and all liability for any personal or medical injury, claims incurred or occurrence incurred while or arising as a result of attending or participating. In case of emergency, I also grant my permission for my child to receive medical treatment as deemed appropriate by the staff or agents of the Southern Kentucky Performing Arts Center according to their best judgment during my absence or if I am unable to be contacted. My child/ward and I have read and understand the above policies. If any of the information mentioned above becomes grounds for dismissal, my child/ward may be removed from the program and fees will not be refunded. Camper Signature: Parent/Guardian Signature: Date: Date: CLICK www.theskypac.com CALL 270.904.5000 VISIT 601 College Street, Bowling Green, KY 42101
SKyPAC 2015 SUMMER CAMP REGISTRATION FORM Please complete a separate form for each camper. Student s Name: Age: Grade (Going Into): Date of Birth: Parents/Guardian: Address: City: State: Zip: Primary Phone: Secondary Phone: E-mail: EMERGENCY CONTACT INFORMATION (Required) Name: Physician s Name: Phone: Phone: CAMPS Space is limited. Please sign up to reserve your spot as soon as possible. Please choose the camp your child would like to attend by checking the box(es) below and write your total in the space provided. MISSOULA SUMMER CAMPS: GRADES 1 ST - 12 TH CAMP DATES CAMP NAME PRICE TOTAL WEEK 1: JUNE 22-27 WEEK 2: JULY 13-18 Sleeping Beauty Aladdin $175 ($200 after May 1 st ) $175 ($200 after May 1 st ) OTHER SUMMER CAMPS: AGES 8-18 TOTAL: $ Total price for camp(s) here. CAMP DATES CAMP NAME PRICE TOTAL JULY 6-10 (MORNING) JULY 20-24 (MORNING) JULY 20-24 (AFTERNOON) JULY 27-31(MORNING) JULY 27-31 (AFTERNOON) PaperWorks Visual Arts Camp MixedWorks Visual Arts Camp ClayWorks Visual Arts Camp Magic Camp (Ages 8-10) Magic Camp (Ages 11-16) $150 ($175 after May 1 st ) $150 ($175 after May 1 st ) $150 ($175 after May 1 st ) $150 ($175 after May 1 st ) $150 ($175 after May 1 st ) TOTAL: $ Total price for workshop(s) here. PAYMENT INFORMATION (Required) Camp registration and payment may be dropped off at the SKyPAC Administration Office located at 601 College Street or you may send it by mail to: The SKyPAC Attention: Tiffany Deaton, P.O. Box 748, Bowling Green, KY 42102 Check #: Credit Card #: Name on Card: Billing Address: Authorized Signature: Please make payable to SKyPAC. Add the totals from above and fill in here. GRAND TOTAL: $ Exp. Date: Security Code: