Oak Park Yoga

327 Chicago Ave. Oak Park, IL 60302

SUMMER ARTS AND YOGA CAMP 2008

Registration Form

Student’s Name _____________________________

Entering Grade (2008-9 school year)_______

 
 

Parent’s Name___________________________ 
 

Date and Amount of Payment __________________

(6 classes - $168, 12 classes - $312, additional classes @ $27 per class, all 18 classes - $432)

Payment Type: Check Number_________________

                         Cash Receipt Number____________

                   Charge Card (just check) ___ 
 

E-mail address____________________

Emergency phone number_____________________

Special concerns or requests________________ 
 
 

1^st – 4th Grade CAMP DATES (check chosen dates)

Week        Month Tues.        Wed  Thurs.

#1              June 10_____  11_____ 12_____ 
 

#2                       17_____  18_____ 19_____ 
 

#3                       24 ____  25_____  26_____ 
 

#4              July     1_____   2______   3_____ 
 

#5                          8_____   9______  10_____ 
 

#6                       15_____  16______  17_____