Sequoia Middle School Incoming 6th Grade Summer Camp

Sequoia Middle School Incoming 6th Grade Summer Camp

Sequoia Middle School
Incoming 6th Grade Summer Camp
August 18, 2014
9:00 AM - 11:30 AM (8:45 AM Check-in)
Pizza lunch and Sequoia Spirit Shirt included!
Meet new friends and reunite with old friends! Learn all about Sequoia!
Registration Information:
Registration is available by submitting the form below to the front office before June 20th or between
August 4 to August 14. DUE TO LIMITED SPACE, LATE REGISTRATION WILL NOT BE ACCEPTED.
$20/student before June 20, 2014
$25/student August 4, 2014 – August 14, 2014
Please contact Martin Nichols, Dean of Students, with questions
(805) 498-3617 x1009 or [email protected]
-------------------------------------------------------------------------------------------------------------I will be attending Sequoia’s Incoming 6th Grade Summer Camp on Monday, August 18.
Cash or check made payable to “Sequoia Middle School ASB” is enclosed.
Please print neatly.
Student Name: __________________________________________________________________
Address: ______________________________________________________________________
Elementary School attended: _______________________________________________________
Parent/Guardian name: ____________________________________________________________
Parent/Guardian phone number and e-mail address: _______________________________________
_____________________________________________________________________________
Health Issues: __________________________________________________________________
Shirt Size (Please circle one):
Youth Large
Small
Medium
Large
Extra Large
Escuela Intermedia Sequoia
“Entrando a 6to Grado” Summer Camp
18 de Agosto, 2014
9:00 AM - 11:30 AM (entrada 8:45 AM)
Pizza lunch y Franela de Sequoia incluida!
Conoce nuevos amigos y reúnete con tus viejos amigos! Aprende todo acerca de Sequoia!
Informacion para Registrarse:
Inscripción estará disponible en Sequoia O puede llenar esta forma y entregarla en la oficina antes del
20 de Junio de 2014 o entre el 4 y el 14 de agosto de 2014.
$20/ antes del 20 de Junio, 2014
$25/ entre el 4 y el 14 de agosto, 2014
Para preguntas por favor contacte a el Sr. Martin Nichols, Decano,
al (805) 498-3617 x1009 o vía email [email protected]
-------------------------------------------------------------------------------------------------------------Quiero participar en el Summer Camp de Sequoia “Entrando a 6to Grado” el lunes 18 de Agosto.
Anexo efectivo o cheque a nombre de “Sequoia Middle School ASB”.
Por favor escriba claro.
Nombre del estudiante: ____________________________________________________________
Dirección: _____________________________________________________________________
Escuela Elemental a la que asistió: ____________________________________________________
Nombre del Padre y/o Representante:__________________________________________________
Teléfono y email del Padre y/o Representante:___________________________________________
Indicación sobre salud: ____________________________________________________________
Talla de Camisa (Por favor marque con un círculo): Joven Grande, Pequeño, Medio, Grande, Extra Grande