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
classes@trailheadkids.org
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
classes@trailheadkids.org
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
classes@trailheadkids.org
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
classes@trailheadkids.org
P.O. Box 1508 Crested Butte CO 81224