Summer Camp - 2011 Arts & Humanities Program
Sponsored by Marion County Arts & Humanities
Council and Marion County Youth Services Center.
July 11-15, 2011 Daily 9:30 am - 1:00 pm
For Grades 3-8 (as of fall 2011)
No Transportation Provided
FREE Lunch daily. Cost: $10/student (covers camp and T-shirts)
Return money with application. Scholarships available - contact YSC # 692-3517 and leave a message with your name & phone #.
MARK your First, Second, Third choice for class preference
___ Drumming/technology (photography manipulation)
Held at Lebanon Middle School
___ Jewelry and dance/fine arts - 7 crafts
Held at Lebanon Middle School
___ Art of Growing and Preparing Food
Held at Marion County Extension Office/provided by Marion Co. Cooperative Ext. Service
Each selection provides a morning and afternoon class. You are NOT guaranteed your 1st choice unless you're one of the first 30 students to return the permission form to school.
Student Name________________________________________ Age______ Grade in Fall 2011
Address_______________________________________ Phone__________________________
I give my permission for my child to be photographed/video taped for the public to view.
Parent/guardian Name ________________________ / ____________________________ Date_______________
Print signature
Allergies or medication _______________________________ T-shirt size- Youth M L Adult M L XL
Emergency Phone ___________________________________/contact_________________________________
Please return APPLICATIONS to your child's school (front office) or mail to PO Box 1029, Lebanon, KY 40033.