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-------------------- -2009 summer    art camp

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Text Box: HIBEL MUSEUM OF ART 2009 SUMMER ART CAMP Registration Form 561-622-5560 561-622-1380 or fax 561-622-4881 Tues - Fri. 11am to 4pm Date(s) Attending Camp (circle weeks attending) 6/8-12, 6/15-19, 6/22-26, 6/29-7/3, 7/6-10, 7/13-17, 7/20-24, 7/27-31) Child’s Name:____________________________________________________ Age:_____________ Parent’s/Guardian’s Name:___________________________________________________________ Phone:___________________________________ Alternate Phone:__________________________ Address:__________________________________________________________________________ City:___________________________________________ State:____________ ZIP:_____________ Child’s Birth Date:_______/__________/__________ Circle: Male Female A. Returning Student: Yes/No If Yes, when did student attend a HMA Art Camp?______________ B. List any siblings attending the Art Camp:______________________________________________ C. Is student the child of FAU/ Scripps employee or resident of Abacoa?______________ D. Is student attending more than one week of Art Camp? (circle) yes no E. Did you learn of the camp from a flyer?_____________________ Special Discount for any student who qualifies for A-E of $185 before May 15, $205 after 5/15 Sign up for 5 or more weeks and pay only $175 per week/$195 after May 15th Date of Registration:____/____/____ Number of Weeks Attending:__________ x _________ = Total Amount Due $_____________ OR Amount of Deposit Paid: $__________ ( $25 non-refundable deposit per week minimum if paid by 5/15/09 ) Payment Type: Cash $____________ Check #__________ Credit__________ Other___________ Make checks payable to: Hibel Museum of Art (circle) Visa MasterCard American Express Discover (number)__________________________________________________Expires_____________ Final Payment Must Be Made By May 30, 2009 ANY REGISTRATION AFTER MAY 15th WILL BE AT THE COST OF $225/WEEK __________________________________________________________________________________ Parent/Guardian Signature Date (mail signed form with payment to) Hibel Museum of Art, 5353 Parkside Drive, Jupiter, FL 33458 Att: Carol Davis, Camp Director

 
 

The Hibel Museum of Art is a non profit 501 [c]3 corporation.  It is a private museum and operates solely on donations and sales from the Hibel Museum of Art gift shop.  With out donations from our generous supporters we can not keep our doors open.  If you would like to make a tax-deductible donation to the Hibel Museum of Art please contact one of the museum staff members.  We thank you for your continued support. For more information regarding upcoming events and exhibits please contact the museum Tuesday through Saturday 11am -4pm.  Group Tours Available.