AHT Summer Camp Registration
AHT Summer Camp Registration Form
Child Name and Gender
First
Last
Male
Female
Gender
Date of Birth and Grade
/
MM
/
DD
YYYY
Kinder
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
Grade as of 1/1/2011
Address
Street Address
Address Line 2
City
Postal / Zip Code
Home Phone format (###-###-####)
Parent Name
First
Last
Parent Contact and Email
Contact Phone format (###-###-####)
Parent Email
Other Parent Name
First
Last
Other Parent Contact and Email
OtherParent Phone (###-###-####)
Other Parent Email
Emergency Contact
First
Last
Emergency Phone (###-###-####)
Track Preference
Track AMR ( Monthly course Arts, Math and Robotics)
Track MSC ( Monthly course comprising of MS Office, Science and Chess
Track AMR - B (Two week beginner course)
Track MSC - B (Two Week Beginner course)
Track GR (Four week Geometry and Robotics Course)
Track GW (Four week Geometry and Web Design Course)
Track SC_K (Four week Day Care for PRE K kids)
I want to Volunteer for AHT Summer Camp
Volunteer teacher 8 weeks
Volunteer Teacher 4 weeks
Science and Maths Teacher
Robotics Teacher
Web Design Teacher
Chess Teacher
Administration
Comments / Questions/ Special Needs
Course Options
Monthly Track - AMR $510.00
Monthly Track - CSM $510.00
Bi-weekly Track - AMR-B $310.00
Bi-weekly Track - CSM-B $310.00
Bi-weekly Track - AMS-B $310.00
Bi-weekly Track - CSM-B $310.00
Monthly-GR-A $410.00
Monthly-GW-A $410.00
Month-SC_K $260.00