2008 SUMMER CAMP or CLASS

 

R E G I S T R A T I O N  F O R M

 

VERY IMPORTANT, PLEASE NOTE...

A non-refundable $100 deposit PER camp or class is required with registration

This deposit will be credited towards tuition.

 The remaining tuition is due prior to the start of the camp/class

After May 2nd, please include a registration fee of $50 with your deposit.

 

 

Student/Client Name:

Parent's Name:

Mailing Address:

Email Address:

Home Phone:

   Cell phone:

Age of Client:

   Grade next year:    School District: 

Please choose camp sessions/time:

 

 

 

 

 

 

 

 

Screening:

 

 

Please choose your preferred location:

 

  Camp Session I (June 16-26,2008)

 

 

 

 Camp Session II (July 7-17, 2008)

 

 

 

 Camp Session III (July 28-Aug 7, 2008)

 

 

 

 Weekly Classes (June 9-Aug 7, 2008) (one day/week)

 

 

 

My child has not been through a screening before

 My child is available for screening (days/times):

 

 

 

 (All summer camps will meet at the Stafford location for 2008) 

 

Deposit Being Paid by:

  
 

 

 

 

Click Here to Pay Now

 

Once you have paid, you will return here to submit your form.

 

 

 

          

 

 

 

 

 

If you need to register via U.S. Mail, please print this registration form and send it with your payment to:

       FOCUS Initiative

       12919 SW Frwy, Suite 190

       Stafford, TX  77477

 

Thank you for registering with FOCUS Initiative!  Once your deposit is received, your enrollment will be confirmed via the email address provided above.  For further questions regarding Summer registration, please call FOCUS at 281-240-0663.   

 

 

Students will not be placed in a group until

a deposit is received.  Thank you!

 

 

                        12919 Southwest Frwy, Suite 190 ▪ Stafford, TX  77477 ▪ 281.240.0663 phone ▪ 281.240.9133 fax

 
Summer Registration