Registration form for Ba Futuru’s 2017 Summer Camp

Information about the children
Child 1 Name: / DOB: / Gender: M / F
Child 2 Name: / DOB: / Gender: M / F
Nationality: / Languages (s) spoken at home:
Does your child understand (please circle): English / Tetun / Portuguese/ others:
Home address or area of town (attach map if you need bus):
Need BUS: YES / NO
If yes, please circle which days to the right. / EVERY DAY
MON/TUES/WED/THURS/FRI
TWO WAYS / MORNING / AFTERNOON
Summer Camp Schedule
Please circle the weeksthat you want to enroll your children:
June 19-23 / Space / June 26-30 / Under the sea
July 3-7 / Little chef baking / July 10-14 / Musical theater
July 17-21 / Musical theater continued / July 24-28 / Dance and music
July 31-Aug 04 / Down on the farm / Aug 7-11 / Sports
Aug 14-18 / Go wild with paint / Aug 21-25 / A world of color
*All weeks will have art, music, crafts and outdoor play time, however specific focus will be on the topics listed above. The musical theater workshop will be led by Juanita Beling (experienced with DIS theater productions) for 4-7 year olds between July 10 and 21 will end with a performance for parents.
Information about the child’s parent(s) / or guardian(s)
Parent 1: / Parent 2:
Name: / Name:
Email: / Email:
Telephone number: / Telephone number:
Nationality: / Nationality:
Work location: / Work location:
Work telephone: / Work Telephone:

Consent to Photograph YES / NO (If yes, please sign below)

I givepermission for Ba Futuru to take photos of my childfor the purpose of emails to parents and the Ba Futuru Facebook page.

Name:

Signature: Date:

Fee information

Summer camp is $100 per week (the second sibling from the same family is $75).

If your child is a long-term student at Ba Futuru’s preschoolthen they will receive a reduced rate, thus let us know if you are planning to enrol your student in preschool with Ba Futuru in September.

The summer camp fee is due by the first day of the camp session the child is attending.Please do not send money on the bus. You can deposit the funds into Ba Futuru bank account or pay our finance office in cash.

If you have questions please email or or call 77246022.