Identification
First , Last Name
Parents Address
Mailing Address
Parents Employer
Birthday, Age/adult
City, State, Zip
male/female, phone day, phone evening
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Medical Information
(allergies, special/learning needs, medications, etc)
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| Fees: Classes and Supplies |
| Early Bird | __$100 | Before April 15 |
Regular/
Members | __$115 | April 15-May 20 |
| Non-members | __$125 | April 15-May 20 |
| Wilderness II | __$140 | Before April 15 |
| | __$150 | April 15-May 20 |
| Lomi/Massage | __$200 | Before April 15 |
| | __$225 | April 15-May 20 |
| PeeWee | __$50 | Major |
| PeeWee | __$100 | Major and Minor |
| Late | __$10 | added surcharge |
| Waiver | | Teachers assistant; one/half tuition for 1 dependant Free |
| Scholarship | | For students w/financial need |
| Kit Rocket Fee | __$5 | |
| ASW 2K T-Shirt (Optional) |
| Small | Med 38/40 | Lg 42/44 | XL 46/48 | $18 |
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| Registration Checklist |
| Form | Fees | T-shirt |
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| | #10 Self-addressed, Business Size Envelope
($.33 for 1-2 registrations)
($.55 for 3-4) |
Transportation/Car Pool
I am interested in car pooling/
transportation with other students
from my area ___Yes ___No
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Major Classes (Please choose 4. Put a "1" in front of your first choice,
a "2" in second choice etc.)
___Brazil: Drums 10+
___NTV-all day class 12+
___Exploring Watercolor 8+
___Solstice Sun Mask 8+
___Treasure Hunt/Past 10+
___Geology for Kids 8+
___Wandering Waters 8-11
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___Getting Familiar/Reptiles 10+
___3-D Sculpture 8+
___Sun Watch 10+
___Blast Off 10+
___Insights into Insects 8+
___Theater Art in the Woods 12+
___Moving Journey 8+
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___Interdisciplinary Dance 9+
___Exploring the Sun 8-11
___Labyrinths and Mazes 8+
___Move Like a Shadow 10+
___Clay Quest 8+
___Wilderness Way 12+
___4 Kinds of Water 10+
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2nd Week Classes
___Wilderness Way Part II
All day/5 days $150
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___Lomi Hawaiian Massage
All day/2 days $200
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Monday Minor Classes (Please choose 4. Put a "1" in front of your first choice, a "2" in second choice, etc.)
___Solar Energy I 8+
___Landscape Painting 12+
___Performing Arts Safari 10+
___Drumming/Found Objects 8-11
___NTV Lite 12+
___Fossils And Rocks 8+
___3 Groups of Rocks 8 and 9
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___Butterflies 8+
___Creepy Crawlers 8+
___Sculpture 8+
___Bring Your Launch 8+
___Kit Rockets 8+
___Growing Up 8+
___Theater Games 8+
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___Animalia 8+
___Drum Dance 8-11
___Labyrinth 8+
___Native American Games 8+
___Clay Time 8+
___The Sun and A Stick 10+
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Tuesday Minor Classes (Please choose 4. Put a "1" in front of your first choice, a "2" in second choice, etc.)
___Solar Energy II 8+
___Landscape Painting 8-11
___Folk Dances 10+
___Drumming/Found Objects 8-11
___NTV Lite 12+
___Fossils and Rocks 8+
___Butterflies 8+
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___Creepy Crawlers 8+
___Sculpture 12+
___Bring Your Launch 8+
___Senses 8+
___Theater Games 8+
___The Tiny Seed 8+
___Dances From the Past 8-11
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___Exploring the Sun 8-11
___Labyrinth 8+
___Native American Games 8+
___Clay Time 8+
___Soils, Mud/Dirt 8+
___Kit Rockets 8+
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Wednesday Minor Classes (Please choose 4. Put a "1" in front of your first choice, a "2" in second choice, etc.)
___Solar Energy III 8+
___Portrait Drawing 8-11
___Native American Dance 10+
___Drumming/Found Objects 8-11
___Fossils and Rocks 8+
___Volcanoes 8 and 9
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___Butterflies 8+
___Sculpture 8-11
___Kit Rockets 8+
___Kites and Flights 8+
___Getting Around 8+
___Comedy Workshop 12+
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___Drum Dance 12+
___Exploring the Sun 8-11
___Labyrinths 8+
___Obstacle Course 8+
___Clay Times 8+
___Measure Like Egyptians 8+
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Thursday Minor Classes (Please choose 4. Put a "1" in front of your first choice, a "2" in second choice, etc.)
___Solar Energy IV 8+
___Portrait Drawing 12+
___Drumming/Found Objects 12+
___Fossils and Rocks 8+
___Suns Affect on Weather 8 and 9
___Butterflies 8+
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___Creepy Crawlers 8+
___Sculpture 8-11
___Kit Rockets 8+
___Kites and Flights 8+
___Protection/Insects 8+
___Comedy Workshop
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___Sky's Housekeeper 8+
___Dances from the Past 12+
___Exploring the Sun 8-11
___Labyrinth 8+
___Obstacle Course 8+
___Clay Time 8+
___Mud 8+
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| Pee Wee Major | Pee Wee Minors |
| ___Major: Fun, Butterflies and Moths |
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___Monday: Exploring the Sun
___Wednesday: Mud, Mud, Mud
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___Tuesday: Clues to the Past
___Thursday: Dance, A Story
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Consent Form-To be signed by parent or responsible adult
I hereby consent to the use of my photograph and/or work, reproduced in Art and Science in the Woods, in Sun Foundation brochures, publications, slide presentations, etc. Participants in Sun Foundation activities are not covered by medical or accident insurance. Each participant must furnish his or her own coverage. Participant or parent permission is needed to call emergency equipment in an emergency. As a participant (or as a participant under 18 years of age) I hereby agree to save harmless and indemnify the Sun Foundation, Bob or Joan Ericksen, or Blue Heron Farm, its trustees and employees, Bob or Joan Sloan, Low Point Washburn School District, Metamora Community Consolidated School District, Department of Conservation, State of Illinois, Marshall State Fish and Wildlife Area from any responsibility for any accident, injury or damage that may occur as a result of participants act of ommissions. In any case of accident, I consent to emergency medical care provided by ambulance or hospital personnel.
Signature and Date
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Send this form, your payment, and a self-addressed, stamped envelope to the Sun Foundation, 1276 Sun Road, Washburn, IL 61570. Call 309-246-8403 or Fax 309-246-3480.
Your confirmation and additional information will be mailed by June 1, 2000
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