Please check the week/s you would like to sign up your child: Session 1: June 4th – June 8th ( ) Session 6: July 9th - July 13th ( ) Session 2: June 11th- June 15th ( ) Session 7: July 16th – July 20rd ( ) Session 3: June 18st- June 22th ( ) Session 8: July 23th- July 27th ( ) Session 4: June 25th – July 29th ( ) Session 9: July 30th – August 3rd ( ) Session 5: July 2nd - July 6th ( ) Session 10: August 6th – August 10th ( ) •Daily Camp Hours: 9:00 A.M– 3:00 P.M. Cost $350 per child per week. Bring extra clothing and comfortable shoes. We ask parents to apply sunscreen. It is also recommended that children bring a sunhat and water bottle. CHILD’S NAME_______________________________________________________ AGE_______________________BIRTHDAY_______________________________ PARENT’S/GUARDIAN NAME____________________________________________ E-MAIL_____________________________________________________________ ADDRESS____________________________________city____________________ Home Phone number__________________________________________________ Emergency Contact Name and Phone Number______________________________ Any Allergies _______________________________________________________ Please mail registration forms to: Mi Escuelita en Español at 155 Werner Ave. Daly City Ca- 94014. Full Payment is due at the time of enrollment.We will send out a confirmation letter once we received your registration form and tuition. Gracias!