<p> CK REGISTRATION FORM SESSION III GRADES 7-9----July 10-16, 2016</p><p>Name ______Grade in 2015-2016______DOB______Boy ____ Girl ____ </p><p>Name you go by ______Roommate preference (name) ______</p><p>T-Shirt Size: (Adult sizes) Small ______Medium ______Large ______X-Large ______</p><p>Address ______City______State ______Zip ______</p><p>School ______Email address ______Number of years at CK ______</p><p>Parent/Guardian 1 (name) ______work (_____) ______Cell (____) ______</p><p>Parent/Guardian 2 (name) ______work (_____) ______Cell (____)______</p><p>Parent/Guardian 1 Employment______Parent/Guardian 2 Employment______AM Classes (Pick your top four) PM Classes (Pick your top four)</p><p>______Archetypes in Fear ______ACT Math Prep ______Chemistry of Food ______American Sign Language ______Cool Cards—Bridge Style ______Beginning Guitar</p><p>______Digital Photography ______Chopped II, CK Style ______Mathematical Free-for-All ______CK News </p><p>______Memory Pathways ______Games are Always Fun</p><p>______Mock Trial ______Mind Games ______Painting from Scratch ______Philosophy for All</p><p>______Ready, Set, ACTion ______Sneak Peek at the World of Medical Sciences</p><p>______The Ancient World ______The World of Harry Potter and Mythology</p><p>______The Art of Persuasion ______Wanted: Poets and Dreamers and Debate</p><p>______Vet for a Week</p><p>Fees include basic class materials, video, recreational activities, T-shirt, evening activities, and room and board for five days. Additional lab fees may be charged for some classes requiring specific supplies. Lab fees, if applicable, will be assessed after course enrollment is confirmed. </p>
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