LIVING LANGUAGE REGISTRATION

TO REGISTER: Please complete the following application, print and send by US mail along with deposit to:

Living Language Camp/Cyrise Beatty
304 Ash Lane
El Sobrante, Ca. 94803

Child's Name
Date of Birth
Grade (Fall '08)

Please provide the following contact information:
Parent's Name
Work/Cell Phone
Home Phone
Address
City, ZIP
Email


Indicate the session you are applying for:

Session 1 / July 14-18 Girls 9-12
Session 2 / July 21-25 Girls 12-15

Because of the small size of each group it is important that each camper feels that they are a good fit for the camp. In the following space each camp applicant should share in two or three sentences why they would like to attend Living Language Camp.

 

Please group my child with: