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
EVERY DAY
If yes, please circle which days to the right.
MON / TUES / WED / THURS / FRI
TWO WAYS / MORNING / AFTERNOON
Summer Camp Schedule
Please circle the weeks that you want to enroll your children:
June 19-23
Space
June 26-30
July 3-7
Little chef baking
July 10-14
Under the sea
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:
Name:
Parent 2:
Name:
Email:
Telephone number:
Nationality:
Work location:
Email:
Telephone number:
Nationality:
Work location:
Work telephone:
Work Telephone:
Consent to Photograph
YES / NO
(If yes, please sign below)
I give permission for Ba Futuru to take photos of my child for 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 preschool then 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
[email protected] or call 77246022.
[email protected]
or