Current ILS Student
Summer Camp Registration
Instructions: Choose the camp weeks and location as well as before and after camp options if needed.
Summer Camp
Weeks
Ballard
(Market/8th)
Locks
(Market/28th)
Piper's Creek
(103rd/Greenwood)
Week 1: 6/26-6/30
__ Return to Hogwarts
__ Before __ After Camp
__ Play Ball!
__ Before __ After Camp
__ Waters of the PacNW
__ Before __ After Camp
Week 2: 7/3, 7/5-7
__ Actors in the Round
__ Before __ After Camp
__ Into the Woods
__ Before __ After Camp
__ Seattle Soundscapes
__ Before __ After Camp
Week 3: 7/10-7/14
__ Into the Woods
__ Before __ After Camp
__ Mad Science
__ Before __ After Camp
__ Nat'l Dance Day
__ Before __ After Camp
Week 4: 7/17-7/21
__ Nat'l Dance Day
__ Before __ After Camp
__ Star Wars: Go Rogue
__ Before __ After Camp
__ Dirt Detectives
__ Before __ After Camp
Week 5: 7/24-7/28
__ Play Ball!
__ Before __ After Camp
__ Nat'l Dance Day
__ Before __ After Camp
__ Star Wars: Go Rogue
__ Before __ After Camp
Week 6: 7/31-8/4
__ Waters of the PacNW
__ Before __ After Camp
__ Return to Hogwarts
__ Before __ After Camp
__ Mad Science
__ Before __ After Camp
Week 7: 8/7-8/11
__ Seattle Soundscapes
__ Before __ After Camp
__ Dirt Detectives
__ Before __ After Camp
__ Actors in the Round
__ Before __ After Camp
Week 8: 8/14-8/18
__ Star Wars: Go Rogue
__ Before __ After Camp
__ Waters of the PacNW
__ Before __ After Camp
__ Play Ball!
__ Before __ After Camp
Week 9: 8/21-8/25
__ Dirt Detectives
__ Before __ After Camp
__ Seattle Soundscapes
__ Before __ After Camp
__ Return to Hogwarts
__ Before __ After Camp
Week 10: 8/28-9/1
__ Mad Science
__ Before __ After Camp
__ Actors in the Round
__ Before __ After Camp
__ Into the Woods
__ Before __ After Camp
2017 Camp Descriptions
Actors in the Round. Designed for your budding thespian, this youth actor's camp teaches introductory acting
methods for the screen and stage. Students learn theater history, improvisational games, concentration and sensory
awareness, vocal and movement techniques all while enhancing their imaginations. For our field trip, we will be going
to the CSZ Improv Show for a first-hand look at life on the big stage.
Dirt Detectives. An exploration into the world underground, our young archeologists will explore the rich history of
the Pacific NW and how native peoples settled and thrived on these lands hundreds of years before us. Our dirt
detectives will learn about fossils, bones and artifacts found in the Seattle area that date back to the Ice-age. We will
be visiting everyone's favorite, The Burke Museum, for our field trip.
Into the Woods. This camp is all about the outdoors. Students will be hiking in area park forests and will learn helpful
hiking safety tips, survival and first aid skills. Pack your hiking shoes, back packs, water bottles and energy bars and
get ready for adventures on the trail. All hikes will be "kid friendly," with a grand hike and summer picnic at Twin Falls.
National Dance Day. "Come dance with us." This year we are proud to announce our participation in the Dizzy Feet
Foundation's National Dance Day. Students joining these camps will learn this year's dance routine and then come
back together on Saturday, July 29th at Seattle Center to perform in unity with others from around the world. There's
a great big world of dance and movement and we will explore hip-hop, break dance, modern and Broadway!
Play Ball! This camp is for kids who love to run and play ball. Students of all athletic levels will have fun playing a
variety of field games outdoors. They will learn teamwork, sportsmanship, game rules, and ball movement techniques.
For our field trip, we're going to see a Mariners Game at Safeco Field!!
Mad Science. Professor P is back with more of his mad science antics and experiments. This week is all about fun,
hands-on, interactive science experiments, chemical reactions, engineering and robots. We're going CSI with forensic
science problem solving games. Our science focused field trip will be a trip to the Pacific Science Center.
Return to Hogwarts. Magic, Muggles and Mastery of Year 2. This Harry Potter themed camp will once again be filled
with spell-bounding magic. Campers will be sorted into Houses and compete for House Cups. We'll conjure our own
fantastic beasts, make spell journals and head out on quests wearing our themed costumes and props. An in-house
field trip with George A. Magician will be a hit. It's time again for Summer School.
Seattle Soundscapes. In this themed music camp, we explore every day sounds and use them to tell stories. Students
will make instruments, learn about Seattle's rich history of rhythm and blues. Young musicians will create their own
musical masterpieces to perform in groups or solo on the ILS stage. Students will explore the sounds of guitar, ukulele,
piano and marimba as well as their vocal instrument. Our featured field trip will be to MoPOP (previously EMP).
Star Wars: Go Rogue. The galaxy seems close to home and this year we go rogue with the Rebels. Join new and old
friends for an epic week of galactic-sized adventures. Harnessing their inner force, students will learn teamwork and
collaboration through fun games and far out activities. We'll learn about space travel and solar transportation. We
will be visited by the Museum of Flight, featuring the "Flying Gizmo Show."
Waters of the Pacific NW. In this out-door themed camp, students will explore inside the tide pools and visit various
area beaches. They will learn the differences between fresh and salt water ecosystems as well as the delicate
waterways in between, basic navigation systems, various knot making, and the history of our lighthouses.
Summer Camp Transportation Waiver Form I hereby give permission for my child ___________________________ to travel in the Illumination Learning Studio Van or by foot daily from the ILS Studio to Summer Camp
Field Trips and back to the studios located at 124 N 103rd St (Piper's Creek), 2821 NW Market
St (Locks) and 5501 8th Ave NW (Ballard).
Day of Travel: While enrolled in Summer Camps
Weeks Enrolled: __________________________________________________ I understand that the drivers and the vehicle owner, Illumination Learning Studio (Piper Arts and Learning, LLC) are not responsible for any injury/damages which may be incurred on said trips, and in the consideration for providing transportation. I agree to hold the driver and Illumination Learning Studio (Piper Arts and Learning, LLC), harmless from claims for injury or damages occurring during said trips. _____________________________________ Parent’s Signature ___________________ Date *Please note that your child will not be allowed to ride in the van until the transportation
waiver is signed and the emergency contact form is filled out and returned to Illumination
Learning Studio. It is also important that you contact us (206) 466-­‐1931 if your child will not
be coming to the studio on scheduled pick up days.
Complete ONLY IF you are changing the
payment method you already have on file
Payment Authorization Form
Illumination Learning Studio processes payments as a one-time withdrawal or by dates agreed upon.
A Parent/Guardian may make changes to reserved camps up to 14 days prior to the start of camp
with a $25.00 change fee; deposits remain non-refundable. Written notice is required for withdrawal
and will be acknowledged in writing. If not paying in full at time of registration, full balance is due
two weeks prior to camp start date and no refunds are given within the 2-week window prior to each
camp start so that we can staff accordingly.
Authorization
You hereby authorize scheduled charges to your debit or credit card, checking or savings account for
camp tuition, T-shirt replacement fee and other fees incurred. A receipt for each payment will be
emailed to you and the charge will appear on your bank statement. You agree that no priornotification will be provided unless the date or tuition amount changes, in which case, you will
receive notice from ILS prior to the payment being collected. There is a $35 fee for any rejected
payments from your bank at the time of processing.
Please complete the information below:
I,
, authorize Piper Arts & Learning LLC, d.b.a
Illumination Learning Studio to charge my credit card, debit, or ACH Checking or Savings for the amount
agreed upon for full or pre-arranged payments, on the agreed upon days for the payment of summer camp
tuition and T-shirt replacement and fees for my child to participate in programs.
Billing Address
Phone#
City, State, Zip
Email
Checking/Savings Account
Checking
Savings
Credit Card/Debit Card
Visa
MasterCard
Amex
Discover
Name on Acct
____________________
Bank Name
____________________
Cardholder Name
Bank Routing #
____________________
Account Number
Account Number ____________________
Exp. Date
Bank City/State
CVV (3 digit number on back of card)
SIGNATURE
____________________
DATE