320 East Ave, Zumbrota, MN 55992
507-732-7616. crossings@crossingsatcarnegie.com


2012 Summer Camps
Registration Form

Student Name____________________________________________________________

Parent/Guardian __________________________________________________________

Phone #'s_______________________________________________________________

Address____________________________ City, State, Zip________________________

E-mail _____________________________ Grade in 2011/2012____________________

Special Needs/Allergies_____________________________________________________

Healthy snacks, fruit and juice are provided at all camps.

I would like to register my child for: (check all that apply)

  Camp Title Start Date Price
  Musical Theater with Daved Driscoll June 18 $238
  Pottery Wheel Session #1 June 19 $158
  Advanced Pottery Wheel June 26 $158
  Pottery Wheel Session #2 July 10 $158
  Pottery Wheel Session #3 July 17 $158
  Pottery Wheel Session #4 July 31 $158
  Creative Roots: Drawing w/ Sarah Nygaard AM (Grades 5-8) July 9 $138
  Creative Roots: Drawing w/ Sarah Nygaard PM (Grades 2-4) July 9 $138
  Comic Book Camp AM (Grades 3-6) July 9 $138
  Comic Book Camp PM (Grades 6-12) July 9 $138
  Creative Writing with Catherine Friend AM (Grades 6-12) July 16 $138
  Creative Writing with Catherine Friend PM (Grades 3-6) July 16 $138
  Knot Just Beads: Jewelry Camp AM (Grades 2-5) July 16 $153
  Knot Just Beads: Jewelry Camp PM (Grades 5-12) July 16 $153
  JAMFest '12 Rock Music Camp July 23 $148
  Run with Scissors! Textile Camp July 23 $220
  Clay Animation & Video Pixilation AM (Grades 3-6) July 30 $138
  Clay Animation & Video Pixilation PM (Grades 6-12) July 30 $138
  Art Masters with Dan Fleming AM (Grades 1-3) July 30 $138
  Art Masters with Dan Fleming PM (Grades 4-7) July 30 $138
  Mirror, Mirror on the Wall: Carving Clay Tiles Aug 13 $158
  Messy Munchkins with Alexis Zaccariello Aug 13 $138
  Payment in full ______________________   50% Down payment ______________________

Mail check (payable to 'Crossings') to: Crossings, 320 East Ave, Zumbrota, MN 55992
We also accept all major credit cards.

Acct #:____________________________________ Exp Date:_______Verification Code______
You can also call to register by phone with your credit card information.