Text Box: 2007 SUMMER SCHOOL REGISTRATION FORM-1 Homer 33-C Summer School 15733 Bell Road Homer Glen, IL 60491 (708) 226-7600

JUNE 12-JUNE 29, 2007

Registration closes May 18th

STUDENT’S NAME:_________________________________________SEX:       FEMALE       MALE

 

STREET ADDRESS:_________________________________ HOME PHONE:(       )______________

 

CITY/STATE/ZIP:__________________________________DATE OF BIRTH:__________________

 

GRADE AS OF MAY 2007:_______________ CURRENT SCHOOL:_____________________________

 

 

 

 

LOCATION:  BUTLER SCHOOL   1900 FARRELL ROAD

            LOCKPORT, IL 60441    (815) 836-0662

 

           

 

Class schedules will be mailed home in May.  Non-district residents will be determined on a space available basis.
Text Box: SESSION 1 (8:30-9:55) Course Name/Grades (as of May 2007) Glues, Brews, and Goos (1-3) Come Sail Away! (3-5) The Wild West, Pioneers Interact (3-5) Walk Around the World! (2-4) Time Travel Before Homer Township (5-8) Drama: Be A Star! (1-3) Everyone Can Be Funny Improv. (5-8) Guess Who? You! (4-8) Art Around the World (3-6) Picture This! (3-8) Terrific Tumbling! (K-3) From Tee to Green (6-8) Basketball (1-5) Fantastic Friendship Fun! (K-2) LYLAS: Girl Friendships (5-6) ComputersAreFun.Com (3-6) Fun with Fractured Fairy Tales (2-3) Jump Start Reading! (K-1) Jump Start Reading! (2-3) Jump Start Reading! (4-5) Jump Start Reading! (6-8) Text Box: PLEASE LIST YOUR COURSE PREFERENCES FOR SESSION 1 1ST CHOICE: ____________________________ 2ND CHOICE: ____________________________ 3RD CHOICE: Text Box: SESSION 2 (10:05-11:30) Course Name/Grades (as of May 2007) Glues, Brews, and Goos (1-3) Come Sail Away! (1-3) Travel with Fairy Tales (K-3) The Wild West Pioneers Interact (3-5) Time Travel Before Homer Township (5-8) Hollywood! Here We Come! (3-6) Lights! Camera! Action! (5-8) Guess Who? You! (3-5) Art Around the World (1-3) Tumbling! (K-2) From Tee to Green (3-5) Summer Time Slap Shot Spectacular (4-6) Fantastic Friendship Fun! (2-4) LYLAS: Girl Friendships (7-8) ComputersAreFun.Com (1-3) Jump Start Math! (K-1) Jump Start Math! (2-3) Jump Start Math! (4-5) Jump Start Math! (6-8) Text Box: PLEASE LIST YOUR COURSE PREFERENCES FOR SESSION 2 1ST CHOICE: ____________________________ 2ND CHOICE: ____________________________ 3RD CHOICE: Text Box: AMOUNT DUE (MAKE CHECKS PAYABLE TO: HOMER SCHOOL DISTRICT 33-C) IN-DISTRICT………….$110/SESSION NON-DISTRICT……..$120/SESSION TUITION/SESSION $___________ NUMBER OF SESSIONS _________ SUBTOTAL $__________________ EXTRA FEE: $ 20.00 (FOR GOLF ONLY) AMOUNT DUE $________________ PARENT NAME:_________________ IF REGISTERING FOR: * FROM TEE TO GREEN CAN YOU SEND GOLF CLUBS? YES NO * PICTURE THIS! CAN YOU SEND A DIGITAL CAMERA? YES NO Oval: