2017 Registration Form

Camper’s Name _______________________________________________________________________________________________________________

Date of Birth ____________________________________________________ Gender _____________________________________________________

Home Address in USA _________________________________________________________________________________________________________

City _____________________________________________________________ State ______________________________ Zip Code ________________

Parent 1 (Mr./Mrs./Ms.) ________________________________________________________________________________________________________

Parent 2 (Mr./Mrs./Ms.) ________________________________________________________________________________________________________

Parent 1 Home Phone ( ) __________________________________________________________________________________________________

Work Phone ( ) ____________________________________________ Cell Phone ( ) __________________________________________

E–mail ________________________________________________________________________________________________________________________

Parent 2 Home Phone ( ) __________________________________________________________________________________________________

Work Phone ( ) ____________________________________________ Cell Phone ( ) __________________________________________

E–mail ________________________________________________________________________________________________________________________

Current School _______________________________________________________________________________________________________________

Where did you hear about our program? _______________________________________________________________________________________

Please cut off the bottom half of this flyer. Complete both sides, enclose your payment and mail to: Washington International School, Passport to Summer, 1690 36th Street NW, Washington DC 20007. You may also enroll your child in Passport to Summer by applying online at http://www.wis.edu/summercamp.

Until May 1, a non–refundable $150 registration fee must be sent to reserve a place. After that date full payment must be included. (Please see Terms and Conditions of Enrollment and Payment online.)

Washington International School

PASSPORT TO SUMMER2017

2017 Registration Form

I have read and I agree to abide by the terms and conditions of enrollment and payment as stated. I enclose a payment of $ ________________________ check (check number) _________________________________________ money orderVisa or MasterCard # __________________________________________________________________________________________ Exp. Date __________________________

Cardholder ________________________________________ Signature ________________________________________________________ Date _______________________________

For office use only. Do not write in this box.

total:

Camper’s Name _________________________________________________________________________________ Age _________________________T-shirt Size Youth: XS S M L Adult: S M L XL

Language Immersion French, Spanish, Chinese (Mandarin) Ages 3–13Full Day: $405/week($330 July 3–7)Half Day: $205/week($165 July 3–7)

French Spanish Chinese (Mandarin)

Full Day Half Day(optional for ages3 to 5 only)

June 26–30 July 3–7 July 10–14 July 17–21 July 24–28 July 31–August 4 August 7–11

June 26–30 . . . . Option: ______________________ July 3–7 . . . . . . Option: ______________________ July 10–14 . . . . Option: ______________________

July 17–21 . . . . . Option: ______________________ July 24–28 . . . . . Option: ______________________ July 31–August 4. .Option: ______________________ August 7–11

Language Intensive French, Spanish Ages 7–13Full Day: $405/week($330 July 3–7)

French Spanish

June 26–30July 3–7July 10–14July 17–21 July 31–August 4August 7–11

ESOLAges 5–16Full Day: $405/week($330 July 3–7)

June 26–30July 3–7July 10–14July 17–21July 24–28July 31–August 4August 7–11

Budding ExplorersAges 3–5Full Day: $405/week ($330 July 3–7)Half Day: $205/week ($165 July 3–7)

Full Day Half Day (optional)

June 26–30 July 3–7 July 10–14 July 17–21 July 24–28 July 31–August 4 August 7–11 (age 5 only)

Counselor in TrainingAges 12 to 15$890/Full Day

June 26 to July 14

$950/Full Day July 17 to August 4

Transportation June 26–August 11 $75 one way/week $130 both ways /week

June 26–30 July 3–7 July 10–14 July 17–21 July 24–28 July 31–August 4 August 7–11

Morning World Bank to

Georgetown Tregaron to Georgetown

Afternoon Georgetown to Tregaron Georgetown to

World Bank

Extended Day Care $130/week ($105 July 3–7)

June 26–30 July 3–7 July 10–14 July 17–21 July 24–28 July 31–August 4

Lunch$40/week ($35 July 3–7)$10 for Pizza Friday only

Lunch Pizza Friday only

June 26–30 July 3–7 July 10–14 July 17–21 July 24–28 July 31–August 4 August 7–11

ExplorersAges 7–11Full Day: $405/week ($330 July 3–7)

OPTIONS AGESJUNE JULY AUGUST

26–30 03–07(no camp July 4) 10–14 17–21 24–28 Jul. 31– Aug. 4

7–11 Transportation

Week*

Lan

guag

e

Immersion French/Spanish/

Chinese3–13

FD $405 FD $330 FD $405 FD $405 FD $405 FD $405 FD $530(Ages 5–13

only)HD $205(3–5 only)

HD $165(3–5 only)

HD $205(3–5 only)

HD $205(3–5 only)

HD $205(3–5 only)

HD $205(3–5 only)

Intensive French/Spanish 7–13 $405 $330 $405 $405 $405 $405 $530

ESOL 5–16 $405 $330 $405 $405 $405 $405 $530

Spec

ialt

y

Budding Explorers

3–4FD $405 FD $330 FD $405 FD $405 FD $405 FD $405 NOT

AVAILABLE

HD $205 HD $165 HD $205 HD $205 HD $205 HD $205 NOT AVAILABLE

4–5FD $405 FD $330 FD $405 FD $405 FD $405 FD $405 FD $530

(Age 5 only)

HD $205 HD $165 HD $205 HD $205 HD $205 HD $205 NOT AVAILABLE

CIT 12–16 Session One $890 Session Two $950 NOT AVAILABLE

Explorers 6–11

$405 $330 $405 $405 $405 $405

FD $430(Age 5 only)Robotics Robotics Coding Coding Filmmaking Filmmaking

Global Kitchen Global Kitchen 2-D Art 3-D Art Dance-A-Day Architecture

Serv

ices

Extended Day Care 3–16 $130 $105 $130 $130 $130 $130 INCLUDED

Bus 5–16

$75 one way

$60 one way

$75 one way

$75 one way

$75 one way

$75 one way

$75 one way

$130 roundtrip

$105 roundtrip

$130 roundtrip

$130 roundtrip

$130 roundtrip

$130 roundtrip

$130 roundtrip

Lunch 3–16Week $50 Week $40 Week $50 Week $50 Week $50 Week $50 Week $50

Pizza $10 Pizza $10 Pizza $10 Pizza $10 Pizza $10 Pizza $10 Pizza $10

Camps-at-a-Glance