FREE SUMMER 2008 YOUTH PROGRAM
APPLICATION
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Three sessions, each 12 noon - 4 pm on each Wednesday, Thursday & Friday
2008 dates: June 18-20, June 25-27 & July 9-11
SPACE IS LIMITED--
LOCATION: ABCRI Box Car Track in Kunia
PROGRAM FEE: Free
LETTER REQUEST: After end of Youth Program, parents are asked to write to ABCRI
with a brief expression of what the program meant to their child.
STUDENT REQUIREMENTS:
Ages 9 & up
Must wear shoes & long pants covering ankles
Must bring bag lunch each day, refrigerator & microwave available
Parents MUST arrange ON TIME drop-off & pickup
I wish to enroll my child for the following session (please choose one)
* FULL* Wednesday-Thursday-Friday, June 18-20, 12 noon - 4 pm
* FULL* Wednesday-Thursday-Friday, June 25-27, 12 noon - 4 pm
* FULL* Wednesday-Thursday-Friday, July 9-11, 12 noon - 4 pm
YOUTH INFO
Youth Name____________________________________________ Age_______ Phone_______________
Address___________________________________________________
City________________________________________ Zip___________
School______________________________________ Grade________
PARENT INFO
Parent Name (print)________________________________ date__________ email__________________
CHECK ONE:
_____ I will pickup my child each day, OR
_____ My child has my permission to return home without supervision each day.
Parent Sign______________________ Phone: Home___________ Cell___________ Work___________
PLEASE FAX OR MAIL this completed application to:
ABCRI 1518 Evelyn Lane Honolulu, Hawaii 96822 phone/fax 947-3393
...or bring it by the Track any weekend from 10 am - 6 pm
.