English Design Lab - Summer Registration Form

Student ______________________________________Age _____M/F Date_______

My school____________________________________________________________

Parent Name________________________ E-mail___________________________

Address________________________________ City_______________ Zip_______

Home #________________Work ___________________Cell__________________

Emergency contact - Name_____________________________________________

Relationship _________________________Phone___________________________

Special Medical Information_____________________________________________

I hereby give permission for my child_______________________________________to participate at English Design Laboratory classes, workshops, camps, labs, and other lab class activities. I do also release English Design Laboratory and the owners, operators, and all instructors, from any and all liability due to accident or injury that may result from participation in any classes, workshops, camps, labs, and other lab class activities.

Parent/Guardian Signature

Design Session 1 (June 8 -11) Design Theme - Thrift Store Couture!! __________

Design Session 2 (June 15 -18) Design Theme - Gems & Jewels!! _____________

Design Session 3 (June 22 -25) Design Theme - Street Glam!! _______________

Design Session 4 (July13 -16) ) Design Theme - Knit Cool!! _________________

Design Session 5 (July 20 - 23) Design Theme - Pile it On Thriftily!! ___________

Time & Days: Each session runs from 10am - 3pm - 4days per week Monday through Thursday - Ages 10 and up Bring a bag lunch.
Supplies: See supply list.
Additional supply list will be given on the first class of each week. (minimal cost)
Cost: $95.00 per week per student - Sign up for two or more session $85.00 per session

****Intensive Portfolio Dev. week (July 27 - 30)

For HS Seniors - portfolio focus for College (great for early admission)

Mon - Thurs. 10 - 3pm. Come ready to work!!

Cost: $99.00 per week per student __________________________________

English Design Laboratory, Inc. 3660 Canton Rd #130, Marietta, Ga 30066

Cell: 404-441-1631 www.englishdesignlab.com kenglish@englishdesignlab.com