2008 Summer Camp Registration
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Note: Fill out form before printing.
Parent or Guardian:
Home Phone Number:
Work (cell) Phone Number:
Email Address:
Emergency Name:
Emergency Phone Number:
Street (Mailing) Address:
Student Name:
 Age:
Half Day $199
Full Day $299
Extended Day $379
8:00 am - 11:30 pm
8:00 am - 3:00 pm
8:00 am - 6:30 pm
11:30 am - 3:00 pm
11:30 am - 6:30 pm
3:00 pm - 6:30 pm
(includes 1 class and game time)
(includes 2 classes and game time)
(includes 3 classes and game time)
Please select one class per time slot
Week
8:00 - 11:30
11:30 - 3:00
3:00 - 6:30
June 16 - 20 (W1)
Lunch (11:30am)
$5/Day
 Robotics
Digital Photography
Keyboarding		 Programming in C++
Game Design
Keyboarding		 Web Design
2D Game Mapping
Keyboarding

June 23 - 27 (W2)
Lunch (11:30am)
$5/Day

 Flash Animation
Game Design
Keyboarding		 Robotics
Digital Photography
Keyboarding		 LEGO Architecture
3D Game Mapping
Keyboarding

June 30 - July 3* (W3)
*No Class July 4th - 20% Off
Lunch (11:30am)
$5/Day

 Robotics
Video Editing
Keyboarding		 Game Design
Build a Computer
Keyboarding		 Programming in C++
Advanced Game Design
Keyboarding
July 7- 11 (W4)
Lunch (11:30am)
$5/Day
 Game Design
3D Game Mapping
Keyboarding		 Robotics
Flash Animation
Keyboarding		 Web Design
Digital Photography
Keyboarding
July 14 - 18 (W5)
Lunch (11:30am)
$5/Day
 Robotics
Programming in C++
Keyboarding 		Game Design
Web Design
Keyboarding		 Video Editing
Advanced Flash
Keyboarding
July 21 - 25 (W6)
Lunch (11:30am)
$5/Day
 Game Design
2D Game Mapping
Keyboarding 		Robotics
Digital Photography
Keyboarding		 LEGO Architecture
Build a Computer
Keyboarding
July 28 - Aug 1 (W7)
Lunch (11:30am)
$5/Day
 Advanced Web Design
Robotics
Keyboarding		 Game Design
2D Game Mapping
Keyboarding		 Advanced Game Design
Flash Animation
Keyboarding
Aug 4 - 8 (W8)
Lunch (11:30am)
$5/Day
 Game Design
Web Design
Keyboarding		 Robotics
3D Game Mapping
Keyboarding		 2D Game Mapping
Video Editing
Keyboarding
Aug 11 - 15 (W9)
Lunch (11:30am)
$5/Day
 Robotics
Advanced Game Design
Keyboarding		 Game Design
LEGO Architecture
Keyboarding		 Digital Photography
Programming in C++
Keyboarding
Aug 18- 22 (W10)
Lunch (11:30am)
$5/Day
 Game Design
Advanced Flash
Keyboarding		 Robotics
Digital Photography
Keyboarding		 LEGO Architecture
3D Game Mapping
Keyboarding
Aug 25 - 29 (W11)
Lunch (11:30am)
$5/Day
 Robotics
Build a Computer
Keyboarding		 Game Design
Video Editing
Keyboarding		 Flash Animation
Advanced Web Design
Keyboarding
Total Amount Due:
Method of Payment:
Checks
VISA
M/C
Discover
AMEX
Card Number Expiration Date
Sorry, we cannot hold a position in any of our classes until payment is made in full.
I, the undersigned, as legal parent or guardian of a minor, do hereby authorize CYBERSTORE to secure medical services in the event that he/she is in need of emergency medical care. I understand that neither CYBERSTORE nor its representative(s) assume any financial responsibility for such treatment. I further agree to allow any camp projects or photographs to be used for advertising purposes only. This authorization shall remain in effect unless revoked in writing and delivered to said agent(s).
Signature ___________________________________
To finish the registration process:
1. Print out this form
2. Send this form to CYBERSTORE via fax, mail, or telephone
FAX: (858) 755 - 8251
Telephone: (858) 792 - 2500
Mail: CYBERSTORE,
981-D Lomas Santa Fe Dr.
Solana Beach, CA 92075
3. You should receive a confirmation letter within a few days!