Weekly Camp Registration
Print This Page
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
Oct 20-24, 2008
(FC1)
Lunch (11:30am)
$5/Day
 Robotics
Video Editing
Keyboarding		 Game Design
Architecture w/ LEGO
Keyboarding

Web Design
Digital Photography
Keyboarding

Oct 27-31, 2008 (FC2)
Lunch (11:30am)
$5/Day
 Game Design
Flash Animation
Keyboarding		 Robotics
Digital Photography
Keyboarding		 Architecture w/ LEGO
3D Game Mapping
Keyboarding
Nov 24-28, 2008
(TC) -no class Thurs.
Lunch (11:30am)
$5/Day
 Robotics
Video Editing
Keyboarding		 Game Design
Build a Computer
Keyboarding

Web Design
Programming in C++
Keyboarding

Dec 22-26, 2008
(WC1) -no class Thurs.
Lunch (11:30am)
$5/Day
 Game Design
2D Game Mapping
Keyboarding		 Robotics
Digital Photography
Keyboarding		 Architecture w/ LEGO
Build a Computer
Keyboarding
Dec 29-Jan 2, 2009
(WC2) -no class Thurs.
Lunch (11:30am)
$5/Day
 Robotics
Programming in C++
Keyboarding		 Game Design
Flash Animation
Keyboarding

Video Editing
Maya
Keyboarding

Feb 16-20, 2009
(PW)
Lunch (11:30am)
$5/Day
 Architecture w/ LEGO
Maya
Keyboarding		 Web Design
3D Game Mapping
Keyboarding		 Game Design
Digital Photography
Keyboarding
Mar 30-Apr 3, 2009
(SC1)
Lunch (11:30am)
$5/Day
 Robotics
Web Design
Keyboarding		 Game Design
2D Game Mapping
Keyboarding

Flash Animation
Maya
Keyboarding

Apr 6-10, 2009
(SC2)
Lunch (11:30am)
$5/Day
 Game Design
3D Game Mapping
Keyboarding		 Robotics
Flash Animation
Keyboarding		 Web Design
Digital Photography
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 and SIGN above
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!