University City Arts League 2011 Summer Camp
REGISTRATION FORM
Please complete and submit your $10 Non-refundable deposit by May 1st
Contact the Arts League at 215-382-7811 for pricing information

Camper's Name __________________________ Parent or Caregiver Name _________________________
Age __________   Grade in Fall '11 __________ Address _______________________________________
Telephone ________________________________ Email Address __________________________________
Session 1 (July 5th-15th) "The Caribbean  
Session 2 (July 18th-29th) "Africa"  
Session 3 (August 1st-12th) "Asia"  
Session 4 (August 15th-26th) "Australia"  
Before Care ($10/day)  
After Care ($10/day) (cost)___________
Camper's Name __________________________ Parent or Caregiver Name _________________________
Age __________   Grade in Fall '11 __________ Address _______________________________________
Telephone ________________________________ Email Address __________________________________
Session 1 (July 5th-15th) "The Caribbean  
Session 2 (July 18th-29th) "Africa"  
Session 3 (August 1st-12th) "Asia"  
Session 4 (August 15th-26th) "Australia"  
Before Care ($10/day)  
After Care ($10/day) (cost)___________
Camper's Name __________________________ Parent or Caregiver Name _________________________
Age __________   Grade in Fall '11 __________ Address _______________________________________
Telephone ________________________________ Email Address __________________________________
Session 1 (July 5th-15th) "The Caribbean  
Session 2 (July 18th-29th) "Africa"  
Session 3 (August 1st-12th) "Asia"  
Session 4 (August 15th-26th) "Australia"  
Before Care ($10/day)  
After Care ($10/day) (cost)___________
Subtotal ____________
VISA/MC # ________________________________ -Discounts (multiple sign-ups) ____________
Exp. Date _________________________________ Total Cost ____________
Name on Card _____________________________ Amount Enclosed ____________
For questions, contact the UCAL office: 215-382-7811 · info@ucartsleague.org · fax: 215-382-3339
Fax or call in VISA or MasterCard info. Please make checks and money orders payable to:
University City Arts league 4226 Spruce Street Philadelphia, PA 19104