Summer Scribes Writing Camp Registration

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Registration Form

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Student Name *

Student Grade in Fall *

Parent Name *

E-mail address: *

Telephone *

Telephone 2

One on One Tutoring ($40/hour)

Summer Camp 2013 - August 5-9 (12:30-3 pm)

Summer Camp 2013 - Aug 5-9 (9-11:30 am)

Summer Camp 2013 - Aug 12-16 (9-11:30 am - limited to 6th graders)

Summer Camp 2013 - Aug 12-16 (12:30-3 pm)

Please indicate your method of payment: Option 1) Mail payment to OC Scribes at 12461 Kensington Road, Rossmoor, CA 90720 --or-- Option 2) Bill via paypal *

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