USM summer school 2012..adults and kids!!

JOIN ART TEACHER LAEH MCHENRY IN…

Summer 2012

at University School of Milwaukee

for students entering grades 4-10 as of 9/12

Follow Mrs. McHenry through a summer full of creative opportunities!

Check out I.D.E.A.S. for other visual arts, music, theatre,

enrichment and instructional academics, and sports programming.

Call 414.540.3350 or visit www.usmk12.org for more information.

Mail registration and fee to: University School of Milwaukee – Summer Programs

2100 W. Fairy Chasm Rd. Milwaukee, WI 53217-1599

Art with Laeh McHenry 2012

Name: _______________________ Grade (as of 9/12): ______ Birthdate: ________

Address: _______________________________ _________________________ ________________

(number, street name) (city) (zip code)

Phone:_________________________ (Please circle) Gender: M F USM Student: Yes No

E-mail:_________________________

Mark each selected program by recording the amount of the fee to be paid in the fee column.

Fee	ID	Program	Early (by 5/16)	Reg. (after 5/16)	Date	Times
	1606	Abstract Painting: A Fearless Approach	$128	$138	6/18-6/29	12:30 – 1:55
	8060	Brush Art – Watercolors, Tempera, Acrylics	$128	$138	7/16-7/27	9:00 – 10:25
	2016	Clay Faces: 3-D Portraiture	$132	$142	6/18-6/29	9:00 – 10:25
	1989	Crafting Around the World	$128	$138	6/18-6/29	2:00 – 3:30
	1544	Drawing Basics: Beyond Stick People	$116	$126	7/2-7/13	2:00 – 3:30
	2022	Fashion & Interior Design	$116	$126	7/2-7/13	9:00 – 10:25
	1725	Go Figure: Human Figure Drawing	$128	$138	7/16-7/27	10:30 – 12:00
	8285	Shades of Realism: Drawing & Painting Techniques I	$128	$138	7/16-7/27	12:30 – 1:55
	2202	Shades of Realism: Drawing & Painting Techniques II	$116	$126	7/2-7/23	12:30 – 1:55

ACTIVITIES PARTICIPATION AND EMERGENCY MEDICAL PERMISSION

______________________________________________

Parent(s)’ Name(s) (Indicate Title: Mr., Mrs., Ms., Dr.)

________________________________ ________________ ________________ ___________________

Address Home Phone Parent Cell Phone Parent Business Phone

I consent to my child’s participation in I.D.E.A.S. at USM activities. I also consent to and authorize the provision of emergency medical treatment for my child until I can be contacted and agree to be responsible for the cost. Please notify the school office, in writing, regarding any medical information that should be on file.

_____________________________________________ ________________________________

Signature of Parent or Guardian Date

USM has permission to use my child’s photograph in promotional materials. We will assume permission is granted unless otherwise indicated. YES NO (Please initial)

In case of emergency if parent cannot be reached, call.

_________________________________ ___________________________ _________________________

Name Relationship Phone