Welcome to the Summer Lab 2008 On-Line
Registration form. Please be careful to fill in each response accurately;
this form becomes your child's record at the Laboratory Schools
as we plan for six weeks of summer fun.
When you SUBMIT the form a summary email will be sent automatically to Parent/Guardian 1's email address. You will be instructed to print the form, sign it, and mail the form along with your
check or money order to the Laboratory Schools, 1362 East 59th Street,
Chicago, IL 60637. Please understand that your registration is not
complete until this signed copy and payment are received. Geometry
students must include their current teacher recommendation with this
mailing.
DO NOT print this webpage for the purposes stated above — print the automated email response sent to Parent/Guardian 1's email address.
Thank you for participating in Summer Lab 2008! Feel
free to call our Summer Lab Hotline, 773-834-7766, with any questions.
Items marked in red (and/or with an asterisk) are REQUIRED.
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| Student Information |
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| Parent/Guardian 1 Information |
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| Parent/Guardian 2 Information |
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| Dismissal Information |
| Please list anyone, other than the above,
authorized to pick up the applicant at dismissal time including
older sibling(s): |
| Name
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Phone Number
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| Name
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Phone Number
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For fourth grade and younger children, please indicate 'yes' if the child
is permitted to leave alone.
Authorization to leave alone: *
Children in fifth grade and higher are permitted to self-dismiss unless the Director is notified in writing to the contrary. |
Please indicate the preferred location for your child's 3 pm dismissal: *
Select n/a if you are enrolling for Morning only or Late Day or Sports Camps.
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| Emergency Medical Information |
| Please list an emergency contact other
than the custodial parents(s)/guardian(s) |
| Contact Name *
Phone Number *
Relationship to child *
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| Contact Name
Phone Number
Relationship to child
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What health conditions or concerns (such as allergies) should Summer Lab be
aware of: *
(If none, please enter none or -.) |
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How are they treated? *
(If none, please enter none or -.) |
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What medications, if any, are used? *
(If none, please enter none or -.) |
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| Are your child's immunizations up to
date? *
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| Please provide any additional information - medical or otherwise - that you
think will be helpful for Summer Lab staff to be aware of to make your
child's summer more comfortable and successful: |
Additional information
may also be sent with your summary statement and payment. |
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Permissions
Please check the boxes and initial the space provided to indicate
your agreement to these permissions and, if appropriate, awareness
of the High School attendance policy for credit classes. |
Medical
In the
event that the undersigned cannot be reached, and in the judgment
of the director, nurse, or other staff member of the University
of Chicago Laboratory Schools, there is a necessity for immediate
examination and/or treatment of our (my) child (ward), we (I) hereby
authorize any of the aforesaid personnel to obtain for said child
such medical services.
I agree *
Initials *
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Hold Harmless
As a condition of my child’s (ward’s) voluntary participation
in the Summer Programs, I agree to waive any claim and to hold
The Laboratory Schools harmless for additional injuries to my
child (ward), providing the Laboratory Schools and/or its agents
have acted with reasonable care to provide safe conditions and
adequate supervision for school-sponsored activities.
I agree *
Initials *
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Field Trips
I hereby give permission for my child (ward) to take field trips
supervised by Laboratory Schools teachers or staff during the Summer
Lab 2008 programs. I understand that I will receive advance notice
when additional costs for field trips are involved.
I
agree *
Initials *
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High School Attendance
I understand and acknowledge that all High School class offerings
for credit are subject to an attendance policy.
Initials
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Program Selections
Click
on your choice of Summer School, Adventure Kids Day Camp, Summer
Lab on Stage, and Sports Camps; a 'drop-down' menu will show you
your options in detail! |
| Summer School |
Please be sure you
do not choose classes with conflicting schedules.
Choose
from Full Day OR Morning and Afternoon; do not choose Full Day plus
Morning or Afternoon. |
Full Day 6 weeks
(8:30 AM - 3:00 PM)
$2,220 for all programs
First Choice
Second Choice
Third Choice
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Morning 6 weeks
(8:30 AM - 12:30 PM)
$1,515 for all programs
First Choice
Second Choice
Third Choice
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Afternoon 6 weeks
(1:00 PM - 3:00 PM)
$835 for all programs
First Choice
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| Three Week Classes |
Session 1 - June 23 - July 11 |
Full Day
(8:30 AM - 3:00 PM)
$1,165
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Morning
(8:30 AM - 12:30 PM)
$835
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Afternoon
(1:00 PM - 3:00 PM)
$450
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Session 2 - July 14 - August 1 |
Full Day
(8:30 AM - 3:00 PM)
$1,165
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Morning
( 8:30 AM - 12:30 PM)
$835
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Afternoon
(1:00 PM - 3:00 PM)
$450
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| Adventure
Kids Day Camp |
Session I - June 23 - July 11 Session II: July 14 - August 1 |
Full Day
(8:30 AM - 3:00 PM)
Session 1 or 2 -- $1,165
Both -- $2,220
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| Summer Lab
on Stage |
Full Session - June 23 - August 1 |
(8:30 AM - 12:30 PM)
$1,515
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| Sports Camps |
(3:00 - 5:30
PM)
One session - $360, Two sessions - $680, Three sessions - $970
Choose one activity per session
*Register for High School PE in Session I First Choice menu.
**Register for "Extra Week"(+$130) in Session I or Session III, Third Choice. See Sports Camps homepage for Extra Week provisions.
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Session 1
(June 23 - July 3)
First Choice
Second Choice
Third Choice
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Session
2
(July 7 - July 18)
First Choice
Second Choice
Third Choice
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Session
3
(July 21 - August 1)
First Choice
Second Choice
Third Choice
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| Early Day &
Late Day |
Early Day
(7:30 AM - 8:30 AM)
per day -- $25
per week -- $100
Full Session -- $520
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Late
Day
(3:00 PM - 5:30 PM)
per day -- $45
per week -- $185
Full Session -- $970
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Calculate Your
Payment
The Laboratory Schools are not able to accept credit
card payments at this time. We regret any inconvenience.
Payment Calculator
(Clicking on this link will open a new browser window.)
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Total amount from the worksheet |
$
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Materials fee(s) |
$
Click to see list of materials fees
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Deduct your discount |
$
(Early Bird Discount Expired.)
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Your total fee |
$
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Please put the reference number from your check or
money order in this space: |
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| Review and Submit |
Congratulations, you are almost finished. Please look over this form to be
sure that you have entered the information and choices that you want. When
you click on SUBMIT you will send the data directly to the Laboratory
Schools and your Summer Lab 2008 file will be created. However, your
registration is incomplete until we receive the signed summary document and payment at the Laboratory Schools.
When you click on SUBMIT, you will receive this document via automatic email to the address you provided for Parent/Guardian 1.
DO NOT print this webpage for the purposes stated above — print the automated email response sent to Parent/Guardian 1's email address.
To qualify for the Early Bird Discount, the signed summary and payment must be received at the Lab Schools by April 15. By making this submission, you confirm your agreement to the policies and procedures detailed in the Summer Lab 2008 website.
Thank you for participating in Summer Lab 2008 — we look forward to seeing you! |
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