invent. disCOver. eXPlOre. aChieve. · 2013. 5. 31. · 2013 CAMP INVENTION REGISTRATION FORM...
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IN PARTNERSHIP WITH: UNITED STATES PATENT AND TRADEMARK OFFICE AN AGENCY OF THE DEPARTMENT OF COMMERCE FAMILIES ONLY PAY $25! FUNDING PROVIDED BY LORAIN COMMUNITY FOUNDATION Camp Invention and Invent Now are registered trademarks. ©2012 Invent Now, Inc. All rights reserved. Camp Invention is a program of the nonprofit Invent Now, Inc. Availability is limited - Enroll today by calling 800.968.4332 Inspire CREATIVITY and INVENTIVE thinking during a weeklong summer adventure of FUN and EXCITING real world challenges led by qualified educators! I NVENT. D ISCOVER. E XPLORE. A CHIEVE. CREATE is coming to: Durling Middle School 100 North Ridge Road, Lorain, OH 44052 June 17 - 21, 2013 from 9:00AM to 3:30PM For children entering grades One through Six. Directed by: Molly Streator 2013 CAMP INVENTION REGISTRATION FORM Return registration form (one for each attending child) and payment in full to: Camp Invention, 3701 Highland Park NW, North Canton, OH 44720 Register online at www.campinvention.org or via telephone at 800.968.4332 or fax your registration form to 330.849.8528 Durling Middle School (The CREATE Program) June 17 - 21, 2013 from 9:00AM to 3:30PM Program Code: C-OH23-11176-13 Check # ___________________________________ (payable to Camp Invention; please do not send cash) Credit Card Number ____________________________________________________________________ Visa Mastercard Discover Expiration Date _________________ Cardholder Name ______________________________________ Signature ___________________________________________________ Date ____________________ Parent’s Name ________________________________________________________________________ Street Address ________________________________________________________________________ City ____________________________________ State _______________Zip ____________________ E-mail Address ________________________________________________________________________ Day Phone ________________________________ Evening Phone _____________________________ Child’s Name Alumnus? Gender Date of Birth Fall 2013 Grade Level Yes / No M / F School Child Attends ___________________________________________________________________ Special Needs _________________________________________________________________________ Does your child require an epinephrine syringe? Yes No Each registrant will receive a free Camp Invention T-shirt. Registration fee is non-refundable. One of the real world challenges in the CREATE program is Problem Solving on Planet Zak®. Survive Planet ZAK! After crash landing, use critical thinking skills to create shelter and clothing, find food, and ultimately build a spaceship to blast off for home!
Transcript of invent. disCOver. eXPlOre. aChieve. · 2013. 5. 31. · 2013 CAMP INVENTION REGISTRATION FORM...
In partnershIp wIth:
UnIted states patent and trademark OffIcean agency Of the department Of cOmmerce
Families Only Pay $25! Funding PrOvided by lOrain COmmunity FOundatiOn
Camp Invention and Invent Now are registered trademarks. ©2012 Invent Now, Inc. All rights reserved. Camp Invention is a program of the nonprofit Invent Now, Inc.
availability is limited - enroll today by calling 800.968.4332
inspire Creativity and inventive thinking during a weeklong summer adventure of Fun and eXCiting real world challenges led by qualified educators!
invent.
disCOver.
eXPlOre.
aChieve.
Create is coming to:Durling Middle School100 North Ridge Road, Lorain, OH 44052June 17 - 21, 2013 from 9:00AM to 3:30PMFor children entering grades One through Six.
Directed by:Molly Streator
2013 CAMP INVENTION REGISTRATION FORM
Return registration form (one for each attending child) and payment in full to: Camp Invention, 3701 Highland Park NW, North Canton, OH 44720 Register online at www.campinvention.org or via telephone at 800.968.4332 or fax your registration form to 330.849.8528
Durling Middle School (The CReATe Program)
June 17 - 21, 2013 from 9:00AM to 3:30PM Program Code: C-OH23-11176-13
Check # ___________________________________ (payable to Camp Invention; please do not send cash)
Credit Card Number ____________________________________________________________________
Visa Mastercard Discover
Expiration Date _________________ Cardholder Name ______________________________________
Signature ___________________________________________________ Date ____________________
Parent’s Name ________________________________________________________________________
Street Address ________________________________________________________________________
City ____________________________________ State _______________Zip ____________________
E-mail Address ________________________________________________________________________
Day Phone ________________________________ Evening Phone _____________________________
Child’s Name Alumnus? Gender Date of Birth Fall 2013 Grade Level
Yes / No M / F
School Child Attends ___________________________________________________________________
Special Needs _________________________________________________________________________
Does your child require an epinephrine syringe? Yes No
Each registrant will receive a free Camp Invention T-shirt. Registration fee is non-refundable.
One of the real world challenges in the Create program is Problem solving on Planet Zak®. Survive Planet ZAK! After crash landing, use critical thinking skills to create shelter and clothing, find food, and ultimately build a spaceship to blast off for home!
