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1 #7Full Day Summer Camp Ashburn #:*'?:7%?&,(-8:',?7!,(-!!!"##%&'(#)*&"+,-./0.120/ /7#89'7#,*(:7;663 <=>&*(?7 <71/65.!"#%&"'(&)*+,-"(*& )./'.0/'/12./345'671841'2.9671:1'.;1'<./9'61/'2=>735'877'7>;14'904:' 1'2.9671:13!!"#%&'()#*'%%%%!!%+#'(,*-*.%/'()#*' '-5*%64'#7!!!!!!!!!!!!!! 8,4)#%9%:422%;<= 7!!!!!%%%%/3>552%*4 #7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!%%%%%!!%!42#%%!!:# 42#%%"-,'>%64'#!!!!!!! /'()#*'#&%"4 #7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!%%%%%%%5 #%%>5*#7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! &:-,&'' &!-))2#'% &(4&'' 0)),#&&7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! &)-'*'%%%%%%%%%%%%%%%%%%%%%%&/'4'#'%%%%%%%%%%%%%%%%%%%%%%%&+-1%35)#' Select T-shirt size. Youth Size: S(6-8) M(10-12) L(14-16) Adult Sizes: S M L XL -771/!>145'913>28:>.;45'3>1:8/"';11345' 1=8#>./874.2>87'>440145'8;3'.:=1/'2.;21/;47!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! %-+%&"'(&)*+,-"(*& (<'<>77>;!'.0:'907:>671'<./94'4&>6':=>4'412:>.;'<./'' ;3 './'( /3 '2=>73) &)>#34%5*#'%%!!%:4'>#,%%!!%/'#164'>#,%%!!%8(4,)-4* &)>#34%5*#'%!!%!5'>#,%%!!/'#1 5'>#,%%!!%8(4,)-4*% :(22%"4 #!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :(22%"4 #!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 0)),#&&!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 0)),#&&!!!!!!!!!!!!!!!!!!!!!!!!!!!!! %!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! %%%%%%%%&76%6-66#,#*'%6,5 %4859#' &76%6-66#,#*'%6,5 %4859#' "(&-*#&&%%>5*#%!!!!!!!!!!!!!!!!!!!!!!!!!! "(&-*#&&%%>5*#%!!!!!!!!!!!!!!!!!!!!!!!!!! )#22%%>5*#!!!!!!!!!!!!!!!!!!!!!!!!!! )#22%%>5*#!!!!!!!!!!!!!!!!!!!!!!!!!! 5 #%%>5*#%!!!!!!!!!!!!!!!!!!!!!!!!!! 5 #%%>5*#%!!!!!!!!!!!!!!!!!!!!!!!!!! :- 4-2%7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :- 4-2!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 5%)-)%*5(%6-*)%5('%485('%5(,%34 1;%!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! =

2 !"#Full Day Summer Camp Ashburn!%&#'()(*+,-./#.0#12,+,-.#3((/#3-4%!"#%#&'(""&)*+&),#&')-.&/#-&01("23&#!"0#&&01#04&,#5+&+)&+1#&6##47%8&9)*-&01("2&/",%&+)&++#,2&0./:!!"###6/12-6/16(#####!!)###6/19-6/23(!!* ###6/26-6/30(######!!,###7/3-7/7 (close 7/4)(! -#7/10-7/14)!%###7/17-7/21( #!!+###7/24-7/28(!.###7/31-8/4(!/###8/7-8/11(!!"0###8/14-8/18)# 11 (8/21-8/23) ;1))%#&;./&<##%:#123245#562#4789#:22#5675#7993;2<#5=#562#> 8!2"#=:#4789##22<#7>%#9"=&"78#'= #46==<2( =-<%=##4& V%>%?%=##4& 2%>%=0%=##4& "4&-3%)4 1 "5%)24&&#& 0))-5*& /( #,,#3> 0))-5*&!-D#)%!4,'-42%0,'&!@;?A/<<B4!@;A</<<B4!@;;A/<<B4 "#&'%6:0(!@A<B##4%C%84&-3%!@A<B##4%%%C%84&-3%!@A<B##4%%C%84&-3%!@A<B##4%%%C%84&-3%!@A<B##4%C%84&-3%!@A<B##4%%%C%84&-3% Prorated Prices: 7/3-7/7 (4 days) 220 (no Add-Ons) 0))-5*& 8/21-8/23!@A<B##4%%%C%84&-3% (3 days) 165!@A<B##4%%%C%84&-3% (no Add-Ons)!@A<B##4%%%C%84&-3% "E80%8* Computer *4&'-3& Class + Math 34 & 1%1,-3# Science Class 34 Schedule: 1%1,-3# Select the classes your child will attend. ;)./*+#-&;"%%&=&>(5#2&>-+("&?-+&;"%%&=& You cannot select more than one option 9.,%+(0%&;"%%#%)#123245#562#437<<2<#'= in each row for one child. Computer "#46;3%##;33#!2#7552>%;>&(#*2828!2"+#'= Class and Math & # 47>>=5#<23245#,=89 52"#437<<2<#7>%#-'8>7<5;4<#7>%#.7"5;73#/"5#437<<2<#;>#562#<782##22#!247 <2#=:#<462% 32#4=>:3;45( Science Class are offered at about the same times. Session Days Dates 1 M-Th 6/12 to 6/16 2 M-Th 6/19 to 6/23 Computer Class Ages 6-9 Mon-Thu 2:15-3:30pm JR Minecraft Programming using LUA Intro to Electronics w/ Little Bits Computer Class Ages Mon-Thu 3:30-4:45pm SR Minecraft Programming using LUA Drone Flight & Mechanics 3 M-Th 6/26 to 6/30 JR Minecraft Modding SR Minecraft Modding 4 M,W,Th (3 days) 7/3 to 7/7 (close 7/4) Visual Programming using Scratch Comic Book Creation Math & Science Class Ages 7-14 Mon-Thu 2-4pm Astronomy & Weather Math Prep (Number and Number Sense) Engineering Projects (Mechanical & Civil) Math Prep (Computation and Estimation) 5 M-Th 7/10 to 7/14 Minecraft Animation Minecraft Animation Food Science 6 M-Th 7/17 to 7/21 Stop Motion Animation Photoshop Art Design Math Prep (Measurement) 7 M-Th 7/24 to 7/28 Game Design using Minecraft EDU 3D Character Modeling & Sculpting Life Science (Anatomy & Biology) 8 M-Th 7/31 to 8/4 Lego WeDo Lego EV3 Math Prep (Geometry) 9 M-Th 8/7 to 8/11 Mincraft Redstone 10 M-Th 8/14 to 8/18 Raspbery Pi 11 Game Design using Minecraft EDU 3D Modeling for 3D Printing M,T,W (3 days) 8/21 to 8/23 NO CLASS NO CLASS NO CLASS Earth Science (Geology & Oceanography) Math Prep (Probability & Statistics)!"#%&"'")*%+##################################################################'''.)%+#################

3 !"#Full Day Summer Camp Ashburn Please fill one form per child &DPS%)HHV%SHU%ZHHN,%%)LOORXWWKHFDPSIHHVEHORZEDVHGRQWKHFDPSVFKHGXOH\RXZDQWWREXLOGIRU\RXUFKLOOG %DVLF&DPS ; : 0.00 %DVLF&DPS)HH 1XPEHURI:HHNV 7RWDO%DVLF&DPS)HH 6XPPHU7HFK :@A ; B : XPPHU7HFK)HH 1XPEHURI:HHNV 7RWDO6XPPHU7HFK)HH 0DUWLDOUWV :@A ; B : DUWLDOUWV)HH 1XPEHURI:HHNV 7RWDO0DUWLDOUWV)HH *\PQDVWLFV :@A ; B : % HIRUHOIWHU& DUH 35 ; 1XPEHURI:HHNV 7RWDO*\PQDVWLFV)HH 0.00 QRHPANSDPOTHK@NISPU)HHSHU:HHN1XPEHURI:HHNV B &DUH)HH : Camp T-shirts 10 each x = T -shirt Total 7RWDO&DPS)HH : 0.00 Total Camp Fee Special Discount: x = Total Camp Fee % Discount Promotional Discount Code: 5HJLVWUDWLRQ)HHH:@ASHUFKLOGRU:IAIRUIDPLO\J : 5HJLVWUDWLRQ)HH ),//%287%7+,6%6(&7,21%,)%<2875(%5(*,67(5,1*%025(%7+1%21(%&+,/',% 1RWH,%'LVFRXQW%LV%RQO\%DSSOLHG%WR%WKH%ORZHVW%&DPS%)HH%7RWDOG% 6LEOLQJGLVFRXQWH 0.00 ; JKA : RWDO&DPS)HH KAL'LVFRXQW Sibling Discount %),1/%&03%&/&8/7,21% 6WXGHQW1DPHH : 0.00 B: N: N: : RWDO&DPS)HH 5HJLVWUDWLRQ)HH Sibling Discount Promo Discount *UDQG7RWDO&DPS)HH!"#%&'()*'+,-.?"'.,&(0!1%"2%(3+%34(%'+,5(,6(7"#%&'8 9-%5.'(9"-5((.11.&/()*'+,-.?"'.,&! "#%&'()*+",-",./+(",0/"%'"1&#(2+"3."1(+4)%" I authorize C3 Cyber Club to charge my credit card for summer camp payments by the method indicated below. 1#(4"5'("633+("1#37"7#.3+8%6"/."%&+"3+%&'4")84)1#%+4"/+0'9:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!"!!?%&!!.,"" 2&*+"&%","&--+&"%"/0","+%,",&"%!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! "!!!!!!!!!!!!!!!!!""""""!!!!!!!!!!!!" """""""""!!!!!!!!!!!!!!!!!!!!,"+%,",&"%"2 *!+" "";A-("6&,+ ""?:,"> "",&"%:/;%+"B%"=&0&, "+!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 1;;0&"/%%"+%%"/A",&"%"C/;%+""" "",,'"" ""=,&,+"" ""D- 67,-'"&'(!"#%&'(6&6,-"'.,& /"8FG";&,+"A++"#;;"!+"&--;+%",/" 0-&%"&II/ 0,%"/0",:+"J %, "&0%"JG,: "/A"+&I:"*/0,:("/0'"&II/ 0,",:&,"%"/@+""% +"A/""JL"%&'%"#;;"!+"I& %+"A/""%%*%%&;"A"/*",:+"-"/&"&*("/"8MG"A++"#;;"!+"I:&"&+%",/"'/ ""&II/ 0,"A/""+&I:""+, "0+%",+*("".%%+%"-&'*+0,%"#;;"!+"&,,+*-,+%"&"%+I/0%",*+" -/0"0/,AI&,/0"/A" 0% AAI+0,"A 0%%"A"/*",M",'!+"",;!(!!!!!!!!!!!!!!!!!!!!!!!!!"!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! "!!!!!!!!!!!!!!!!! 7&"+0,O- &"%&0"=&0&, "+ " =, %+0,"2&*+""""""""" " 6&,+)

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