Remote ELL
                                                              Summer Camp
                                                                       th2021
                                                                June 8  – July 22nd
                                                           From 9:00 AM to 10:00 AM
                                                       Tuesdays, Wednesdays, Thursdays
                               ELL Summer Camp Online
                                              (260-338-5395)
          This 6 - week camp is                   Enjoy Weekly Themes & 
          free                                       Activities 
          for NACS students, 
          Kindergarten through 5th
          grade enrolled in the ESL               Sube Curriculum design
          program at NACS.  
                                                  Learning and practicing 
          Dates of Camp:                             English Skills
          June 8, 9, 10
          June 15, 16, 17                         Camp supplies provided
          June 22, 23, 24
                      Break 
          July 6, 7, 8                        *Return the registration page to your 
          July 13 14, 15                      child’s ESL teacher by April 30th
          July 20, 21, 22
                                 Staff: NACS ESL Teachers
                                             Questions? 
                              Karen.Skinner@nacs.k12.in.us
                                                                                             Registration Form
                                                                    (Needs to be completed and returned by April 30)
    Camper Information:
    Camper’s Name _____________________________________________ 
    School _____________________________________________________
    Grade (next school year) ______________
    Date of Birth ________________________ (month, day, year) 
    Age ________
    Allergies_________________________________
    Yes/No (Please circle one) I give my permission for my child to be photographed during camp. 
    Please list all names of parents/guardians who have permission to pick you child up from camp each day: 
    _____________________________________________________________________________________
    Parent/Guardian Contact Information:
    Name: ______________________________________________
    Address: _____________________________________________
    City, State, Zip: ________________________________________
    Home phone: ____________________       Cell phone: ________________
    If I can’t be reached during camp time, please contact: 
    (name) ________________________            (phone number) __________________
    (email) ________________________
    Parent/Guardian Signature: ____________________________       Date: _____________________