STUDENT INFORMATION Student Name
Current School School - Fall 2019 Grade - Fall 2019 Date of Birth (mm/dd/yyyy)
Date Format: MM slash DD slash YYYY
Age Gender Student Diagnosis, if any: Supporting Documents For students not currently enrolled at AOWL, please attach a description of the area/s in which your child is having difficulties. Please be as specific as possible, as this will help us appropriately place your child. Please also attach a copy of your child’s official school report card, educational assessments, IEP or 504 Plan, and clinical evaluations if available. How did you hear about the AOWL Bridge the Gap Summer Camp ? Please check all that apply: PARENT/GUARDIAN INFORMATION Parent/Guardian Name
Address (if different from student)
Home Phone Cell Phone Work Phone Summer Camp Program Selections (Grade 7-12) REGISTRATION FEE (New Families Only)
Parliament - Session 1 (3-week program)
This program will target reinforcement, remediation and enhancement in the core academic areas of reading writing and math. Students enrolled in this program will engage in our research-based blended learning approach. Blended education combines the best practice of direct instruction, repetition, review, and reinforcement through computer mediated instruction programs led by a licensed teacher and experienced teacher associate. Students will be grouped into socially and academically appropriate groups and instructed based on their individualized learning needs. Each day will include a short social skills lesson or activity.
Session 1 Weeks 1-3 June 10-28 9:00am - 12:00pm M-F 7-12 $1,900 (3-week program)
Session 2 Weeks 4-6 July 8-28 9:00am - 12:00pm M-F 7-12 $1,900 (3-week program)
Parliament - Session 2 (3-week program)
Graduation Ready (Grades 9-12)
This 3-week, afternoon program is designed for 9th-12th graders who would like to improve their independent living skills in preparation for graduation. The program will include topics such as financial literacy, job seeking skills, and career exploration. We will partner with colleges
and employers to get students out into the community and experience employment first-hand. Whether your next steps include going to college, joining the work force, or attending a transitions program, our skilled staff will design an individual learning path for your needs. Transitions
Session 1 Weeks 1-3 June 10-28 12:30pm - 3:00pm M-F 9-12 $1,500 (3-week program)
Digital Video Camp
Unleash your inner cinematographer, actor, and director in Digital Video Camp. Using digital cameras and movie software, students will film and edit their own short movies, skits, and viral videos. They will learn how to add music, special effects, and backgrounds while working as a team.
Session 1 Week 1 June 10-14 12:30pm - 3:00pm M-F 7-12 $480
Engineer Your World
In this creative, hands-on camp, students will use the engineering design process to imagine, design, and create new ideas. Students will use Legos, Knex, wood, and many other materials to build both miniature and life-size structures.
Session 1 Week 2 June 17-21 12:30pm - 3:00pm M-F 7-12 $480
Each day of Sports Camp will be dedicated to at least one new sport. Campers will work on the fundamental motor skills that are specific to each sport as well focus on teamwork, communication, and competitive sportsmanship.
Session 1 Week 3 June 24-28 12:30pm - 3:00pm M-F 7-12 $480
Pricing Package: Session 1 full day (Camps)
Includes Parliament, Digital Video Camp, Engineer Your World and Sports Camp. $240 discount
Pricing Package: Session 1 full day (Graduation Ready)
9th-12th grade only. Includes Parliament and Graduation Ready. $240 discount
This camp is for kids who love technology. Students will use multuple STEM based programs involving coding, robotics, 3D printing, and favorites like Minecraft Edu. We know that getting unplugged is important so there will be time for organized games and activities that promote social, physical, and mental health.
Session 2 Week 4 July 8-12 12:30pm - 3:00pm M-F 7-12 $480
This camp focuses on the growing field of renewable energy and what we can do to make our planet a better place to live. Students will engage in hands-on experiential activities relating to solar, wind, and electric technology and leave camp with an understanding of how they can reduce their carbon footprint.
Session 2 Week 5 July 15-19 12:30pm - 3:00pm M-F 7-12 $480
Around the World
In just 5 days students will "travel" to 5 different countries around the world. They will learn about each country’s history and culture and get a chance to partake in traditions, crafts, cooking, and music.their carbon footprint.
Session 2 Week 6 July 22-26 12:30pm - 3:00pm M-F 7-12 $480
Pricing Package: Session 2 full day
Includes Parliament, Tech Camp, Go Green! and Around the World. $240 discount
STEAM Camp (full day)
With an emphasis on science, technology, engineering, art, and mathematics, this camp will combine learning with fun. Students will participate in projects, challenges and activities that get their minds and bodies moving. As always, each activity will be tailored to fit each students unique learning needs.
Session 3 Week 7 July 29 - Aug. 9:00am - 3:00pm M-F 7-12 $890 (full day)
City Adventure (full day)
This week-long, full-day camp will be packed with fun and engaging field trips. Students will explore the Twin-Cities metro area and discover new places and activities. Field trips will include museums, outdoor spaces, sporting events, and much more.
Session 3 Week 8 August 5-9 9:00am - 3:00pm M-F 7-12 $890 (full day)
Pricing Package: Session 3 full day (Weeks 7 and 8)
Includes STEAM Camp and City Adventure. $130 discount
PAYMENT Total Amount Due
Payment Method *Months over which payments should be spread:
Please contact email@example.com for questions regarding payment options. For general questions, contact firstname.lastname@example.org.