Foreign Language Network

The Foreign Language Network

Summer Camp 2008
Registration Form

Register by Fax: Fax form with credit card information to 847-594-6085.
Register by Mail: Mail form with check or credit card payment to the address above.
Register by Phone: Call us at 847-426-6856.

Language: _________________ Session Date: _________________________

Camper’s Name ___________________________________ Age___________

Street Address _________________________ City & Zip________________

Parent Name(s) ____________________ Email ________________________

Home Phone_____________________ Work or Cell _____________________

Emergency Contact__________________ Phone________________________

We will confirm your registration by phone or email prior to the start of the program.
No refunds will be issued after the program begins.

Please make checks payable to Foreign Language Network, or complete credit card information.

Credit Card __Visa __ MasterCard Amount $____________

Card Number________________________________ Exp. Date __________

Signature________________________________ Date ________________