Camp Internet & free DSL Subscription Form
Parent Contact Information
Name
Email
Country
Address
City State Zip
Phone Fax
If a Gift list Name:
I understand that my Camp Internet Subscription includes complete access to all classrooms including the following Camp Internet Online Expeditions:
Discover the California Channel Islands
Explore the Ancient Southwest
American History
Explore the Global Garden
Discover the California Backcountry
Explore GIS & GPS Mapping
Services Ordered I am ordering the following services :
Single Camp Internet Classroom year round subscription including the Classroom Supplies for $35.00 month
Additional groups of students, per 35, including teacher, $250 per group: Qty of groups
Total cost of Subscriptions ordered : Payment Method I will be paying by credit card MC Visa Am Ex In Full Card # Exp Date Card Holders Name Card Holders Address I will be paying by check Agreement This enrollment agreement includes opportunties for training for myself, online programs for my students,and optional mateirals and/or live training. By enrolling, I agree, on behalf of my school or agency, to pay the program package costs, and will be responsible for any travel or field costs or liabilites. I and my students will observe the Camp Internet Accpetable Use Policies for responsible online activities and we will participate fully to the best of our abilities. Please print, then submit online, and then sign this application/mail a hard copy to Camp Internet PO Box 325 Buellton, CA. 93427 (if you decide later to make changes on this form, do so by hand and send in with signature) Signature Date Thanks for Enrolling! Questions? Call 1-800-889-2823, or email rain@rain.org
Total cost of Subscriptions ordered :
Payment Method
I will be paying by credit card MC Visa Am Ex In Full Card # Exp Date Card Holders Name Card Holders Address
I will be paying by check
Agreement
This enrollment agreement includes opportunties for training for myself, online programs for my students,and optional mateirals and/or live training. By enrolling, I agree, on behalf of my school or agency, to pay the program package costs, and will be responsible for any travel or field costs or liabilites. I and my students will observe the Camp Internet Accpetable Use Policies for responsible online activities and we will participate fully to the best of our abilities.
Please print, then submit online, and then sign this application/mail a hard copy to Camp Internet PO Box 325 Buellton, CA. 93427 (if you decide later to make changes on this form, do so by hand and send in with signature) Signature Date Thanks for Enrolling! Questions? Call 1-800-889-2823, or email rain@rain.org
