Camp Internet HomeSchool Application For Families

I am enrolling in Camp Internet as a:

New Student Returning Student

After completing enrollment you will have access to all the following Camp Internet tracks:

> Discover the California Channel Islands - marine science - history - literature - reading

> Explore the Ancient Southwest - archeology - history - geography - reading

> HomeSchool Campus - history - science - math - reading

> Explore the Global Garden - Sustainable Agriculture Studies - gardening - history - literature

> Discover the California Backcountry - history - social studies - environment - literature

> GIS Mapping and Science Studies: - gps/gis - map making - science - math - history - environment

Services Ordered
I am ordering the following services and/or products:

HomeSchool Subscription $299. for the full year. Subscription includes 2 Parent Accounts and upto 5 Children / Student Accounts.


I am also ordering the following (tax and handling/shipping incl):

GPS unit/s $150 each
Printed Camp Internet Workbook/s $30 each
Digital Still Camera/s $150 each

Subscriber Contact Information

Parent's Name/s
Parent Email
Student's Names
Address
City State Zip
phone
fax

Our student/s are at the follow grade level/s :

4 5 6 7 8 9 10 11 12 K-3

The connectivity to our home computer is:
Our home computer is a PC Mac

Payment Method

Total costs for services and products I am ordering $

I will be paying by credit card MC Visa Am Ex
Card #
Exp Date
Card Holders Name
Card Holders Address

I will be paying by check with signed application - Check #

Agreement

This enrollment agreement includes opportunties for online programs and materials. By enrolling, I agree to pay the program package costs and will be responsible for any elective travel costs. Our family will observe the Camp Internet Acceptable Use Policy and participate as fully a possible.

Please print, CLICK ON SUBMIT, sign this application and mail a copy to

Camp Internet
P.O. 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