2007-2008 Discovery Visit Registration Form

 
Name of School:
School District:
Contact Teacher:
Grade:
School Address:
City: State: ZIP: County/Parish:
Contact Person: E-mail Address:
Phone: FAX: Best Time to Call:
Date
Preference #1:
Preference #2:
Preference #3:
Number of Children: 100 maximum 30 minimum
Number of Staff: One adult required for every 5 children
Number of Parents:

Fall Dates Sept 4th – Dec 14th
Spring Dates Jan 8th – May 16th
Tuesday thru Friday 9AM – 12PM (3 hour time slot)
50% NON REFUNDABLE Deposit due at time of booking.

Admission $5 per child, parent or chaperone
All Teaching Staff is Free

246 Dolan Ave., Gulfport, MS 39507 www.lmdc.org/Annearanda@lmdc.org
Tel (228)897-6039 Fax (228)248-0071