Brain Camp Registration Form

Current Courses

August 6 - 9 (Mon to Thu) 9:00 - Noon
Forest Ridge School 4800 139th Ave SE Bellevue, WA 98006
August 13 - 16 (Mon to Thu) 9:00 - Noon
Seattle Prep 2400 11th Ave E Seattle, WA 98102
August 27 - 30 (Mon to Thu) 9:00 - Noon
Old Redmond Schoolhouse 16600 NE 80th St. Redmond, WA 98073	Westgate Chapel 22901 Edmonds Way Edmonds, WA 98020
August 6 - 9 (Mon to Thu) 9:00 - Noon
Archbishop Murphy High School 12911 39th Ave. SE Everett, WA 98208
August 13 - 16 (Mon to Thu) 9:00 - Noon
Bellevue International School 445 128th Ave SE Bellevue, WA 98005
August 20 - 23 (Mon to Thu) 9:00 - Noon
King's Schools 19303 Fremont Ave N Shoreline, WA 98133

Summer 2012 Program Tuition: $325

Help your teen become a stronger student. Sign up now!

Registration Form

Complete this form and return with your check made payable to Study Dynamics.
Mail to: Study Dynamics, 19507 22nd Place NW, Suite C, Shoreline, WA 98177
We will confirm receipt and provide class details via email.

Desired Location: ____________________________________ Camp Dates: _________________________

Child’s Name: _______________________________________ Grade: _____________________________

School: _________________________________________________________________________________

Parent’s Name: __________________________________________________________________________

Home Address: __________________________________________________________________________

City: ________________________________________________ Zip: ______________________________

Email: ____________________________________________ Contact Phone #: _______________________

How did you hear about Brain Camp? ____________________________ Promo code: __________________

Any camp session may be cancelled due to insufficient enrollment

Call: 206-533-2080 | Email: info@braincamps.com | Click: www.braincamps.com