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Kamp Kellywamba - West Africa Meets Hip-Hop!Destin Middle School ~ June 16 - 20, 2008 ~ 8:30 AM – 12:30 PMGrades 1-8 (in the fall) $125.00 per student (includes all four classes) ~ Limited to the first 50 registered students only. Mattie Kelly Arts Foundation members receive a 10% discount. Students may bring snacks to class. For more information, contact Leah McGill at 650-2226. WEST AFRICA MEETS HIP-HOP WITH ZIG! Zig is back by popular demand! Students will create a mastered audio CD combining music, creative writing and technology on Zig’s workstation and digital equipment. Instructor: Zig Wajler, Musician, Author, Educator, & Composer. WEST AFRICAN HIP-HOP DANCE! Students will learn basic West African Hip-Hop Dances combining elements of hip-hop with various dance styles. Instructor: Noreen Poppell of The Ballet Conservatory. BECOME A CHEF! Learn how to make authentic West African cuisine including beverages, rice dishes, cookies and much more. Instructor: Chef Tim Creehan, Melissa Creehan, & Christopher Struck of Chef Tim Creehan & Company. MASKS AND MORE! Explore a variety of art forms! Create West African projects including masks, clay sculpture, drawing & painting, papier-mâché and more. Instructor: Eva Markham, certified art teacher � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
Registration Form (Mail form & check to MKAF, 4323 Commons Dr. W., Destin, FL 32541) Student Name Grade/Age T-Shirt Size
Parent Name Daytime Phone
Home Phone Cell Phone
Address City & Zip
Emergency Phone & Contact
Medical Concerns?
Who will pick up child? In case of a medical emergency, I authorize the Mattie Kelly Arts Foundation to provide medical attention to my child. To minimize mishaps and make every class fun, we ask students to follow the same discipline plan adopted by Okaloosa County Schools. Signature (parent/guardian) Register each child on a separate form. Make check payable to: Mattie Kelly Arts Foundation, 4323 C0mmons Drive West, Destin, FL 32541.
Parental Release for use of Student Images in all Formats I (we) authorize Mattie Kelly Arts Foundation and those acting with its permission and under its authority to use and publish recognizable images of my child, in any medium deemed appropriate by Mattie Kelly Arts Foundation, including, but limited to: Web Pages, newspapers, TV (Broadcasts to home), multimedia presentations and pictures for professional journals and magazines. I (we) release and discharge Mattie Kelly Arts Foundation and all persons acting with its permission and authority, from any liability by virtue of use of photographs so long as same are used for an educational or promotional purpose by Mattie Kelly Arts Foundation. I (we) warrant that we are the parents and/or guardians of and have full rights to contract on behalf of said child. Please indicate any exceptions:
Parent/Guardian Signature Date Print Name
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