Kalimah Programs' Mini Explorers Enrollment Application

Budding linguists ages 3.5-5 are welcome to join this part time Arabic immersion summer camp on Tuesdays and Thursdays from July 30 to August 15

Hours: 9:00am-12:00pm

Location: Kalimah's room at JHU Rockville

Theme: the Five Senses

Every day there will be multiple hands-on activities about one of the senses: arts, crafts, scientific exploration, cooking, etc. as Mini Explorers learn Arabic words related to them: verbs (what we do with each sense), nouns (body parts), and adjectives (describing things we sense). Using Kalimah's Play-Based learning method, we will learn songs, dances, and games that emphasize the five senses and overall body coordination. We will also discuss relevant manners and how to make good choices.

On the last day, kids will complete a keepsake book and box of the 5 senses and take home all arts and crafts they make over the three-week period.

For pictures of similar programs, visit our Facebook Albums

Student's Date of Birth *

This class is for preschool age kids between 3.5 and 5 years old who can attend without a parent/guardian

Participant’s Name *

First Name Last Name

Student's Gender *

Female Male

Parent/Guardian Name *

First Name Last Name

Email *

Confirmation Email example@example.com

Phone Number *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Second Parent/guardian Name

First Name Last Name

Second Parent/guardian Email

Confirmation Email example@example.com

Second Parent/guardian Phone Number

Emergency contact (in case a parent/guardian cannot be reached) *

First Name Last Name

Emergency Contact’s Phone Number *

Allergies, Special Needs, and/or Accommodation Requests (Please note that participating children should be fully potty-trained and able to go to the bathroom and eat independently at snack time. They should be used to staying without a parent for the duration of the program.) *

A non-refundable processing fee of $15 is required with each application. Cancellation of registration must be at least 20 days before the start of the program for full tuition refund. If cancelation is requested less than 20 days in advance, a $35 processing fee will be deducted from the tuition refund. If cancelation is requested after the program has started, a $75 processing fee plus the prorated tuition fee of the classes that already passed will be deducted from the tuition refund.

Payment Info

Enrollment application processing fee $ 15.00

Summer 2019 Mimi Explorers Program (ages 3.5-5) Tuesdays & Thursdays @ JHU Rockville, MD (9:00am-12:00pm) July 30-August 15 (total 6 classes) $ 150.00

Enter coupon

Total $ 0.00

Credit Card Info (your card will only be charged once the application is accepted and a spot for your child is guaranteed)
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Comments/Questions *

Please include names of all regular and potential pick-up people allowed to drop off and pick up participating child. Delay in pick up incurs a $1/minute charge billed to the parent/guardian registered here.

Signature *

I UNDERSTAND THAT THERE ARE INHERENT DANGERS INVOLVED IN PARTICIPATION IN PROGRAM ACTIVITIES. I AM AWARE OF THE RISKS AND HAZARDS RELATED TO THESE ACTIVITIES. I UNDERSTAND THE RULES AND REGULATIONS FOR EACH ACTIVITY, AS EXPLAINED IN ANY WRITTEN OR EMAILED MATERIALS AND/OR EXPLAINED BY STAFF/VOLUNTEERS. I GIVE MY CHILD PERMISSION TO PARTICIPATE IN ALL KALIMAH ACITIVITES. I RELEASE, HOLD HARMLESS, AND INDEMNIFY KALIMAH AND ALL OF ITS STAFF, VOLUNTEERS, AND AFFILIATES FROM AND FOR ANY CLAIM, INJURY, OR OTHER LIABILITY OF ANY KIND WHICH IS CAUSED DIRECTLY BY PARTICIPANT, OR WHICH RESULTS FROM OR DURING MY CHILD'S PARTICIPATION IN THE PROGRAM. ON BEHALF OF THE CHILD/PARTICIPANT, I HEREBY CONSENT TO THE USE OF PHOTOGRAPHS, VIDEO FOOTAGE, AND CLASSWORK OF THE PARTICIPANT IN PUBLICATIONS, WEBSITE, AND OTHER MEDIA RELATED TO KALIMAH PROGRAMS. Clear

Kalimah Programs' Enrollment Application Form