Amplify! Summer Camp

We are pleased to announce that 916 Ink is offering our first
open enrollmentAmplify Your Voice Summer Creative Writing Camps
to help your 4th - 6th grade student improve their writing and
reading skills while having fun this Summer!

Session Info

WHEN
Session 1: June 19 - 23, 2017
Session 2: July 31 - Aug. 4, 2017
Session 3: Aug. 21 - 25, 2017

All camps take place
Mon. - Fri.: 9 a.m. - 12 p.m.


WHERE
The Imaginarium
3301 37th Ave. Room 15
Sacramento, CA 95824

Student Fees

916 Ink seeks to provide fun and creative opportunities for all students. We offer a sliding scale of cost based on parents’ income level, each week-long session costs $80 - $125.

Camp fees must be paid in full by June 2, 2017.

See below to register and
pay online.
If you prefer to mail in a payment by check, please make payable
to 916 Ink and mail to:
916 Ink
3301 37th Ave. 
Sacramento, CA 95824

Registration

Students can register online, through mail or in person. 

Mail-In Registration:  
Download Enrollment Packet 

Online Registration:
To register online, fill out the form below, and click pay the $25 non-refundable registration fee.

Please email questions to nikki@916ink.org or call
(916) 826-7323.

*916 Ink shares a campus with Sacramento Adventure Playground and La Familia Community Center. La Familia will be sponsoring a Summer Lunch Program on Campus and Adventure Playground will be open all Summer Tuesdays, Wednesdays & Thursdays: 2:15 – 6:30 p.m. and Saturdays 11 a.m.-4 p.m. The Adventure Playground is an after-school youth development program that enables youth ages 7 to 15 to engage in supervised play activities free of charge. 

Registration Form

Note that your registration is not complete until you submit the form
AND pay the $25 online registration fee. 

Name of Writer *
Name of Writer
Gender *
Primary Language Spoken at Home *
Choose One
Family Information
Mother
Mother
Please indicate:
Mother's Home Phone
Mother's Home Phone
Mother's Work Phone
Mother's Work Phone
Mother's Cell
Mother's Cell
Father
Father
Please indicate:
Father's Home Phone
Father's Home Phone
Father's Work Phone
Father's Work Phone
Father's Cell
Father's Cell
Please indicate:
Guardian
Guardian
Guardian's Home Phone
Guardian's Home Phone
Guardian's Work Phone
Guardian's Work Phone
Guardian's Cell
Guardian's Cell
Home Address
Home Address
*Please contact us if you have questions about our scale of cost. We strive to ensure that no student is turned away due to lack of funds.
Emergency Contact Information
Name of 2 alternative friends or relatives who can be contacted in case parent/guardian cannot be reached:
Name 1
Name 1
First alternate contact
Phone
Phone
Second alternate contact
Phone
Phone
Authorized Person(s) to Pick Up Students
My child is authorized to walk home at the end of the day on the following days:
Approved for Pick Up
Name 1
Name 1
Phone
Phone
Name 2
Name 2
Phone
Phone
People NOT Approved for Pick Up
Name 1
Name 1
Phone
Phone
Name 2
Name 2
Phone
Phone
Liability
Release of Liability *
Medical Treatment
Permission for Medical Treatment
Parent/Guardian Signature *
Please list:
Photography Release
Permission to use child’s photo
Please indicate whether 916 Ink has permission to use your child’s photo for publicity purposes. (We do not reveal last names in our publicity.)
Publishing Release
Permission to publish child’s work
Please indicate whether 916 Ink has permission to publish the participant’s original work in a publication and/or production of individual or various projects put forth by 916 Ink in the future. The work will be printed royalty-free, but the rights to the work shall remain the sole property of the youth author. (See also Author Release and Contract.)

Please add the online registration fee to your cart. Your online registration will be completed once the fee is paid.

Amplify! Summer Camp Online Registration Fee
25.00
Quantity:
Add To Cart

You may opt to pay your camp fees online, in person or via mail. (See above for more payment details.) Full payment due by June 2, 2017.

If you are paying online, please choose the cost that corresponds to your on annual income level.  

Please contact us if you have questions about our scale of cost. We strive to ensure that no student is turned away due to lack of funds. (nikki@916ink.org or call (916) 826-7323)

Amplify! Camp Fee (Income Level: Over $40,000)
125.00
Quantity:
Add To Cart