TIGER WOODS FOUNDATION TIGER WOODS LEARNING CENTER SUMMER ACADEMY JULY 21— 26, 2013 WAYS TO REGISTER: 1. Website: www.twlesummeracademy.org 2. E-Mait summeracademy@twle.org 3. Fax this form to: 714,765.8059 4, Mail this form to: TWLC Summer Academy, One Tiger Woods Way, Anaheim, CA 92801 STEP 1: CLASS CHOICE CORE CLASSES ENRICHMENT CLASSES Please prioitize class preference (1-6): Please prioritize class preference (1-8): 1 Video Game Design CRocketry 7 Velocity Racers [Wearable Graphics Resourceful Robotics [attemative Energy C1 comparative Zoology [Marine Lite TZ Food chemistry Lisermotogy 1 Fairway Fundamentals Li beginning Goit [ooit video swing Analysis Lisort clubmaking Workshop STEP 2: STUDENT INFORMATION — PLEASE WRITE CLEARLY Student Fist Name: Last Name: Date of Bith (mm/dd/yy): Gender, __F __M TShirt (Adult Size): STEP 3: PARENT CONTACT INFORMATION Parent/Guardian First Name: Last Name: Relationship: Meling Address: City: State: Bp: Home Phone: (__) Work Phone: (__) Cell Phone: (__) Email Roommate Request (Optional for Overnight Participants) Request must be mutual(please list one name) Comments:STEP 4: PAYMENT METHOD ACADEMY SELECTION Ly Overnight Academy $950.00 C1 bay Academy $700.00 [cHECK Included: Check Number: # Make checks payable to “Tiger Woods Foundation” Ci creir caro: Visa © MasterCard Discover © American Express Card Number: Exp. Date: Security Code/ 3 Digit # ‘Amount Billed to Card: $__ Name as it Appears on Card: Signature: Billing Address: © Same as the Mailing Address © Different (enter below) Billing Address: City: State: © Charge me the FULL TUITION AMOUNT © Charge me the $250 deposit TERMS & CONDITIONS: To reserve space, a deposit of $250 is required. This fee will be applied toward the tution balance. Final payments MUST be received by May 15, 2013. Balance payments not received by May 15, 2013 may incur a $25 late fee. Any registrations taken after May 1, 2013 must be paid in full. fa deposi is paid by credit card and additional payment instructions are not received three weeks prior to the scheduled camp start date, Tiger Woods Learning Center wll assume balance is to be charged to the credit card on record. No refunds will be issued for eary withdrawal, absences, behavioral dismissal power failures or other acts of nature, Fees for participants leaving early are NOT prorated. Balance payments, less deposits, are refundable up until three weeks prior to the start of the confirmed academy week. No refunds will be issued for cancellations within 3 weeks of the start of the Confirmed academy week. All cancellations must be in writing and submtted to the Tiger Woods Learning Center no later than 3 weeks prior to the start of the academy. Tuition for the academy may not be transferred to another child, Refunds will not be issued without ‘written cancellation confirmation from parent or guardian. All your data is confidential and NOT shared with other parties.