Monday, December 22nd
Chess Wizards Chess Camp
We are:  Members  New/Non-Members (must complete family
________ Ages: 4-14, 9:00-3:00, Members $80/Non-Members $105
RetroActive Sports with JB Schuck!
info)
$ _________ Year membership ($80/child, $140/family)
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
$ _________ Total cost of all programs listed
Tuesday, December 23rd
Mad Science: Let’s Look Closely
$ _________ Contribution to Not-For-Profit Menomonee Club
________ Ages 3.5-5, 9:00-12:00, Members $60/Non-Members $85
Mad Science: At the Scene of the Crime
________ Ages 5-12, 9:00-3:00, Members $80/Non-Members $105
RetroActive Sports with JB Schuck!
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
$ (________) Credit from Menomonee or Gift Certificate
□ I request financial assistance □ I request to pay in installments
$ _________ GRAND TOTAL
I wish to pay by: □ Credit Card □ Cash □ Check (payable to Menomonee Club)
th
Wednesday, December 24
RetroActive Sports with JB Schuck!
Name as it appears on card
HOLIDAY
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
Closed Date: Thursday, December 25
th
Friday, December 26th
RetroActive Sports with JB Schuck!
_________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
Winter Art with Seventh Green Circle Co.
Account Number
Expiration Date (Month/Year)
Signature of cardholder
FAMILY INFORMATION—New/Non-Members please complete!
Programs
________ Ages 4-6, 9:00-12:00, $60/ $85 ________Ages 7-12, 9:00-3:00, $80/$105
Monday, December 29th
Chess Wizards Chess Camp
Parent ONE, full name
________ Ages: 4-14, 9:00-3:00, Members $80/Non-Members $105
Address
RetroActive Sports with JB Schuck!
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
(
Tuesday, December 30th
Mad Science: Listen Up!
_______ Ages 3.5-5, 9:00-12:00, Members $60/Non-Members $85
Mad Science: DNA Detectives
Home Phone
)
(
2014/2 015
)
Cellular
EMAIL
________ Ages 5-12, 9:00-3:00, Members $80/Non-Members $105
RetroActive Sports with JB Schuck!
Closed Date: Thursday, January 1
st
Friday, January 2nd
RetroActive Sports with JB Schuck!
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
)
(
Home Phone
)
Cellular
Emergency Contact (other than parents)
(
)
Area code & phone
Family Physician’s Name and Phone Number
Specific Health Problems (allergies, disabilities, etc.)
In case of emergency, and if parent or designated emergency contact is unavailable, children will be
treated at Children’s Memorial Hospital.
To register for all Emerald City Theatre Camps, visit:
http://www.emeraldcitytheatre.com/
The undersigned legal guardian of the children (child) named on the reverse side acknowledges that many of the activities
conducted by the Menomonee Club for Boys and Girls, including all of the athletic activities, are inherently dangerous and
release the Club and its agents to the extent to which the Club does not have insurance coverage, from all claims which the
undersigned and/or children (child) may have, except as a result of willful misconduct, arising from the children’s (child’s)
participation in the Club’s activities, and agrees to indemnify the Club and such persons to the extent any claim is made by
such children (child).
X___________________________ Signature of Parent/Legal Guardian
Ages 3.5 & Up!
www.menomoneeclub.org
Email: [email protected]
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
(
Clubhouse:
244 W. Willow Street
Chicago, IL 60614
Phone (312) 664-4515
Fax (312) 664-0957
Wednesday, December 31
RetroActive Sports with JB Schuck!
Parent TWO, full name
Drucker Center:
1535 N. Dayton Street
Chicago, IL 60642
Phone (312) 664-4631
Fax (312) 664-9364
st
Menomonee Club for Boys and Girls
________ Ages: 7-12, 9:00-3:00, Members $80/Non-Members $105
Monday, December 22nd –
Friday, January 2nd
www.menomoneeclub.org
Closed Dates: Thursday December 25th
& Thursday, January 1st
Monday, December 22nd
Emerald City Theatre: Frozen Camp
Ages: 4-14 Time: 9:00-3:00 Members $80/Non-Members $105
Taught by Chess Wizards experts, children will be divided up by age and ability for
a brain-stimulating day of chess. Make new friends and learn cool chess moves to
dazzle your parents and crush your opponents! Please bring a bag lunch.
Ages: 6-10 Time: 9:00-3:00
Campers will explore a frozen wonderland filled with familiar characters and friendly
faces. Expect lots of games and active fun in this winter-inspired adventure,
including songs such as “Let It Go” and “Do You Want to Build a Snowman?”
Campers will have a final show on the last day of camp!
Register at: www.emeraldcitytheatre.com
RetroActive Sports with JB Schuck!
RetroActive Sports with JB Schuck!
Chess Wizards Chess Camp
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
JB Schuck is bringing back the FUN-damentals of classic retro sports and
games…DODGEBALL! KICKBALL! WHIFFLEBALL! AND SO MUCH MORE!
Please bring a bag lunch.
Tuesday, December 23
rd
Mad Science
Ages: 3.5-5 Time: 9:00-12:00 Members $60/Non-Members $85
Ages: 5-12 Time: 9:00-3:00 Members $80/Non-Members $105
Ages: 3.5-5: Let’s Look Closely: Your young mad scientists will use their sense of
sight to spend the morning discovering how their eyes work and things that they
can see close up! Their explorations will include experiments, games, projects, and
stories!
Ages: 5-12: At the Scene of the Crime: Would you make a good detective? In the
Scene of the Crime, campers learn the science behind solving a mystery and then
use their skills to discover whodunit! Learn to look for evidence and analyze it.
Seeing is not always believing! Please bring a bag lunch.
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Wednesday, December 24th
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Closed Date: Thursday, December 25th
Friday, December 26th
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Winter Art Explorers with Seventh Green Circle Co.
Ages:4-6 Time: 9:00-12:00 Members $60/Non-Members $85
Ages:7-12 Time: 9:00-3:00 Members $80/Non-Members $105
For artists who like a creative adventure, we will be painting, drawing, sculpting,
and designing fabulous Winter artwork as we explore the process of creation!
Full-day - please bring a bag lunch.
NOTE: Each day will be unique, so please sign up for both days if you can!
Monday, December 29th
Chess Wizards Chess Camp
Ages: 4-14 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Emerald City Theatre: Winter Wonderland Camp
Ages: 3.5-5 Time: 9:00-12:00
Penguins dance, snowmen sing, and wintry adventures await you at every frosty
turn. Campers play drama games, storytelling activities and songs such as “Let it
Go” and “Do You Want to Build a Snowman?” Special winter-themed crafts, too!
Please bring a bag lunch. Register at www.emeraldcitytheatre.com
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Tuesday, December 30th
REGISTRATION:
PLEASE NOTE:
All classes take place at The Menomonee Club Drucker Center,
1535 N. Dayton (near North & Halsted).
Free parking in our attached lot or overflow lot.
ALL FULL DAY CAMPS BRING A NUT FREE LUNCH!
ALL HALF DAY CAMPS BRING A NUT FREE SNACK!
ALLERGIES? Let your child’s instructor know asap!
Register online at www.menomoneeclub.org
OR Mail this form back to our office at 1535 N. Dayton Street
OR Drop off your form at either Menomonee location
Participant’s Name
School
Grade
D.O.B.
Grade
D.O.B.
Emerald City Theatre: Frozen Camp
Ages: 6-10 Time: 9:00-3:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th). Please bring a bag lunch.
Participant’s Name
Emerald City Theatre: Winter Wonderland Camp
Ages: 3.5-5 Time: 9:00-12:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th).
School
Mad Science
Ages: 3.5-5 Time: 9:00-12:00 Members $60/Non-Members $85
Ages: 5-12 Time: 9:00-3:00 Members $80/Non-Members $105
Ages: 3.5-5: Listen Up!: Your young mad scientists will use their sense of sound
to spend the morning discovering how their ears work and different things that
make sound! Their exploration will include experiments, games, projects, and
stories!
Ages: 5-12: DNA Detectives: Learn what makes things run in Cell City - explore
the working of your cells and your DNA as you peer through microscopes to see the
structures of cells, extract DNA from an onion and explore what makes you - you!
Please bring a bag lunch.
Family Email Address (to be used by Menomonee Club ONLY)
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Wednesday, December 31st
Emerald City Theatre: Frozen Camp
Ages: 6-10 Time: 9:00-3:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th). Please bring a bag lunch.
Emerald City Theatre: Winter Wonderland Camp
Ages: 3.5-5 Time: 9:00-12:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th).
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
Closed Date: Thursday, January 1st
Friday, January 2nd
Emerald City Theatre: Frozen Camp
Ages: 6-10 Time: 9:00-3:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th). Please bring a bag lunch.
Emerald City Theatre: Winter Wonderland Camp
Ages: 3.5-5 Time: 9:00-12:00 Register at: www.emeraldcitytheatre.com
(Description on Monday, December 29th).
RetroActive Sports with JB Schuck!
Ages: 7-12 Time: 9:00-3:00 Members $80/Non-Members $105
(Description on Monday, December 22nd). Please bring a bag lunch.
All programs will be held at
The Drucker Center