StudentEnrichmentRegistrationForm

STUDENT ENRICHMENT-AFTER SCHOOL PROGRAMS
Spring 2015
Welcome to the Spring Session of Lake Forest Park PTA Student Enrichment classes! We are pleased to offer
an exciting lineup of after school classes. In this packet you will find class descriptions and registration forms
along with scholarship information (on registration page) for families in need. Please read the registration
forms closely for pickup times, session dates, and payment information.
Complete Registration Forms (with payment) are
DUE NO LATER THAN Wednesday, April 1st @ 3:30pm
Below is the Spring Student Enrichment schedule at a glance by grade and day of the week:
Grade
K
1
Monday
Yoga
Ceramics
Yoga
Ceramics
Tuesday
Wednesday
All Sport
All Sport
2
Yoga
All Sport
3
Yoga
Ultimate Frisbee
Tennis
4
Ultimate Frisbee
5
Ultimate Frisbee
6
Ultimate Frisbee
Tennis
Tennis
Tennis
Hip Hop
Art
Hip Hop
Art
Hip Hop
Art
Hip Hop
Art
Hip Hop
Art
Thursday
Art
Tennis
Art
Tennis
Tennis
Chalking About
Symmetry
Chalking About
Symmetry
Chalking About
Symmetry
Chalking About
Symmetry
Friday
Advanced
Ceramics
Advanced
Ceramics
Advanced
Ceramics
Advanced
Ceramics
Advanced
Ceramics
PLEASE NOTE CLASS SESSION DATES, AS SOME CLASSES BEGIN AND END ON DIFFERENT DATES.
•••Free class available for full time volunteers!•••
Each class must have a parent volunteer. We cannot have a class without one.
The job of the volunteer is to remain in the Student Enrichment class, report attendance to the main office
and to support the instructor and students. Additionally, being a volunteer is fun and allows you to learn
along with your child! A parent volunteer for the full session will have the registration fee waived
for one child.
Lottery: Please note that if your child did not get into Winter session due to class size, they will have
first priority for any class this session. Registration forms must still be completed and returned on
time.
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ADVENTURES IN ART
Art is part of a 21st Century education! A quality arts program teaches students to focus, problem solve,
make judgments, visualize alternatives, develop skills, make connections, and use their brains in a different way.
For ten years Jessica Carlson and Alicia Buck have offered fun, engaging art classes in which students learn to
draw and create with confidence and flair.*10% off for additional siblings.
DAY
TIME
CLASSES
DATES
GRADE
COST
$75
Wednesday
3:30-5:00pm
6
April 29-June 3
2-6
Thursday
3:30-5:00pm
April 30-June 4
6
K-1
$75
FOR ADVENTURES IN ART, MAKE CHECKS PAYABLE TO JESSICA CARLSON
ALL SPORT
Join One on One at Lake Forest Park Elementary for the Spring session. Skilled and experienced instructors
will conduct an exciting one-hour session each week right after school. Students will learn basic fundamentals,
rules and strategies of popular sports and games while focusing on teamwork, sportsmanship and FUN! Have
fun playing all of your favorite sports and games, including:
Basketball
Soccer
Kickball
Capture the Flag
Ultimate Frisbee and More…
DAY
TIME
CLASSES
DATES
GRADE
COST
Tuesday
3:30-4:30pm
6
April 28-June 2
K-2
$80
FOR ALL SPORT, PLEASE MAKE CHECKS PAYABLE TO ONE ON ONE
CERAMICS & ADVANCED CERAMICS
All students should have the opportunity to create with clay! Students will learn how to roll, pinch, pull, coil,
score, slip and form their clump of clay into amazing projects. Advanced ceramics is for returning students
who will be encouraged to focus on developing their skills and craftsmanship.
DAY
TIME
CLASSES
DATES
GRADE
COST
April 27-June 15
Monday
3:30-5:00pm
K-1
$75
6
No class 5/25 & 6/8
May 1-June 12
Advanced
Friday
3:30-5:00pm
6
$75
No class 5/22
2-6
FOR CERAMICS, MAKE CHECKS PAYABLE TO ALICIA BUCK
CHALKING ABOUT SYMMETRY, NATURE & BEAUTY
Thank you Justin Boone for donating your time to teach this class! With ancient tools of sticks, rope and
chalk, we will explore symmetry, shape and pattern through artistic & active play. We draw colorful,
geometric designs with jumbo geo-compasses and straight-line techniques, focusing on steady, intuitive motion
and design. This activity empowers and rewards children with the amazing beauty & knowledge of nature in
this outdoor, zero tech workshop. Class cost is for supplies only, instructor is a community volunteer!
DAY
TIME
CLASSES
DATES
GRADE
COST
Thursday
3:30-4:30pm
6
April 30-June 4
3-6
$25
FOR CHALKING SYMMETRY, MAKE CHECKS PAYABLE TO LFP PTA
HIP HOP
Come learn some fun HIP-HOP moves from the Shorecrest Hip Hop Dance Team! No dance experience
necessary for boys and girls. Students will have a great time learning an exciting dance. Music used is age
appropriate and will be taught by experienced Shorecrest Hip Hop members. Classes are held in the
GYM after school.
DAY
TIME
CLASSES
DATES
GRADE
COST
Wednesday
3:30-4:30pm
6
April 29-June 3
1-5
$65
FOR HIP HOP, MAKE CHECKS PAYABLE TO SHORECREST HIP HOP CLUB
TENNIS
Have fun playing tennis with guided discovery coaching to help develop Agility, Balance, & Coordination.
DAY
TIME
CLASSES
DATES
GRADE
COST
Tuesday
3:30-4:30pm
6
April 28-June 2
3-6
$72
Thursday
3:30-4:30pm
6
April 30-June 4
K-2
$72
FOR TENNIS, MAKE CHECKS PAYABLE TO BASHA TENNIS LLC.
ULTIMATE FRISBEE
Join One on One for ULTIMATE FRISBEE at Lake Forest Park Elementary for the Spring session. Skilled
and experienced instructors will conduct an exciting one-hour session each week right after school. We will
build on our fundamentals of throwing, catching, field play and scrimmaging every single week! Also, we will of
course be focusing on teamwork, sportsmanship and FUN!
DAY
TIME
CLASSES
DATES
GRADE
COST
April 27-June 15
Monday
3:30-4:30pm
6
3-6
$80
No class 5/25 & 6/8
FOR ULTIMATE FRISBEE, PLEASE MAKE CHECKS PAYABLE TO ONE ON ONE
YOGA
Thank you Jessica Ketcham Weber for donating your time to teach this class! Jessica is the yoga mama of
Kindergartener Aloe. Yoga helps kids know their bodies, strengthen and relax their muscles, and develop
focus, coordination and confidence. This class will use storytelling as a framework for kids to learn and
practice postures, while incorporating breathing in a playful, supportive, and safe environment.
DAY
TIME
CLASSES
DATES
GRADE
COST
April 27-June 15
Monday
3:30-4:30pm
6
K-3
FREE
No class May 25 & June 8
FOR YOGA, YOUR CHILD IS EXPECTED IN CLASS IF IN ATTENDANCE AT SCHOOL DURING THE
DAY. YOGA MATS OR TOWELS MAY BE REQUESTED.
STUDENT ENRICHMENT REGISTRATION FORM
(Complete both pages)
Please (1) Complete the registration form below (2) Sign the Classroom Behavior Agreement (both student and
caregiver), (3) Select your classes and complete the information for each student, (4) Return REGISTRATION FORM
along with check made payable to the appropriate party (see class description for details) to school by
Wednesday, April 1st. Do you have questions? Contact, StudentEnrichment@LFPPTA.org
CONTACT INFO-PLEASE PRINT CLEARLY
Parent #1 Name: __________________________________ Primary Phone: ____________________
Email: ________________________________________ Secondary Phone: ____________________
Emergency Contact Name and Phone Number: _____________________________________________
Parent #2 Name, Email (optional) ________________________________________________________
SCHOLARSHIP POLICY
Instructions for requesting Scholarships for students and their families are as described below:
1. Request for scholarship is on the last page of the STUDENT ENRICHMENT REGISTRATION FORM.
2. When requesting a partial scholarship, please indicate the amount you are able to pay.
3. Scholarship funds are limited to one per student per school year, unless additional funds are available.
4. Students will be notified of the status of their request prior to the start of the first class.
5. Some scholarship requests may not be awarded.
6. Scholarship requests are confidential.
REQUEST FOR SCHOLARSHIP?
Full Scholarship Request
Partial Scholarship Request
I can pay $:
towards tuition (check enclosed)
Please complete ENTIRE section for each student
Class sizes are limited. There will be a lottery if registration exceeds the class maximum. You will be notified via email whether or
not your child got into the requested class. Please contact the Student Enrichment Co-Chairs
if you do not receive an email confirmation.
Student #1 Name: ____________________________________________
Student’s Grade: _ Teacher:_______________________ Room: ______ Bus Color: _________
After School Care
Check the appropriate box(es) to indicate class requests:
All Sport
Ultimate Frisbee
Yoga
Chalk Symmetry
Ceramics
Hip Hop
Tennis
Adventures in Art
At the end of class my child will be:
picked up at the classroom
dismissed to walk home
escorted to after school care
Volunteer availability:
_____I can help the instructor during each class for 100% discount off one student’s tuition per class.
Name of Volunteer: _____________________________________________________
Student #2 Name: ____________________________________________
Student’s Grade: _ Teacher: _______________________ Room: ______ Bus Color: _________
After School Care
Check the appropriate box(es) to indicate class requests:
All Sport
Chalk Symmetry
Tennis
Ultimate Frisbee
Ceramics
Adventures in Art
At the end of class my child will be:
picked up at the classroom
dismissed to walk home
Yoga
Hip Hop
escorted to after school care
Volunteer availability:
_____I can help the instructor during each class for 100% discount off one student’s tuition per class.
Name of Volunteer: _____________________________________________________
*additional forms can be printed at www.lfppta.org
CLASSROOM BEHAVIOR & PICK-UP AGREEMENT
The After School Student Enrichment classes are an opportunity for children to “enrich” themselves. We have found
that if one or more students are disruptive, the entire class is affected. Given this, the following steps will be taken to
ensure all children enjoy their classes.
Student Enrichment classroom behavioral requirements:
1. If your child is disruptive in the Student Enrichment class that he/she is enrolled in, the first step taken will be a phone
call home to caregivers letting them know the situation and then addressing it with the child at home.
2. If your child is disruptive a second time in the Student Enrichment class that he/she is enrolled in, the child’s parent
will be required to attend the next class with them to ensure that the class is able to run smoothly.
3. If the child continues to be disruptive a third time, your child will not be allowed to return or attend the remainder of
the classes for that session or any other Student Enrichment class the remainder of the year.
4. Children must be picked up on time from each class. If pick up is late by more than 5 minutes, the second occurrence
may result in child’s removal from class. No refunds.
1. Student Signature: _______________________________________ Child 1
2. Student Signature: _______________________________________ Child 2
3. Parent Signature: _______________________________________________
Does your child have a serious allergy or medical concern you feel the instructor should know about?
If yes, please provide written details to Student Enrichment to be shared with instructor.
Registration form page 2 of 2
Registration form page 2 of 2