1. education
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INSIDER’S GUIDE TO HIGH ROCK
For incoming High Rock 6th graders
Instructors: Joanna Murphy, High Rock Math Teacher; and Tamara Hosford, High Rock
Science Teacher
If youʼre child is anxious about coming to High Rock, then they will benefit from this fun orientation for
rising sixth graders. Students will learn how the 6th grade schedule works and what a typical day at High
Rock will be like. A scavenger hunt will help the students to learn their way around their new school. The
class is also an opportunity to make some new friends before sixth grade even begins. There will be
plenty of chances for participants to ask anything and everything they want to know about 6th grade.
Registration Information
Ø Registration begins at 8 AM on M3/30,
on a first-come, first-served basis.
Ø Registrations received prior to 8 AM on
DATE
CODE
M3/30 will be processed at the end of
Saturday, May 16
50318.1
Ø
the day.
Sunday, May 17
50318.2
Ø Please check your schedule carefully
before registering. Due to the high
Saturday, May 23
50318.3
volume of registrations, no changes will
Saturday, May 30
50318.4
be accepted until Th4/2, at which time
Sunday, May 31
50318.5
most sections will likely be filled.
Sunday, June 7
50318.6
Ø Scholarship assistance is available for
students who qualify for free/reduced
Saturday, June 13
50318.7
lunch. Please call NCE for details: 781Sunday, June 14
50318.8
455-0400 x235.
Saturday, June 20
50318.9
Ø A $10 fee will be charged for changes,
and $30 for cancellations.
Saturday, June 27
50318.10
Ø Please use the registration form that
follows, and submit it with payment to
Limited to 16 students per section, so please register early!
NCE (in person, by fax or by mail).
Location: High Rock School
Fee: $70 (includes pizza lunch)
Date Options (9:00 AM to 2:00 PM):
Allergy Alert: Pizza will be served. Please indicate any allergy concerns on the registration form.
Questions? Contact Amy Goldman, NCE Program Director, at amy_goldman@needham.k12.ma.us, or
781-455-0400 x214.
NCE ELEMENTARY: Insider’s Guide
Registration begins 3/30/15 on a first-come, first-served basis. Some classes fill quickly. Check our website for an updated list of full
and cancelled classes: www.Needham.k12.ma.us, click on “Community Ed."
First Name __________________________________________ Last Name _____________________________________________
Nickname ____________________________________ School _____________________________________ Grade ______5_____
Address _______________________________________________________________ Zip Code ____________________________
Home Phone ______________________________________________________
Email Address ____________________________________________ (if different from email address in PowerSchool.)
Parent Name ____________________________________ Work # _________________________ Cell# ______________________
Parent Name ____________________________________ Work # _________________________ Cell# ______________________
Emergency Contact _________________________________________________
Emergency Contact # _________________________________________ Cell#___________________________________________
How will your child get home after class? Walk __________ Pick-up __________
Class Code
Title of Class
Date
Fee
50318.__
Insider’s Guide to High Rock (1st choice)
$70
50318.__
Insider’s Guide to High Rock (2nd choice)
$70
50318.__
Insider’s Guide to High Rock (3rd choice)
$70
Confirmed Class
(internal use)
SPECIAL CONSIDERATIONS: Please note that no nurse is on duty, and NCE staff members do not have access to nurse records, medications (including EpiPens and
inhalers), or IEPs.
My child has life-threatening allergies and will require an EpiPen: YES / NO
My child will bring an inhaler: YES / NO
If YES, please intitial here to indicate your understanding that you must deliver an
EpiPen and a copy of your child’s Allergy Action Plan to the NCE On-Site
Coordinator on the 1st day of the program, and that if these items are not provided,
NCE staff will call 911 in the event of an apparent allergic reaction. _______
If YES, parent must initial here that the child will carry his/her inhaler, the child has
permission to self-administer the inhaler, and that you have provided the school nurse
with a copy of the medical order for the child’s school health file. _________
List your child’s allergies here:
Other medical issues
Behavioral issues:
Emotional issues:
I/We, the parents/guardians of_______________________ a minor, hereby consent to his/her participation in the Needham Community Education Program, the taking of photos of
my/our child and/or promotion of the program, and to his/her use of the Needham Public Schools facilities and equipment. I/We further agree to release and hold harmless the
Town of Needham, Needham Public Schools and their employees, agents and assigns from any and all liability or expenses arising out of any incident involving, or any account of
any injury to the above named minor in connection with such program. I/We further consent to emergency treatment by a physician in the event of injury to, or illness of our child
during his/her participation in this program. I/We accept full responsibility for all costs for any such emergency treatment. I/We agree to abide by NCE policies.
Parent/Guardian Signature (required) _____________________________________________________ Date_______________________
TO REGISTER (DO NOT DELIVER VIA YOUR CHILD’S SCHOOL):
1) RECOMMENDED: PAY by CHARGE or CHECK in PERSON at
Needham Community Education, 1st floor, 1330 Highland Ave.
2) RECOMMENDED: PAY by CHARGE by FAX (781-455-0417)
3) PAY by CHARGE or CHECK by MAIL:
NCE 1330 Highland Ave., Needham, MA 02492
Make checks payable to “Needham Community Education”
CHARGE TO: MC, VISA, or Discover
Card # ___________ / ____________ / ____________ / ____________ Exp. Date ___ / ___ CVV Code_____