Before and After School ENRICHMENT PROGRAM CATALOG Winter Session * January 19-March 20, 2015 REGISTRATION ENDS FRIDAY January 9, 2015 * Some classes may start or end earlier or later; see individual class descriptions, and be sure to note class dates in your calendar. PROGRAM NOTES Parent/Guardian Responsibilities Getting to Class Students are expected to transfer independently to an Enrichment class. Teachers are given a class list at the beginning of each session, but they are not responsible for delivering students to their enrichment classes. If you think this may be a challenge for your child, please contact the coordinator and we will try to arrange a “student buddy” to assist your child. By enrolling your child in an Enrichment class, you are responsible for the following: § § Knowing the dates that classes occur, including start and end dates (see individual class listings). Knowing the drop off and pick up times for classes and, most importantly, ensuring your child is picked up on time (see “Drop Off and Pick Up” at right) Drop Off and Pick Up • Parents are responsible for collecting their children promptly from afternoon classes. • There will be no supervision for children after their class ends. • If prompt pick up becomes an issue, your student may be removed from the class without refund for remaining classes. • Please make arrangements for pickup prior to enrolling your child in an after-school class. • No bus transportation can be offered for Enrichment Program classes occurring before and after school. Tutoring If your student is participating in tutoring, remember that tutoring comes first. Enrollment • Classes are filled on a first come, first served basis. • Please bring your registration and payment to the Thurgood Marshall office. Some classes may require online or direct payment and registration. • You will receive confirmation—letter or email— that your child is enrolled in a class. Please do not send your child to class without written confirmation of his/her enrollment. • If a class does not enroll sufficiently, it may be cancelled. You will be notified and your fees refunded. Behavior At Thurgood Marshall, we have the expectation of respect for teachers/instructors and good behavior during classes. Students are expected to maintain the same behavioral standards that they have during the formal school day. If an instructor identifies a behavior issue, the following steps will be taken: • At the first incident, the instructor will call parents/ guardians regarding student behavior. • The student will be given one trial class to improve. • If the disruptive behavior continues, we reserve the right to remove the student from the class without refund for remaining classes. Please discuss enrollment with your child to be sure they want to attend an after-school class. Please note, for classes that fill up, we will form a wait list of students that don’t get in. The students on the wait list will have priority enrollment if they sign up for the same class the following quarter. In addition, classes that have running wait lists will prioritize students who have not participated in the class before returning students can re-enroll. Calendar Classes start the week of January 19 and run through March 20, 2015. Most classes include eight sessions. (For exceptions, see individual class listings.) Please note some classes may start earlier or may run longer due to breaks and early dismissal days. • No morning or afternoon classes are held on the following days: Mon, Jan 19, Martin Luther King Day Fri, Jan 30, day between semesters Mon, Feb 16 & Tue, Feb 17, mid-winter break Snack and Clothing • Each child should bring a small, easy to eat snack on class days. • Please send your children with clothing appropriate for their classes. Athletics and dance classes require loose-fitting clothes and closed-toe rubber-soled shoes. Art can be messy! Please bring an old shirt or a smock. Financial Aid Our intent is that all students have the ability to participate in our Enrichment Program. Students who are eligible for the Free and Reduced Lunch program may enroll in an Enrichment class for 10% of the class fee. We are limited to only one class request per qualifying student per quarter. The ability to grant aid is based on the amount of money voluntarily donated to the program and by the generosity of our vendors and instructors who offer scholarship positions in their classes. We reserve the right to grant or deny all requests for financial aid. Class Fee Class fees are set by our vendors and this program does not generate any profits. Class registrations managed by the Thurgood Marshall Enrichment Program include a nonrefundable $15 fee for administrative and financial aid costs. This fee helps ensure instructors are present, parents are notified in case of class changes, and that all students are picked up. It also helps offset financial aid costs (see section at right). Questions? Contact Sudeshna Sen at sudeshnanw@gmail.com or Percy Allen at percyallen2@gmail.com. 2 Enrichment Program Winter Session January 19-March 20, 20151 CLASS SCHEDULE OVERVIEW Monday Tuesday Wednesday Thursday Friday Basketball 8:10a-9:10a Chess Club 8:10a-9:10a BEFORE SCHOOL 2 Karate 8:10a-9:10a 3 Spanish 8:10a-9:10a Japanese 3 (Sponge) NEW 8:10a-9:10a Going Places with Friends – Mixed Media Art 8:10a-9:10a Karate2 8:10a-9:10a Drama: The Dark Portal (for Harry Potter fans) 8:10a-9:10a 3 Guitar (Beginning) 8:10a-9:10a Guitar (Returning) 8:10a-9:10a AFTER SCHOOL Puppetry 3:50p-4:50p TGA Premier Golf 3:50p-4:50p Creative Computing with Scratch (Advanced) 3:50p-4:50p iPad LEGO® Animation: Impossible Worlds 3:50p-5:20p World Music 3:50p-4:50p Capoeira 3:50p-4:50p Creative Computing with Scratch (Beginning) 3:50p-4:50p Learn to Code in Minecraft 8:10a-9:10a Art Club with Willow 3:50p-4:50p Mad Science 3:50p-4:50p TGA Tennis 3:50p-4:50p Engineering Challenge with LEGO® 3:50p-5:20p 1 IMPORTANT: No classes are held on the following days: Mon, Jan 19 (Martin Luther King Day), Fri, Jan 30 (day between semesters), and Mon, Feb 16 & Tue, Feb 17 (winter break). All classes run eight weeks, unless indicated in the class description. 2 Karate students must register early on instructor website; Karate starts earlier than other classes. Note: Karate runs twice a week. 3 Spanish, Japanese, and Chess Club require registration and payment on instructor websites. 3 ARTS & CRAFTS PMPUP Puppetry Grades 1-5 Mondays 3:50p-4:50p $165 Design and make unusual types of puppets from traditions around the world. We will use primarily paper and fabric, and create puppets that students can control in various ways. Creations will come alive and interact with each other in short and playful performances in the classroom. Through puppet making you will learn techniques such as: basic sewing on a machine, elaborate paper cut-out methods and basic sculpture methods to make 3D forms. Instructor: Britt Rynearson has been teaching art and design for 14 years and has worked extensively with students aged 3 to 18. She studied painting as an undergraduate at Scripps College, and is now finishing an MFA at Seattle University. She has run her own design company for the last twelve years, designing textiles and producing a line of products sold nationwide. In the last few years Britt has taught for Cornish College of the Arts, Gage Academy, Coyote Central, Centrum, and the Northwest School. Monday Class Dates: 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23 No class 1/19 (Martin Luther King Day) or 2/16 (winter break). Class runs longer than others to accommodate missed dates. PMARC Art Club With Willow (NEW TOPIC!) Grades 1-5 Fridays 3:50p-4:50p $140 (Includes materials) What have YOU always wanted to learn to draw? You get to decide and vote on which art projects Willow will teach! Explore cartooning, pencil drawing, watercolor painting, pastel layers, bold marker sketches, collage, clay, and more! Learn from a professional artist how to draw realistic looking birds and cartoon pandas, paint clouds, how to craft a comic, and compose brightly colored abstract art. Instructor: artist Willow Heath; visit willowheath.com to learn more. Friday Class Dates: 1/23, 2/6, 2/13, 2/20, 2/27, 3/6, 3/13, 3/20 No class 1/30 (day between semesters). Class runs longer than others to accommodate missed dates. AMART Going Places With Friends – Mixed Media Art (NEW TOPIC!) Grades K-5 Tuesdays 8:10a-9:10a $120 (Includes materials) All around the world and back, let's take a journey through your imagination—to all the places you would like to go! Explore art from the far corners of the world. Get your hands on clay, paint, mixed media collage, sculpture, and more as we learn, play, and explore the wide, wide world through ART! Projects include: mixed media maps, African masks, Chinese block-printing, Latin American ceramics, Islamic mosaic, and Italian stained glass paintings on mylar. Instructor: teaching artist Nadine Smith; visit www.kidscreate.org to learn more. Tuesday Class Dates: 1/20, 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17 No class 2/17 (winter break). Class runs longer than others to accommodate missed dates. 4 SCIENCE & CHESS PMMAD Mad Science – Fantastic Physics (NEW TOPIC!) Grades K-5 Thursdays 3:50p-4:50p $129 (Includes materials) Welcome to the Mad Science After School Program where you will learn that physics is the science that just won't quit - it's everywhere! We'll find physics in magic tricks, in stunt plane wings, in electrical currents, and even a little bit in chemistry. Students will experiment with gravity, inertia, and centripetal force, see how magicians use science to pull off some astounding illusions, find out why "thin air" is one tough cookie, conduct cool chemical reactions, and much, much more. Every class also includes awesome take-home projects that your Junior Scientist can build and share the Mad Science experience with family and friends! Our program is a unique and innovative way to continue the learning process after school and students will have so much fun it is hard to believe that they are actually learning at the same time. Instructor: Audrey Horne, Mad Science (www.madsciencefun.com) Thursday Class Dates: 1/22, 1/29, 2/5, 2/12, 2/19, 2/26, 3/5, 3/12 AMCHS Chess Club Grades K-5 Fridays 8:10a-9:10a Chess4Life is committed to bringing an excellent program with a positive learning environment to Thurgood Marshall. Chess study has been shown to increase math skills, concentration, memory, and self-confidence. Classes are tailored to the level of competency exhibited among the students. All students, of any skill level, are welcome. Please e-mail kids@chess4life.com with any questions. PAY/ REGISTER WITH VENDOR $129 Please register directly with Chess4Life. You can register and pay online securely at www.chess4life.com or call Chess4Life at 425-283-0549. The direct link to the winter class is www.bit.ly/TMchessWinter2015 Friday Class Dates: 1/23, 2/6, 2/13, 2/20, 2/27, 3/6, 3/13, 3/20 No class 1/30 (day between semesters). Class runs longer than others to accommodate missed dates. 5 TECHNOLOGY AMCODE Learn to Code in Minecraft with Raspberry Pi Grades 3-5 Thursdays 3:50p-4:50p $75* In this class, the students will be able to write programs that build 3D fractals, super-intelligent creepers and more! The course is opened to anyone who loves Minecraft and wants to learn coding (no prior experience needed). The course will be using Python or TouchDevelop for the coding. Registration fee includes a Raspberry Pi computer kit, provided on the first session, that the student can keep! Students will need to bring their computer kits to school each class session. ∗ If the student already has a Raspberry Pi computer kit and can bring it to class, the registration fee is only $35. Please note on your registration form that the student will be bringing his or her own kit. Grades 3-5 only. Restricted to 24 kids (class takes place in computer lab). Instructor: Peli de Halleux; instructor taught Mobile Games class in the fall. Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 PMENG Engineering Challenge with LEGO® (RETURNING CLASS!) Grades 2-5 Mondays 3:50p-5:20p $143 Create a massive machine in the style of a Rube-Goldberg invention. Learn how to build a variety of motorized devices such as an air compressor, scissor lift invention, and a marble moving crankshaft in this advanced engineering camp. Then, collaborate in small groups with other engineers to accomplish large- scale missions! Creativity and collaboration are the name of the game in this camp ® designed for the hardcore LEGO enthusiast. Instructor: Play-Well TEKnologies (www.play-well.org) Monday Class Dates: 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23 No class 1/19 (Martin Luther King Day) or 2/16 (winter break). Class runs longer than others to accommodate missed dates. PMIPAD iPad LEGO® ANIMATION: Impossible Worlds 2 (NEW TOPIC!) Grades K-5 Tuesdays 3:50p-5:20p $155 Impossible is now non-impossible with a cast of anti-impossible characters like Betty the Broom Ninja, Liam the Volcano Jumper, and Car Snacker Jones. Students will use iPads (provided by C.A.N.) to take animation photos, and edit video and sound. Set, character and story construction will be taught while integrating subjects like math/science and visual/language arts. Advanced lessons are now offered in every class. View the class commercial and over 3,000 student animations at ® www.cancancancan.com. (LEGO is not affiliated with, and does not sponsor or endorse, the services or products of the Clay Animation Network). Instructor: Clay Animation Network (www.cancancancan.com) Tuesday Class Dates: 1/20, 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17 No class 2/17 (winter break). Class runs longer than others to accommodate missed dates. 6 PMSC1 Creative Computing with Scratch (Basic) Grades 4-5 Wednesdays 3:50p-4:50p $165 Would you like to design your own computer game? How about a computer program that makes a cat dance or explore a maze or sing your favorite song? If yes, then join us in Creative Computing with Scratch! We will introduce you to the exciting world of computer science. You will learn fundamental programming concepts such as variables, loops, conditional statements, and event handling. You will learn to create animations, make and import objects, create audio recordings, and use them to develop interactive programs. You will learn this and more using Scratch, an interactive programming language developed at the Massachusetts Institute of Technology. As you teach a mischievous cat to dance, explore a maze, or build games, you will learn how to think creatively with math and computer code. In the course you will be able to use your newly acquired skills to design and develop your own game ideas and share it with your classmates, friends, and family. No previous programming skills are required, but students should be comfortable using a computer, a web browser, and managing files. Students do not need to purchase any software or textbook. Instructors: Ritu Bahl and Nina Smith-Gardiner. Ritu Bahl has over 20 years of experience in the Information Technology industry. She has worked in various technical leadership positions in Harris Semiconductors, Hewett Packard, Microsoft, and Amazon. She holds BS and MS degrees in Electrical and Computer Engineering and a MBA from the University of Washington. Nina Smith-Gardiner is an architect with over 20 years experience in the field. She has a BA from Princeton University, a Master in Fine Arts from Hunter College (CUNY), and a Masters in Architecture from SCI-Arc, the Southern California Institute of Architecture. Ritu and Nina share a passion for inspiring young people to get hooked on computer science by showing them how computers can be fun, can open doors to some amazing careers, and most importantly, can be used to solve big societal problems. Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 PMSC2 Creative Computing with Scratch (Advanced) Grades 4-5 Mondays 3:50p-4:50p $165 Ready to take your programming skills to the next level? Building on the foundation developed in the introductory course, in the Advanced class you will apply the concepts you learned previously to create more sophisticated programs. You will tackle new and challenging animations such as making your characters run, jump, and fall as they would in real life under the influence of gravity! You will also learn how to make scrolling platform games so your characters can run forever just like in Mario and you will see how these models go from a simple set of mathematical equations to a dynamic, fully developed video game! If students have not completed the Basic class, above, they should be able to design a maze and an archery game before taking this Advanced class. Instructors: See Basic class, above. Monday Class Dates: 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23 No class 1/19 (Martin Luther King Day) or 2/16 (winter break). Class runs longer than others to accommodate missed dates. 7 DRAMA AMDRM Drama: Dark Portal (for Harry Potter fans) (NEW TOPIC!) Grades 3-5 Wednesdays 8:10a-9:10a $111 A portal has been opened and magic beings are running the halls of Merlina Academy. How will Alistaira and her classmates conquer the dark wizards when magic hasn't been used in 200 years? Join a fun cast of characters: wizards, unicorns, dwarves, elves, and phoenixes as they fight for their lives and the world as they know it. This class will end in a performance! Instructor: Stone Soup (www.stonesouptheatre.org) Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 LANGUAGES AMJPL Japanese Grades K-5 Tuesdays 8:10a-9:10a The Japanese Language and Culture Club instructor, Yumiko Momma, is not available for the rest of this year, so the Enrichment program is pleased to offer a Japanese class from Sponge language school, the school that teaches our beforeschool Spanish classes. PAY/ REGISTER WITH VENDOR $360* *Includes both Winter and Spring sessions Sponge classes are designed to instill a love of language and culture in children. Sponge teachers are highly trained, dynamic, native speakers. Through games and activities, music, movement and art, students learn practical, everyday language and communication skills. Classes are taught almost entirely in the target language and accommodate a range of levels. IMPORTANT: Japanese begins before other Enrichment programs, although you can still sign up after classes have started. For this class, you need to register directly on the instructor website: Go to www.spongeschool.com/sign-up/ and click the "Elementary School Registration" button to register and pay for the class. Instructor: Sponge (www.spongeschool.com) Tuesday Class Dates: 1/6, 1/13, 1/20, 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24, 3/31, 4/7, 4/21, 4/28, 5/5, 5/12, 5/19 (18 classes; includes Winter and Spring) No class 2/17 (winter break) or 4/14 (spring break). AMSPL Spanish Grades K-5 Mondays 8:10a-9:10a ¡Feliz Año Nuevo! Happy New Year! The instructors at Sponge have been teaching Spanish at Thurgood Marshall for quite some time, and are looking forward to a new year full of language immersion and learning. Language is a gift, and Sponge is excited to share it with students. We could say, ¡Toma un regalo! (Here´s a present!) ¡Gracias! (Thank you!) PAY/ REGISTER WITH VENDOR $360* *Includes both Winter and Spring sessions IMPORTANT: Spanish begins before other Enrichment programs, although you can still sign up after classes have started. For this class, you need to register directly on the instructor website: Go to www.spongeschool.com/sign-up/ and click the "Elementary School Registration" button to register and pay for the class. Instructor: Sponge (www.spongeschool.com) Monday Class Dates:1/5, 1/12, 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23, 3/30, 4/6, 4/20, 4/27, 5/4, 5/11, 5/18 (17 classes; includes Winter and Spring) No class 1/19 (Martin Luther King Day), 2/16 (winter break), or 4/13 (spring break). 8 MUSIC PMWMU World Music Grades K-2 Wednesdays 3:50p-4:50p $120 Enrichment Program’s Guitar teacher Mr. Ryan is excited to bring his world music class to Thurgood Marshall. The class will focus on music, instruments, and songs from around the world, and each lesson will have elements of dance and basic music theory. Students will be exposed to an array of musical genres and instrumentation. Through music we will focus on various cultural similarities and differences. For the final project students will create their very own country with specific music and traditions. Instructor: Mr. Ryan is currently the music teacher at two Seattle preschools: Blossoming Buds and Little Wonders He graduated with a degree in music from University of Santa Cruz. He is also the lead songwriter for the local indie/choir/folk group The Horde and the Harem (www.thehordeandtheharemband.com). Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 AMGU1 Guitar (Beginning) Grades 1-5 Fridays 8:10a-9:10a $165 Learn how to play guitar! And not only learn, but have fun doing it! You’ll be given tools and lessons to get you pointed in the right direction to be the guitar player you always wanted to be. Aside from learning some great songs, students will learn self-discipline through the act of practicing what they have learned. They will also expand their creativity as they learn to write their own songs and improvise their own solos as well as learn how to play and interact musically with others. Students must provide their own guitar. Class size for guitar is limited to 6 students; sign up early for this class. This class is for students with little to no experience with guitar; students with some familiarity and chord knowledge should consider the Advanced class, below. Instructor: Mr. Ryan (see above) Friday Class Dates: 1/23, 2/6, 2/13, 2/20, 2/27, 3/6, 3/13, 3/20 No class Friday, Jan 30 (day between semesters). Class runs longer than others to accommodate missed dates. AMGU2 Grades 1-5 Wednesdays 8:10a-9:10a $165 Guitar (Advanced) This class is for returning students who took Guitar during previous Enrichment program sessions OR students who have some familiarity with guitars and chords. Students must provide their own guitar. Class size for guitar is limited to 6 students; sign up early for this class. See Guitar (Beginning) class description above for more information. Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 9 SPORTS AND RECREATION AMBSK One On One Basketball: Before School Hoops (Grades K-5) Grades K-5 Thursdays 8:10a-9:10a $105 Join One On One Basketball at Thurgood Marshall Elementary for an ideal introduction to the most dynamic sport in the world. Our instructors will not only teach your child athletic fundamentals through progressive drills, engaging cardio and fun competitions, but we will use these fundamentals as a platform to teach life-skill lessons that reinforce positive attitudes about effort, respect, cooperation and self-control. One On One Basketball makes three guarantees: your child will learn, sweat and have fun! Instructor: One On One Basketball (www.1on1basketball.com) Thursday Class Dates: 1/22, 1/29, 2/5, 2/12, 2/19, 2/26, 3/5, 3/12 PMCAP Capoeira Grades K-5 Wednesdays 3:50p-4:50p $120 Children love learning capoeira, an Afro-Brazilian martial art which combines fitness, music, and acrobatics. Capoeira instills the values of responsibility and self-confidence all while awakening creativity through the development of self-expression. Through fun games, drills, and exercises, children learn to “play capoeira” with an understanding of limits and respect for each other. Classes will keep your child physically fit and mentally engaged. Students will learn the movements of capoeira along with the music and songs traditionally used in the sport. Instructor: Jen Hobbs Wednesday Class Dates: 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11 PMGLF TGA Premier Junior Golf Grades K-5 Mondays 3:50p-4:50p $135* TGA Premier Junior Golf brings the golf course to your school! Our national, award winning, 5 level program is specially designed for children and builds upon the educational concepts they are learning in the classroom. Fun comes first in every TGA class, but our curriculum also focuses on instilling self-confidence and life values through professional golf instruction. Students learn the fundamentals, etiquette and rules of the game. Best of all, we provide all the equipment and training materials so children of all skill levels have the chance to come out and tee it up with TGA! * Students who sign up for both TGA Golf and TGA Tennis pay a lower fee ($240) Instructor: Brad Kirkpatrick, TGA Premier Junior Golf (www.playtga.com) Monday Class Dates: 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23 No class 1/19 (Martin Luther King Day) or 2/16 (winter break). Class runs longer than others to accommodate missed dates. 10 PMTEN TGA Tennis Grades K-5 Fridays 3:50p-4:50p $135* TGA Premier Youth Tennis is bringing the tennis court to Thurgood Marshall! TGA, in national partnership with the United States Tennis Association, co-designed a tennis enrichment program that focuses on athletic, academic and character development for children. The TGA curriculum uses tennis equipment that is modified to be size appropriate and safe, so we can turn the school gym into a tennis court. * Students who sign up for both TGA Golf and TGA Tennis pay a lower fee ($240) In addition to professional tennis instruction, your child will take part in a combination of physical fitness for health benefits and academics such as math, science, language and social studies for educational development. Every class focuses on social interaction, developing positive character traits and most importantly having fun! TGA’s mission is to empower our students with the tools to be successful on the tennis court and in life. Instructor: TGA Tennis (www.playtga.com) Friday Class Dates: 1/23, 2/6, 2/13, 2/20, 2/27, 3/6, 3/13, 3/20 No class Friday, Jan 30 (day between semesters). Class runs longer than others to accommodate missed dates. AMKAR Karate Grades 1-5 Mon & Wed 8:10a-9:10a In practicing karate, your child will develop motor skills, focus and self-discipline, coordination, balance and strength—and have FUN. Students learn fundamental karate technique in a safe and encouraging environment. PAY/ REGISTER WITH VENDOR IMPORTANT: Karate begins before other Enrichment programs. You must register and pay directly with the Feminist Karate Union two days before classes start using the registration form at www.feministkarateunion.org/PreRegistrationElems.htm Returning students will be contacted; all new students must register online bring completed registration forms to the instructor on the first day of class. Tuition for this program is $250 per trimester. Also payable first trimester only are students’ annual fees of $24. New karate gis (uniforms) are available for $25. All checks should be payable to FKU. Online payments using PayPal are also accepted (PayPal requires additional fee). Partial financial assistance is available, please speak with the instructor or the Enrichment Program Coordinator. For more information, please contact the instructor, below. Instructor: Sensei Joanne Factor (jifactor@FeministKarateUnion.org, 206-920-8882) of the Feminist Karate Union (www.FeministKarateUnion.com) Monday & Wednesday Class Dates (students attend both Mondays and Wednesdays): Monday Class Dates: 1/5, 1/12, 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16 No class 1/19 (Martin Luther King Day) or 2/16 (winter break). Class runs longer than others to accommodate missed dates. Wednesday Class Dates: 1/7, 1/13, 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11, 3/18 11 12 REGISTRATION FORM To ensure prompt registration, students can place this form and payment directly in the registration box on the front counter of the Thurgood Marshall front office (some classes book quickly; sending the form back through classroom teachers may cause delays in registration). For registration questions, contact Sudeshna Sen at sudeshnanw@gmail.com. To register for Karate or Chess or Spanish or Japanese, you must register and pay online as described in the class listings. Forms and payment are due by Friday, Jan. 9, 2015 (except for Karate, Chess, Spanish and Japanese). PLEASE NOTE THE START AND END DATES AND PICKUP TIMES OF YOUR STUDENT’S CLASSES Student name:_____________________________________________________________ Grade:_______________ Room #:_______ Teacher:____________________________________ 1 Parent/guardian name: _________________________________________ Parent/guardian cell phone:__________________ Parent/guardian alternate phone:______________________ Please list any allergies:____________________________________________________________ Parent e-mail (Please PRINT LEGIBLY. This is how we contact you with registration confirmation/changes): ________________________________________________________________________________________ Name and phone number for additional emergency contact(s), and any additional person(s) authorized to pick up your child (feel free to add additional contacts on the back of this form)—at pickup, they may be asked to show ID: Name: ____________________________________________ Phone:_________________________________ Name: ____________________________________________ Phone:_________________________________ Class Code Day Class Name Fee Donation to the Scholarship Fund – THANK YOU! This will ensure enrichment programs are accessible to all Total Due Make checks payable to Thurgood Marshall PTA and submit with registration form. Please do not submit this form without payment! If the class you register for is full, your fee will be returned to you. ☐ I qualify for financial assistance. My reduced payment (10% of class fee) is included with this registration. If enrolling in an after school class, please check one. After class, my child will: ☐ be picked up by parent/guardian or other care provider listed above ☐ go to Thurgood Marshall YMCA After School Club, if currently enrolled I give my permission for ______________________________________ (child name) to participate in Thurgood Marshall Enrichment Program activities. I give my permission for the adult(s) in charge to seek emergency medical treatment and/or transportation for my child. I understand that I am responsible for knowing class dates and times, and for ensuring that my child is picked up promptly from classes. _____________________________________________________ ______________________ parent/guardian signature date 1 For Parent/guardian, please list the main person who should be contacted on the day of class, in case of changes to the class schedule. (For PTA use only) Check # _____________ Date _______________ Amount $_______________
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