operate a sewing machine, while advanced students can expand on skills they
already have. ... Sewing machines, patterns and fabric will be provided. ... learn
how to create jewelry out of string and twine, making friendship bracelets and.
Before and After School ENRICHMENT PROGRAM CATALOG Winter Session January 27-March 28, 20131 REGISTRATION ENDS FRIDAY January 10, 2013
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Some classes may start or end earlier or later; see individual class descriptions.
PROGRAM NOTES
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.
Tutoring If your student is participating in tutoring, remember that tutoring comes first. Enrollment • Enrollment for all students ends Friday, January 10, 2013. • 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. • Classes are open to your friends and neighbors too! Thurgood Marshall students are given preferential placement, but ageappropriate students from everywhere in our community may participate as space allows. Guest students are not eligible for scholarships and must follow our student code of conduct during classes.
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. 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 run Monday, January 27 through the week of March 24, 2013. (For exceptions, see individual class listings.) Please note some classes may run longer due to breaks and early dismissal days. You will receive specific class dates with your confirmation letter. • No morning or afternoon classes are held on the following days: Fri, Jan. 31, day between semesters Mon Feb. 17 - Fri Feb. 21, mid-winter break •
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.
No afternoon classes are held on the following days: Wed, Mar. 26, early dismissal for Professional Development
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 non-refundable $5 fee for administrative and financial aid costs.
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.
Questions? For registration questions, contact Sudeshna Sen at
[email protected]. For questions about classes, contact Caryn Gold at
[email protected] or 206-790-7709.
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Enrichment Program Winter Session January 27-March 28, 20131 CLASS SCHEDULE OVERVIEW Monday
Tuesday
Wednesday
Thursday
Friday2
Basketball 8:10a-9:10a
Chess Club 8:10a-9:10a
BEFORE SCHOOL 3
Karate 8:10a-9:10a Spanish 8:25a-9:10a Guitar (Beginning) 8:10a-9:10a
Japanese Lang. & Culture (Beginning) 8:10a-9:10a Art and Stories 8:10a-9:10a
Guitar (Returning) 8:10a-9:10a 3
Karate 8:10a-9:10a Spanish 8:25a-9:10a
Japanese Lang. & Culture (Intermediate) 8:10a-9:10a
Drama: The Lion The Witch and The Wardrobe 8:10a-9:10a
AFTER SCHOOL Sewing 3:50p-5:20p TGA Premier Golf 3:45p-4:45p
iPad LEGO® Animation: Superheroes 3:50p-5:20p
Creative Computing with Scratch (Beginning) 3:45p-4:45p
Mad Science 3:50p-4:50p Volleyball 3:45p-4:45p
Engineering Challenge 3:45p-4:45p Jewelry 3:50p-5:20p
ECO Engineering with LEGO® 3:50p-5:20p
Creative Computing with Scratch (Advanced) 3:45p-4:45p
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IMPORTANT: There will be no classes on the following dates: Fri, Jan. 31, day between semesters, Mon Feb. 17 – Fri Feb. 21, mid-winter break. Due to an early dismissal, there will be no AFTERNOON classes on this date: Wed 3/26 (PM early dismissal). 2 Friday classes (Chess Club, Engineering Challenge, and Jewelry) start and end one week later than other classes due to the professional development day on Fri, Jan. 31. 3 Karate includes additional class sessions and starts and ends later than other classes (1/6-3/31). 3
ART + SCIENCE PMSEW
Sewing
Grades 1-5 Mondays 3:50p-5:20p $137 (Includes materials)
Once a week, children are invited to learn a skill they will use for a lifetime… sewing! No experience is necessary for boys and girls to learn the basics of safety and how to operate a sewing machine, while advanced students can expand on skills they already have. Beginners will learn how to operate a sewing machine by sewing two simple projects. After that, they can choose from a variety of projects that range in levels of difficulty. Advanced students can increase their skills by choosing from a large variety of projects that will include working with different fabrics like fleece, cotton, felt and more! Whether you’re new to sewing or advancing your knowledge, this class is sure to be lots of fun! Sewing machines, patterns and fabric will be provided. Children are also welcome to bring their own patterns and fabric from home. Instructor: Chelsea Blum of Little Hands Creations. Chelsea is a Seattle-based Costume Designer who formerly held the position of Assistant Costume Shop Manager for Seattle Repertory Theatre. She graduated with a BFA in Performance Production from Cornish College of the Arts in 2006. Monday Class Dates: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24 (8 classes) No class 2/17 (Winter Break).
PMJWL
Jewelry
Grades K-5 Fridays 3:50p-5:20p $137 (Includes materials)
Students will learn new techniques in creating several different types of jewelry. The class will work with wire, seed beads and glass beads, as well as learning to make their own beads out of different materials. Then, students will string their beads, making their own creations, which include necklaces, bracelets, and earrings. The class will also learn how to create jewelry out of string and twine, making friendship bracelets and macramé. Instructor: Chelsea Blum, owner of Little Hands Creations. (See description for Sewing.) Friday Class Dates: 2/7, 2/14, 2/28, 3/7, 3/14, 3/21, 3/28, 4/4 (8 classes) No class 1/31 (Day Between Semesters) or 2/21 (Winter Break). Note that this class starts and ends later than other classes.
AMAST
Art and Stories (NEW!)
Grades K-5 Tuesdays 8:10a-9:10a $111 (Includes materials)
In this mixed media art series, students will create two and three dimensional art using a story-based theme. Students will begin by learning the art of illustration, as they develop their own story board using watercolor and pastel. Clay sculpture, fabric and wire will then be introduced as students bring the story to life by making characters and creating 3D scenes. Finally the story will be bound in a three dimensional accordion art book that students will create using collage. Kidscreate artists teach art as a process of joyful curiosity, self-expression, and learning. Instructor: teaching artist Nadine Smith; visit www.kidscreate.org to learn more. Tuesday Class Dates: 1/28, 2/4, 2/11, 2/25, 3/4, 3/11, 3/18, 3/25 (8 classes) No class 2/18 (Winter Break).
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PMMAD
Mad Science (NEW TOPIC!)
Grades K-5 Thursdays 3:50p-4:50p $119 (Includes materials)
Welcome to the Mad Science After School Program. Our program is a unique and innovative way to continue the learning process after school as you “visit the scene of the crime” to explore the fundamentals of forensics. • • • •
Take a voyage to the center of the Earth and investigate the powerful processes that shape the planet. Explore a lab we all have access to – the kitchen! Lights! Camera! Science! Learn first hand how our eyes make movies possible. Experiment with examples of the six simple machines and see what happens when we combine multiple simple machines into one cool complex machine.
All of this, and much, much more. Every class also builds awesome take-homes to 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 your child will have so much fun it is hard to believe that they are actually learning at the same time. Instructor: Mad Science (www.madscience.org) Thursday Class Dates: 1/30, 2/6, 2/13, 2/27, 3/6, 3/13, 3/20, 3/27 (8 classes) No class 2/20 (Winter Break).
CHESS + MATH AMCHS
Chess Club
Grades K-5 Fridays 8:10a-9:10a
Please register directly with Chess4Life. You can register and pay online securely at www.chess4life.com (select School Classes, then Seattle, then Thurgood Marshall) or call Chess4Life at 425-283-0549.
PAY/ REGISTER WITH VENDOR ($105)
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
[email protected] with any questions. Instructor: Chess4Life (www.chess4life.com) Friday Class Dates: 2/7, 2/14, 2/28, 3/7, 3/14, 3/21, 3/28, 4/4 (8 classes) No class 1/31 (Day Between Semesters) or 2/21 (Winter Break). Note that this class starts and ends later than other classes.
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COMPUTERS + TECHNOLOGY PMIPAD
iPad LEGO® ANIMATION: Superheroes (NEW TOPIC!)
Grades K-5 Tuesdays 3:50p-5:20p $145
It’s a bird! It’s a plane! It's...Bionic Sweeper Guy? Create your own wacko superheroes to help save the day! Students will use iPads (provided by C.A.N.) to take animation photos, edit video/sound, and create unique music scores based on the class theme. Set, character and story construction will be taught while integrating subjects like math/science and visual/language arts. View the class commercial and over 2,000 student animations at the website: ® 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: 1/28, 2/4, 2/11, 2/25, 3/4, 3/11, 3/18, 3/25 (8 classes) No class 2/18 (Winter Break).
PMLEGO
ECO Engineering with LEGO® (NEW TOPIC!)
Grades 2-5 Mondays 3:50p-5:20p $133
Design and build LEGO machines powered by alternative energy sources. Race solar cars, build a wind-powered electrical generation facility, and invent a machine powered by stored elastic strain energy. Learn about sustainability and understand the human world while exploring concepts in physics, engineering, and architecture.
®
Instructor: Play-Well TEKnologies (www.play-well.org) Monday Class Dates: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24 (8 classes). No class 2/17 (Winter Break).
PMENC
Engineering Challenge
Grades 1-5 Fridays 3:45p-4:45p $80 (Includes materials)
Students will work together to design creative solutions to a series of engineering ® challenges. Some challenges will involve building machines out of LEGO Technic. Some will involve designing products with 3D software; we will send the designs to a 3D printing company, and each student will get to keep their printed object. (Note: Unlike last year, we will print in white plastic only, no color; this reduces shipping delays.) Instructor: Matt Jensen. Matt Jensen is a Thurgood Marshall parent and a software engineer. Last year he coached a STEM club in West Seattle, and has coached three robotics teams. This class fills up quickly so sign up early! Friday Class Dates: 2/7, 2/14, 2/28, 3/7, 3/14, 3/21, 3/28, 4/4 (8 classes) No class 1/31 (Day Between Semesters) or 2/21 (Winter Break). Note that this class starts and ends later than other classes.
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PMSC1
Creative Computing with Scratch (Beginning)
Grades 4-5 Wednesdays 3:45p-4:45p $165
Do you want to design your own computer game? Want to create your own computer program to make a cat dance, explore a maze, or sing your favorite song? Come play and create with us in Creative Computing with Scratch! In this course you will enter the world of computer science by learning how to create animations, computer games, and interactive projects. Using Scratch, an interactive programming language developed at MIT, you will learn fundamental programming concepts such as variables, loops, conditional statements and event handling. As you teach a mischievous cat to dance, explore a maze, or play games, you will learn how to use math and computer code to think creatively. In this course you will learn how to make and import objects, create audio recordings, and use them to develop interactive projects. You will create your own computer game and share it with your classmates. No previous programming skills are required, but students should be comfortable using a computer, a web browser, and managing files. 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: 1/29, 2/5, 2/12, 2/26, 3/5, 3/12, 3/19, 4/2 (8 classes) No class 2/19 (Winter Break) or 3/26 (Early Dismissal). This class runs later than other classes to accommodate missed date.
PMSC2
Creative Computing with Scratch (Advanced)—NEW!
Grades 4-5 Mondays 3:45p-4:45p $165
Building on what you learned in Creative Computing with Scratch (see above), the Advanced class will create increasingly complex games and projects by exploring storyboards as well as building custom blocks and optimizing them by creative use of variables. We will investigate the options of creating user interaction and what this means to the project. Each student will create a Final Project. The student will have a choice of creating a game or a public service project on a topic they feel passionate about. If students have not completed the Beginning class, above, they should be able to design a maze and an archery game before taking this Advanced class. Monday Class Dates: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24 (8 classes). No class 2/17 (Winter Break).
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DRAMA AMDRM
Drama: The Lion, the Witch and the Wardrobe (NEW TOPIC!)
Grades 3-5 Wednesdays 8:10a-9:10a $101
Help us save Narnia from the White Witch, who has condemned the land to eternal Winter, but never Christmas. Sword fighting, songs and simple choreography will help us bring this action-packed story to life on stage. This class will end in a performance! Instructor: Stone Soup (www.stonesouptheatre.org) Wednesday Class Dates: 1/29, 2/5, 2/12, 2/26, 3/5, 3/12, 3/19, 3/26 (8 classes) No class 2/19 (Winter Break).
LANGUAGES AMJLC1
Japanese Language and Culture (Beginning)
Grades 1-5 Tuesdays 8:10a-9:10a $107
Learn basic Japanese conversation by participating in these class activities in an enjoyable environment: • • • • • • • •
Writing the Japanese alphabet Singing Japanese songs Learning 50 words and 20 phrases Making and reading a picture book Origami Cooking (class fee includes cooking ingredients) Watching award-winning Japanese anime in Japanese Japanese calligraphy
Instructor: Yumiko Momma (also known as Run Sasaki: professional anime voice actor, narrator, radio personality, and certified early development program educator) Tuesday Class Dates: 1/28, 2/4, 2/11, 2/25, 3/4, 3/11, 3/18, 3/25 (8 classes) No class 2/18 (Winter Break).
AMJLC2
Japanese Language and Culture (Intermediate)
Grades 1-5 Thursdays 8:10a-9:10a $107
Students in the Intermediate class should be able to read, write Hiragana or speak easy Japanese. See description for Beginning Japanese class, above. Thursday Class Dates: 1/30, 2/6, 2/13, 2/27, 3/6, 3/13, 3/20, 3/27 (8 classes) No class 2/20 (Winter Break).
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AMSPL
Spanish
Grades 2-5 Mon & Wed 8:25a-9:10a
Note for previous students: only beginning Spanish is offered in this session.
$200
Classes will be reinforced with games and activities that incorporate the topics covered in class. Activities will include listening, reading, writing, and speaking in Spanish. Students will be exposed to all aspects of communicating in Spanish in a fun and interactive environment. Students will be introduced to topics such as: • Basic greetings • Numbers • Colors • Days of the week • Months of the year • The alphabet • Parts of the body • Family members • How to talk about themselves This class meets twice a week. Instructor: Mark Sassi, Seattle Language International (www.seattlelanguages.com) Monday & Wednesday Class Dates: M 1/27 & W 1/29, M 2/3 & W 2/5, M 2/10 & W 2/12, M 2/24 & W 2/26, M 3/3 & W 3/5, M 3/10 & W 3/12, M 3/17 & W 3/19, M 3/24 & W 3/26. (16 classes) No class M 2/17 or W 2/19 (Winter Break).
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MUSIC AMGU1
Guitar (Beginning)
Grades 1-5 Mondays 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: Jordan Cope, musician and Seattle Pacific University graduate with a degree in music technology and composition. Monday Class Dates: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24 (8 classes). No class 2/17 (Winter Break).
AMGU2
Guitar (Advanced)
Grades 1-5 Wednesdays 8:10a-9:10a $165
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: 1/29, 2/5, 2/12, 2/26, 3/5, 3/12, 3/19, 3/26 (8 classes) No class 2/19 (Winter Break).
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SPORTS AND RECREATION AMBSK
One On One Basketball: Before School Hoops (Grades K-5)
Grades K-5 Thursdays 8:10a-9:10a $95
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: 1/30, 2/6, 2/13, 2/27, 3/6, 3/13, 3/20, 3/27 (8 classes) No class 2/20 (Winter Break).
PMGLF
TGA Premier Junior Golf
Grades K-5 Mondays 3:45p-4:45p $125
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! Instructor: Brad Kirkpatrick, TGA Premier Junior Golf (www.playtga.com) Monday Class Dates: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24 (8 classes). No class 2/17 (Winter Break).
PMVOL
Volleyball (NEW!)
Grades 3-5 Thursdays 3:45p-4:45p $101
Mr. Shin will coach volleyball with fun, teamwork-based lessons. Skills covered will be bumping, setting, serving, scoring, and spiking. All students in grade 3-5 are welcome to join us for fun, skill building, and teamwork. All classes will work on skills and finish with volleyball lead up games and real games. A positive attitude and great team spirit will be our driving force as we make new friends in the ultimate team game—volleyball. Let's lace 'em up!!! Instructor: Thurgood Marshall P.E. teacher Daniel Shin. Thursday Class Dates: 1/30, 2/6, 2/13, 2/27, 3/6, 3/13, 3/20, 3/27 (8 classes) No class 2/20 (Winter Break).
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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
Interested students may register and pay directly with the Feminist Karate Union using the registration form at www.feministkarateunion.org/lowell.htm For more information, please contact Sensei (Instructor) Joanne Factor by e-mail at
[email protected] or call 206-920-8882. Returning students will be contacted; all new students must 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. Partial financial assistance is available, please speak with the instructor or the Enrichment Program Coordinator. Instructor: Sensei Joanne Factor of the Feminist Karate Union (www.FeministKarateUnion.com) Monday & Wednesday Class Dates: M 1/6 & W 1/8, M 1/13 & W 1/15, W 1/22, M 1/27 & W 1/29, M 2/3 & W 2/5, M 2/10 & W 2/12, M 2/24 & W 2/26, M 3/3 & W 3/5, M 3/10 & W 3/12, M 3/17 & W 3/19, M 3/24 & W 3/26, M 3/31 (22 classes) No class M 1/20, M 2/17 or W 2/19 (Winter Break). Note that this class begins and ends several weeks before/after other enrichment classes.
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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
[email protected]. To register for Karate or Chess, you must register and pay online as described in the class listings. Forms and payment are due by Friday, January 10, 2013 (except for Karate and Chess; see websites for details). Student name:_____________________________________________________________ Grade:_______________ Room #:_______ Teacher:____________________________________ Address:_______________________________________________________________________ 1
Parent/guardian name: _________________________________________ Parent/guardian cell phone:__________________ Parent/guardian work 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 Number
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. _____________________________________________________ parent/guardian signature
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______________________ date
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 $_______________
