K-8 SUMMER SCHOOL FREQUENTLY ASKED QUESTIONS

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1 The Platte County R-3 School District is excited to announce that Summer School will be held from June 1-June 28, General information about times, locations, transportation services, before/after school programing, and contact information can be found in the attached packet. Information about the High School program will be distributed in April. If you are interested in signing up your child for K-8 Summer School, please complete the enclosed enrollment form and transportation form and return it to your child s school by Friday, April 1, 2016.

2 K-8 SUMMER SCHOOL FREQUENTLY ASKED QUESTIONS What are the dates for summer school? June 1-June 28, What are the hours for summer school? 8:00 a.m. 12:00 p.m. What grade is my child considered for summer school? The grade they will be entering into for the school year (i.e. 3 rd grader in school year will be enrolled as a 4 th grader for summer school). Is there a cost for attending summer school? No, there is no cost to attend summer school. Where are the summer school sites located? Barry School: Kindergarten 8 th grade (this year s Pathfinder and Barry students) Platte City Middle School: Kindergarten 5 th grade (this year s Rising Star, Siegrist, and Paxton students) Platte County High School: 6 th grade 8 th grade (this year s Paxton and Platte City Middle School students) Are meals provided during summer school? No food service is available during summer school; however, students may bring peanut-free snacks from home. Is transportation provided? Yes, transportation is provided at an abbreviated bus stop plan. Please see attached transportation schedule for bus stop locations. Is Y Club available during summer school? Yes, Y Club is available for a student attending summer school in grades Kindergarten 5 th grade while summer school is in session. Y Club will be held at Platte City Middle School and Pathfinder Elementary (students will be walked from Barry to Pathfinder for Y Club). How do I enroll my child for summer school? Enrolling your child is as simple as completing the attached enrollment/transportation forms and returning them to any school within the district by Friday, April 1, Who do I contact in the event I have more questions about summer school 2016? Barry Site Administrator (Grades K-8, Pathfinder and Barry students): Laura LeFever, Phone: , lefeverl@platteco.k12.mo.us Platte City Site Administrator (Grades K-5, Rising Star, Siegrist, and Paxton students): Eric Carlin, Phone: , carline@platteco.k12.mo.us Platte County High School (Grades 6-8, PCMS students): Shari Waters, Phone: , waters@platteco.k12.mo.us

3 Student s Legal Name: 2016 K-8 Summer School Enrollment Form Student Information (Last) (First) (Middle) Grade Entering: Social Security Number (optional): Gender: Male Female Birth Certificate Number & State: Birthdate: County of Residence: Home Phone: Mailing Address: City: State: Zip Code: Location of Residence (if above address is not a street address): Ethnicity (Choose one): Race (All that apply): Asian Black Hispanic Has this student previously Hispanic/Latino Ethnicity White Native American/Alaskan Native attended Platte County R-3 NOT Hispanic/Latino Ethnicity Other Pacific Islander/Native Hawaiian Schools? Primary Household Parent/Guardian Information (ONE NAME PER LINE) (List Parent/Guardian only. All others list on back as Emergency Contacts.) Name: Relationship: Home Phone: Address: Address: (Last) (First) City/State/Zip: Cell Phone: Employer: Work Phone: Does student live with you? Do you have legal custody? Is there a court order regarding custody? Is person listed above authorized to pick up this child from school? Parent in Military? Primary Household Parent/SPOUSE Information (ONE NAME PER LINE) Name: Relationship: Home Phone: Address: Address: (Last) (First) City/State/Zip: Cell Phone: Employer: Work Phone: Does student live with you? Do you have legal custody? Is there a court order regarding custody? Is person listed above authorized to pick up this child from school? Parent in Military? Secondary Household Parent/Guardian Information (ONE NAME PER LINE) Name: Relationship: Home Phone: Address: Address: (Last) (First) City/State/Zip: Cell Phone: Employer: Work Phone: Does student live with you? Do you have legal custody? Is there a court order regarding custody? Is person listed above authorized to pick up this child from school? Parent in Military? Secondary Household SPOUSE Information (ONE NAME PER LINE) Name: Relationship: Home Phone: Address: Address: (Last) (First) City/State/Zip: Cell Phone: Employer: Work Phone: Does student live with you? Do you have legal custody? Is there a court order regarding custody? Is person listed above authorized to pick up this child from school? Parent in Military?

4 Student s Legal Name: (Last) (First) (Middle) Other Student Information Have you lived in the U.S. less than 3 years? If yes, how many months? Language spoken at home: Has your student ever received instruction as an English Language Learner? Date Received: Do you have a permanently, fixed, adequate nightly residence? Has the family moved in the last 3 years for migratory agricultural, dairy, or fisher work? Has student ever received Special Education, Remedial Education, Gifted Program, or At Risk Program Services? Type: Year: Where: Pursuant to federal law, military recruiters and institutions of higher education may request and receive the names, addresses, and telephone numbers of all high school students, unless their parents or guardians notify the school not to release this information. Please notify the district if you do not want this information released. In accordance with the Privacy Act, we ask that you indicate by signing below, if you approve of your child s name/photo being release to the news media for purposes of Yearbook, Honor Roll, School Achievement/Awards, Sports, School-based and Social Networking Websites, School-wide directory (including address and telephone numbers) or other school activities. Date: Parent/Guardian Signature: (Signing equals YES) In accordance with the Policy GBH, please indicate by signing below, your approval of a staff member communicating with your child through electronic means, including, but not limited to, your student s telephone (voice and text) and for educational or district-sponsored purposes. Date: Parent/Guardian Signature: (Signing equals YES) Emergency Contact Information (Other than Parent/Guardian) 1. Name: Relationship: Cell Phone: Home Phone: Work Phone: 2. Name: Relationship: Cell Phone: Home Phone: Work Phone: 3. Name: Relationship: Cell Phone: Home Phone: Work Phone: May we discuss the reason for the contact with the persons listed above? If you cannot be reached, are the above persons authorized to pick up your child? If unable to contact either you or the person(s) listed above, please give specific instructions for school personnel to follow in the case of an emergency. Sibling Information If your child has any siblings enrolled in the Platte County R-3 School District, please list them below. All information on this form is correct: Signature of Parent/Guardian: Date: Please notify the school immediately of any changes on your Student Information Form.

5 2016 Summer School Transportation Form Arrival Information Mark one of the following to indicate your child s arrival procedure. You may only choose one of the options: Car Rider Walker Y Club (Must fill out Y Club enrollment form and turn into Y Club by Friday, April 22; only available for grades K-5) Bus Rider (Please reference following page for specific route and stop locations) Location of Pick up: Dismissal Information Mark one of the following to indicate your child s arrival procedure. You may only choose one of the options: Car Rider Walker Y Club (Must fill out Y Club enrollment form and turn into Y Club by Friday, April 22; only available for grades K-5) Bus Rider (Please reference following page for specific route and stop locations) Location of Drop-off: Signature of Parent/Guardian: Date: If you have any questions about routes or services, please call the Transportation Department at

6 2016 PLATTE CITY K-12 SUMMER SCHOOL BUS STOP LOCATIONS Bus transportation for summer school is limited to one or two stops per neighborhood and does not necessarily go into all areas. Below are the only stops scheduled, and NO additional stops will be made. Please choose the stop closest to your home. Information about route numbers and times will be mailed to bus riders and posted on the district's website prior to the start of summer school. Bus Stop Locations: 1 NW 130th ST & Oakmont Dr (Lakes of Oakmont) 2 NW 132nd St & Ridgeview Dr (New Bedford Falls) 3 NW 136th & Misty Springs (east - Misty Springs) 4 Hunter Dr & NW 137th St (Oak Creek) 5 Oak Valley Dr & Post Oak Ln (at the playground) 6 NW 138th St & Wagon Pass Rd (Summit Way) 7 NW 135th St & Timber Park Dr (Timber Park) 8 Hillsboro Church (Hillsboro & Farley-Hampton) 9 Village Circle & Hillsboro 10 NW 13oth St & Seven Bridges Rd (clubhouse) 11 Fox Creek (at the swimming pool lot) rd & Belmont (Running Horse pool) th & Oak Ridge (Hills of Oakmont) th & Oak Hill Ct (Hills of Oakmont) 15 NW 130th & NW Ridgeview Dr (Hills of Oakmont) 16 Hillcrest Thrift Shop (Hwy 92 & Bello Mondo Dr.) 17 Hi-Pointe Apts (415 Marshall Rd) 18 Platte City Swimming Pool (4th St & Vine St) 19 Aller St & Red Man Ave (Bus Shelter) 20 Creative Kids 21 4th St & Carmack Dr 22 2nd St & Spring St 23 Atchison Ct & O'Rourke Dr 24 4th St & Wells Rd 25 Blake St & S 4th St 26 Gates Dr West & S 4th St Broken Bridge Ln 28 Latter Day Saints Church (Broken Bridge Ln & Ensign Hill Dr) 29 Hoover Christian Church Parking Lot 30 Red Rock (Flint St & Red Rock Dr) 31 Timber Creek Dr & Timber Creek Ln 32 Willow Woods Daycare (14215 Hwy 92) 33 Williamsburg Apartments (by the pool) 34 Talented Tots (15422 Williamsburg Ter) 35 Hands-on-Montessori School 36 Spectrum Station

7 SUMMER SCHOOL 2016 Y CLUB BEFORE AND AFTER SCHOOL CHILDCARE The Platte County School District and the YMCA are partnering up once again to provide before and after school childcare for students entering grades K-5. Students who are attending summer school at our Barry School location will attend Y Club at Pathfinder and will walk over to Barry School before and after school under the supervision of Y Club employees. Students attending the K-5 program located at Platte City Middle School will also have Y Club at Platte City Middle School. Both sites will operate under the same hours from June 1st-June 28th while summer school is in session as stated below: Morning Session: 6:30 a.m.-8:00 a.m. Afternoon Session: 12:00 p.m.-6:00 p.m. Important Y Club Enrollment Information If you would like to enroll your child into the before/afterschool program during the weeks summer school is in session, you must complete the Y Club Summer School Registration form included in this packet and return it to 8205 W 108th Terrace #120 located in Overland Park, KS or by fax at (913) The due date to enroll your child into Y Club is Friday, April 22. Y Club representatives will provide a list of students enrolled to the school district to confirm that you have registered your child into Y Club. If you have further questions about the Y Club before and after school program, please call (913)

8 PLATTE COUNTY R-3 SCHOOL DISTRICT BEFORE AND AFTER SUMMER SCHOOL 2016 REGISTRATION FORM Platte County R-3 School District Summer Day Camp Sites Pathfinder Elementary 1951 NW 87th Terrace Kansas City, MO Platte City Middle School 900 Pirate Drive Platte City, MO Please print neatly or type to complete all sections. Incomplete or illegible registration forms will not be processed. Participant Information Child s Name Date of Birth Age Male Grade in School Fall 2016 Female Address City State Zip Home Phone Primary Guardian Name Work Phone Mobile Phone I would like to receive text alerts regarding Summer Day Camp. Phone Carrier Secondary Guardian Name Work Phone Mobile Phone I would like to receive text alerts regarding Summer Day Camp. Phone Carrier Before and After Summer School Registration Pathfinder Elementary Platte City Middle School June 1-3 June 6-10 June June Before and After Summer School Deposit Student must be enrolled in Platte County Summer School in order to attend Y Before and After Summer School from June Weekly deposit will reserve your child s space and be applied to your weekly Before and After Summer School tuition. Weekly deposits are non-refundable and non-transferable. $20/week x # of weeks plus $25 one-time summer program fee = Total Deposit: $ The Y: We're for youth development, healthy living and social responsibility.

9 Camper Name Before and After Summer School Payment and Registration Policies Please read carefully. Please note weekly fees will not be prorated for any reason. All non-eft payments of Before and After Summer School fees (less weekly deposit) are due one week prior to that week of Before and After Summer School by Tuesday. Any non-eft Before and After Summer School payments still unpaid the Wednesday prior to Before and After Summer School week will be subject to a $10 late fee and/or withdrawal from Before and After Summer School. Before and After Summer School registration closes Thursday at midnight for the following week of Before and After Summer School. Parents are responsible to pay all deposits and weekly fees regardless of attendance. Any registrations within one week of Before and After Summer School require full payment at the time of registration. All Before and After Summer School deposits are non-refundable and non-transferable, additional deposit will be required for any added Before and After Summer School weeks or transfer from one Before and After Summer School to another within the same week. Before and After Summer School Payment Options (Please select one.) I will pay by check, money order, online or phone by Tuesday one week prior to the start of each week of summer day camp session enrolled. Please use my debit/credit card information below to set up my summer day camp payments for automatic EFT. Automatic drafts occur each Sunday prior to the enrolled week of summer day camp. Please use my banking information on my attached VOIDED check (must be separate from your summer day camp deposit payment) to set up my summer day camp payments up for automatic EFT. Automatic drafts will occur each Sunday prior to the enrolled week of summer day camp. YMCA Annual Campaign Enclosed is an additional amount to contribute to another youth s participation in Before and After Summer School or Summer Day Camp who might not be able to participate without our donation. Total amount enclosed $ $ Before and After Summer School Deposit and Payment (Registration will not be processed without payment.) Check # VISA MasterCard Discover American Express Card # / / / Expiration Date Financial Assistance Financial assistance application deadline is April 1, Scholarship is guaranteed to those who qualify and apply by the deadline of April 1, Parent Signature Date For Office Use Only: Processed by Date Please return completed form to the address below or fax both sides of form with payment included. Forms are processed in the order in which they are received at the YMCA Youth Development Services Office W 108th Terrace, #120, Overland Park, KS Phone: Fax: YMCASummerFun.org Revised