Registration Package
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- Brice Lionel Logan
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1 Registration Package Quick Tips Registration commences on Sabbath August 23 rd, 5:30pm in the Multi-purpose room at Kendalwood SDA Church Club meetings will be held on the 1 st and 3 rd Sabbaths of each month Age group for Adventurers by December 2014 Little Lambs, age 4 Eager Beaver, age 5 Busy Bee, age 6 Sunbeam, age 7 Builder, age 8 Helping Hands, age 9 Complete and return the following documents: o Registration form o Adventurer Club Health Record o Parental Release for Media Recording
2 300 Kendalwood Road Whitby ON L1N 2G August 22, 2014 Dear Parent/Guardian, Christian greetings to you, welcome to our new and returning adventurers. We look forward to partnering with you and your child for a rewarding spiritual experience, as we continue our Adventurer Club here at Kendalwood for 2014/2015. The Adventurer Club s main purpose and desire is to work with the parent and child in leading them into a deeper experience with Jesus Christ. By involving Adventurers and their parents in a four-fold program of spiritual, mental, recreational and social activities, our intention is to guide the younger ones up the ladder of character growth and development. The Adventurer staff is looking forward to having a good time with you as a family. We have planned a fun program for you and you won t want to miss it. Enclosed you will find a registration form, a health form and a parental release form to be completed and returned. Returning Adventurers do not need to complete the release form. A workbook is required to complete the curriculum for the year. The cost of the workbook is $ The registration form should be submitted with $20.00 ($16.00 to cover the workbook and registration fee, along with the mandatory Insurance fee of $4.00 for each child. ($65.00 upfront for the year). Each Counselor and Volunteer (including parents) of the club must also submit the $4.00 insurance fee. Please make cheques payable to Kendalwood SDA Church. Uniforms & Club fees Adventurer type A uniforms can be obtained from: Adult Blue Shirts: Gold Star: 1738 Orangebrook Court, Pickering, ON, L1W 3G8 Phone: / Fax: / goldstar@goldstarshirts.ca Girls Jumper, Boys Blue Pants, Girls & Boys Long Sleeves Blue Shirt: Kids Palace - 1 Yorkgate Mall, Unit 105 North York, M3N-3A1 Type B uniform (orange t-shirt) can be purchased from the club for $10.00 and hoodie $25.00 Type A Uniform A light blue long sleeve shirt is required for both boys and girls A dark blue pants is required for boys A dark blue tunic for girls Black lace shoes, girls no heels. Type B Uniform Orange Club t-shirt Jeans Sneakers Blue hoodie Sash: A sash is needed to display honors earned and is available through the club at a cost of $8.00. Dues: Club dues are $5.00 per month per child or $10 per family per month, where there is more than 2 Adventurers. Parents have the option of paying dues for the year upfront ($65.00) or monthly. The dues are used to provide supplies for craftwork as well as to provide the badges your child earns in completion of the honors which comprise part of the curriculum. Dues are due on the first Sabbath of each month. Thank you, Edwina Jones, Director Enclosures
3 LITTLE LAMBS The Little Lamb program is treated as a parent/child partnership, and the child will gain much in the interaction with other children. The Little Lamb will be recognized for his/her work and will be invested along with the Adventurer Club. The child must be 4 years old by September 1st of the year they are enrolled in the Little Lamb program. The Little Lamb curriculum is organized around the four basic relationships in a child's life: my God, myself, my family and my world. EAGER BEAVER PROGRAM This program is designed for kindergarten-age boys and girls. The Eager Beaver program and its curriculum are separate from the Adventurer program. In fact, the Eager Beaver program is different from both the Pathfinder and Adventurer programs primarily because it involves a parent-child partnership, while the Adventurer and especially the Pathfinder programs are club organizations. Ideally, parents and their children will do the Eager Beaver activities together. The Eager Beaver Club utilizes hands-on activities, geared specifically for this age group, to provide experiences and develop skills that will be beneficial throughout life.
4 ADVENTURER PLEDGE Because Jesus loves me I will always do my best ADVENTURER LAW Be Obedient Be Pure Be True Be Kind Be Respectful Be Attentive Be Helpful Be Cheerful Be Thoughtful Be Reverent ADVENTURER SONG We are Adventurers! At home at school at play We are Adventurers! We re learning everyday To be honest, kind and true To be like Jesus through and through We are Adventurers!
5 The Adventurer program is designed to support parents in assisting children with the challenging task of developing fully as followers of Christ in today s world. The program aims to strengthen the parent/child relationship and to further the child's development in spiritual, physical, mental, and social areas. Through the Adventurer Program, the church, home, and school can work together with the parent to develop a mature, happy child. 1. Children will, at their own level, commit their hearts and lives to Jesus Christ. 2. Children will gain a positive attitude toward the benefits, joys, and responsibilities of living a Christian life 3. Children will acquire the habits, skills and knowledge needed to live for Jesus today 4. Parents and other primary care-givers will become more confident and effective as colaborers with Christ for their children. PROGRESSIVE CLASSWORK The Adventurer curriculum is organized around the four basic relationships in a child's life: my God, my self, my family and my world. The Busy Bee level is designed for first-graders. They must be able to recite and accept the Adventurer Pledge. Awards to be earned are: Busy Bee Reading Certificate, Bible 1, Health Specialist, Safety Specialist, Friend of Animals The Sunbeam level is for second-graders. They must be able to recite and accept the Adventurer Law. Awards to be earned are: Sunbeam Reading Certificate, Fitness Fun, Road Safety, Courtesy, Friend of Nature. The Builder level is for third-graders. They must be able to recite the Adventurer Pledge and Law. Awards to be earned are: Builder Reading Certificate, Media Critic, Temperance, Wise Steward The Helping Hand level is for fourth-graders. They must be able to recite the Adventurer Pledge and Law. Awards to be earned: Helping Hand Reading Certificate, Bible 11, Hygiene, Caring Friend and Environmentalist. Each level builds on the previous level and is especially designed to interest, challenge, and provide successful experiences for children of that grade level.
6 REGISTRATION FORM Child s Name: D.O.B.: Age: (Please Print) Parent/Guardian: Address: (Street) (City) (Postal Code) Home Phone :( ) Emergency Phone :( ) Church Name: School Name: Pledge: Because Jesus loves me, I will always do my best. Law: Jesus can help me to: Be obedient, Be pure, Be true, Be kind, Be respectful, Be attentive, Be helpful, Be cheerful, Be thoughtful, Be reverent. APPLICANT INFORMATION Check class(es) you have been invested in: Little Lambs Eager Beaver Busy Bee Sunbeam Builder Helping Hand I, want to join the Kendalwood Jewels (name of applicant) (club name) I will attend meetings, activities, field trips, and other club activities. I will proudly wear my Adventurer uniform and obey club guidelines. I will be cheerful, helpful, honest, kind and courteous. Approval/Consent of Parent/Guardian Signature of Adventurer As parent/guardian, we understand that the Adventurer program is an active one which includes many opportunities for service, adventure, fun, and learning. I will support the program by: 1. Encouraging my Adventurer to take an active part in all club meetings and functions. 2. Attending events to which parents are invited in support of my Adventurer. 3. Assisting club leaders by serving as a helper when needed. 4. Not holding any individual club staff member liable in the event of an accidental injury. 5. Giving my permission for the above-named Adventurer to attend Adventurer activities. Signature of parent/guardian Parent/Guardian Name: (Please Print) Business Phone: ( ) address: Address: (Street) (City) (Postal Code)
7 ADVENTURER CLUB HEALTH RECORD Child s Name: D.O.B.: Age: (Please Print) Address: (Street) (City) (Postal Code) Home Phone :( ) Health Card Number: Date of Last Tetanus Booster Allergies to drugs or foods Any special medications or pertinent information List any restrictions Telephone numbers where parents may be reached: Father Name Home Phone Business Phone Mother Name Home Phone Business Phone Emergency phone (friend or relative) Family Physician Name Business Phone Physician s Address Street City Prov Postal Code Insurance Company Policy Authorization to Treat a Minor I (we) the undersigned parent, parents or legal guardian of: Name of Adventurer In case of emergency, I hereby give permission to the physician selected by the club directors to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child. As parent or legal guardian of the applicant, I am in favor of him/her attending club functions and accept the conditions named. The heath history stated is correct so far as I know, and the person herein described has permission to engage in all prescribed club activities except as noted. In addition I have read and understand the Emergency Authorization statement and give my full consent to the terms found therein. Permission for photocopying of this heath record is granted. Date Signature of parent/guardian This section is for the notary to sign if your state/province requires it.
8 Parental Release Form for Media Recording 300 Kendalwood Road Whitby, Ontario L1N 2G3 Phone: Fax: Website: I, the undersigned, do hereby grant or deny permission to the Kendalwood Seventh-day Adventist Church to use the image of my child,, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on Kendalwood s Web site. Deny permission to use my child s image at all. Grant permission to use my child s image in the following ways (mark all that apply): Limited usage: I want my child s image and full name to be used within the Kendalwood Church setting only (not in the larger community). Limited usage: I want my child s image and first name to be used for educational materials only (not marketing). This could be either within the Kendalwood Church or in the larger community. One example of this could be videos in parent education classes. Limited usage: I want my child s image and full name to be used on printed materials only (no digital or video use). Unrestricted usage: I give unrestricted permission for my child s image and full name to be used in print, video, and digital media. I agree that these images may be used by Kendalwood Seventh-day Adventist Church for a variety of purposes and that these images may be used without further notifying me. I do understand that the child s last name will not be used in conjunction with any video or digital images. Parent/guardian Name: Address: Date: Phone: Witness for the undersigned: Signature: Date: If you have questions, please contact the Communications Department at (905) or by at communications@kendalwood.com
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