Imagine Charter Elementary School At West Gilbert

Size: px
Start display at page:

Download "Imagine Charter Elementary School At West Gilbert"

Transcription

1 Imagine Charter Elementary School At West Gilbert Enrollment Packet Child s First Name Child s Last Name Pre-Kindergarten Interest 1/2 Day Pre-Kindergarten 3/4 Must be 3 by Aug 31 Hours: 8:30 am-11:45 am Pre-Kindergarten 3 Must be 3 by Aug 31 Pre-Kindergarten 4 Must be 4 by Aug 31 Hours: 8:30 am-2:45 pm 2061 S. Gilbert Road

2 Registration Checklist Imagine Elementary at West Gilbert 2061 S. Gilbert Road Student Enrollment Forms Birth Certificate Non-Disclosure Form Parent Survey Standard of Dress Form Medical Information Form First Aid Release Immunization Record Emergency Card Media Release Pre K Contract Policy Agreement (For Office Use Only) Date Packet Returned Date Entered into SIS Orientation Date Start Date Assigned Teacher This enrollment packet is not considered complete until the records from the previous school are obtained.

3 Student Enrollment Form Imagine Elementary at West Gilbert 2061 S. Gilbert Road STUDENT INFORMATION Name (Last, First MI) Social Security Number Home Address Date of Birth Place of Birth City State Zip Code Last School Attended Home schooled Home Phone ( ) Gender Female Male Grade Entering Student Lives With (Check all that apply) Both Parents Father Mother Foster Parents Stepfather Stepmother Other (Please Specify) Race/Ethnic Background American Indian/Alaskan Native Black Caucasian (White) Hispanic Pacific Islander or Asian FAMILY INFORMATION Name: Mother/Guardian Home Address Name: Father/Guardian Home Address City State Zip Code City State Zip Code Home Phone ( ) Home Phone ( ) Mobile/Pager ( ) Mobile/Pager ( ) Social Security Number Employer Employer Address Social Security Number Employer Employer Address Business Phone ( ) Business Phone ( ) Address Hobbies or talents you are willing to share with our students Address Hobbies or talents you are willing to share with our students

4 OTHERS LIVING IN THE HOME Name Age Name Age Present School Grade Present School Grade Name Age Name Age Present School Grade Present School Grade EMERGENCY CONTACT INFORMATION In case of an emergency or if I cannot be contacted to pick up my child, I hereby authorize the following person(s) to pick up my child. Name Relationship Address Home Phone ( ) Work Phone ( ) City State Zip Code Name Relationship Address Home Phone ( ) Work Phone ( ) City State Zip Code Name Relationship Address Home Phone ( ) Work Phone ( ) City State Zip Code Name Relationship Address Home Phone ( ) Work Phone ( ) City State Zip Code I hereby permit the school to release my child to the above name person(s) upon my written or telephoned request. Parent/Guardian Signature Date The following person(s) may NOT remove my child from the school. Name Custody Papers on File Yes No Name Name HOW DID YOU HEAR ABOUT THE SCHOOL Direct Mail Newspaper Flyer Internet Passing By Magazine Word of Mouth Yellow Pages Other (Please Specify)

5 Stop Disclosure of Student Information Imagine Elementary at West Gilbert 2061 S. Gilbert Road Our school may be requested to provide the names, addresses and telephone numbers of students currently attending our campus to other schools for solicitation purposes. You do not have to participate in this program. Please complete this form and return it to the Registrar if you do not want your child s name, address, and telephone number disclosed to groups that may request it. DO NOT DISCLOSE my child s contact information (name, address and telephone number) to school organizations other than Imagine Schools. Student Name Grade Teacher Parent/Guardian Name (Please Print) Parent/Guardian Signature Date

6 Parent Survey Imagine Elementary at West Gilbert 2061 S. Gilbert Road Please answer the following questions with as much information as possible. Student Last School Attended Date of Birth Grade How did you learn about Imagine Schools? Has your child ever repeated a grade or been retained by another district? Yes No Has your child ever been suspended by another district? If yes, please explain. Yes No Has your child ever been expelled from school? Yes No From what school Date(s) of Expulsion Comments How does your child relate to authority? Does your child resist authority? How does your child get along with other children? Has your child participated in any extra-curricular activities? If yes, please list below. Yes No Please describe any special needs your child might have. I hereby certify that the above information is true and correct. I understand that misinformation may result in dis-enrollment. Imagine Schools does not accept students who have been expelled from other schools. Official enrollment begins on the first day of school. Parent/Guardian Name (Please Print) Parent/Guardian Signature Date

7 Parent Survey Imagine Elementary at West Gilbert 2061 S. Gilbert Road Please answer the following questions with as much information as possible. Student Last School Attended Date of Birth Grade How did you learn about Imagine Schools? Has your child ever repeated a grade or been retained by another district? Yes No Has your child ever been suspended by another district? If yes, please explain. Yes No Has your child ever been expelled from school? Yes No From what school Date(s) of Expulsion Comments How does your child relate to authority? Does your child resist authority? How does your child get along with other children? Has your child participated in any extra-curricular activities? If yes, please list below. Yes No Please describe any special needs your child might have. I hereby certify that the above information is true and correct. I understand that misinformation may result in dis-enrollment. Imagine Schools does not accept students who have been expelled from other schools. Official enrollment begins on the first day of school. Parent/Guardian Name (Please Print) Parent/Guardian Signature Date

8 Standard of Dress Form Imagine Elementary at West Gilbert 2061 S. Gilbert Road All students are expected to adhere to the following standard of dress guidelines while on campus or while attending an off campus school sponsored activity. All final decisions regarding appropriateness of the uniform, headwear, shoes, hair style, or appearance in general, is left to the discretion of the principal. You may select from the following choices. Girls Polo shirts (long or short sleeved) and turtlenecks (No button down shirts): Navy Blue, Red and White Jumpers, Skorts, Skirts and Shorts (no shorter than 3 inches above the knee): Navy Blue or Tan/Khaki Pants or Capri pants: Navy Blue, Tan/Khaki Boys Polo shirts (long or short sleeved) and turtlenecks in Navy Blue, Red and White Shorts: Navy Blue or Tan/Khaki Pants: Navy Blue or Tan/Khaki Please Note Shirts must be worn tucked in at all times. No denim of any color is allowed. Uniforms should be solid colored and should not contain any logos, labels, or writing of any kind. For all students 2 nd grade and above, any pants with belt loops require a belt. Belts must be solid black, brown, or navy. Belts must be worn at the waist and no part should hang below the waist. Sweatshirts, sweaters, cardigans, and vests in red, white, or navy blue can be worn in the classroom. Any other outerwear (jackets, sweaters, sweatshirts, etc.) that does not fit this description must be removed when in the building. Girl Scout or Boy Scout uniforms may be substituted at any time. The following will not be accepted on Uniform or Casual Days, except when advance notice has been given of special school spirit day. No hats or bandanas (do rag). No oversized or undersized shirts. No tank tops, sleeveless shirts, halter tops, or backless tops. No super low rise/hip hugger pants. No midriffs showing. No sweat pants, pajama pants, baggy pants, or pants with hems dragging on the ground. No cut-offs. No clothing that is baggy or oversized. Clothing may be no more than 1 size too large to allow for growth. No clothing with inappropriate logos (alcohol, tobacco, vulgar language, etc.) No gang colors or attire. No undergarments may show. Shoes must have rubber soles, closed toes, and supportive backing. Heels must not be over 1 inch. No Crocs or boots. Shoes with wheels are not allowed. Shoes with laces should be kept tied at all times. No tattoos, temporary or otherwise. No facial piercing. No unnatural hair color or hair styles. Any makeup that is worn should look natural. Jewelry should not be excessive. No chains. No gum. No trading cards of any type. No PDA s, hand held games, or portable I-POD/CD/MP3/tape players. Cell phones are allowed but should be turned off during school hours. I agree to support the Imagine Schools Standard of dress. I understand that violations of the above perceived by the administration, may result in disciplinary action. Parent/Guardian Name (Please Print)

9 Medical Information Form Imagine Elementary at West Gilbert 2061 S. Gilbert Road Medical History (Check all that apply) Measles Asthma Allergies (food or otherwise) Chickenpox Vision Impairment Physical Handicap Mumps Hearing Impairment Diabetes Scoliosis Heart Condition Convulsive Disorder Ear Infection TB Doctor s Name Phone Hospital Preference Phone S Is your Child Taking Any Medication? Yes No If yes, name the medication(s) and for what condition(s). ex *Medication may not be administered without prescription release form, available in the school office. M Medication al Condition e Medication Condition Fe S Medication mex Condition al S Medication Mex Condition al S Is your child presently under treatment for any physical problem? e Mex If yes, please explain. al Fe e M m al al Fe e e m Is your child allergic to any foods or other substances? If yes, name foods or substances to be avoided. al Fe Please explain procedure if reaction occurs. e m al e Is your child subject to convulsions, and what should be our procedure if one occurs? Is your child usually susceptible to infections and if so, what precautions need to be taken? Is there any physical condition that we should be aware of, and what precautions or procedures should be taken? Additional Comments/Other Special Instructions The above emergency and medical information is provided by: Parent/Guardian Signature Date S

10 First Aid Release Imagine Elementary at West Gilbert 2061 S. Gilbert Road I hereby give consent for my child to receive the following over-the-counter medications (check all that apply) from the Imagine School staff. Imagine School staff will administer first aid only as needed. Bandages Antiseptic Ice Packs Student s Name (Please Print) Parent/Guardian Name (Please Print) Parent/Guardian Signature Date No Medication will be distributed without a Signed Medication Consent form provided by the Health Office upon request

11 Student Media Release Imagine Elementary at West Gilbert 2061 S. Gilbert Road I hereby agree and give my permission for Imagine Schools, Inc. and/or Imagine Elementary at West Gilbert (the School ) to record, film, photograph, audiotape or videotape my child s name, image, likeness, spoken words, student work, performance and movement, in any form (hereinafter collectively referred to as Works ), and to display, publish, distribute or exhibit these Works or any part thereof for the purpose of and in connection with any material that may be created by Imagine Schools, Inc. and/or the School, including, without limitation, for posting on the Imagine Schools, Inc. and/or School s website and/or for distribution in print or broadcast media. I hereby further agree that Imagine Schools, Inc. is the sole owner of all rights, title and interest, including copyrights in such Works and any parts thereof for all purposes, as Imagine Schools, Inc. and/or the School shall determine in their sole discretion without limitation, reservation or compensation to me or my child. By entering into this informed consent and release and granting the permission as stated herein, I am expressly authorizing Imagine Schools, Inc. and/or the School to use, in whole or in part, my child s name, likeness, image, spoken words, student work, performance and movement in connection with any materials for Imagine Schools, Inc. and/or the School, including without limitation Imagine Schools, Inc. and/or the School, in all manner and media, as Imagine Schools, Inc. and/or the School determines in their sole discretion. I also understand that Imagine Schools, Inc. and School shall own all rights, title and interest, including the copyright(s), in and to the materials, to be used and disposed in perpetuity without limitation as Imagine Schools, Inc. and the School shall determine in their sole discretion. By entering into this informed consent and release and granting the permission as stated herein, I also am releasing Imagine Schools, Inc. and the School and their respective officers, directors, agents and/or employees from and against any and all liability, loss, damage, costs, claims and/or causes of action arising out of or related to my son/daughter s participation in any media events, including, without limitation, television broadcasts, promotional materials or website projects. I have read this Informed Consent and Release and understand its terms. I sign it voluntarily and with full knowledge of its significance. Student Name Grade Teacher Parent/Guardian Name (Please Print) Parent/Guardian Signature Date

12 ARIZONA IMMUNIZATION LAW Dear Preschool Parents, It is Arizona State Law that parents/guardians submit documentary proof of up- to- date immunization records for each child to be admitted to school. You must provide a legible copy of up- to- date records before your child can be enrolled. Summary of vaccines required for all children 2 5 years of age: 4 DTaP 3 Polio 1 MMR 1 Varicella 3 Hep B 3 4 Hib (with 3 rd or 4 th dose on/after 1 st birthday) 2 Hep A (in Maricopa County only) Summary of vaccines required for all children 5+ years in kindergarten: 5 DTap * 4 Polio* 2 MMR 1 Varicella 3 Hep B * Children who received DTap #4 and/or Polio #3 on/after the 4 th birthday do not need additional doses to enter kindergarten. Hepatitis A is not required for kindergarten. If your child s immunizations are not current, please have them updated immediately. Please consult your pediatrician or primary care physician to find out if your child is up- to- date. We appreciate your cooperation in upholding Arizona Law and look forward to a great school year.

13 ½ Day Pre-Kindergarten Contract Imagine Charter Elementary School at West Gilbert 2061 S. Gilbert Road Phone: Fax: Student Home Address Date of Birth Home Phone City State Zip Code address Gender Female Male Parent/Guardian $75.00 NON-REFUNDABLE Application Fee (Please initial) Tuition: Tuition payments are to be made at $ per month. This is based on the number of school days per the current school year. Payment is due on the 1st of each month. If the payment is not received by the 7 th of the month the child will be withdrawn from the program. (Please initial) THIS AGREEMENT is entered into by and between Imagine Charter Elementary School at West Gilbert and the parents/guardians whose signatures appear on this contract. In consideration of the mutual promises set forth herein, the parties hereto accept the following terms and conditions governing enrollment and attendance at the school. All admissions are accepted at the sole discretion of Imagine Charter Elementary School at West Gilbert. APPLICATION FEE: A one-time, non-refundable application fee of $75.00 is charged annually. Due at time of enrollment (Please Initial) TERMS OF PAYMENT: All charges are due the 1 st of the month. Payment can be mailed, paid on-line or in person at the school office. The school accepts credit/debit cards, checks and money orders. Students will be subject to dis-enrollment if payments are not received by the 7th day of the month. Accounts left in default will be turned over to our Collections Agency. A charge of $25.00 will be assessed on checks returned by the bank. (Please Initial) RULES AND REGULATIONS: The guardians and the student agree to abide by and uphold and support all policies, rules, regulations, and decisions adopted by the school as set forth currently and such other policies, rules, and regulations as may be implemented by the school. Disregard of the rules and regulations of the school or disruption of the school community is sufficient cause for dismissal. ABSENCES OR ILLNESSES: Refunds or credits will not be given for absences due to illness, vacation or any other reason. (Initial) HOLIDAYS: The school is closed for the customary holidays and teacher in-service days. Consult the current school year calendar. OPTIONAL CHARGES: There is an additional charge for before and after school care and enrichment activities. Opportunities may arise which require additional fees for some field trips, which will be charged on a per trip basis. SNACKS: Due to the short day, Imagine Schools at West Gilbert will not provide lunch for ½ day pre-school. A healthy snack along with milk or juice will be provided by Imagine Schools at West Gilbert. DISENROLLMENT: Two week notice is required. Prorated refund available after prior two week notice. (Please initial) This contract is not binding upon the school until executed by the school and is for a period of one academic year. For enrollment to be complete, the following must be fulfilled: 1. Completion of an enrollment contract with signatures 2. Completion of the emergency cards 3. Payment of appropriate fees The student will be considered enrolled in the school for the grade level set forth above upon acceptance and execution of this contract by the school. Upon acceptance, the school will return one copy of this contract. Legal Guardians are jointly and separately responsible for the student s account. It is the obligation of the below-signed Guardians to make all payments in accordance with the terms of this contract. In the event that payments should become delinquent, guardians are responsible for any legal or other fees incurred. I/We have read, understand and agree with the terms and conditions: Parent/Guardian Signature Date Parent/Guardian Signature Date Imagine Charter School at West Gilbert does not discriminate against any person in admission, employment, or otherwise because of race, color, religion, national origin, disability, sex or age in violation of existing state or federal law or regulation. *West Gilbert reserves the right to increase tuition as deemed necessary.

14 Pre-Kindergarten Contract Student Home Address Date of Birth Home Phone Imagine Charter Elementary School at West Gilbert 2061 S. Gilbert Road Phone: Fax: City State Zip Code Address Gender Female Male Parent/Guardian $75.00 NON-REFUNDABLE Application Fee Tuition Tuition payments are to be made at $ per month. This is based on the number of school days per the current school year. Payment is due on the first of each month. If the payment is not received by the 7 th of the month the child will be withdrawn from the program. (Please initial) THIS AGREEMENT is entered into by and between Imagine Charter Elementary School at West Gilbert and the parents/guardians whose signatures appear on this contract. In consideration of the mutual promises set forth herein, the parties hereto accept the following terms and conditions governing enrollment and attendance at the school. All admissions are accepted at the sole discretion of Imagine Charter Elementary School at West Gilbert. APPLICATION FEE: A one-time, non-refundable application fee of $75.00 is charged annually. Due at time of enrollment. (Please Initial) TERMS OF PAYMENT: All charges are due the 1 st of the month. Payment can be mailed, paid on-line or in person at the school office. The school accepts credit/debit cards, checks and money orders. Students will be subject to dis-enrollment if payments are not received by the 7th day of the month. Accounts in default will be turned over to our Collections Agency. A charge of $25.00 will be assessed on checks returned by the bank. (Please Initial) RULES AND REGULATIONS: The guardians and the student agree to abide by and uphold and support all policies, rules, regulations, and decisions adopted by the school as set forth currently and such other policies, rules, and regulations as may be implemented by the school. Disregard of the rules and regulations of the school or disruption of the school community is sufficient cause for dismissal. ABSENCES OR ILLNESSES: Refunds or credits will not be given for absences due to illness, vacation or any other reason. (Initial) HOLIDAYS: The school is closed for the customary holidays and teacher in-service days. Consult the current school year calendar. OPTIONAL CHARGES: There is an additional charge for before and after school care and enrichment activities. Opportunities may arise which require additional fees for some field trips, which will be charged on a per trip basis. DISENROLLMENT: Two week notice is required. Prorated refund available after prior two week notice. (Please initial) This contract is not binding upon the school until executed by the school and is for a period of one academic year. For enrollment to be complete, the following must be fulfilled: 1. Completion of an enrollment contract with signatures 2. Completion of the emergency cards 3. Payment of appropriate fees The student will be considered enrolled in the school for the grade level set forth above upon acceptance and execution of this contract by the school. Upon acceptance, the school will return one copy of this contract. Legal Guardians are jointly and separately responsible for the student s account. It is the obligation of the below-signed Guardians to make all payments in accordance with the terms of this contract. In the event that payments should become delinquent, guardians are responsible for any legal or other fees incurred. I/We have read, understand and agree with the terms and conditions: Parent/Guardian Signature Parent/Guardian Signature Date Date Imagine Charter School at West Gilbert does not discriminate against any person in admission, employment, or otherwise because of race, color, religion, national origin, disability, sex or age in violation of existing state or federal law or regulation. *West Gilbert reserves the right to increase tuition as deemed necessary. Updated 2/19/13

15 Imagine Schools at West Gilbert Pre-K Programs and Procedures Handbook S. Gilbert Rd. Phone (480) Fax: (480) Cell # The school prohibits discrimination against current or prospective students and employees on the basis of race, color, sex, religion, national origin, age, disability, sexual orientation, or any other legally protected characteristic.

16 IMAGINE WEST GILBERT PRE-K PROGRAMS POLICIES AND PROCEDURES DESCRIPTION OF SERVICES Imagine Schools at West Gilbert offers Pre-K where your child will have the opportunity to make new friends and participate in daily activities in the areas of arts and crafts, sports and fitness, technology, and social recreation. Your child will be supervised at all times by qualified staff. CONTACT INFORMATION Director: Gilbert Aragon Phone Number: HOURS OF OPERATION 1/2 Day Pre-Kindergarten 3/4 Must be 3 by August 31 8:25 AM - 11:45 AM Full Day Pre-Kindergarten 3 Must be 3 by August 31 8:25 AM - 2:45 PM Full Day Pre-Kindergarten 4 Must be 4 by August 31 8:25 AM - 2:45 PM If the child is picked up habitually late, it will be up to the discretion of the Director and/or Administration to notify Child Protective Services. ENROLLMENT PROCEDURES The following forms must be filled out completely before your child is eligible to begin the Pre-K programs: 1. Imagine Schools at West Gilbert Contract 2. Department of Health Services ( EIIR ) Blue Card 3. Enrollment Packet ( Pre-K only ) 4. Signed Policies and Procedures 5. Current Immunization 6. Proof of current Arizona residency The registration fee and the first month s payment are required before your child may attend the program. In addition, you may not start an enrollment with any balance due. Enrollments for Before/After Care beginning on or before the 15 th of the month will result in a full month s charge. Enrollments beginning after the 15 th of the month will be charged ½ month for the first month. All enrollments must be approved by the Program Director. DISCONTINUING SERVICE PROCEDURES To discontinue service with the Imagine Schools at West Gilbert Pre-K, a parent or legal guardian must notify the Program Director in writing at least 14 days before the child s last day in the program. If we are not notified in the proper manner, you may be liable for any charges that accrue to your account.

17 [ ] A $75.00 NON-REFUNDABLE registration fee will be charged for each application TUITION AND PAYMENT REQUIREMENTS All charges and fees are based on the number of school days in session during the school year. Breaks are not calculated in these days. Full-Day Pre-School $ per year broken into 10 monthly payments of $ Half-Day Pre-School. $ per year broken into 10 monthly payments of $ If you are enrolling multiple children, you will receive a 10% discount on each additional child. Tuition is due the 1 st of every month. If payment is not received in full by the 7 th day, your child(ren) will be withdrawn from the program Your child will be allowed to re-enroll in the program provided the following conditions are met: 1. Your account is paid in full. 2. The space is still available. 3. The enrollment is approved by the Program Director. CHILD SIGN IN & OUT PROCEDURES All children MUST be signed in and out EVERY DAY by a parent /guardian or another authorized adult. Each child will have their own sign in/out sheet the authorized adult will sign. Each day must be filled out with date, time, and signature of the adult. ALL SIGNATURES MUST BE FULL FIRST AND LAST NAME. THE STATE WILL NOT ACCEPT JUST INITIALS OR JUST FIRST NAMES OR JUST LAST NAMES. If you fail to sign in/out on a repeated basis, your child may be terminated from the program. These sheets are audited by the state and must be complete and correct. All children enrolled must be signed out by an adult, who name must be on the child s blue card. The staff in the classroom will need to see a driver s license and a copy of the license will be made and put into the child s file. DISCIPLINE GUIDELINES Children are expected to follow the Pre-K Program rules and regulations. They are expected to respect the school, the employees, fellow children, and themselves. They are expected to follow all rules and regulations set forth in the school s handbook given to every student and parent upon enrollment in Imagine at West Gilbert School. Children who consistently fail to follow program policies may be suspended and can be denied entry into the programs we offer. When a child is suspended, the Director will notify the parent/guardian immediately. Arrangements must be made to have the child picked up from school immediately. A meeting must be arranged with the Director, parent/guardian, and child before he/she is allowed to return to the program. Any child displaying behavior which results in or threatens to result in damage to him/her, another child, the building, or any school property will be suspended from the program for a minimum of three days. No fees will be refunded. Continued threatening or damaging behavior will result in expulsion from the program. TRANSPORTATION It is the responsibility of the parent/guardian to make travel arrangements to and from the Pre-K program. Employees are NOT allowed to give children a ride to or from the program. If a child is to be picked up by someone who is not on the emergency blue card, you must provide the Director in writing or with a phone call the following information: 1. Name of person picking up 2. What day he/she will be picking up your child Without this information, we are not legally allowed to release your child. Please inform the person picking up your child to be prepared to show picture ID.

18 FIELD TRIPS Pre-K students participate in several field trips yearly. Guidelines for these trips will be sent home by the teacher to parents before each trip. PARENT/GUARDIAN RESPONSIBILITIES & CODE OF CONDUCT The Pre-K employees of Imagine Schools at West Gilbert are happy to help parents/guardians with any questions, concerns, or suggestions you may have. We realize a parent needs to feel his/her child is receiving the best possible programs in a safe environment and has the right to inquire and observe the facility. Any questions or complaints should be addressed to the Program Director or School Principal. They will be happy to address your concerns if time permits, or set up a meeting to further review the situation. However, any person who engages in disorderly conduct of any kind, such as use of speech/language that is offensive/inappropriate, physical abuse, or threat of harm in any way to any child/employee/volunteer will be subject to removal and possible exclusion from the facility. Parents are also required to pay all fees on time to ensure uninterrupted service. A parent/guardian MUST sign in and out each child everyday they attend the program. LIABILITY INSURANCE The Pre-K Programs are run by Imagine Schools at West Gilbert. We are covered by insurance purchased through the school. For more information, please speak with the Program Director. EMERGENCY MEDICAL PROCEDURES In case of emergency, the following procedures will be taken: 1. Injured child will be assessed by the Director 2. Employees will treat the child to make him/her as comfortable as possible (apply ice, clean cuts, etc.) 3. If injury is deemed life threatening, 911 will be contacted immediately 4. Parent/Guardian will be contacted immediately after 911 to inform them of the situation 5. If injury is deemed non-life threatening, parent/guardian will be contacted immediately to inform them of the injury 6. Paperwork will be filled out by the employee before the parent or paramedics arrive 7. Necessary paperwork is sent with parents and paramedics upon leaving the facility MEDICAL ADMINISTRATION PROCEDURES We request parents make arrangements for all medications to be administered during school hours only and not during before/after care hours. However, if this is not possible, the following procedures must be followed: 1. A medication consent form must be on file 2. The medicine must be provided to the program in its original container with the child s name, times medicine must be dispensed, and the dosage. 3. Medicine will be kept in a locked box to which only the Director will have a key 4. Children are responsible for remembering to take their medicine at the appropriate times from the Director PESTICIDE PROCEDURES 48 hour notice is posted on the front door of the office prior to application of any pesticides.

19 Pre-K Schedule 8:15-8:30 Arrival/Read aloud 8:30-8:45 Recess/water Break 8:50-9:10 Calendar/ Good Morning Song 9:15-9:30 Journaling 9:30-9:45 Washing Hands/ Snack 9:55-10:10 Read Aloud (Theme Story) 10:15-11:15 Morning Centers 11:15-11:30 Theme Game or Story 11:30-11:45 Lunch Recess 11:50-12:00 Washing Hands/Water 12:00-12:20 Lunch 12:20-12:30 Bathroom Breaks 12:30-1:45 Quiet Rest Time 1:45-1:50 Rest Time Clean-up 1:50-2:00 Read Aloud 2:00-2:30 Afternoon Centers 2:30-2:45 Wrap-Up/Goodbye Song 2:45 Pick Up Time

20 Pre-K Sample Lesson Plans Story Time: It s Snowing /author Bolwell A Snowy Day / author Nelson Music & Movement:: Song Twist and Pop Noisy New Year Math: (Houghton Mifflin) Refresher on length short, shorter, Shortest Writing: Letter P

21 Art: Painting Ice Castle Science and Social Studies: Make Frost Additional Activities: Make mugs of hot chocolate

22 INSPECTION REPORTS ARE AVAILABLE IN THE OFFICE UPON REQUEST THE BEFORE/AFTER CARE AND PRE-K PROGRAMS AT IMAGINE SCHOOLS AT WEST GILBERT ARE LICENSED AND REGULATED BY: THE ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF LICENSING SERVICES OFFICE OF CHILD CARE LICENSING 150 N. 18 TH AVENUE, SUITE 400 PHOENIX, AZ PHONE: FAX:

23 POLICY AGREEMENT By enrolling my child in the Pre-K Program at Imagine West Gilbert, I certify that I have read and agree to all policies and procedures set forth in the Imagine West Gilbert Pre-K Parent and Student Handbook. Child s Name: (Please print) Parents Names: Signatures: Please sign and return with blue card and contract.

Welcome Letter. Please request the current Tuition and Fee Schedule Form directly from the campus location you are interested in enrolling your child.

Welcome Letter. Please request the current Tuition and Fee Schedule Form directly from the campus location you are interested in enrolling your child. Welcome Letter Dear Parent, Thank you for considering Castle Montessori for your child! Castle Montessori's academic philosophy is based on authentic Montessori principles for students ranging from toddlers

More information

Address: Street City State Zip Code Home Phone: E-mail Address:

Address: Street City State Zip Code Home Phone: E-mail Address: SANDWICH CUSD #430 REGISTRATION FORM SCHOOL YEAR 2013-2014 SELECT AN ATTENDANCE CENTER LG Haskin Prairie View WW Woodbury HE Dummer Middle School High School 1. NAME: 5. SEX: Male Female Last Name First

More information

2015-2016 APPLICATION PACKET

2015-2016 APPLICATION PACKET 2015-2016 APPLICATION PACKET Child s Name: Last Name First Name Middle Enrollment Procedure The parents and child will visit Palm Valley Montessori School for an interview with the director and/or administrator,

More information

GREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER

GREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER GREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER Dear Parent, Verde Valley School is committed to providing your child with the best possible care. It is with this goal in mind that the school requires

More information

35145 Oak Glen Rd. Yucaipa, CA 92399 T: 909.790.0557

35145 Oak Glen Rd. Yucaipa, CA 92399 T: 909.790.0557 Thursday, April 17, 2014 RE: Welcome to Wildwood Christian Academy!! Dear Prospective Family, I would like to thank you for your interest in enrolling your student(s) at Wildwood Christian Academy. It

More information

Odyssey Charter School, Inc. Uniform Policy

Odyssey Charter School, Inc. Uniform Policy Odyssey Charter School, Inc. Uniform Policy All Odyssey Charter School, Inc. (OCS) students have the right to a safe, healthy school environment. We believe that our students uniforms promote school safety,

More information

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014 Dedicated to providing a high quality education to a diverse community where all students are expected to succeed as life-long learners. PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER

More information

TUITION RATES SCHOOL YEAR 2015-2016

TUITION RATES SCHOOL YEAR 2015-2016 TUITION RATES SCHOOL YEAR 2015-2016 REGISTRATION FEE: $65.00 per child DISCOUNTS: Family discount apply to families with two or more children in the Extended Day program. Full price is paid for the youngest

More information

2014/15 SY Membership Enrollment Form

2014/15 SY Membership Enrollment Form Member s Name: For Office Use Only BGC # Location: WG BC BTC Amount Rec d Payment Type: Check/Money Order # Accepted By: Start Date: Date entered into membership database Scholarship? Scholarship Amount

More information

2014-15. Parent Handbook

2014-15. Parent Handbook 2014-15 Parent Handbook School Age Program Daily Schedule The daily schedule will be posted weekly in the site binder. All times are approximate. School Dismissal time Attendance taken and children signed

More information

BOARD POLICY MANUAL 709 Adopted: June 2, 2010 Revised: 02/15/11 Revised: 04/18/12 Revised: 07/23/13 Revised: 09/17/13

BOARD POLICY MANUAL 709 Adopted: June 2, 2010 Revised: 02/15/11 Revised: 04/18/12 Revised: 07/23/13 Revised: 09/17/13 UNIFORMITY OF DRESS Purpose BOARD POLICY MANUAL 709 Adopted: June 2, 2010 Revised: 02/15/11 Revised: 04/18/12 Revised: 07/23/13 Revised: 09/17/13 STUDENTS The Board of Education of Freeport School District

More information

Other Forms from Seattle Public School District

Other Forms from Seattle Public School District SEATTLE PUBLIC SCHOOLS Other Forms from Seattle Public School District Medical & Other Forms Privacy Rights Student Survey Form to Identify Disabled Students (504-2) Authorization for Medications to be

More information

PLEASE NOTE. Uniform top for middle school (both girls and boys) will be sold at school

PLEASE NOTE. Uniform top for middle school (both girls and boys) will be sold at school UNIFORM AND PERSONAL APPEARANCE SST has a uniform to help create a safe and orderly environment, instill discipline, and eliminate competition and distractions caused by varied dress styles. You will be

More information

juilliard.edu/summerjazz

juilliard.edu/summerjazz Juilliard JAZZ Summer 2013 Camp in Atlanta,GA June 17-21, 2013 One-week program for dedicated and disciplined students ages 12-18, who are passionate about jazz music For details see Juilliard s Web site:

More information

WILKES-BARRE AREA SCHOOL DISTRICT DRESS CODE

WILKES-BARRE AREA SCHOOL DISTRICT DRESS CODE WILKES-BARRE AREA SCHOOL DISTRICT DRESS CODE Guidelines Pants - Must be casuai/dress pants of a solid color: Khaki (BeigeITan), Navy Blue, Black or Gray 1. Pants must be sized to fit the student (i.e.

More information

Student Uniforms and Dress Code

Student Uniforms and Dress Code Student Uniforms and Dress Code Clearwater Academy is one of the premiere schools in our area with a reputation of high standards, and in keeping with that reputation we have a uniform policy. All of us,

More information

EVIT COSMETOLOGY & AESTHETICS PACKET

EVIT COSMETOLOGY & AESTHETICS PACKET DATE PACKET RECEIVED TIME INITIALS EVIT COSMETOLOGY & AESTHETICS PACKET Thank you for applying to the EVIT Cosmetology program. Your packet must contain all of the following items and be delivered to the

More information

PARENT HANDBOOK Students can EXCEL in a supervised, safe and enriching environment right on their own campus.

PARENT HANDBOOK Students can EXCEL in a supervised, safe and enriching environment right on their own campus. PARENT HANDBOOK Students can EXCEL in a supervised, safe and enriching environment right on their own campus. The Peoria Unified School District does not discriminate on the basis of race, color, national

More information

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour.

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. So the generations to come might know Him Psalm 78:4 STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. Application Process 1. Complete and return the application with the

More information

Dear Corner Stone Charter Parent:

Dear Corner Stone Charter Parent: Dear Corner Stone Charter Parent: Welcome to Boll Family YMCA s School Age Child Care (SACC) program. We are looking forward to sharing the next 11 months with your child before and after school. Attached

More information

BOYS AND GIRLS: Pants Properly fitting navy blue or khaki pants Navy blue or khaki Black or dark blue fitted belt. No jeans. No shorts, no skirts.

BOYS AND GIRLS: Pants Properly fitting navy blue or khaki pants Navy blue or khaki Black or dark blue fitted belt. No jeans. No shorts, no skirts. UNIFORM FOR ELEMENTARY SCHOOL (K THROUGH 5 TH GRADE, 2010-11): BOYS AND GIRLS: Uniform Top Red polo shirt with white pin stripes/plain red polo shirt. Long sleeve shirts may be worn under uniform shirt

More information

EUSTIS MIDDLE SCHOOL HOME OF THE MUSTANGS

EUSTIS MIDDLE SCHOOL HOME OF THE MUSTANGS EUSTIS MIDDLE SCHOOL HOME OF THE MUSTANGS Welcome to Eustis Middle School The administration and staff would like to take this opportunity to welcome you to Eustis Middle School. This agenda has been prepared

More information

Sample enrollment Checklist for Bullis Charter School

Sample enrollment Checklist for Bullis Charter School Registration Checklist Open Enrollment Period: November 1, 2011 February 3, 2012 Thank you for registering your child in Bullis Charter School. Enclosed in this packet are the registration materials that

More information

Rowan University s Aim High Science and Technology Academy

Rowan University s Aim High Science and Technology Academy s Aim High Science and Technology Academy (residential) Summer Science and Technology Program for Rising Seniors (Current 11th Graders) July 5, 2015 - July 31, 2015 (Sunday-Friday) STUDENT APPLICATION

More information

Montessori Children s House Registration Form. Child s Name: Start date: Place of Employment. Place of Employment

Montessori Children s House Registration Form. Child s Name: Start date: Place of Employment. Place of Employment Montessori Children s House Registration Form Child s Name: Start date: Date of Birth: Nickname: Mother s Name: Mother s Address: Contact Numbers Place of Employment Work Address Work Phone Social Security

More information

UNIFORM / DRESS CODE 2015-16 SCHOOL YEAR

UNIFORM / DRESS CODE 2015-16 SCHOOL YEAR UNIFORM / DRESS CODE 2015-16 SCHOOL YEAR NOTICE TO 9 TH GRADE FAMILIES: New students must comply in full with the dress code below. New students will not be allowed to wear any grandfathered items. NOTICE

More information

Purcell Marian High School: Summer School 2014 Session I Monday, June 16 th Thursday, July 3 rd

Purcell Marian High School: Summer School 2014 Session I Monday, June 16 th Thursday, July 3 rd Purcell Marian High School: Summer School 2014 Session I Monday, June 16 th Thursday, July 3 rd Session II Monday, July 7 th Friday, July 25 th Purcell Marian High School 2935 Hackberry Street Cincinnati,

More information

LR Pre-School (dba Lake Ronkonkoma Pre-School) ST. LAWRENCE THE MARTYR CHURCH SCHOOL 200 W. MAIN STREET, SAYVILLE, NY 11782 TEL.

LR Pre-School (dba Lake Ronkonkoma Pre-School) ST. LAWRENCE THE MARTYR CHURCH SCHOOL 200 W. MAIN STREET, SAYVILLE, NY 11782 TEL. REGISTRATION CHECKLIST 3 5 Ye a r O l d C l a s s e s Dear Mr./Mrs./Ms. Date We would like to welcome you and your child to the Lake Ronkonkoma Preschool. In order to have your child registered properly,

More information

2014-2015 Enrollment Packet

2014-2015 Enrollment Packet 2014-2015 Enrollment Packet Please review the information below. Based on your student (s) grade and applicable circumstances, you are required to submit documentation in order to complete this step in

More information

Forrest M. Bird Charter School

Forrest M. Bird Charter School Permission to Release Records To: Forrest M. Bird Charter School 614 South Madison Avenue, Sandpoint ID 83864 208-255-7771 Phone * 208-263-9441 Fax Student Information: Please Print Student s First Name

More information

Camp Lejeune District Schools Student Dress Code

Camp Lejeune District Schools Student Dress Code Camp Lejeune District Schools Student Dress Code Effective August 24, 2015 Camp Lejeune District Schools Student Dress Code Section 1 of 2 Sections: General Rules and Expectations 1.1. Camp Lejeune District

More information

2016/2017 Preschool Registration Form

2016/2017 Preschool Registration Form 105 135 Robin Cres. Saskatoon, SK S7L 6M3 Ph: 306-244-7820 Fax: 306-244-0089 office@bgcsaskatoon.com www.bgcsaskatoon.com 2016/2017 Preschool Registration Form BILINGUAL PRESCHOOL AT ECOLE COLLEGE PARK:

More information

SCHNURMACHER CENTER FOR REHABILITATION AND NURSING

SCHNURMACHER CENTER FOR REHABILITATION AND NURSING Dear Junior Volunteer Applicant, Enclosed is an application to join the Department of Volunteers at the Schnurmacher Nursing Home. Our program is designed to allow us to adequately train and orient volunteers

More information

Johns Creek Montessori School Of Georgia

Johns Creek Montessori School Of Georgia ENROLLMENT FORM Pre-Primary (Toddler) Primary Half Day Full Day All Day Start : Child s Information: Child s Name Street Address Nickname of Birth Subdivision Name Primary Language Spoken Parent/Guardian

More information

How To Get Into An Evit Cosmetology Program

How To Get Into An Evit Cosmetology Program DATE PACKET RECEIVED INITIALS EVIT COSMETOLOGY & AESTHETICS PACKET Thank you for applying to the EVIT Cosmetology program. Your packet must contain all of the following items and be delivered to the EVIT

More information

Little Einsteins Daycare @ St. Albert Inc. 22 Sir Winston Churchill Avenue, St. Albert, AB T8N 1B4 Phone: 780-486-6740

Little Einsteins Daycare @ St. Albert Inc. 22 Sir Winston Churchill Avenue, St. Albert, AB T8N 1B4 Phone: 780-486-6740 Child s name: Date of registration: Starting Date: Child s age: Male Female Legal Guardian: Mother s Name: Email address: Mother s home phone: Cell # : Mother s place of work: Phone: Is mother allowed

More information

Application for Childcare

Application for Childcare 261 Sky River Parkway Monroe, WA 98272 Tel: (360) 794 4775 DSHS Provider #: 827175 Application for Childcare Child s Name: Grade (current/going into): School: Please indicate which program you will be

More information

STEP 2: Please complete the Special Needs and Circumstances Section. STEP 3: Please take a moment to complete our questionnaire.

STEP 2: Please complete the Special Needs and Circumstances Section. STEP 3: Please take a moment to complete our questionnaire. New Rising Star Missionary Baptist Church Rising Stars Enrichment Program Registration Packet 7400 London Avenue, Eastlake Birmingham, Alabama 35206 Phone: (205) 833-3676 Email Address: risingstarscamp@nrschurch.org

More information

WESTWOOD PRESCHOOL HANDBOOK 2014-2015

WESTWOOD PRESCHOOL HANDBOOK 2014-2015 WESTWOOD PRESCHOOL HANDBOOK 2014-2015 Hello! My name is Harshal Patwa and I am honored to be part of Poway Preschool. I love working with young children, and I love learning from them too. I have been

More information

APPROVED UNIFORM VENDORS (vendors who sell plaid skirt, skort, jumper & tie, logo embroidery & heat press)

APPROVED UNIFORM VENDORS (vendors who sell plaid skirt, skort, jumper & tie, logo embroidery & heat press) TMSA Dress Code & Uniform Policy All students must come to school wearing the approved uniform. The uniform policy will be strictly enforced beginning the first day of school. Students who violate the

More information

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes)

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes) Robert D. Fowler Family YMCA Middle School Enrichment Program Student Registration Form 2015-16 Ivy Prep Academy Program Hours: 7am-7:45am & 4pm-7pm Transportation AM: Group leaves at 7:30am Transportation

More information

E arly C hildhood E ducation

E arly C hildhood E ducation Child's Last Name, First Name: Grade: The Seven Hills School E arly C hildhood E ducation State Mandated Documentation Instructions and Forms Dear Parents: Enclosed you will find the paperwork required

More information

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts GENERAL INFORMATION AFTER SCHOOL 2015-16 After School Programs are provided for youth who attend school in the Town of Amherst. The program operates Monday Friday from 2:00-5:30pm. An Extended Afternoon

More information

Educational Talent Search

Educational Talent Search Dear Parent(s), Educational Talent Search (ETS) is a project funded by the U. S. Department of Education and is administered by Diablo Valley College (DVC). The purpose of this project is to encourage

More information

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address:

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address: ZION CHRISTIAN CHILDREN S CENTER SCHOOL AGE SUMMER CAMP Zion United Methodist Church ~ 1674 Zion Road Troy, VA 22974 (434) 906-5494 ~ ZionUMCAfterschool@gmail.com Registration 2012 Summer (Available 7am

More information

Charger Pride! Dear Parents/Guardians:

Charger Pride! Dear Parents/Guardians: Dear Parents/Guardians: Welcome to Creative Technologies Academy. We are a K-12 public charter school located on a peaceful seven acre campus in Cedar Springs. Our Academy was founded to provide choice

More information

2015-2016 PROGRAM REGISTRATION

2015-2016 PROGRAM REGISTRATION 2015-2016 PROGRAM REGISTRATION Thank you for considering Summit Christian Learning Center for your Child s Care and Education. Summit Christian Center s purpose is to connect people with God and others,

More information

Tipton County Public Library Volunteer Program Policy

Tipton County Public Library Volunteer Program Policy Volunteer Program Policy Purpose The library Volunteer Program is designed to provide enrichment of the library s mission and programs. Volunteers do not replace paid staff; rather, they support the services

More information

Haven Virtual Academy Application Packet for Online School 2015-2016

Haven Virtual Academy Application Packet for Online School 2015-2016 Haven Virtual Academy Application Packet for Online School 2015-2016 Haven Virtual Academy (HVA) offers a unique learning environment for students who are eager to learn and are self-motivated. The Kansas

More information

RARITAN BAY AREA YMCA

RARITAN BAY AREA YMCA Dear Applicant, Enclosed please find the Youth Leaders & Junior Counselor In Training Application and the Camp Registration Packet. Please complete the application and return all documents with your $100.00

More information

Lighthouse Christian Academy

Lighthouse Christian Academy Lighthouse Christian Academy APPLICATION - FORM 1 of 9 Term 20-20 Date Office Use Only Interviewed By: Status: STUDENT INFORMATION (Please print or type) Name (Last) (First) (Middle) Address (Street) (City)

More information

Community House High School Programs Standing with families since 1969

Community House High School Programs Standing with families since 1969 Dear Parents/Guardians, Founded in 1969, Community House is devoted to standing with Princeton families by providing tools for academic success and social- emotional wellness through programs that bolster

More information

SCHOOL UNIFORM AND APPEARANCE POLICY

SCHOOL UNIFORM AND APPEARANCE POLICY Page 1 SCHOOL UNIFORM AND APPEARANCE POLICY I. Purpose The Pitt County Board of Education believes a safe and disciplined learning environment is the first requirement of a high performing school. The

More information

Out-of-District Transfer Student Information and Registration Packet. 2015-2016 School Year

Out-of-District Transfer Student Information and Registration Packet. 2015-2016 School Year Out-of-District Transfer Student Information and Registration Packet 2015-2016 School Year The Tri-Creek School Corporation and Community Engaged to Learn Equipped to Achieve Empowered to Succeed Dear

More information

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR Welcome Child s Enrollment Form Parent Pick-Up Authorization Emergency Information, Waiver & Medical

More information

E. C. GLASS HIGH SCHOOL 2111 MEMORIAL AVENUE, LYNCHBURG, VA 24501

E. C. GLASS HIGH SCHOOL 2111 MEMORIAL AVENUE, LYNCHBURG, VA 24501 E. C. GLASS HIGH SCHOOL 2111 MEMORIAL AVENUE, LYNCHBURG, VA 24501 COUNSELING DEPARTMENT MAIN OFFICE Janet Reynolds Director Dr. Tracy Richardson, Principal 434-515-5372 / FAX: 434-522-3746 434-515-5370

More information

MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016

MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016 MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016 * Each form must be accompanied by a NON-REFUNDABLE, NON-TRANSFERABLE 10% deposit * Registration begins Monday, April 27, 2015 * Registration

More information

June 8 - July 24 7:45 a.m. 5:00 p.m. at LHES Grades K-12 Students must be age 5 by June 8, 2015

June 8 - July 24 7:45 a.m. 5:00 p.m. at LHES Grades K-12 Students must be age 5 by June 8, 2015 2015 At Mo olelo O Lāna i, our keiki will learn stories of Lāna i and practice Hawaiian values to improve their skills in: Literature & Creative Writing Math & Science Computers & the Use of Technology

More information

Standardized Dress Code

Standardized Dress Code Shirts, Blouses, Turtlenecks Standardized Dress Code Style: Collared knit button polo style shirt or dress style buttoned shirts/blouses (long or short sleeve), turtlenecks Colors: Red, White, Black, Navy,

More information

Before and Aftercare Program Parent Handbook

Before and Aftercare Program Parent Handbook 2800 N. Palm Avenue, Cooper City, Florida 33024 Phone: 954-668-2500 Fax: 954-668-2980 www.recscoopercity.org A Member of the Charter Schools USA Family of Schools. Before and Aftercare Program Parent Handbook

More information

Heritage High School Sports Medicine. Sports Medicine Student Assistant Handbook

Heritage High School Sports Medicine. Sports Medicine Student Assistant Handbook Heritage High School Sports Medicine Sports Medicine Student Assistant Handbook Welcome to Heritage High School Sports Medicine Welcome to the Heritage High School Sports Medicine Program. By entering

More information

Gallatin Civic Center Phone: 615-451-5911 210 Albert Gallatin Ave Fax: 615-451-5908 Gallatin, TN 37066

Gallatin Civic Center Phone: 615-451-5911 210 Albert Gallatin Ave Fax: 615-451-5908 Gallatin, TN 37066 2015 GALLATIN CIVIC CENTER DAY CAMP RULES 1. REGISTRATION: Parents must fill out registration form and pay registration fee, which is $20.00 per child to enroll child in day camp before participating.

More information

Maple Heights City Schools

Maple Heights City Schools Maple Heights City Schools ENROLLMENT OFFICE 5740 Lawn Avenue Maple Heights, Ohio 44137 ENROLLMENT OFFICE Phone: 216.587.6100, Ext. 3701 CHANGE OF ADDRESS REGISTRATION PACKET USE THIS PACKET FOR A CHANGE

More information

Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191

Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191 UNITY WORLDWIDE MINISTRIES EASTERN REGION Jane Harden 1865 Laurel Mountain Dr Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191 December 16, 2014 Dear Y.O.U. Sponsors,

More information

2. For the 2012-13 school year, children who will be 4 years old by September 1 st are eligible to participate in the Lab School.

2. For the 2012-13 school year, children who will be 4 years old by September 1 st are eligible to participate in the Lab School. "Our task is to help children become highly sensitive to the world about them Give them freedom Let them try Let them fail Let them succeed Encourage them Rejoice with them!!! Dear Parents: I Can Make

More information

Girls. White (short/long sleeve) Peter Pan Blouse (to wear with navy or plaid jumper).

Girls. White (short/long sleeve) Peter Pan Blouse (to wear with navy or plaid jumper). 2013-2014 OFFICIAL SCHOOL UNIFORM REQUIREMENTS Additional Guidelines for dress code and appearance may be listed in the Student Handbooks. Girls GENERAL UNIFORM GUIDELINES Shirts and blouses will remain

More information

SCHOOL UNIFORM AND STANDARD OF DRESS CODE 2012-2013

SCHOOL UNIFORM AND STANDARD OF DRESS CODE 2012-2013 SCHOOL UNIFORM AND STANDARD OF DRESS CODE 2012-2013 IMMACULATE CONCEPTION CATHOLIC REGIONAL SCHOOL DRESS CODE At Immaculate Conception Catholic Regional School our students and faculty dress in a manner

More information

UNIVERSITY CHRISTIAN SCHOOL

UNIVERSITY CHRISTIAN SCHOOL UNIVERSITY CHRISTIAN SCHOOL Dear Prospective Parent: Thank you for your interest in University Christian School. For over four decades, University Christian has been committed to providing families an

More information

PATHWAYS. Applicant Name Student ID Number Date Received/Sign School Year Semester Fall Spring PATHWAYS

PATHWAYS. Applicant Name Student ID Number Date Received/Sign School Year Semester Fall Spring PATHWAYS Applicant Name Student ID Number Date Received/Sign School Year Semester Fall Spring PATHWAYS Congratulations! In applying for Pathways, you are taking an important step on the road to a high school diploma.

More information

APPLICATION FOR ENROLLMENT 2014 / 2015

APPLICATION FOR ENROLLMENT 2014 / 2015 Frederick Douglass Academy for Young Men 2001 W. Warren Detroit, Michigan 48208 (313) 596-3555 (313) 596-3552 Fax Berry Greer, Principal Monique McMurtry, Assistant Principal APPLICATION FOR ENROLLMENT

More information

COLLEGE STUDENT SUMMER PROGRAM APPLICATION - 2016. Age: Date of Birth: E-mail:

COLLEGE STUDENT SUMMER PROGRAM APPLICATION - 2016. Age: Date of Birth: E-mail: Volunteer Services Department COLLEGE STUDENT SUMMER PROGRAM APPLICATION - 2016 Name: (Last) (First) (Middle) Date: Address: (Street) (City) (State) (Zip Code) Phone: (H) (C) Age: Date of Birth: E-mail:

More information

Name Last First Middle Suffix. City/Town State/Province Country Zip/Postal Code

Name Last First Middle Suffix. City/Town State/Province Country Zip/Postal Code Candidate Profile The Candidate Profile is a biographical information form accepted by schools participating in the Gateway to Prep Schools. These schools are dedicated to simplifying the application process

More information

Nursing Assistant I Admission Requirements

Nursing Assistant I Admission Requirements Nursing Assistant I Admission Requirements 1. High School Diploma, GED or College Transcripts 2. Driver s License or State ID 3. Social Security Card 4. Physical Examination 5. Criminal Background Check

More information

Haven Virtual Academy Application Packet for Online School 2014-2015

Haven Virtual Academy Application Packet for Online School 2014-2015 Haven Virtual Academy Application Packet for Online School 2014-2015 Haven Virtual Academy (HVA) offers a unique learning environment for students who are eager to learn and are self-motivated. The Kansas

More information

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program!

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! Greetings! Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! These waiver forms must be completed and submitted in order for your application

More information

Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity

Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity REGISTRATION FORM I hereby apply for enrollment of my child in the Avon Seedlings Program. Child s Gender: Date of Birth:

More information

Learning 2 Mastery After-School Reading and Math Program Parent Packet

Learning 2 Mastery After-School Reading and Math Program Parent Packet Parent Packet 700 Pelham Road North, Jacksonville AL 36265 Dear Parents! Welcome to a new and exciting time with the Learning 2 Mastery program. The hours of operation during the program are 3:15 p.m.

More information

Professional Technical Teacher Education Bachelor of Applied Science Program

Professional Technical Teacher Education Bachelor of Applied Science Program Professional Technical Teacher Education Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be

More information

We appreciate your interest in the Child Development Center and look forward to your family joining our family.

We appreciate your interest in the Child Development Center and look forward to your family joining our family. Dear Parent: We appreciate your interest in the Child Development Center and look forward to your family joining our family. Our application packet is attached. Please remove the "Child's Medical Report"

More information

Alpine Online Handbook

Alpine Online Handbook Alpine Online Handbook Alpine School District offers a public school option in a home school environment. Alpine Online is a public school and is held to all rules and governance as other public schools

More information

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT TOWN OF POUGHKEEPSIE POLICE DEPARTMENT INFORMATION PACKET OVERVIEW The Town of Poughkeepsie Police Department is seeking to provide an innovative program for youth residing in the Town of Poughkeepsie.

More information

Sign-up students NOW!

Sign-up students NOW! Formally known as SEMAA MAA is a K-12 Hands-on, Minds-on STEM (Science, Technology, Engineering, and Mathematics) engagement at its best! Sign-up students NOW! Tri-C MAA offers fun STEM education activities

More information

Sustainable Building Science Technology

Sustainable Building Science Technology Sustainable Building Science Technology Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be accepted

More information

YMCA OF GREATER NEW YORK SUMMER CAMP REGISTRATION FORM

YMCA OF GREATER NEW YORK SUMMER CAMP REGISTRATION FORM YMCA OF GREATER NEW YORK SUMMER CAMP REGISTRATION FORM Branch: North Brooklyn YMCA Camp Site: North Brooklyn Branch Camp Type: PARTICIPANT INFO Child s Name Age D.O.B. Gender Grade in September 2016 School

More information

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP 2011 SUMMER FASHION PROGRAM STUDENT APPLICATION CHECKLIST To apply for the Summer Fashion Program, please submit the required documents to The Center for Global

More information

After School Parent Handbook Dean Road Elementary School

After School Parent Handbook Dean Road Elementary School After School Parent Handbook Dean Road Elementary School 2013 2014 Program Coordinator: LaTara Hardnett After School Phone: 887-4909 Office Hours: 1:00 6:00 Program Hours: 2:20 5:30 lhardnett@auburnschools.org

More information

Homeschool. Program. Schedule & Calendar Class Descriptions Enrollment Form

Homeschool. Program. Schedule & Calendar Class Descriptions Enrollment Form TheIMACS Homeschool Program Boca Raton Schedule & Calendar Class Descriptions Enrollment Form IMACS Boca 23172 Sandalfoot Plaza Drive 561.470.1178 www.imacs.org/homeschool Enrich your homeschool curriculum

More information

All communications will be through email, so please be sure we have your email and your parent s email to avoid miscommunication.

All communications will be through email, so please be sure we have your email and your parent s email to avoid miscommunication. Volunteering as a Teen at St. Mary Note: We appreciate your attention to detail with concerns to completing this application. It is imperative that we be compliant with the various accreditation regulations

More information

I. Dual Credit General Information and Checklist

I. Dual Credit General Information and Checklist DUAL CREDIT APPLICATION PAPERWORK I. Dual Credit General Information and Checklist A. General Information Dual Credit is the broad term for various opportunities for students to take college coursework

More information

For more information call The Simon Estes Educational Foundation, Inc. at (918) 583-0500

For more information call The Simon Estes Educational Foundation, Inc. at (918) 583-0500 THE SIMON ESTES EDUCATIONAL FOUNDATION, INC. 2015 SCHOLARSHIP APPLICATION THE FOUNDATION Led by Jayne L. Reed, a small group of Tulsans met with opera star Simon Estes who was in town to perform with the

More information

Mott Community College Gateway to College

Mott Community College Gateway to College Mott Community College Gateway to College Application Package Fall 2014 Semester (Classes Begin: September 2, 2014-December 17, 2014) 709 N. Saginaw Street Flint, MI 48503 (810) 232-2690/762-5173 Address:

More information

Peachtree Academy Home-School Collaborative Admissions Process

Peachtree Academy Home-School Collaborative Admissions Process Peachtree Academy Home-School Collaborative Admissions Process Step 1: Contact the Headmaster of Principal to discuss Home-School Collaborative course needs and expectations. Step 2: A parent/student interview

More information

Youth Programs Registration Form Summer of Service (SOS) 2015

Youth Programs Registration Form Summer of Service (SOS) 2015 Youth Programs Registration Form Summer of Service (SOS) 2015 Participant s Information PHONE GENDER: FEMALE OF BIRTH SCHOOL GRADE IN FALL 2015 MALE ETHNIC BACKGROUND AFRICAN ASIAN INDIAN LATINO NATIVE

More information

June 17 to July 8, 2015 8:30 12:30 (No classes on July 3, 2015)

June 17 to July 8, 2015 8:30 12:30 (No classes on July 3, 2015) OPEN TO ALL HIGH SCHOOL STUDENTS FOR MAKE-UP (CREDIT RECOVERY) CLASSES. June 17 to July 8, 2015 8:30 12:30 (No classes on July 3, 2015) Eastland Career Center 4465 S. Hamilton Rd. Groveport, OH 43125 (614)

More information

NeoArtSchool, LLC, Summer Art Camp 2015

NeoArtSchool, LLC, Summer Art Camp 2015 Come and have fun exploring art projects and discover your creativity! Your work may include ceramics, drawing, painting, paper mache, batik, collage, paper making, bookbinding, printmaking, sculpture,

More information

EYE EXAM/SCREENING FORM. The results of the eye exam or screening taken on for (Date) are as follows: (Name of student)

EYE EXAM/SCREENING FORM. The results of the eye exam or screening taken on for (Date) are as follows: (Name of student) EYE EXAM/SCREENING FORM Please ask your doctor or school nurse to complete the form below and forward to our office. The eye exam or screening must be less than 1 year old. The results of the eye exam

More information

BACK TO SCHOOL INFORMATION PACKET HOME OF THE BEARS!

BACK TO SCHOOL INFORMATION PACKET HOME OF THE BEARS! BACK TO SCHOOL INFORMATION PACKET HOME OF THE BEARS! 2015 2016 BROOKSIDE CHARTER SCHOOL 1815 East 63rd Street, Kansas City MO 64130 PHONE: 816-531-2192 FAX: 816-756-3055 Welcome Back! Brookside Charter

More information

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC Registration Packet Summer Academy June 3 rd to August 30 th Z M G www.zmgtennis.com HP and TTT Registration Form 1, LLC Enrolment Process prides its self on offering everything essential in the development

More information

Milford Academy Admissions Office P.O. Box 878, New Berlin, NY 13411 Tel: (607) 847-9260 Fax: (607) 847-9250 www.milfordacademy.

Milford Academy Admissions Office P.O. Box 878, New Berlin, NY 13411 Tel: (607) 847-9260 Fax: (607) 847-9250 www.milfordacademy. Milford Academy Admissions Office P.O. Box 878, New Berlin, NY 13411 Tel: (607) 847-9260 Fax: (607) 847-9250 www.milfordacademy.org Health Insurance Information Notification (Please Print) This is to inform

More information

Extended Enrichment Kindergarten Program at YOUR Home School!

Extended Enrichment Kindergarten Program at YOUR Home School! Extended Enrichment Kindergarten Program at YOUR Home School! QUALITY CARE AT YOUR NEIGHBORHOOD SCHOOL ENRICH your child s early educational experience by EXTENDING his or her learning and fun right at

More information