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2014 Fall Registration Form K-4

This document provides information about the After School REACH! program offered by Craftsbury Schools during the winter of 2014-2015. It will run from December 1st through February 19th and include activities for kindergarten through 4th grade students on Mondays through Thursdays from 2:50-5:00 PM. The schedule includes a healthy snack, homework help, and enrichment activities focused on topics like outdoor activities, graphic novels, science experiments, and creating graphic novels. The program location and registration information is also included.

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Aaron Cornelius
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0% found this document useful (0 votes)
44 views4 pages

2014 Fall Registration Form K-4

This document provides information about the After School REACH! program offered by Craftsbury Schools during the winter of 2014-2015. It will run from December 1st through February 19th and include activities for kindergarten through 4th grade students on Mondays through Thursdays from 2:50-5:00 PM. The schedule includes a healthy snack, homework help, and enrichment activities focused on topics like outdoor activities, graphic novels, science experiments, and creating graphic novels. The program location and registration information is also included.

Uploaded by

Aaron Cornelius
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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After School REACH!

Craftsbury Schools
Winter 2014-2015 After School Programs
Activities for students in Kindergarten through 4th grade.

Mondays

Tuesdays

NEK Kids on the Move

Learn the History and Basics of

KOM and REACH! provide a diverse

Graphic Novels

range of outdoor and physical activities.


Well take field trips to the Craftsbury
Outdoor Center, play adventure games,
and try some new things,
like Tae Kwon Do!

Enjoy reading graphic novels and


comic books? Come join us at
Craftsbury Public Library to learn
the history of graphic novels and
comic books, and how they are
made!!

Wednesdays

Thursdays

Science Exploration

Graphic Novel:
Words and Pictures

If you are constantly wondering


how things work, or love to
do experiments, then this science
based enrichment class is a
good fit for you. There will be lots
of experiments using the
things around you. You will be an
expert scientist at the end of
the session!

Comics, cartoons, and graphic


novels are a fun way to combine
words and pictures. Students will
get to create their own cartoon
characters, learn to draw them in
a story sequence, and will
complete their own book!

Typical After-School Schedule

* The Homework/Reading Help and Enrichment Ac-

(subject to change)

tivity blocks may be swapped in circumstances where


outdoor activities require more daylight during winter

2:50-3:20

Healthy Snack/Free Play

3:20-4:00
4:00-5:00

Homework/Reading Help *
Enrichment Activity *

5:00

Dismissal

months or teachers need to lead their activities from


3:304:30. If you plan to pick up your children early
please contact me and let me know!

Fall Session
Monday through Thursday
WINTER SESSION: DECEMBER 1FEBRUARY 19

Winter Session Calendar

No Program

December 2014
S

Typical After-School Schedule


(subject to change)

2:50-3:20
3:20-4:00

Healthy Snack/Free Play


Homework/Reading Help

10

11

12

13

4:00-5:00

Enrichment Activity

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25

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27

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29

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Where do we meet for the


after school program?

REACH! begins!
Early dismissal, special program

January 2015
S

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11

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15

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18

19

20

21

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25

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27

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30

31

Early dismissal, special program

What does REACH! Stand for?


Recreation: Plant the seed to enjoy
life long activity.
Enrichment: Expand a childs horizons;
Connect to the world around us.

February 2015
1

Students at the Elementary School will ride the bus to


the Academy building. There, at the flag pole, students
will gather and be met by a staff member. Snack is
held in cafeteria. Recess is held outdoors or in the
gymnasium. The rest of the program, as well as dismissal, will be held in the Library (Minden Hall) or nearby
classrooms. Parents will be notified of different pickup locations if an activity requires us to leave Minden
Hall. Parents must sign out children.

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11

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Academics: Support and reinforce the


learning from the classroom.
Culture: Explore diversity through drama, visual arts and music.
Health: Relate our choices to our
well-being.

Last day of REACH! Winter Session

AFTER-SCHOOL

DUE NOV 25

CRAFTSBURY SCHOOLS

AFTER-SCHOOL PROGRAM REGISTRATION


WINTER SESSION: Monday - Thursday DECEMBER 1FEBRUARY 19
This form should be completed in full prior to the beginning of each REACH! session regardless of prior participation.
Students Name___________________________________________________ Grade_______ Teacher___________________________
Additional Students Name____________________________________________Grade_______ Teacher-__________________________
Primary Address_____________________________________________________________________________________________________
Parent/Guardian_________________________________ Phone 2:30-5_______________ Home ph______________ Work ph______________
Parent/Guardian_________________________________ Phone 2:30-5_______________ Home ph______________ Work ph______________
Emergency Contact_______________________________ Phone 2:30-5_______________ Home ph______________ Work ph______________
How does your child plan to get home? (please circle)

Walk

Picked up by you

Picked up by another adult (over 18)

I give permission to the following people to pick up my child from the After School program:
Name____________________________________ Relationship__________________________ phone 2:30-5_______________
Name____________________________________ Relationship__________________________ phone2:30-5________________

I give permission for photo/video of my child to be used in REACH slide shows, publications, local newspaper, Craftsbury
Schools website, and bulletin boards.
YES
NO

Medical Information

* please fill this section out completely * circle no or yes

Does your child have any existing medical conditions?

NO

Does your child have any existing allergies?

YES

NO

YES

explain__________________________________________

explain________________________________________________

-If YES, do these allergies require the possible use of an EPI Pen or other specific medications? NO

YES

explain________________________________________________________________________________________________
IF YES, YOU ARE REQUIRED TO PROVIDE AFTER SCHOOOL REACH! WITH AN EPI PEN AND ANY OTHER NECESSARY MEDICATIONS THAT
CAN BE USED FOR YOUR CHILD DURING AFTER-SCHOOL HOURS IN THE EVENT OF AN ALLERGIC REACTION.
After School REACH! and its employees will exercise reasonable judgment and care in the planning and operation of its trips and/or programs. I understand and agree that neither After School REACH! nor its employees will be liable for injuries resulting from accidents or unanticipated occurrences beyond their control. I also understand and accept
that volunteers, including other parents, as well as other members of the community assist in operating these trips and programs.
In case of illness or accident, I request that After School REACH! contact me. If I cannot be reached or the emergency contact person cannot be reached at the phone numbers I have provided, I authorize and direct After School REACH! personnel to seek emergency medical care or take other action they believe is necessary under the circumstances to protect the best interest of my child/ward. If my child/ward is taken for emergency medical treatment, I hereby authorize the attending physician to administer
the emergency treatment he/she believes is appropriate, and I agree to pay any resulting expense.
I have read the above form and my signature below demonstrates that I have provided my consent for my child/ward to participate in the trips/programs under the terms
described above.

PARENT/GUARDIAN SIGNATURE __________________________________ DATE ________________


PARENT/GUARDIAN (please print)__________________________________ DATE ________________

COMPLETE SIDE 2 >>>>>>

AFTER-SCHOOL REACH!
CRAFTSBURY SCHOOLS
AFTER-SCHOOL PROGRAM REGISTRATION
WINTER SESSION: MONDAY THROUGH THURSDAY, DECEMBER 1-FEBRUARY 19, 2:505:00PM

MONDAY

TUESDAY

Kids on the Move

Learn the History and


Basics of Graphic Novels

WEDNESDAY

THURSDAY

Science Exploration

Graphic Novel: Words


and Pictures

My child will attend the Craftsbury After School REACH! Program on:
___ Mondays

___ Tuesdays

___ Wednesdays

___ Thursdays

FEES *Please note that the fees below are for a period of 42 days or an average of $2.97/day
ANNUAL FAMILY
INCOME

Over $60,000

$50,000$60,000

$40,000$50,000

$30,000$40,000

Less than
$30,000

$160
$130
$100
$70

$145
$115
$85
$55

$125
$100
$75
$50

$100
$85
$65
$45

$85
$70
$55
$40

75% of fee

50% of fee

45% of fee

35% of fee

25% of fee

If your child attends:

4 days a week
3 days
2 days
1 day
Fees for each
additional child

EXAMPLE TUITION: If your family earns $40,000-$50,000 and two of your children attend all four days of the
After-school Program your first childs tuition is $125.00 and your second childs tuition is $56.25 (45% of fee).

Your cost per child per day is: $2.15/child/day or 86 cents/hour.


1st Childs FEE
2nd Childs FEE

_______

__________

_______X ______% = __________

3rd Childs FEE

_______X ______% = __________

4th Childs FEE

_______X ______% = __________

25% = .25
35% = .35
45% = .45
50% = .60
75% = .75

I would like to help


sponsor a child $ __________

Need assistance with paying


your childs program fee?
Please contact, Christina Billings, Site Coordinator
at 586-2541 or [email protected] to
discuss your options.

TOTAL FEE OWED


(add all of the above) $ __________

MAKE YOUR CHECK PAYABLE TO: OSSU REACH!

THANK YOU!

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