Summer School - Park Academy
Transcription
Summer School - Park Academy
PARK ACADEMY THE DISCOVERY OF INTELLECTUAL GIFTEDNESS 2015 Summer School Application Grades 3-12 Submission of this application and a $100.00 deposit for each class (applied to tuition) are required by Friday, May 22nd to attend our summer school program. The remaining balance of tuition will be due June 15, 2015. There will be a supervised lunch from 12:00pm - 12:30pm if you are staying for an afternoon class. Bring your own food and beverages. There are two pages of summer fun for you to choose from. Please check the box for the classes you are registering for. (See both sides.) EXPLORE YOUR BRAIN POWER - Enrichment & Creativity June 29-July 24 (M-F) 8:00am– 12:00pm Four component classes include: $1000.00 • Reading & Writing for Excellence - Strategies to further enhance reading and writing skills. • Collaborative Arts and Creative Expression - Creative activities that improve communication • Integrated Math & Art - Project based, hands-on learning • Social Skill Building - Our Brains, Using Our Senses for Awareness, Our Attitudes & Being Mindful This highly engaging and interactive four-week program of study is designed to use multi-sensory instructional methodologies to help students expand their literacy, math skills and social skills. Through intellectually stimulating and fun activities, students will be immersed in creative and innovative learning expeditions such as math experiments, collaborative writing projects, and application based experiences in the community. Students will be divided into cohorts and take each class for 50 minutes. Don’t forget to bring a snack for break/recess. AMPS CAMPS - Attention, Memory and Processing Speed June 29-July 24 (M-F) 12:30pm – 3:30pm $750.00 AMPS focuses on developing underlying skills which make learning easier. These skills provide mental tools that help students think and learn, and include; attention, memory, auditory and visual processing (the ability to accurately think about, and make sense of, what we see and hear), organization, reasoning and processing. This cognitive training program is offered by Dr. Judy Belk from the Center for Communication & Learning Skills. SUMMER SOCCER FUN June 29-July 24 (M-F) 12:30 PM - 3:30 PM $750.00 Park Academy's soccer camp is designed to guide new players into the world of soccer while also providing a fun and competitive environment for experienced players. The campers will devote half of their time to the development of skills and athleticism while the other half is reserved for games and pure fun! There will be daily challenges that inspire self-determination and teamwork all in the name of prizes and fun! NOTHIN’-BUT-NET BASKETBALL CAMP June 29-July 24 (M-F) 12:30 PM - 3:30 PM $750.00 If you love basketball and want to improve your game, this camp is for you! Take this opportunity to develop shooting, ball handling, passing, footwork, defense, rebounding, athleticism, character development, team building, confidence and other essential skills. You will also take the skills you practice and apply them in a game setting. It is both fun and rewarding. Bring your playing to a higher level! EXPRESSIONS IN SANDPLAY - Tuesday & Thursday Only June 29-July 2 (Tu & Th) 12:30 PM - 3:30 PM $300.00 Discover innovative nonverbal ways to connect, communicate, and bond with peers in this group setting where we will have fun in a new and exciting summer program. The sandplay process expresses itself in a symbolic language in the protected space of a sandtray. Students create a story or narrative by placing miniature figurines in their own world of the sandtray. They can create a story of identity, family and student roles, abilities and hopes and dreams for the future. We will photograph the sandplay process for keepsakes. Offered by Scarlet Graham, MA, CMHC. * All classes subject to enrollment (cut here & include with two-page application) Class EXPLORE YOUR BRAIN POWER AMPS CAMPS SUMMER SOCCER FUN NOTHIN’-BUT-NET BASKETBALL CAMP EXPRESSIONS IN SANDPLAY Cost $ 1,000 $ 750 $ 750 $ 750 $ 300 Total Deposit ($100 per Class) Remaining Balance (Cost - Deposit) (Due 5/25/15) (Due 6/15/15) Amount Enclosed: Payment Method: Cash Check (made payable to Park Academy) Credit Card: Visa MasterCard Name on Card Exp. Date American Express Card Number / CID Billing Zip Code Discover Applicant Information Legal Last Name Gender Legal First Name Date of birth (month/day/year) Preferred Name Current Grade Place of birth (city/state/country) SSN Address City State Phone Parent/Guardian primary email address Zip School Information Current School Telephone Grade(s) attended Address City State Parent/Guardian (A) Information Parent’s/Guardian’s Name Relationship to applicant Spouse/Partner, if not child’s parent/guardian Address (if different from applicant) City, State and Zip Cell Phone Work Phone Home Phone Email Occupation Employer/Firm Name Parent/Guardian (B) Information Parent’s/Guardian’s Name Relationship to applicant Spouse/Partner, if not child’s parent/guardian Zip Address (if different from applicant) Cell Phone City, State and Zip Work Phone Occupation Home Phone Email Employer/Firm Name Emergency Contacts Who should be notified in case of emergency other then parent/guardian First Contact Name (other than parent) Home Phone Work Phone Second Contact Name (other than parent) Home Phone Relationship to applicant Cell Phone Relationship to applicant Work Phone Cell Phone Physicians Name Phone Dentist Name Phone Hospital Please indicate any medical conditions the school should be aware of: Allergies/Specify Bee Sting Heart Condition Vision Problems Asthma Migraines Hearing Problems Bleeding Disorder Diabetes Seizures Other: Please indicate any medications the student is currently taking: In an emergency, if the Parent/Guardian, designated Physician/Dentist cannot be reached, I authorize Park Academy to transport and/or obtain medical services from any doctor for my child. Parent/Guardian Signature Date