Dancer Packet - Spring-Ford Area School District

Spring-ford
Table Of Contents
Four Diamonds Information………………………………………………………………….pg. 2
Dancer Survival Guide…………………………………………………………….…….…...pg. 3
Registration Info……………………………………………………………………………..pg. 4
Mini-THON Saturday Information………………………………………………………......pg. 4
Fundraising Tips…………………………………………………………………..…………pg. 4
Donor Drive Information………………………………………………………………….…pg. 5
Dancer Rules and Regulations…………………………………………………………….....pg. 6
Donation Sheet……………..………………………………………………………………...pg. 7
Donor Drive Cards…………………………………………………………………………...pg. 8
Receipt Forms………………………………………………………………………...……...pg. 9
Dancer Registration Form………………………………………………………………..…..pg. 10
Dancer Medical Information…………………………………………………………………pg. 11
Song Requests………………………………………………………………………………..pg. 12
Volunteer Form……………………………………………………………………………....pg. 13
Important Dates
 March 2, 2015—Monday—The following items MUST be completed, put in an
envelope, and placed in the Dancer Registration Box in Room 160 at the 10-12 Center or
in Room 410 at the 9th Grade Center:
 Dancer Registration Form
 $25 Registration Fee - used to pay for Dancer’s Shirt, Food, and Entertainment
 Make checks payable to Interact Club. Please put Mini-THON on the memo
line.
 Dancer Emergency Medical Form
 Song Requests
 Volunteer Form
 NOTE: If your family cannot afford the $25 registration and you would still like
to dance, please contact Mr. Jason Miller at 610-705-6011 ext. 3466 or
[email protected] and accommodations will be made.
 March 30, 2015—Monday
 Every dancer MUST turn in a donation of at least $25 to Mrs. Bowen (Room 160)
or Mr. Miller (9GC Room 410) in an envelope with his/her name and ID
number written on it.
 EXTRA INCENTIVE: If you are one of the top 10 money raisers as of March
30th, there will be a special reward of a free yearbook!!
 April 11, 2015—Saturday




Arrive at the HS at 3:15 PM—DO NOT BE LATE
Sign in at registration table and turn in any extra money raised
Pick up bracelet and T-shirt
Transportation to get home should be arranged for 10 PM. Students who drive
should park in the lot near the Hurda Center.
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“A hundred years from now…
it will not matter what my bank account was,
the sort of house I lived in,
or the kind of car I drove…
…but the world may be different
because I was important in the life of a child.”
~Kathy Davis
Mission of The Four Diamonds Fund
The Four Diamonds Fund is working to conquer childhood cancer by making sure every child being
treated at Penn State Children’s Hospital receives complete medical, emotional, and financial support.
The Fund also supports vital research at Penn State College of Medicine into the causes, treatments, and
cures of childhood cancer.
Charles and Irma Millard established The Four Diamonds Fund after the death of their son Christopher,
who was diagnosed with cancer at the age of 11.
Families Served
Each year, Four Diamonds helps approximately 600 children with cancer - 100 who are newly diagnosed
and 500 who are continuing their fight. Since its creation in 1972, Four Diamonds has helped more than
3,300 children and families and supported a diverse platform of pediatric cancer research at Penn State
Hershey Children's Hospital, seeking improved treatments and cures to benefit those around the world.
Its programs are made possible thanks to the generosity of corporate, community and individual donors,
Mini-THONs, and THON.
Because of the community's steady and generous support, Four Diamonds has been able to assist 100% of
the pediatric cancer patients who have been treated at Penn State Hershey.
Four Diamonds Carries Out Its Mission in Three Ways:
Provide superior care to all children who are battling cancer at Penn State Hershey Children's Hospital; a
nationally ranked children's hospital with a team of expert physicians, nurses and therapy specialists.
Provide comprehensive support to children and their families by paying for care and treatment not
covered by insurance or other means as well as additional expenses that disrupt the welfare of the
children.
Fund innovative research to find groundbreaking new treatments and cures for childhood cancer at the
Four Diamonds Pediatric Cancer Research Center. These results are regularly shared through scientific
journals and presentations—benefiting children worldwide.
Visit The Four Diamonds Fund Webpage at: www.fourdiamonds.org
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Dancer Survival Guide
Before the Mini-THON
Generally, 6 hours is not an unreasonable amount of time for most students to stay awake and on
their feet, but here are a few suggestions that you might like to consider:
Positive Mental Attitude
Picture yourself standing for 6 hours and believe that you
can do it.
Sleep and Stretch
Try to maintain a regular sleep pattern during the week
before the dance marathon. Stretch daily.
Diet
Eat a balanced diet. Load up on carbohydrates 3-4 days
prior to the dance marathon. Make sure you eat breakfast
Saturday morning!!!
During the Mini-THON
Diet
Nutritious meals (lunch and dinner) and snacks will be
provided.
Liquids
DRINK! DRINK! DRINK! Fluids are very important.
Water and fruit drinks will be provided. You are also
encouraged to bring your own water bottles. Caffeine in
any form is strongly discouraged.
What to wear
Dancer Shirts
Participants will be given a dancer shirt upon arrival on
THON Saturday.
Shorts/Sweatpants
The temperature in the gym will change throughout the
day. Please bring appropriate clothing.
Shoes
Wear sneakers with strong arch support. Please tie them so
your feet do not swell. Sandals of any kind are
discouraged!
Socks
Cotton running socks with extra cushion in the heel.
Remember to bring an extra pair!
What to bring…in a small bag!
Water Bottle
Extra change of clothes
If the weather is warm enough, we will be doing some
water balloon events. You may want extra clothes incase
your clothes get too wet.
Toys
Cards, Magazines, soft balls, hand games, crossword
puzzles
Camera
Please make sure your name is on the camera.
DEODORANT!!!!
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HOW TO REGISTER
1. You must complete both the online registration (Donor Drive) and pages 10,
11, and 12 from the Dancer Packet. Deadline is March 2nd!!
2. To access Donor Drive, go to: fourdiamonds.donordrive.com/event/SF
MINI-THON SATURDAY
1. Arrive at the 10-12 Center at 3:15 PM on Saturday, April 11, 2015—DO NOT BE
LATE!!
a. Sign in at registration table
b. You will receive a bracelet and a T-shirt to wear Saturday
c. Hand in all extra money collected and the sponsor form in an envelope
2. Music entertainment will be provided throughout the day.
3. Each dancer will be put on a team based on the color of his/her dancer number.
a. Team activities will occur throughout the day in order to earn points for your
team.
b. The winning team will be announced after the last team event.
4. Spirit points will be awarded to your team for each guest that comes to visit you! The
team with the most spirit points will be acknowledged at the end of the Mini-THON!
5. The top money raisers and the total will be announced at 10 PM.
Fundraising Tips
Each dancer is required to raise at least $25. Listed below are a variety of
ways to raise money.
1. Ask family, friends, and teachers for a donation. Use DONOR DRIVE!!
2. Get a coffee can, wrap a Mini-THON label around it and put it out at a
business or your parent’s workplace.
3. Ask familiar people in your neighborhood for a donation.
4. If you belong to any clubs or groups, ask them for a donation.
5. Speak at your local churches and ask for donations
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DONOR DRIVE
After you register for the Mini-THON on Donor Drive, you will automatically get an
on-line fundraising page. You can log in, edit your page, manage your donations,
send donation request e-mails, make Facebook posts requesting donations, send
tweets to request donations, and record your cash and check donations!
1.
Edit your fundraising/Donor Drive page
 Click on Log into your fundraising page
 Enter your username and password that you created when you
registered for the Mini-THON.
 Click on Your Fundraising page—Edit your page
 Import images, update your fundraising goal, and sign your
name to your personal message—click save changes.
 If you are having issues connecting to Facebook or Twitter,
click on the drop down arrow at the top right of the page beside
your name, click on social, then connect to Facebook and twitter.
2.
Online Donations (highly encouraged!!!)
 Ask friends to donate via e-mail, Facebook, and Twitter
 Click on the corresponding links under Ask Friends to Donate
 Donors may donate to you on-line and it will automatically
get credited to your fundraising page.
 See page 8 of packet for on-line donation cards to hand out.
3.
Entering Cash & Check donations on Donor Drive
 It’s a 2 step process that MUST be followed exactly
1. All cash and check donations MUST be turned in an
envelope with a donation sheet.
2. All cash and check donations MUST be entered into your
on-line fundraising page in order for you to get credited for the
donation.
 In your on-line Fundraising page, click on “view
donations received” (scroll down/on left side)
 Click on “add offline donation”
 Add donation amount and donors info
 Click on “add donation” at the bottom of the page.
After your cash and checks are turned in and counted, your cash or check donation that you
entered on-line will then get “approved” by the finance overall or and will be reflected in our
school’s total.
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DANCER RULES AND REGULATIONS
1. All participants must stay within the designated areas and wear their
dancer bracelet and Mini-THON shirt during the Mini-THON.
2. NO glass containers of any kind are permitted in the Gymnasium.
3. Spring-Ford Mini-THON will begin at 4 PM and end at 10 PM. However,
any student participating must arrive at the 10-12 Center at 3:15 PM in
order to sign in and get ready for the Mini-THON to start. Early departure
from the Mini-THON is NOT permitted unless it was stated on your
registration form. If you must leave early and it was not stated on your
registration form, you must have a chaperone contact a parent or
guardian.
4. Proper behavior is expected at ALL times. The following activities are
prohibited: smoking, alcohol, drugs, sexual misconduct/harassment,
bullying. If any of these behaviors are exhibited chaperones and/or school
officials will contact your parent/guardian immediately and you will be
asked to leave. Also, please refer to your student handbook. The same
school rules and consequences apply at the Mini-THON.
5. 6 complete hours of NO SITTING, NO SLEEPING, NO KIDDING!!!
Each dancer is expected to stay on their feet for the entire Mini-THON. (If
you are experiencing difficulties during the dance marathon, please see a
chaperone immediately.)
6. HAVE FUN!
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Donation Sheet (Only for Cash/Checks)
SPRING-FORD MINI-THON 2015
Spring-Ford students will be dancing for 6 hours on Saturday, April 11, 2015 to help raise money for kids
with cancer. The children benefiting from this Mini-Dance MaraTHON are a part of the Four Diamonds
Fund at Hershey Medical Center. Please support the Spring-Ford students as they dance the day away
from 4PM to 10 PM at the Spring-Ford HS Gymnasium.
NOTE: If a business gives you a donation of $50 or more, please ask for their business card/logo and turn it in with your money
and sponsor form.
Make Checks Payable to: INTERACT CLUB.
Name: ________________________________
Name
Grade:_________
Address (optional)
ID #:___________
Donation
Cash/Check
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total Amount Collected
$
I take full responsibilities for all monies collected in support of the Spring-Ford Mini-THON and The
Four Diamonds Fund. My signature below indicates acceptance of this responsibility.
Student Signature:________________________________________
EXTRA INCENTIVE: If you are one of the top 10 money raisers as of March 30th, there will be a special reward.
The reward will be announced at a later date!
Place this form and the monies/checks collected in an envelope with your first and last
name and ID # on it. Turn it in no later than April 7th, 2015.
(Donations collected after April 7th, 2015 may be turned in when you arrive on Saturday.)
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DONOR DRIVE CARDS
Cut these out and give to family and friends! Print as many as you need.
Help me raise money for kids with cancer and support The Four Diamonds Fund!
To make a donation, please go to my Donor Drive page at:
fourdiamonds.donordrive.com/participant/______________
Thank you so much!!
Help me raise money for kids with cancer and support The Four Diamonds Fund!
To make a donation, please go to my Donor Drive page at:
fourdiamonds.donordrive.com/participant/______________
Thank you so much!!
Help me raise money for kids with cancer and support The Four Diamonds Fund!
To make a donation, please go to my Donor Drive page at:
fourdiamonds.donordrive.com/participant/______________
Thank you so much!!
Help me raise money for kids with cancer and support The Four Diamonds Fund!
To make a donation, please go to my Donor Drive page at:
fourdiamonds.donordrive.com/participant/______________
Thank you so much!!
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RECEIPTS
Dancers!—Please cut off a square and give each sponsor a receipt for their donation if they are
not donating online. Be sure to fill in the donation amount and sign the receipt. NOTE: If a
business gives you a donation of $50 or more, please ask for their business card/logo and turn it
in with your money and sponsor form.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
Dancer’s Signature:_______________________
Mini-THON Advisor:_____________________
Dancer’s Signature:_______________________
Mini-THON Advisor:______________________
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
Dancer’s Signature:_______________________
Mini-THON Advisor:_____________________
Dancer’s Signature:_______________________
Mini-THON Advisor:______________________
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
Dancer’s Signature:_______________________
Mini-THON Advisor:_____________________
Dancer’s Signature:_______________________
Mini-THON Advisor:______________________
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
Dancer’s Signature:_______________________
Mini-THON Advisor:_____________________
Dancer’s Signature:_______________________
Mini-THON Advisor:______________________
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
On behalf of the 2015 Spring-Ford Mini-THON,
thank you for your $________ donation to support
The Four Diamonds Fund.
Dancer’s Signature:_______________________
Mini-THON Advisor:_____________________
Dancer’s Signature:_______________________
Mini-THON Advisor:______________________
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SPRING-FORD MINI-THON 2015
Sponsored by Interact Club
SPRING-FORD AREA HIGH SCHOOL
DANCER REGISTRATION
Name:
____________________________________________
ID Number: __________________________________
HR: _______________
Cell-Phone: ____________________________________________
E-mail:
____________________________________________
6-Hour Dancer:
Yes___________
No________
If no, please specify the time and reasons for leaving. ____________________________
Parent/Guardian Permission
I, ______________________, grant permission for my son/daughter, ____________________,
to participate in the 6-hour Mini-Dance MaraTHON on Saturday, April 11, 2015 from 4 PM 10 PM at the Spring-Ford HS Gymnasium. I understand that my child cannot leave at any time
during that 6-hour period without parental permission. Transportation is not provided for this
event. Students must arrive by 3:15 PM and will be dismissed at 10 PM. Students who drive
may only park in the lot nearest the Hurda Center. I am also aware that pictures and video taken
at this event can be used to promote it.
I understand that all reasonable safety precautions will be taken by The Spring-Ford Area School
District and its agents during the event or activity. I understand the possibility of unforeseen
hazards and know the inherent possibility of risk. I agree not to hold the Spring-Ford Area
School District, its Board of School Directors, its officers, employees and volunteer staff liable
for any damages, liabilities, losses, penalties, costs, expenses, legal fees, claims or injuries
incurred or resulting from the activity by the subject of this form.
Parent/Guardian Signature:_________________________________
Date: _______________
Phone number where I can be reached during the Mini-THON____________________________
_____ (initials) I give permission for my son to shave his head to show support for cancer patients.
_____ (initials) I give permission for my daughter to donate 10” of hair to make wigs for cancer
patients.
Student Acknowledgement
I have read the rules and regulations for the mini-thon and agree to abide by them. (page 6)
Student Signature
Dancer’s T-Shirt Sizes:
________________________________
S
M
L
Date: ____________
XL
XXL
(Adult Sizes-circle one)
PLEASE RETURN IN AN ENVELOPE WITH A $25 REGISTRATION FEE TO
ROOM 160 (10-12 Center) or ROOM 410 (9GC) BY MONDAY, MARCH 2, 2015.
(Make checks payable to INTERACT CLUB)
Note: If your family is having difficulty paying the $25 registration fee, please contact Mr. Miller
via e-mail at [email protected], via phone at 610-705-6011 x3466, or in person. You must still
collect at least $25 in donations to participate in the event.
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DANCER MEDICAL INFORMATION FORM
Name___________________________________
Grade:_________
ID #:________
In case of emergency, please contact:
Name _________________________________
Relationship_____________________________
Phone ________________________
Name _________________________________
Relationship_____________________________
Phone ________________________
Medical Information:
Please mark an “X” next to any medical condition that applies to your current or past medical
history. Use the additional space to briefly explain.
______Asthma
______Diabetes
______Emphysema
______Epilepsy
______Heart problems
______Other
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Medications:
_____ My child will NOT need medication during the duration of the Mini-THON.
_____ My child will need medication during the Mini-THON. I will be there to give
him/her the medication at the following times ______________________________.
*NOTE: Should your child need any medication/pain relievers during the Mini-THON, a
parent/guardian will be required to be present to administer the medication.*
Parent/Guardian Signature ____________________ Date______
_______ (initials) My family is financially able to pay the $25 registration fee.
_______ (initials) My family is having financial difficulties at this time and needs the $25 registration fee
covered by a generous person. I understand that my child is still responsible for raising at least $25 in
donations.
PLEASE RETURN IN AN ENVELOPE WITH A $25 REGISTRATION FEE TO
ROOM 160 (10-12 Center) or ROOM 410 (9GC) BY MONDAY, MARCH 2, 2015.
(Make checks payable to INTERACT CLUB.)
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DANCER’S SONG REQUESTS
Dancer’s Name: ____________________________
Song Requests:
Only request songs that would be appropriate to play!!!
-Any song with profanity and sexual comments will not be permitted.
-Songs with a faster beat are preferred over slow songs!
Artist
Title
1.__________________________
______________________________________________
2.__________________________
______________________________________________
3. __________________________
______________________________________________
______________________________________________________________________________
PLEASE RETURN IN AN ENVELOPE WITH A $25 REGISTRATION FEE TO
ROOM 160 (10-12 Center) or ROOM 410 (9GC) BY MONDAY, MARCH 2, 2015.
(Make checks payable to: INTERACT CLUB.)
_____________________________________________________________________________________
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MINI-THON VOLUNTEERS NEEDED!!
We are in desperate need of volunteers for this event. The Interact Club is going to need adults
before, during, and after the Mini-THON. Your duties may include monitoring the dance floor,
locker rooms and/or welcoming tables, setting-up, cleaning-up and serving food in the cafeteria.
Name_____________________________________
Phone (H) ____________________
Gender:
Phone (W) ____________________
Male
Female
Address___________________________________
___________________________________
Phone (C) ____________________
E-mail:
____________________
My child’s name who attends the SFHS is:____________________________________
OR I am located in the following District building:_____________________________________
Times Available: (circle when you want to be scheduled to volunteer)
(Assigned Duty—TBA)
Shift #1: Saturday, April 11, 2015 3:15 PM - 5:15 PM
Shift #2: Saturday, April 11, 2015 5:00 PM - 7:00 PM
Shift #3: Saturday, April 11, 2015 6:45 PM - 8:45 PM
Shift #4: Saturday, April 11, 2015 8:30 PM – 10:30 PM
Other—Times:____________________________
______ I am a nurse or doctor and would be willing to monitor the health room.
All volunteer assignments will be given to your student or sent to your building
approximately 1-2 weeks prior to the Mini-THON.
NOTE: All volunteers will need to wear a YELLOW shirt for his/her shift so that s/he can be
easily recognized. If you would like to purchase a yellow Mini-THON T-shirt, please circle your
size and return this form with a payment of $10—make all checks payable to INTERACT CLUB.
You will receive your shirt when you arrive on Saturday, April 11, 2015. If you do not want to
purchase a shirt, please wear a royal blue shirt to your shift.
T-shirt Size:
S
(Adult sizes—circle one)
M
L
XL
XXL
For Limited Contact Volunteers – each volunteer shall be required to complete and sign on an
annual basis the Spring-Ford Volunteer Registration and Disclosure Statement. The Spring-Ford
Volunteer Registration and Disclosure Statement indicates that the volunteer has not committed
or been convicted of any offense nor he/she is currently charged with any offense under Act 34,
Act 151 and Act 114. A Spring-Ford Volunteer Registration and Disclosure Statement shall be
provided to each school in which a volunteer service will be performed and the forms will be
recorded by the building principal and/or designee. A new Spring-Ford Volunteer Registration
and Disclosure Statement must be completed by March 5th, 2015. The Spring-Ford Volunteer
Registration and Disclosure Statement is only good for the current school year and must be
resubmitted each year.
______________________________________________________________________________
PLEASE RETURN TO MR. JASON MILLER (ROOM 410 – 9GC)
_____________________________________________________________________________________
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