Prince charles P.s. summer institute - 2011 Registration Package - (Previously located at Stuart Scott P.S.)
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Prince Charles P.S.
Summer Institute
(Previously located at Stuart Scott P.S.)
2011 Registration Package
We unite in our purpose to inspire and prepare
learners for life in our changing world community.Prince Charles P.S.
INFORMATION
LOCATED AT:
Prince Charles Public School
684 Srigley Street
Newmarket, L3Y 1W9
Completed Registration forms and payment may be delivered to:
Stuart Scott P.S. 247 Lorne Ave., Newmarket
Before July 1st: 905-895-8461 ext 181 • After July 1st: Tel. 905-895-8401
e-mail: prince.charles.si@yrdsb.edu.on.ca
SESSION DATES
Week A Monday, July 4 – Friday, July 8
Week B Monday, July 11 – Friday, July 15
Week C Monday, July 18 – Friday, July 22
Week D Monday, July 25 – Friday, July 29
Week E Tuesday, August 2 – Friday, August 5 (four-day week)
Week F Monday, August 8 – Friday, August 12
PROGRAM HOURS
9:00 am – 3:30 pm
Extended Child Care Available
WHAT DO I NEED?
• a peanut/nut free lunch
• sunscreen
• a hat
• water/juice to drink
• a change of clothes (t-shirt, shorts, socks... just in case!)
• a smile, positive attitude & sense of humour!
WHAT SHOULD I WEAR?
• comfortable shoes (running shoes are required for all athletic activities)
• a t-shirt (bring a sweater or jacket on cool days)
• shorts (or pants if it’s cool)
AVAILABLE ON SITE
• Optional Lunch
• Extended child care
THE SUMMER INSTITUTE BEHAVIOUR POLICY
The Summer Institute values personal safety, self-respect, respect for others, respect for property
and respect for programs. Individuals who are unable to help us promote these values may:
• have a discussion with an si Program Leader;
• experience a restriction of privileges; or
• be temporarily removed from the program.
Personal information is collected pursuant to the Education Act and will be used to 1) properly
place your child in the Summer Institute programs; 2) make contact with parents/guardians/
emergency contacts should an issue arise; and 3) to ensure your child’s health needs are
understood. This information will be retained from 12 months from the date of last use. If you
would like more information about how personal information is collected, please email Linda
Aihoshi @ performanceplus.si@yrdsb.edu.on.ca
2Prince Charles P.S.
REGISTRATION FORM
CHILD INFORMATION Please print in CAPITAL LETTERS Returning si Participant q No q Yes
CHILD’S SURNAME CHILD’S FIRST NAME
ADDRESS APT./UNIT
CITY/TOWN PROVINCE POSTAL CODE
HOME TELEPHONE WITH AREA CODE CHILD DATE OF BIRTH YY MM DD GENDER M F
EMAIL ADDRESS (optional)
CURRENT SCHOOL (proof of home school may be requested)
PARENT/GUARDIAN INFORMATION
1st PARENT/GUARDIAN SURNAME FIRST NAME
RELATIONSHIP HOME TELEPHONE WORK/CELLULAR TELEPHONE EXT
2ND PARENT/GUARDIAN SURNAME FIRST NAME
RELATIONSHIP HOME TELEPHONE WORK/CELLULAR TELEPHONE EXT
EMERGENCY CONTACT #1 NAME TELEPHONE
EMERGENCY CONTACT #2 NAME TELEPHONE
PLACEMENT REQUESTS
Not guaranteed. Limited to a maximum of three.
I would like to be placed with the following participants:
NOTICE
I understand that my child may be photographed and/or appear in any television broadcast or
newspaper article(s) about the York Region District School Board’s Summer Institute.
PARENT/GUARDIAN SIGNATURE DATE
3Prince Charles P.S.
ELECTIVES
Name: _________________________________ Program: _____________________________
Please number your choice of activities from 1-10 in the box beside each activity.
(1 = most favourite 10 = least favourite) Choices are not guaranteed.
Please note: Elective options available for youth entering Grades 4 to 9 only.
ACTIVITIES CHOICE ACTIVITIES CHOICE
Actor’s Studio Fine Arts
Archery Passion for Fashion
Basketball Racquet Sports
Comic Book Wizard Ready, Set, Cook
Dance Scrapbooking
Digital Photography Skateboarding
Field Invaders Tournament of Champions
Wacky Science World
Additional activities are for participants entering Grades 6, 7, 8 & 9 only.
ACTIVITIES CHOICE ACTIVITIES CHOICE
Guitar Stars Video Filming
Mountain Biking Woodworking
PLACEMENT REQUESTS
Not guaranteed. Limited to a maximum of three.
I would like to be placed with the following participants:
4Prince Charles P.S. PROGRAM FEES
Week A July 4 - July 8 Week D July 25 - July 29
Week B July 11 - July 15 Week E August 2 - August 5 (four-day week)
Week C July 18 - July 22 Week F August 8 - August 12
PROGRAM BASE COST/WEEK WEEKS/ SESSIONS TOTAL
(PLEASE CIRCLE)
Words Alive $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Clubhouse $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Skills ’n Motion Level 1 $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Junior $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Skills ’n Motion Level 2 $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Junior High $115 (Non YRDSB $150) A B C D F
$100 (Non YRDSB $125) E (four-day week)
Optional Lunch
(2 per week) $10.00 A B C D E F
TOTAL COST OF PROGRAM
q Cash q Cheque # Date: Amount Paid
q Cash q Cheque # Date: Additional
Payment
Amount Owing
Do you require extended child care? q No q Yes - *if yes separate YMCA registration required.
Do you require q a.m. q p.m. or q both For more information contact Joanne at 905-943-9622
Weekly (base) registration fees are listed below:
(Fees listed below DO NOT include extended child care)
YRDSB students - $115 International students interested in attending the
Non-YRDSB students - $150 enhanced SELA program with excursions please
* International students, enrolled in anYRDSB school - $175 contact International Education Services
* Visiting international students living with a family (905) 884-2046 ext. 237 or email:
who resides in York Region - $225
* Proof of residence is required. international.education@yrdsb.edu.on.ca
SUMMER INSTITUTE REGISTRATION FEES
Payment can be made in the form of cash, cheque or money order. At this time, we do not accept credit
card or Interac payments. Cheques and money orders are to be made payable to “The Summer Institute”.
All registrations must be accompanied by a deposit for one complete week and a post-dated
cheque dated June 1, 2011, for the balance owing.
Cancellations before June 1, 2011 will be fully refunded less a $25.00/per week administration
surcharge. For cancellations made after June 1, 2011, the full registration fee is non-refundable
unless the request is accompanied by a medical certificate.
5Prince Charles P.S.
HEALTH FORM
CHILD’S NAME PHONE
FAMILY PHYSICIAN TELEPHONE
Does your child have an existing medical condition? Yes_______ No_______
If yes, please check the appropriate condition beside checked box(s) and describe below:
❏ Food Allergy ❏ Asthma ❏
Epilepsy
❏ Insect Bite Allergy ❏ Drug Allergy ❏
Carries Asthma Inhaler
❏ Diabetic ❏ Carries EpiPen® ❏
Medication
❏ Injury ❏ IEP (Indicate support during the school year)
❏ Other
More Information
All medication is to be stored in the main office, with the exception of inhalers for asthma and EpiPens®.
Inhalers and EpiPens® must be worn in waist pouches at all times. If you have oral medication, you must
fill out a SELF & STAFF ADMINISTRATION OF MEDICATION FORM, which can be picked up at the
main office. The office must be aware of any medication that is to be administered or is in a waist pouch.
The following individuals (other than parents/guardians) are authorized to pick up my child:
NAME PHONE RELATIONSHIP
NAME PHONE RELATIONSHIP
INFORMED CONSENT AGREEMENT SUMMER INSTITUTE
Participation in the Summer Institute including the various activities presents a risk of injury. The York Region District School
Board does not provide any accidental death, disability, dismemberment or medical expenses insurance on behalf of the
participants in these activities.
ACKNOWLEDGEMENT
I/WE understand that certain activities require a minimum LEVEL OF FITNESS AND HEALTH (physical, mental and emotional)
and that each person has a different capacity for participating in these activities.
I/WE hereby agree and promise that our child, ward or self is physically fit to participate and understands that the CHOICE to
participate brings with it the ASSUMPTION OF THOSE RISKS AND RESULTS which are part of these activities.
I/WE agree that the YORK REGION DISTRICT SCHOOL BOARD or its employees, servants or agents shall not be liable for any
injury to our child, ward or self or loss or damage to the property arising from, or in any way resulting from, participation in
these activities, UNLESS such injury, loss or damage of our child, ward or self is caused by the SOLE NEGLIGENCE of the Board
or its employees, servants or agents while acting within the scope to their duties.
I/WE declare having read and understood the above INFORMED CONSENT AGREEMENT in its entirety and hereby consent to
participate acknowledging all of the foregoing.
Signature of Parent or Guardian Date
Additional student accident insurance is available at a reasonable cost through IAP Kids www.iapkidsplus.com .
6Prince Charles P.S. SUMMER INSTITUTE PROGRAMS
Words Alive For children entering Senior Kindergarten & Grade 1, Words Alive is designed
to further build literacy skills. Activities may include: chants, music, games, guided reading
sessions, and word hunts, balanced with recreational activities such as music, soccer, field
games, drama, arts & crafts and computer publishing.
Clubhouse For children entering Grades 2 & 3, Clubhouse provides opportunities for
children to participate in a full day program designed exclusively for this age group. This
program has a focus on theme related literacy activities balanced with recreational activities
that may include: soccer, volleyball, arts & crafts, computer publishing, ball hockey and
much more!
Skills ’n Motion Level 1 For children entering Grades 4 & 5, this program has both an
intentional literacy focus and an opportunity to participate in a variety of engaging and
fun elective activities in athletics, arts and recreation. We all know how much kids enjoy
mysteries! Participants will refine their reading and writing skills through daily immersion in
fiction and fact mystery books and will put their sleuth knowledge to use by publishing a fact
or fiction mystery story of their own on the computer!
Junior For children entering Grades 4 & 5, we offer a variety of options. Children will
participate in different skilled electives that are chosen from a list of many engaging and
fun activities.
Skills ’n Motion Level 2 For youth entering Grades 6, 7 & 8, this program has both an
intentional literacy focus and an opportunity to participate in a variety of engaging and fun
elective activities in athletics, arts and recreation. si Roving Reporters will investigate the
language of reporting and have the opportunity to publish their creative work.
Junior High For youth entering grades 6, 7, 8 & 9, our Junior High participants will have the
opportunity to take part in activities of their choice. These are chosen from a list of activities
geared to build on skills already achieved.
Prince Charles P.S. SUMMER INSTITUTE ELECTIVE ACTIVITIES
Please note: Elective options available for youth entering Grades 4 to 9 only.
Actor’s Studio Love to be on stage? Come have fun learning the basic fundamentals of
drama and improvisation in a fun-filled atmosphere where creativity and individual expression
are encouraged.
Archery Learn to sight along the bridge of your nose and feel the wind in the feathers of
arrows when firing at bull’s eyes in the archery field.
Basketball An emphasis on basketball fundamentals is provided: ball handling and dribbling,
fast breaks, lay-ups, passing, rebounding, setting screens, and zone defence.
Comic Book Wizard Young cartoonists – here is your chance to create your own cartoon
characters and the situations they find themselves in.You will learn how to create faces,
settings and perspective and examine the use of line, text and colour.
Dance Guests will enjoy a week full of the latest music while they learn and perform cool
dance moves in the si dance studio.
7Prince Charles P.S. SUMMER INSTITUTE ELECTIVE ACTIVITIES
Please note: Elective options available for youth entering Grades 4 to 9 only.
Digital Photography Attention all photographers! This is your opportunity to learn and
develop your skills in digital photography! Learn how to capture and manipulate images with
the latest digital cameras and leading edge digital editing software.
Field Invaders Have you ever used a bowling pin for something other than bowling? In the
Field Invaders fanatic, you will learn a new “high energy” game every day that you can play
with your family and friends. Some of the games you will play will range from “Capture the
Flag”, “Spud”, “Frozen Critters” to various forms of dodge ball. Don’t forget the famous game
of tag, but with a twist! Guests will also have an opportunity to create there own games.
Don’t miss out on this new and exciting program!
Fine Arts We take great pride in the extensive visual arts programs available at si.
Participants may explore their creative possibilities. Whether your child is a gifted artist or
simply delights in experimenting, there is something for everyone.
Passion for FashionIt’s all about the accessories – bags, jewelry, wraps, and more.
Racquet Sports Learn the elements of a variety of racquet sports (badminton, tennis, ping
pong and more) and practice them in tournament style!
Ready, Set, Cook Continues to offer the basics of food preparation and cooking.
Participants will eat their creations and take home a recipe book at the end of each session.
Scrapbooking Do you want to display pictures of your friends and family in a cool way?
In this program participants will learn the creative art of combining pictures, memories and
stories in one amazing album. Campers will have the option of bringing in their own pictures.
Skateboarding Participants won’t believe what skilled instructors can do! Learn to drop in
on the SI pipe, slide the rails, and practice ollies in the skate park.
Tournament of Champions Climb the ranks in structured tournaments including air
hockey, foosball, ping pong and other competitive games.
Wacky Science World Get ready to enjoy a week jam-packed with discovery and
exploration through themed, hands on activities in the wonderful world of science.
Developed for budding scientists, guests will earn new and exciting concepts that will excite
the scientist at heart.
Additional activities are for participants entering Grades 6, 7, 8 & 9 only.
Guitar Stars Learn how to be a real guitar hero. An introduction to basic cords and
techniques will impress your family and friends.
Mountain Biking Interested in learning how to maintain a bike? Want to know the rules for
the road? Then come biking with us through the community and on the trails. This elective
is not recommended for beginner bikers. HELMET IS REQUIRED.
Woodworking Create your own project to take home. Basic woodworking skills are taught.
Video Filming See your ideas come to life on the big screen! You’ll learn to work with both
the video camera and the computer. Maximum of 2 participants per camera.
8You can also read
