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Fairmont After School Enrichment Program FAIRMONT ELEMENTARY 1 Session II: 1/17/2012 to 3/16/2012 Schedule of Classes Monday Tuesday Wednesday Thursday Friday Registration begins Wednesday, January , 2012 Registration DEADLINE is Friday, January 13, 2012 Please register early! Under-enrolled classes are subject to cancellation. Detailed course catalog, including final room assignments and descriptions of the classes and instructors will be available Jan. 4 in the school office or online by Dec. 20 at http://fairmontschool.org/fasep Classes in gray are not administered by El Cerrito. See catalog for registration details. Chess 2:15 - 3:15PM (Grades K-6) Room 2 Begins: Jan. 18 Spanish Intro 2:45 - 3:45PM (Grades K-1) Library Begins: Jan. 19 Mad Science ® 2:45 - 3:45PM (Grades K-2) Room 2 Begins: Jan. 20 Mad Science ® 2:45 - 3:45PM (Grades 3-6) Room 2 Begins: Jan. 23 I Love Art! 3:00-4:00PM (Grades 1-3) Room 3 Begins: Jan. 17 Recorder* 2:15 - 2:45PM (Grades 2-6) Room 14 Begins: Jan. 18** Spanish Exporations 2:45 - 3:45PM (Grades 1-6) Room 2 Begins: Jan. 19 Lego ® Robotics 2:45-4:15PM (Grades 3-6) Library Begins: Jan. 20 Socrates Cafe 2:45-3:45PM (Grades 5-6) Room 2 Begins: Jan. 17 Recorder* 2:45 - 3:15PM (Grades 2-6) Room 14 Begins: Jan. 18** Other After School Activities Band AM & PM Library Band AM Library * Teacher will organize the class into one or two sessions depending on enrollment, grade, and skill level. ** Continuing students begin January 4, 2012. Preview! More Classes in March We will begin FASEP’s Session III the week of March 26, 2012. We’re working on some exciting classes for then, including: Clay for Kindergarteners Real Engineering WeDo Robotics (for younger kids) Basketball FUN-damentals Science Club For the latest details, check out http://fairmontschool.org/fasep Sponsored by the Fairmont PTA

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FairmontAfterSchoolEnrichmentProgram

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SessionII:1/17/2012to3/16/2012

ScheduleofClasses

Monday Tuesday Wednesday Thursday Friday

RegistrationbeginsWednesday,January,2012RegistrationDEADLINEisFriday,January13,2012

Pleaseregisterearly!Under-enrolledclassesaresubjecttocancellation.Detailed course catalog, including final room assignments and descriptions of the classes and instructors will be

available Jan. 4 in the school office or online by Dec. 20 at http://fairmontschool.org/fasep

Classes in gray are not administered by El Cerrito. See catalog for registration details.

Chess2:15-3:15PM(GradesK-6)Room 2Begins: Jan. 18

Spanish Intro2:45-3:45PM(GradesK-1)LibraryBegins: Jan. 19

Mad Science®

2:45-3:45PM(GradesK-2)Room 2Begins: Jan. 20

Mad Science®

2:45-3:45PM(Grades3-6)Room 2Begins: Jan. 23

I Love Art!3:00-4:00PM(Grades1-3)Room 3Begins: Jan. 17

Recorder*2:15-2:45PM(Grades2-6)Room 14Begins: Jan. 18**

Spanish Exporations2:45-3:45PM(Grades1-6)Room 2Begins: Jan. 19

Lego® Robotics2:45-4:15PM(Grades3-6)LibraryBegins: Jan. 20

Socrates Cafe2:45-3:45PM(Grades5-6)Room 2Begins: Jan. 17

Recorder*2:45-3:15PM(Grades2-6)Room 14Begins: Jan. 18**

Other After School Activities

BandAM&PMLibrary

BandAMLibrary

*Teacherwillorganizetheclassintooneortwosessionsdependingonenrollment,grade,andskilllevel.**ContinuingstudentsbeginJanuary4,2012.

Preview! More Classes in MarchWewillbeginFASEP’sSessionIIItheweekofMarch26,2012.We’reworkingonsomeexcitingclassesforthen,including:

• ClayforKindergarteners • RealEngineering• WeDoRobotics(foryoungerkids) • BasketballFUN-damentals• ScienceClub

Forthelatestdetails,checkouthttp://fairmontschool.org/fasep

Sponsored by the Fairmont PTA

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ClassDescriptions(ListedAlphabetically)

Chess(GradesK-6)

ThisclasswillexposekidstothefunofChess,teachingthemtherulesofthegame,movementofthepieces,castling,enpassent,promotion,check-ingtheking,andhowtoreachcheckmate.Youngerchildrenwilllearnskillssuchastakingturns,goodsportsmanship,andplanningahead.Olderkidswilllearnthefinerpointsofoneoftheworld’soldeststrategygames,includingopenings,thetacticsofthemiddleandendgames,themeaninganduseofpins,forks,skewersandsoon,combinations,avoidingtheFool’smate,andmuchmore.

Instructor: Berkeley chess school

Since1982,theBerkeleyChessSchoolhasenrichedthelivesofthousandsofBayAreachildren.TheBerkeleyChessSchoolisanonprofit501(c)(3)organizationdedicatedtosharingthejoysandwon-dersofchesswithasmanyyoungpeopleaspossiblethroughinstructionintheschoolsandtourna-mentplay.Formoreinformation,visithttp://www.berkeleychessschool.org/

Class Meets: Wednesdays(8classestotal):1/18,1/25,2/1,2/8,2/15,2/29,3/7,3/14(noclass2/22)

Time: 2:15-3:15PMClass Size: 10-20Location: Room2Course Fee: $88Materials Fee: NoneRegistration: Online: http://www.berkeleychessschool.org/signups/select

Note: A registration flier is available in the school office.

ILoveArt!(Grades1-3)

Drawing,paintingandclay,ohboy!Havefunanduseyourimaginationwhilecreatingcolorful,interestingandexcitingworksofart.We’llusewatercolors,chalk,oilpastels,tempera,paper,clayandmanymorewonderfulmaterialsthatwilldelightandinspireyou.

Instructor: lIsa dI PrIma B.F.a., ccacLisaisafree-lancegraphicdesignerandamasterteacherattheRichmondArtCenter.SheteachesmixedmediaclassesatMiraVistaandHardingEl-ementary.SheisalsotheartisticdirectoroftheBerkeleyJazzArtProgram.

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Class Meets: Tuesdays(8classestotal):1/17,1/24,1/31,2/7,2/14,2/28,3/6,3/13(noclass2/21)

Time: 3:00-4:00PMClass Size: 8-12Location: Room3Course Fee: $68(non-ElCerritoresidentsadd$8.50)Materials Fee: $35checkmadepayabletoLisadiPrimaRegistration: City of El Cerrito (see form on page 13)

Lego®Robotics(Grades3-6)

Thisclassusesrobotbuildingandcomputerprogrammingtoteachscience,technology,engineering,andmath(STEM)conceptswithinarecreationalsetting.ThroughtheuseoftheLEGO®MindstormsNXT2.1kit,software,andlaptopcomputers,theclassexperienceisdesignedtobehands-onandprojectbased.Allequipmentandsuppliesareprovidedforuse.AlthoughsomeparticipantsmayhavehadexperiencewithgeneralLEGO®kits,simplerobotbuildingandsimpleprogrammingassumenopriorexperience.Afterintro-ductorytraining,studentswillbeabletoprogramautonomousrobottasks(challenges)andgames.

Instructor: Peter margolIs

PeterMargolisisaCaliforniacredentialedmiddleandhighschoolteacher.Academically,heholdsthreemastersdegrees:RecreationAdministration,MBA,andEducation.Currently,heisontheadvi-soryboardfortheRichmondHighSchoolEngineeringAcademy.Inaddition,heisamemberoftheRichmondChamberofCom-merce.Thispastsummer,hetookaCarnegieMellonUniversitytrainingcourseforLEGO®Roboticteachers,andtaughtroboticworkshopsfortheRichmondPoliceActivitiesLeagueaswellasHardingElementary.

Class Meets: Fridays(6classestotal):1/20,1/27,2/3,2/10,2/17,3/2(noclass2/24)

Time: 2:45-4:15PM(90-minute class)Class Size: 6-10Location: RoomTBDCourse Fee: $120(non-ElCerritoresidentsadd$15)Materials Fee: NoneRegistration: City of El Cerrito (see form on page 13)

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MadScience(GradesK-2&Grades3-6)

TheMadScience®Missionistosparktheimaginationandcuriosityofchildrenthroughfun,hands-onscienceprogramsthatinstillaclearunderstandingoftheworldaroundthem.Kidswilllearnhowtoexplore,questionandtesttheirtheories.MadScience®makeslearningfun.

Grades K-2CreaturesoftheEarthUncoverwhathumanandanimalbodieshaveincommonandexplorethechemistryinyourkitchenwithaDigestorInspector.Watchamarshmallowburnitscaloriesbeforeyoureyesandtakehomeapedometertomeasureyourstepstohealth!Diveintoourdissectionoftheoceanandsealifebymakingamodelocean.LearnallaboutAnimalsbyinvestigatingtheirtracksanduniqueadaptations.Experimentwithcamouflageandexploretheamazingsoundsanimalsmaketocommunicate.Getdowntoearthandlearnaboutthedifferencebetweeninsectsandbugs,viewtheworldlikeaninsect,anddiscoverinsectdefenses!

Class Meets: Fridays(8classestotal):1/20,1/27,2/3,2/10,2/17,3/2,3/9,3/16(noclass2/24)Time: 2:45-3:45PMClass Size: 10-20Location: Room2Course Fee: $102(non-ElCerritoresidentsadd$13)Materials Fee: NoneRegistration: Online: http://register.madscience.org/mtdiablo/

Note: A registration flier is available in the school office.

Grades 3-6LightandEnergyElectrons,Photons,andProtons!Jumpintothisexcitingelectricaladventureandmakeacircuitfirefly.Beamazedaswefishforfeatherswithelectronsandconducthairraisingexperimentswithanelectrostaticgenerator.Discoverthelightproper-tiesofcolors,useaprismtoseparatethewavelengthsoflight,andmixthingsupwithaTechnicolorBlender.Watchanunderwatervolcanodemonstratetheprop-ertiesofheatandbouncewithBoinkswhileconnectingwithkineticenergy.

Class Meets: Mondays(8classestotal):1/23,1/30,2/6,2/13,2/27,3/5,3/12,3/19(noclass2/20)

Time: 2:45-3:45PMClass Size: 10-20

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Location: Room2Course Fee: $102(non-ElCerritoresidentsadd$13)Materials Fee: NoneRegistration: Online: http://register.madscience.org/mtdiablo/

Note: A registration flier is available in the school office.

Recorder(Grades2-6)

Learntoplaytherecorderandreadmusic!Recorderclassesfor2ndto6thgraders.Studentswhowereintheprogramlasttermandbeginnersarewelcome.Classeswillprovidegoodmusicalfoun-dationandinstilljoyinmakingmusic.

Instructor: letItIa BerlIn

LetitiaBerlinhastaughtchildrenrecorderfor14years,previouslyinBerke-leyafter-schoolprograms.ShealsoteachesadultsrecorderclassesandcoachesensemblesinCaliforniaandatworkshopsaroundthecountry.SheisthedirectoroftheSanFranciscoEarlyMusicSociety’sMusicDiscoveryWorkshopforyoungchildren.Ms.BerlinperformsregularlywiththeFaral-lonRecorderQuartetandtherecorderduoTibia.ShehasperformedwiththeSanFranciscoSymphony,theCarmelBachFestivalandtheAtlantaBaroqueOrchestraaswellasotherensembles.Amoredetailedbiographycanbefoundatwww.tibiaduo.com.

Class Meets: Wednesdays(9classestotal):(1/4,1/11,)*1/18,2/8,2/15,2/29,3/7,3/14,3/21,3/28,4/4(*continuing students only, unless instructor consent)

Time: 2:15-2:45PM,2:45-3:15PM*(*2nd class will be added if enough enrollment)Class Size: Maximumof5perclass.Location: Room14Course Fee: $90—AllFeescollectedbyinstructor.Materials Fee: $35(forrecorderandbook–fornewstudentsonly).Registration: Directly with instructor (see form on page 11)

SocratesCafe(Grades5-6)

Theabilitytothinkaboutanddiscussideas,aswellastheskillsonedevelopsintheprocess—criti-calthinking,activelistening,respectforotherviewpoints,andpersonalexpression—arevaluablecapabilitiesforouryouth.Theybecomebetterwriters,communicatorsandproblemsolvers,anddobetterinmiddleandhighschool,aswellascollegeandadulthood.

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Withguidance,studentswilldeterminethediscussiontopics.Classeswillencourageyoungsterstolisten,think,question,analyze,anddiscussideassuchaswhataretruth,justice,responsibility,andfriendship.Studentswilldeveloptheirabilitytoexpressthemselvesverbally,thinkindependently,buildselfconfidence,andrespectdivergentideas.Thisdiscussiongroupusestheideasdevelopedinthepopularbook“SocratesCafe”,givingpeopleanopportunitytodiscussandquestioninasafe,supportiveenvironment.

Instructor: harvey WIttenBerg

Mr.Wittenbergisaretiredattorneyandcurrentschoolvolunteer.Usingtheskillshewillteach,heraisedtwo,now-growndaughterswho’veusedtheirskillstoachievehighlevelsofsuccessinprofes-sionallife.

Note: We are offering this class at a very low price as part of our pilot Fairmont Clubs program, which will bring students valuable enrichment from experienced volunteers.

Class Meets: Tuesdays(8classestotal):1/17,1/24,1/31,2/7,2/14,2/28,3/6,3/13(noclass2/21)

Time: 2:45-3:45PMClass Size: 6-12Location: LibraryCourse Fee: $20(non-ElCerritoresidentsadd$2.50)Materials Fee: NoneRegistration: City of El Cerrito (see form on page 13)SpanishforBegineers(GradesK-1)

Giveyourchildagreat,earlystartinSpanish,withthisimmersioncourseinCalifornia’ssecondmost-spokenlanguage!Studentswilllearnhowtoconverse,singsongs,learncolorsandnumbers,engageindramaticplay,learntofollowdirections,andmastercommongreetings,allthroughfun,socialinteraction.BothchildrenwhoarenativeSpanishspeakers,andthosewithlittleornoexpo-suretothelanguagewillbenefitfromthisclass.Theteacherisafun,energeticnativespeaker.Parentsarewelcometoobservethefirstclass.

Instructor: matIlde hollander

Mrs.MatildeHollanderisaMontessoriBilingualteacher,children’sbookauthor,andnativeSpanishspeakerwhohasbeenteachingsince1973.ShecurrentlyhasagranddaughteratFairmont.

Note:Theinstructorisofferingtwoscholarshipstochildrenwhoseparent/guardianisinterestedinparticipatinginthecourse.Ifyouwishtoapply,pleasecontacttheinstructor.

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Class Meets: Thursdays(8classestotal):1/19,1/26,2/2,2/9,2/16,3/1,3/8,3/15(noclass2/23)Time: 2:45-3:45PMClass Size: 8-15Location: LibraryCourse Fee: $72(non-ElCerritoresidentsadd$9)Materials Fee: $15checkmadepayabletoMatildeHollanderdueonfirstdayofclassRegistration: City of El Cerrito (see form on page 13)

SpanishExplorations(Grades1-6)

Thepurposeofthisclassistosupportthecommunicationprocessbetweenchildrenfromdifferentcultures,sotheycanlearnfromoneanotherandenjoythebeautyofsocialdiversity.Thisclasspres-entsanimmenseopportunityforstudentstogrowbothasindividualsandinagroup.Afterunder-standingthedifferentlanguagelevelsintheclass,thestudentswillbeabletointroducethemselvesandexplorethemessuchas:geography,greetingsandmanners,familymembers,sportsandbodyparts,feelings,colors,numbers,shapes,food,holidayandcelebrations,andgames.Theywillhavelotsoffunwhilelearningtogether!***Please note that this class requires a minimum number of 8 students.

Instructor: elena velez

Elena,anativeofBogota,Colombia,andaproudmomoftwoteenageboys,hassubstantialexperi-enceteachinglanguagesandsustainablelivingpracticestochildrenandadultswithintheBayArea.ElenahastaughtSpanishinvariousschoolsaswellastutoredprivatelytochildrenandadultsinbothSpanishandItalian.ShehasworkedasatrilingualmedicalinterpreteratKaiserPermanente.Shecurrentlyworksasabilingualenvironmentaleducatorandisalsoestablishinghergrassrootsproject,LosEcoAmigos,whosegoalistofostercommunicationbetweenenvironmentalorganiza-tionsandtheLatinocommunitybyprovidingmultilingualInterpretation/Translationservicesandeducationalworkshopsrelatedtosustainabilityandtheenvironment.

Class Meets: Thursdays(8classestotal):1/19,1/26,2/2,2/9,2/16,3/1,3/8,3/15(noclass2/23)Time: 2:45-3:45PMClass Size: 8-10Location: Room2Course Fee: $80(non-ElCerritoresidentsadd$10)Materials Fee: $5checkmadepayabletoElenaVelezdueonfirstdayofclassRegistration: City of El Cerrito (see form on page 13)

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OtherAfterSchoolProgramsatFairmont

The following programs are not part of FASEP, but are after school programs at Fairmont. They are provided for your information and scheduling convenience only.

Band(Grades3-6)

FairmontisveryexcitedtofeatureBandthisyear.IncooperationwithElCerritoandotherElCerritoelementaryschools,wewillhavebeginningBandclasses.Childrenwillbeabletochooseeitherabrassorwoodwindinstrumentclass,determinedincooperationwiththeBandinstructor.In-strumentswillbeprovidedtostudentsfreeofcharge(pleaseseetheagree-mentfordetails).TherewillbeFallandSpringsessions,withaperformanceattheendofeachterm.

ClassesareorganizedandadministeredentirelybytheCityofElCerritoincooperationwithFair-montteachers.Wepresentthisclasshereforinformationalpurposesonly.ContacttheCityofElCerritoRecreationDepartmentformoreinformation.

AfterSchoolSportswithMr.Auday(Grades4-6)

Learnteamwork,goodsportsmanship,andathleticskillsinMr.Auday’safterschoolsportsprogram.Learntherulesandbasicsofbasketball,baseball,football,soccer,andmoreinasupportiveanddis-ciplinedenvironment.ClassesareorganizedandadministeredentirelybyMr.Auday;wepresentthisclasshereforinformationalpurposesonly.

Class Meets: Mondays, Tuesdays and ThursdaysTime: 3:00-4:00PMLocation: MeetatP-9Course Fee: FreeRegistration: Informal.ContactMr.Audayformoredetails.

AfterCareStudentsandEastBayCenterforPerformingArts—Chorus&HipHop(AllGrades)

ChildrenenrolledintheAfterCareprogramthroughElCerritoRecreationwillhavetheoptionoftakingclassesofferedbytheEastBayCenterforPerformingArts.Thisfreeprogramisofferthroughagrant.Classesstartlaterintheday(usually4PM)andonlyoncertaindays.Fordetails,pleasecon-tactAnthonyBillupsintheFairmontClubhouse.

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FASEPForNon-Residents

WerecognizethatFairmontfamilieslivinginRichmondaresubjectedtotheElCerritonon-residentfeeforafterschoolprograms,includingallFASEPprogramsregisteredthroughtheCommunityCen-ter.

TheFairmontPTAissubsidizinghalfofthisnon-residentfeesothatmoreRichmondresidentsmayenrollinafterschoolenrichmentprograms.However,ifyouareable,weaskthatyoumakeadona-tiontotheFairmontPTAtooffsetthissubsidy.Thankyou.

FASEPCommittee

The2011-12FASEPcommitteemembersincludeTimWarnerandLeslieAdams.Foranyquestions,pleasecontact:TimWarnerat510-931-7575orpta-fasep@fairmontschool.org.ForclassesregisteredthroughtheCityofElCerrito,allotherinquiriesandconcernsshouldbedirectedtotheCityofElCerrito’sRecreationDepartment:NousheenChaudry,510-559-7002,[email protected]

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Registration(RecorderOnly)

Chorus&RecorderClasses

ToregisterforeitherorbothChorusandRecorder:Contact 510-559-4670 Orsendemailtotishberlin@sbcglobal.netprovidingthefollowinginformation:

IsyourchildenrolledintheAfter-SchoolprogramatFairmont?Yes___No___

Parent/guardianname______________________

Phone____________Alternatephone________________Email_________________

Please complete the liability waiver form opposite this form & bring to first class.

Also, please sign and return the Fairmont After-School Enrichment Program Policy Statement on page 15.

InstructorBiography:LETITIABERLINhastaughtchildrenrecorderfor14years,previouslyinBerkeleyafter-schoolpro-grams.ShealsoteachesadultsrecorderclassesandcoachesensemblesinCaliforniaandatwork-shopsaroundthecountry.SheisthedirectoroftheSanFranciscoEarlyMusicSociety’sMusicDiscov-eryWorkshopforyoungchildren.Ms.BerlinperformsregularlywiththeFarallonRecorderQuartetandtherecorderduoTibia.ShehasperformedwiththeSanFranciscoSymphony,theCarmelBachFestivalandtheAtlantaBaroqueOrchestraaswellasotherensembles.Amoredetailedbiographycanbefoundatwww.tibiaduo.com

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LIABILITYWAIVERFORCHORUS/RECORDER2011-12

Igivepermissionformychild,____________________________toparticipateintheFairmontAfterSchoolEnrichmentProgram(s)throughtheFairmontPTA,SFEMSandTishBerlin.Indoingso,IherebyabsolveSFEMS,TishBerlin,theFairmontPTA,itsofficers,andinstructorsfromallliabil-itythatmayariseastheresultfromabovenamedchild’sparticipationinchorusand/orrecorder.Irecognizeandacknowledgethattherearecertainrisksinherentinmychild’sparticipationinsaidprogramandIagreetoassumetheriskofaccidentorinjurysustainedinconnectionwiththepro-gram.IfurtherreleaseWCCUSDemployees,agentsandvolunteersfromallliabilitythatmayariseastheresultfromabovenamedchild’sparticipationinthelistedactivities.IrealizethatSFEMS,TishBerlin,FairmontPTAandWCCUSDarenotresponsibleforlostorstolenarticles.IhavereadandfullyunderstandthetermsofthisWaiver,ReleaseandIndemnity.Injury:IunderstandthatparticipantsinFASEPprogramsdosoattheirownriskandtheFairmontPTA,SFEMS,TishBerlin,WCCUSDdoesnotprovideaccidentinsurance.

Idoherebycertifythattothebestofmy(our)knowledgeandbeliefsaidminorisingoodhealth.Incaseofillnessoraccident,permissionisgrantedforemergencytreatmenttobeadministered.Itisfurtherunderstoodandagreedthattheundersignedwillassumefullresponsibilityforanysuchaction,includingpaymentofcosts.

Refunds:Therearenorefundsforactivitiesunlessamedicalemergencyoccurs(Doctor’snoteneed-ed)ortheactivityiscanceledduetolackofenrollment.

ReturnedChecks:A$25feewillbechargedforreturnedchecks.

Photos:IalsounderstandthattheFairmontPTAoccasionallytakesphotosofFASEPprogramsandthatthephotosmayincludemeormychild.Iherebyauthorizeuseofthesephotosforpromo-tionalormarketingpurposesatthediscretionoftheFairmontPTA._______(initialhere)

Parent/GuardiannameParent/GuardianSignature Date

EmailPhone(message)Phone(contact)StudentGrade&TeacherAfterschoolProgram?Y/NIfno,pickafterclassplan

**Instructor:pleasereturncopytoFairmontPTA**

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RegistrationForm(CityofElCerrito)

Use this form only for the following classes: I Love Art, Lego Robotics, Socrates Cafe, Spanish Intro, Spanish Explorations.(For Band, Chess, Recorder, and Mad Science, see registration details in the course description.)

Student’sName: DateofBirth:

Address: City: Zip:

School: Grade: Teacher: Classroom:

HomePhone: Email:

Parent/GuardianName: Work/CellPhone:

Parent/GuardianName: Work/CellPhone:

EMERGENCYCONTACTS:PleaselisttwoadditionalcontactsotherthanParent/Guardian.

Name Relationship Work/CellPhone

Ifamedicalemergencyoccurs,911willbecalled.Listanymedicalinformation:

Pleasewriteonecheckforallclasses,madepayabletotheCityofElCerrito.Includea12.5%non-residentofElCerritofee,ifapplicable.Pleasenotethatmaterialfeesshouldbepaidwithaseparatecheckmadepayabletotheinstructor.TheElCerritoCommunityCenterstaffwillcontactyouifyourchilddoesNOTgetintoaclassduetounder-orover-enrollment,andafullrefundwillbegiven.Ifaclassisfullorunder-enrolled,youwillautomaticallybeenrolledintoyoursecondchoice,ifoneisindicated.Staffwillcontactyouifthisoccurs.

Monday 1st choice: $ +$ $ 2nd choice: $ +$ $Tuesday 1st choice: $ +$ $ 2nd choice: $ +$ $Wednesday 1st choice: $ +$ $ 2nd choice: $ +$ $Thursday 1st choice: $ +$ $ 2nd choice: $ +$ $Friday 1st choice: $ +$ $ 2nd choice: $ +$ $

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RegistrationForm(continued)-CompleteforElCerritoCityclasses

Pleaseinitialeachoftheitemsbelowtoindicatethatyouhavereadandunderstandthestatements.

Behavior Policy:Iunderstandthatmychildisexpectedtofollowallrulesestablishedbyhisorherinstructor,andanyfailuretocomplywillresultindismissalfromtheprogram.Ialsounder-standthatnorefundswillbegivenintheeventofadismissal.

Injury:IunderstandthatparticipantsintheCityofElCerritoprogramsdosoattheirownriskandtheCitydoesnotprovideaccidentinsurance.

Materials Fee:IunderstandthatIamresponsibleforpayinganymaterialsfeebycheckdirectlytotheinstructoratthefirstclass.Failuretodosobythethirdclassandanyfailuretocomplywillresultindismissalofmychildfromtheprogram.Ialsounderstandnorefundswillbegiven.

Photos:IalsounderstandthattheCityofElCerritoRecreationDepartmentandFASEPocca-sionallytakephotosofdepartmentprogramsandthatthephotosmayincludemeormychild.IherebyauthorizeuseofthesephotosforpromotionalormarketingpurposesatthediscretionoftheCityofElCerritoandFASEP.

Refunds:IunderstandtherearenorefundsforactivitiessponsoredbytheCityofElCerritoun-lessamedicalemergencyoccurs(Doctor’snoteneeded)ortheactivityiscanceledduetolackofenrollment.

Returned Checks:Iunderstandthereisa$25feewillbechargedforreturnedchecks. Rain-Out Policy for Outdoor Classes:Iunderstandthat,intheeventofrain,outdoorclasses

willbecanceled.UnlessmystudentisenrolledinTheCityofElCerrito’safterschoolchildcareprogram,Iwillbepreparedtopickupmychildafterschool.

Transfers:IunderstandtransfersfromonesessiontoanothermustbemadeattheElCerritoCommunityCenterfive(5)workingdaysbeforethesessionbegins.A$15servicefeeisre-quired.

Waiver, Release and Indemnity

Igivepermissionformychild, ,toparticipateintheabovelistedFairmontAfterSchoolEnrichmentProgramthroughtheCityofElCerrito.Indoingsoandtotheextentpermittedbylaw,IherebyabsolvetheFairmontPTA,itsofficers,volunteersFASEPcommitteemembers,andinstructorsfromallliabilitythatmayariseastheresultfromabove-namedchild’sparticipationintheactivitieslistedabove.Irecognizeandacknowledgethattherearecertainrisksinherentinmychild’sparticipationinsaidprogramandIagreetoassumetheriskofaccidentorinjurysustainedinconnec-tionwiththeprogram.Ifurtherrelease,totheextentpermittedbylaw,theCityofElCerrito,itsofficers,employees,agents,andvolunteersfromallliabilitythatmayariseastheresultfromabove-namedchild’sparticipationinthelistedactivities.IrealizethattheCityofElCerritoisnotresponsibleforlostorstolenarticles.IhavereadandfullyunderstandthetermsofthisWavier,Release,andIndemnity.

Parent/GuardianSignature: Date:

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FASEPPOLICYSTATEMENT

Please complete and give to your instructor: All Classes

AttendanceandPick-UpfromClassesParentsorguardiansareresponsiblefortheirchild(ren)gettingtoafterschoolclassesontime.Studentswillmeetinthemulti-purposeroomwiththeinstructorandthengototheclassroom.Ifyourchildisnotreadytogettohisorherafterschoolclassunattended,pleasedonotsignupatthistime.Neitherclassroomteachersnorafterschoolinstructorsareresponsibleforthecareofyourchildifheorshedoesnotcometoclass.Thereisalsonosupervisionforyourchildafterdismissalofclasses.Itistheparents’orguardians’responsibilitytohavetheirchildpickeduppromptlyaftertheendofclass.Onlystudentsenrolledinclassesareallowedtoattend.

DisciplineOurprogramisdesignedtoofferqualityenrichmentclassestochildrenafterschool,andtheteach-ershaveexperiencewithchildrenandknowhowtohandledisruptions.However,theteacherhastherighttodropthestudentfromtheclassifaproblempersists.Theparentsorguardiansofachildwhohasdisciplinaryproblemswillbenotifiedinanattempttoenlisttheirhelpincorrectingtheproblem.Asecondoffensewillresultinthechildbeingpermanentlydismissedfromtheclass.Anybehaviordeemedbytheteachertobedangerouswillresultintheimmediatedismissalofthestu-dent.Theparentwillbenotifiedofanyactiontaken.Inacaseofdisciplinarydismissal,norefundwillbegiven.

RefundsandMake-upsOnceachildhasbeenacceptedintoanafterschoolclass,therewillbenorefunds.Ifaclassiscan-celedduetolowenrollment,orifyourchilddoesnotgetintoaclass,youwillbenotifiedandafullrefundwillbegiven.Thereisnomake-upforclassesmissedbyastudent,foranyreason.

StudentName:______________________________________________________________

Teacher/Grade/Room:________________________________________________________

Parent/GuardianName:_______________________________________________________

Address:___________________________________________________________________

Phone(contactforafterschoolhours):______________________________

Email:_______________________________________________________

Parent/GuardianSignature:_____________________________________________________

FairmontAfterSchoolEnrichmentProgram

FAIRMONTE L E M E N T A R Y

16

LiabilityWaiverforChessandMadScience.

Please complete and give to your instructor for Chess and Mad Science only.

Waiver,ReleaseandIndemnity

Igivepermissionformychild, ,toparticipateintheabovelistedFairmontAfterSchoolEnrichmentProgram.Indoingsoandtotheextentpermittedbylaw,IherebyabsolvetheFairmontPTA,itsofficers,volunteersFASEPcommitteemembers,andinstructorsfromallliabilitythatmayariseastheresultfromabove-namedchild’sparticipationintheactivitieslistedabove.Irecognizeandacknowledgethattherearecertainrisksinherentinmychild’sparticipationinsaidprogramandIagreetoassumetheriskofaccidentorinjurysustainedinconnectionwiththeprogram.IrealizethattheFairmontPTA,FairmontElementaryschool,andtheinstructororprovideroftheclasslistedabovearenotresponsibleforlostorstolenarticles.Ihavereadandfullyunder-standthetermsofthisWavier,Release,andIndemnity.

Parent/GuardianSignature: Date: