2017 Summer Program Registration Information

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Eileen Grant
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1 2017 Summer Program Registration Information For Current 6 to 12-Year-Old Club Members Dear Boys & Girls Club parents and guardians, The summer programs at the Boys & Girls Clubs of Appleton and of Menasha are a popular choice for children, youth and families in the Fox Cities, and we are thrilled to make summer a fun learning experience for so many! We believe that summer is a great time to give kids opportunities to develop new friendships, play, continue to learn, and experience new things. One of our goals is to always be looking for ways to make programs and services better. This year, we have decided to do some things a bit different than in previous years and we want to let you know about those changes. Most importantly, we are changing the way children ages 6-12 sign up for programs at the Boys & Girls Club of Appleton and the Boys & Girls Club of Menasha and how their time in the program is scheduled. How do I register my child? Currently active members parents or guardians will have the first opportunity to enroll their children in the summer program, including any of their children who are eligible but not currently active, and can do so between March 20 th and April 14 th. On April 24th, we will open enrollment to new and inactive members as well if spots are still available. A registration form is included with this letter. New Scheduling & Attendance Requirements When you complete the enrollment form, you will see that we want you to tell us the days and times your child is going to participate and that there are separate enrollment forms for each Club. Your child s participation will be limited to either the Appleton or Menasha Clubhouse throughout the course of the summer so please only submit one enrollment form. Also, because frequency of attendance is an important component of a quality, impactful Club experience, we also want to make sure that the children we enroll are going to use the program on average at least three days per week through most of the summer. This includes attendance at any of our school-based Boys & Girls Clubs as well. If your intention is to have your child participate at a lesser frequency, it is possible that we may not be able to enroll your child or may have to put them on a waiting list. 1

2 Enrollment Criteria The Boys & Girls Clubs mission is to serve all young people, especially those who need us most. Enrollment decisions are therefore not made on a first-come-first-served basis but instead are based upon the needs of the child and the family for our services and frequency of attendance. Please contact Stephanie Stieg, BGC of Menasha Branch Director at or Ross Mortensen, BGC of Appleton Branch Director at if you would like us to know more about your child s needs. How do I know my child has been accepted into the summer program? We will contact you via beginning the week of April 17 th. If you do not receive an communication by April 28th, please call Elizabeth Belville at What if registration is full? If we have reached maximum capacity on the days and times you want your child to participate, we will place your child on a waiting list and contact you if space becomes available. Children in certain high needs situations such as those who are homeless will not be placed on a waiting list and will be allowed to participate immediately. How much does it cost? The summer program fee for children ages 7 to 12 is increasing from $40 to $50 this year and will be capped at $125 for families with three or more children. The daily fee for the Early Bird Program that runs from 7 a.m. to 9 a.m. remains $5 for ages 7 to 18 and there is no cost for this service for six-year-olds. The annual membership fee remains $15 for 6 to 12-year-old children and $5 for teens ages 13 to 18. Field trip fees will vary depending upon the cost to us of providing each experience. Bussing from Menasha Summer School to the Boys & Girls Club of Menasha has a one-time fee of $20. Outstanding balances. If your account is not current, you will also be asked to bring it up to date to enroll your child. As always, the Boys & Girls Club works hard to ensure all children can participate regardless of their household income levels. Please let us know if you need help managing and covering the cost of participation. We never want an inability to pay to keep a child from becoming a Club member. How do I pay? Please submit the summer program fee and membership fee (if needed) along with your enrollment form. If we are unable to enroll your child for any reason, we will refund your payment. We prefer payment by check but will accept cash and credit card payments at either Club as well. We are not able to offer online summer program registration at this time. If sending in the mail, please use one of the following addresses: Boys & Girls Club of Appleton Boys & Girls Club of Menasha Summer Enrollment Summer Enrollment 160 S. Badger Ave 600 Racine St. Appleton, WI Menasha, WI

3 How do I get help with the cost of participation? Please indicate your need for financial assistance on the Summer Program Enrollment Form and someone will contact you. Boys & Girls Club of Appleton Summer School In partnership with the Appleton Area School District, the Boys & Girls Club will once again be the location for an extensive array of summer school offerings this year. If you would like to enroll your child in one or more of these fun, engaging and educational opportunities, please also complete and return with your summer program registration the enclosed Summer School Enrollment Form. New this year also is that we will expect your child to maintain regular attendance in each course selected. Children can choose to enroll only in summer school and not in the rest of the summer program. Field Trips Details on the field trip opportunities will be available at the front desk of each Club by the first week of the summer program. Program Information The summer programs at the Boys & Girls Club of Appleton and the Boys & Girls Club of Menasha will once again feature a wide-ranging array of fun and exciting programs. Sports and fitness, art activities, small group discussions, leadership and community service, field trips, Trips for Kids, baseball, Summer Brain Gain, and much, much more will among the many opportunities available again this year. Both Clubs will also once again be Summer Food Service Program sites and will offer breakfast, lunch, and an afternoon snack. Information Sessions To learn more, ask questions, and meet some of our amazing team members, join us at either location on Tuesday, March 28 th or Thursday, March 30 th from 5:00 p.m. to 6:00 p.m. What about my teenager? Advance enrollment in The CLUB Teen Centers summer programs is not required. Teen membership is $5 per year and there is no additional summer registration free. The CLUB Teen Centers of Appleton and Menasha will be open from 9 a.m. until 5:30 p.m. Monday through Friday. Teens who arrive during the Early Bird Program will also be required to pay the $5 per day fee for that service. 3

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Child #1 Child #2 Child #3 Child #4 Child #5 Last Name First Name Age (must be at least 6) Club (Appleton or Menasha) Please Return School (in the upcoming school year) Please write an X in blue or

5 2017 Summer Enrollment for Current Club Members Ages 6 to 12 Please fill in the below information and return by April 14 th. If you are enrolling more than one child and they will not attend on the same schedule, please complete separate forms. Child #1 Child #2 Child #3 Child #4 Child #5 Last Name First Name Age (must be at least 6) Club (Appleton or Menasha) Please Return School (in the upcoming school year) Please write an X in blue or black ink over each day and time slot you would like your child to attend. Week Early Bird (7am 9 am, $5/day) 9am 12pm 12pm 5:30pm 1 June 8-9 M T W Th F M T W Th F M T W Th F 2 June M T W Th F M T W Th F M T W Th F 3 June M T W Th F M T W Th F M T W Th F 4 June M T W Th F M T W Th F M T W Th F 5 July 5-7 W Th F W Th F W Th F 6 July M T W Th F M T W Th F M T W Th F 7 July M T W Th F M T W Th F M T W Th F 8 July M T W Th F M T W Th F M T W Th F 9 July 31 August 4 M T W Th F M T W Th F M T W Th F 10 August 7 11 M T W Th F M T W Th F M T W Th F 11 August M T W Th F M T W Th F M T W Th F Summer Picnic August 18th Will your child need bussing from summer school at Clovis Grove to the Boys & Girls Club of Menasha? Friday, 4pm 6pm Child #1: YES NO Child #2: YES NO Child #3: YES NO Child #4: YES NO Child #5: YES NO Based upon your household income, does your family qualify for Free or Reduced school? YES NO Annual Income Level: (Please note, this information is not shared but it is required as the BGC uses this data in summary form to help secure financial support for the Boys & Girls Clubs programs and services.) - Please continue on the reverse side 5

6 Boys & Girls Clubs of Appleton & Menasha Summer Enrollment continued Item Cost (circle or complete all that apply) Total Summer Program Fee* $50 (1 child) $100 (2 children) $125 (3 or more children) $ Membership Renewal** (If you are unsure of the expiration date for your child s membership, please call ) $15 (1 child) $30 (2 children) $35 (3 or more children) $ Early Bird Program (7am 9am)*** $5/day per child $ Bussing from summer school*** $20 per child $ Outstanding Balance: If you have an overdue outstanding balance on your account please also include payment for the overdue amount at the time of enrollment. TOTAL Enclosed: Please Return $ $ *For ages 7-12 only. Please pay at the time of enrollment. This is a one-time fee per child for the summer and covers the cost of summer program participation at all Boys & Girls Clubs in the Fox Cities. ** For ages Please pay at the time of enrollment if your child s membership will expire prior to August 18 th, Please note that you will also be asked to update your child s information when you renew their membership. ***Not due at this time, however you may make an advance payment if you choose. Financial Assistance The Boys & Girls Clubs of the Fox Valley s policy is to ensure that financial limitations never prevent a child from fully participating in its programs and services. If you would like to request financial assistance, please check this box and someone will contact you to discuss how we can reduce or waive the above fees. Summer School at the Boys & Girls Club of Appleton Registration in the Appleton Area School District s Summer School program offered at the Boys & Girls Club of Appleton requires the completion of an additional registration form which is also included in this packet. Please return the completed Summer Program Enrollment Form and payment to: Boys & Girls Club of Appleton Boys & Girls Club of Menasha Summer Enrollment Summer Enrollment 160 S. Badger Ave 600 Racine St. Appleton, WI Menasha, WI Parent/Guardian Acknowledgement: By signing below, you acknowledge the information you have provided above is truthful and accurate. You also acknowledge that: 1) The Summer Program Fee and Membership Fee is non-refundable; 2) Submission of this enrollment form and payment does not guarantee enrollment; 3) The Summer Program requires regular attendance, which in general means an average of three or more days per week. Parent/Guardian Signature Phone 6

7 2017 Summer School at the Boys & Girls Club of Appleton The Boys & Girls Clubs of the Fox Valley will once again offer a full array of summer youth development programs for youth ages 6-18 at its Boys & Girls Club of Appleton facility including summer school opportunities in collaboration with the Appleton Area School District. The Boys & Girls Club of Appleton s 2017 Summer Program will begin on Thursday, June 8 th and continue through August 17 th. Course Descriptions Art Enrichment: Learn how to draw, paint, and sketch the world around you! We ll create exciting art projects that you will want to share with your family and friends. So, You Think You Can Dance!: Start dancing to your favorite song while learning new show-stopping moves. You will also have an exciting time creating moves of your own and pumping up the crowd with your new routines. Group Games: Kids will enjoy participating in a variety of unique and creative games designed to teach problem solving, teamwork, and leadership. SPARK: Come play jump rope games, parachute play, jogging games, fitness circuits, beanbag activities, and more. Grossology: The science of all things gross! This program explores the slimy, oozy, scaly, and stinky gross (yet scientific) things that occur every day in the human body. Based on the children's best-selling book "Grossology" by Sylvia Branzei. Multi-Cultural Art: Explore the importance of artistic expression in different cultures. Learn how to make native crafts as you explore their various histories. Junk Box Wars: Come use your imagination, scientific knowledge, and a box of "junk" to create a variety of devices that perform an assortment of tasks. The Junk Box Wars projects are modeled after the Junkyard Wars TV show. ImageMakers: If you love to take photos, come learn and practice black and white photos, color and the digital process of photography. Sport-a-Week: A different sport will be taught and explored each week, including volleyball, basketball, baseball, and more. Pitch Perfect: This fabulous class is for all students who enjoy acting, singing and/or dancing or even the behind-thescenes work of musical theater such as choreographing, stage management, directing and more. Master Gardeners: Are you interested in learning all about planting? We will prep the garden, tend to the plants, water and observe, keeping a weekly journal. Simple Science: Calling all young scientists! Are you ready to be amazed with simple science experiments? We will blow up balloons with an interesting science concoction; create stargazers and your very own quicksand to see how quicksand works -just to name a few. Jewelry Making: Get ready for some jewelry making fun! We will make friendship bracelets, lanyards, beaded necklaces and more. Important Information Students who wish only to participate in summer school and breakfast and lunch are not required to be members of the Boys & Girls Club. However, students may only attend the classes for which they were enrolled. Students may not participate in activities other than breakfast and lunch and they may not loiter outside of class time. Students who are not residents of the Appleton Area School District will need the signature of the Summer School Coordinator from their school district to participate in summer school classes. The Boys & Girls Clubs of the Fox Valley and the Appleton Area School District reserve the right to limit class sizes, adjust age limits, and to change, add, or cancel classes. All students are expected to participate for the full 18 or 20-day session. In accordance with Federal law the Boys & Girls Club is prohibited from discriminating based on race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, DC or call (800) or (202) (TTY). 7

8 Registration for 2017 Summer School at the Boys & Girls Club of Appleton Please circle which courses your child will attend. Please select the grade your child will be entering in the upcoming 2017/18 school year. Session I: June 19th - July 14th Session II: July 17th - August 10th (Closed July 3rd & 4th) Time Grades 1-3 Grades 4-6 Grades 1-3 Grades 4-6 9:00 Group Games Grossology Grossology Group Games 10:00 Master Gardeners Group Games Group Games Master Gardeners 11:00 Grossology Sport of the Week Sport of the Week Grossology 1:00 2:00 3:00 Simple Science, or SPARK Junk Box Wars, or Multicultural Art So, You Think You Can Dance! Jewelry Making Pitch Perfect Art Enrichment or Junk Box Wars ImageMakers, or Jewelry Making Simple Science, or Pitch Perfect Art Enrichment Please Return SPARK Multicultural Art So, You Think You Can Dance! or Simple Science Student Name Gender M F Date of Birth / / Address Apt # City Zip Home Phone # Grade in Fall 2017 Is the student currently attending an Appleton Area School District school? Yes, my child is currently attending school. No, my child attends school in the school district. If you answered no and live outside of the AASD, you will need to get prior approval from your school district s summer school coordinator. Please take this form to your district coordinator for their signature before submitting. Summer School Coordinator Signature: Date: / / Does this student have an IEP, Building Intervention Plan, or 504 Plan? Yes No (If yes, please explain): Per the WI Dept. of Public Instruction, summer school classes are not tailored to implement a student s IEP. All Appleton School District policies for the regular academic school year regarding dress, behavior and school safety are in effect during Summer School. If you would like a copy of these policies, please contact the Summer School office. Parent/Guardian Name Parent/Guardian Name EMERGENCY INFORMATION (Non-Members Only) Phone # Address Phone # Address If a parent or guardian cannot be reached by phone, please contact: Name Relationship to the child: Phone # Special Health Concerns/Medical Diagnoses: I hereby authorize Boys & Girls Club or AASD Summer School personnel to obtain emergency medical care for my child if needed. Parent/Guardian Signature: Date: My child is a member of the Boys and Girls Club of the Fox Valley YES or NO Please mail or drop off your registration form to: Summer Enrollment, BGC of Appleton, 160 S Badger Ave Appleton, WI Questions regarding Summer School? Need more forms? Please call or or mnelson@bgclubfoxvalley.org 8

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