1. health and fitness

Coming To You This Summer!
Halstead
Hesston
July
June
7th - 11th
16th -- 20th
15th
19th
Kansas Learning
Center For Health
Hesston
Heritage Park
Grades (Completed)
K-1: 9:30-12:30
2-4: 12:00-3:00
Lunch Provided
For Both Sessions
Grades (Completed)
K-1: 9:30-12:30
2-4: 12:00-3:00
Lunch Provided
For Both Sessions
Summer 2015
Healthy Lunch Provided
Every Day At Noon
For Both Age Groups
The BIG Fit is a 5-session summer camp for kids K-4th grades (completed)
designed to encourage total �tness. Students will discover
how being physically, mentally and socially �t
can lead to total wellness.
505 Main Street • P.O. Box 288 • Halstead, KS 67056
1.800.798.2124 • 316.835.2662
www.learningcenter.org
Hours: Monday - Friday 9 am - 4 pm
Registration Form....Please Fill Out And Return Registration, Fee And Waiver To KLCH.
*Please make checks payable to the Kansas Learning Center for Health
Student Info
Primary Contact
First Name _________________________________________________
Name ____________________________________________________
Last Name _________________________________________________
Street Address _______________________________________________
Street Address _______________________________________________
City _____________________________________________________
City _____________________________________________________
State __________________________________Zip Code ____________
State __________________________________Zip Code ____________
Home Phone________________________________________________
Age______________________________________Male____Female____
E-Mail Address ______________________________________________
Grade Completed (Spring 2014) ____________________________________
Emergency Contact Other Than Primary________________________________
School ___________________________________________________
Emergency Phone ____________________________________________
Please list any needs your child might have: ie; food allergies, illnesses, medications
Please Circle One: T-Shirt Size: Youth S M L XL Adult S M L
Fun Fitness Activities • Brain Games
Nutrition Coaching • Healthy Life Skills
T-Shirt • FREE Healthy Lunch (every day)
Did We Mention FUN!
Join us as we discover a healthy and active lifestyle change that will
help with your child’s mental, social and physical development!
Cost $40.00 / Child
Unplug from the virtual world and help your child develop an active and healthy lifestyle!
Join the Learning Center Team for a summer of BIG Fit Fun.
SPONSORS
City of Hesston
Charlsen Insurance
CKCF Kids FUNd
Farmers Coop (Halstead)
Halstead Chiropractic
Halstead Masonic Lodge #46
Helianthos II
Hesston Community Foundation
Hesston Recreation & Community Education
Hesston Women’s Civic Club
KLCH Health Fund
Mark’s Meats
Sizemore, Burns, Gillmore, LLC
Sooter Car Wash
Call Today
800.798.2124
Pick Registration Up At KLCH or go online at
www.learningcenter.org
505 Main Street • P.O. Box 288
Halstead, KS 67056 • 316.835.2662
Hours: Monday - Friday 9 am - 4 pm
Make checks payable to
Kansas Learning Center For Health
Please return registration and fee of $40.00
to 505 Main St, Halstead, KS 67056
May30th,
29th,2014
2015
by May
I do hereby request that my child be accepted to attend The BIG Fit, 2015
2014 at The Kansas Learning Center for Health. I indemnify and hold The Kansas Learning Center for Health,
and it’s staff, from any and all liability, claims, damage, injury or illness sustained to my child. I grant The Kansas Learning Center for Health permission to provide or obtain
medical attention for my child in the event of sickness or injury and I understand the accident insurance is not included in the program fees.
Should a student require medical treatment during the program parents shall bear all expenses.
Furthermore, I give The Kansas Learning Center for Health permission to photograph or video tape my child for education and promotional materials.
Signature - Parent/Guardian __________________________________________________________________ Date ___________________