CCW/KU After School Program at Seven Bridges Middle School Joanne Saporta, Director, CCW Elliot Semel, Director, After School Program _____ For additional information or questions relating to this program, please contact Elliot Semel at (914) 238-7203 ext. 4550 After School Program SB SPRING 2015 SESSION INCLUDES: FENCING! CARTOONIZED ME! BADMINTON! TABLE TENNIS! ULTIMATE FRISBEE! CHESS! Tuesdays Thursdays Fridays 4/14, 4/21, 4/28, 5/5, 5/12, 5/19, 5/26, 6/2 4/16, 4/23, 4/30, 5/7, 5/14, 5/21, 5/28, 6/4 4/17, 4/24, 5/1, 5/8, 5/22, 5/29, 6/5, 6/12 IMPORTANT INFORMATION All students must complete and return registration forms to the main office by Friday March 27, 2015. You may register for classes on more than one day if space is available. Please enclose a separate check for each class day requested . Please note: There is a $20 discount for each class for forms received by 3pm on Friday March 27, 2015. Class lists and rooms will be posted in the Dining Commons by Tuesday, April 7, 2015. CONFIRMATION OF ENROLLMENT IS NOT SENT HOME. Late buses will be running every day when there is an activity. Early dismissal or school closure automatically cancels After School Program activities. Please make contingency plans with your child for possible last minute cancellations, as the school will not be calling parents for ASP cancellations. Attendance is taken at all after school classes requiring registration. Please notify the office if a student will be in school but not staying for his/her after school class. Some courses have very limited enrollments, so please list second or third choices. In the event that a course has more applicants than can be accommodated, students are chosen by lottery. No late applications can be included in the lottery. Please note that no refunds can be given once student enrollment is complete unless class is cancelled by CCW due to under enrollment. On the last page there is a release and waiver that all participants and parents need to sign. Check out our website for a full listing of after school activities with registration and release/waiver form at: Chappaqua Children’s Workshop http://ccwkids.org Seven Bridges PTA: http://www.chappaquapta.net Seven Bridges MS: http://sb.ccsd.ws CCW/KU After School Program at Seven Bridges Middle School _____ For additional information or questions relating to this program, please contact Elliot Semel at: (914)238-7203 ext. 4550 SB After School Program CLASS SIZE IS LIMITED SO PLEASE LIST ALTERNATIVE CHOICES IF POSSIBLE. ENROLLMENT LISTS WILL BE POSTED IN THE CAFETERIA BY TUESDAY APRIL 7. NOTIFICATION IS NOT SENT HOME. NO REFUNDS CAN BE GIVEN ONCE THIS APPLICATION IS SUBMITTED UNLESS CLASS IS CANCELLED BY CCW DUE TO UNDER ENROLLMENT. A DOWNLOADED RELEASE/WAIVER FORM FROM THE BROCHURE MUST BE INCLUDED WITH YOUR APPLICATION. Please return this form to the Main Office by 3 p.m. Friday, March 27, 2015 Student’s Name ____________________________________ Grade __________ Team _________ Parent’s Name _____________________________ Phone (day) ______________ (eve) _______________(cell)______________ Student’s Address ______________________________________________Parent email_________________________________ Do you plan to take the late bus? (circle one) Yes / No Register me for one class only. My choices, in order of preference, are marked below. If spaces are available, register me for two classes. My choices are marked in order of preference. If spaces are available, register me for three classes. My choices are marked in order of preference. Please attach separate checks to the back of this form—one for each course—payable to “CCW/KU” My choices for after school classes are marked below (please number 1,2 or 3) in order of preference: TUESDAYS ____ Ultimate Frisbee* $115 ____ Cartoonized Me * $235 THURSDAYS ____ Table Tennis*$115 ____ Introduction to Fencing*$255 FRIDAYS ____ Badminton* $115 ____ Table Tennis* $115 ____ Recreational Chess* $115 . Please note: There is a $20 discount for each class for forms received by 3pm on Friday March 27, 2015. *limited enrollment—In the event that a course has more applicants than can be accommodated, students are chosen by lottery. No late applications can be included in the lottery. Please make sure to download and attach a release/waiver form from the After School Program brochure in order to complete your enrolment. http://sb.ccsd.ws ; http://ccwkids.org or http://www.chappaqupta.net Student Signature ___________________________ Parent Signature _____________________________________ KIDS UNLIMITED - an affiliate of Chappaqua Children’s Workshop Dear Students and Parents: Kids Unlimited is pleased to be able to sponsor the After School Enrichment Program at Seven Bridges Middle School. The After School Program will be in session three days per week with instructional classes held on Tuesdays, Thursdays and Fridays. A nominal fee is assessed to cover the cost of each class. After School classes begin at 2:30 pm and, unless otherwise noted, conclude at 3:25 pm in time for students to take the late bus home. Special thanks to the Chappaqua Central School District Board of Education, Dr. Lyn McKay, Superintendent, Dr. Michael G. Kirsch, Seven Bridges Interim Principal and Mr. Gregory Stiefel, Seven Bridges Assistant Principal. We wish everyone a happy spring season! Sincerely, Elliot Semel, Director, After School Program Joanne Saporta, Director, KU/CCW All students must complete and return registration forms to the main office by Friday, March 27, 2015. You may register for classes on more than one day if space is available. Please enclose a separate check for each class day requested . Class lists and rooms will be posted in the Dining Commons by Tuesday, April 7, 2015. CONFIRMATION OF ENROLLMENT IS NOT SENT HOME. Late buses will be running every day when there is an activity. Early dismissal or school closure automatically cancels After School Program activities. Please make contingency plans with your child for possible last minute cancellations, as the school will not be calling parents for ASP cancellations. Attendance is taken at all after school classes requiring registration. Please notify the office if a student will be in school but not staying for his/her after school class. Some courses have very limited enrollments , so please list second or third choices. In the event that a course has more applicants than can be accommodated, students are chosen by lottery. No late applications can be included in the lottery. Please note that no refunds can be given once student enrollment is complete unless class is cancelled by CCW due to under enrollment. Attached is a release and waiver that all participants and parents need to sign. Please note: There is a $20 discount for each class for forms received by 3pm on 3/27/15. CCW/KU AFTER SCHOOL PROGRAM at SEVEN BRIDGES MIDDLE SCHOOL Joanne Saporta, Director, KU/CCW; Elliot Semel, Director, After School Program For additional information or questions relating to this program, please contact Elliot Semel at (914)238-7203 ext. 4550 4/14, 4/21, 4/28, 5/5, 5/12, 5/19, 5/26, 6/2 Please note: There is a $20 discount for any class request received by 3pm on Friday March 27, 2015. Ultimate Frisbee limited to 14 students $115 Ultimate Frisbee is a field game. The goal is to catch the disc in the other team’s end zone (think touchdown). If the other team has the disc, we want to intercept it or make them drop it, but we can’t touch the other team’s players. Three steps are the maximum a person can take while in possession of the disc. (Think Basketball) We’ll learn the rules and fundamentals and then we will play! Meets with Mr. Tortorello-Allen, Seven Bridges English teacher. Cartoonized Me! limited to 12 students $235 Do you have a great idea for a comic book or a graphic novel? Have fun turning photos of you and/or your friends (with permission only, of course) into cartoons and being the stars of a comic story. Create comics using a web camera, photo-editing software, images and templates. Learn photo editing software techniques such as converting photos into cartoons, creating background images, adding lighting, editing text bubbles and many more. The important skills of thinking through a storyline; planning and creating the characters; and writing a plot with dialogue; are all taught in an exciting and stimulating environment. After the class completion, students can download their projects, the software and resource files that they used in class. Meets with staff from “Bits, Bytes and Bots”. 4/16, 4/23, 4/30, 5/7, 5/14, 5/21, 5/28, 6/4 Please note: There is a $20 discount for any class request received by 3pm on Friday March 27, 2015. Table Tennis limited to 18 students $115 Give it your best shot to play the game and develop your skills in this exciting clinic/ tournament format If you’re a beginner or an experienced pro, this class is for you. We have also added a Friday section due to popular demand. Meets with Mr. Yuen, former college table tennis doubles champion. Introduction to Foil Fencing limited to 14 students maximum (10 students minimum) $255 Fencing will help you acquire the reflexes of a boxer, the legs of a high jumper, and the concentration of a tournament chess player. The sport develops your agility, strength, speed, and cunning. Because it is action-packed, it is known as the fastest martial art. But the best thing about fencing is- IT'S FUN!" All equipment will be provided for use in this safe, structured beginner’s foil fencing class. Meets with Ms. David, Fencing Academy of Westchester coach. Ms. David was a member of the Romanian national and Olympic Team from 1987 to 1999. She earned two silver medals at World Championships: in 1993(Essen,Germany) and in 1997 (Cape Town, South Africa). - a great way to ease into the weekend: 4/17, 4/24, 5/1, 5/8, 5/22, 5/29, 6/5, 6/12 Please note: There is a $20 discount for any class request received by 3pm on on Friday March 27, 2015. Badminton limited to 18 students $115 Join the fastest racquet sport in the world with participation in the badminton after school program. Learn to play with a certified USA Badminton coach and former ranked player. You will work on your hand eye coordination as well as getting a great work-out. Beginners through advanced players are welcome. Even if you have never touched a racquet, you can give it a try. Meets with Mr. Kittredge, Seven Bridges phys. ed. teacher. Table Tennis limited to 18 students $115 Give it your best shot to play the game and develop your skills in this exciting clinic/ tournament format If you’re a beginner or an experienced pro, this class is for you. This section has been added due to popular demand. Meets with Mr. Yuen, former college table tennis doubles champion. Recreational Chess limited to 18 students $115 Have you ever wanted to play chess but couldn't talk your parents, nanny or little sister into playing with you? Well, we have just the after school program for you! Come play chess, for fun, with other students who want to play as much as you do! Meets with Mr. Tortorello-Allen, Seven Bridges English teacher. Chappaqua Children’s Workshop P.O. Box 918 Chappaqua, NY 10514 RELEASE AND WAIVER OF LIABILITY AGREEMENT I, (“Participant”), acknowledge that I have voluntarily applied to participate in activities at CCW/KU. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. I verify this statement by placing my initials here:________________ Parent or Guardian’s initials (if under 18):_____________________ As consideration for being permitted to participate in these activities, I forever release any CCW affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”)from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND CCW, AND SIGN IT OF MY OWN FREE WILL. If Signed by Parent or Guardian: I verify that the dangers of the activities and the significance of this Release and Waiver were explained to the Participant and that the Participant understood them. Executed and dated on , / /20____ . PARTICIPANT/RELEASOR PARENT OR GUARDIAN _____________________________ ________________________________ Signature Signature Address:______________________ Address:_________________________ _____________________________ ________________________________ IF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR GUARDIAN MUST SIGN AND INITIAL THIS FORM WHERE INDICATED.
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