Winter AfterSchool Classes

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wooDsHoP grades 1-3 / 4-5 Webster Wishing Well Thereare many different parts to cut, measure, drill, and assemble. The crank liftsthe lid to reveal a hidden storage compartment. Additional details can be addedas time allows. Everyone remembers woodshop!Students use a variety of tools. They learn . safety techniques . design . assembly . spatial perception . concentration . small motor skills . to follow directions . to think for themselves.Participants feel a sense of accomplishment and prideas they crafttheir project and watch it develop intosomething recognizable. During the process they are both learning and having fun. We teachbasic woodshop skills with a focuson safety. The knowledge gained in this course will be useful to themthroughout their lives. Dav of the Week Mondays Class dates 1114, 1128, 214,2111, 2125, 314,3111, 3118 Class times 3:15 pm - 4:15 pm (duration: t hour) Meeting Room outside lunch tables (inside in inclement weather) ClassFee $165 (inctuoes materials) Class size Limited Space (vendors discretion to cancel if minimum not met) PLEASE PRINT wooDsHoP Webster Elementarv Winter 2013 Afterwoodshop my childwill be: tr Picked up tr Walk home E Daycare/ YMCA El Male E Female I SpeciatNeeds E Yes E trto Explain: Mom's name: I Dad's name: Home phone: Momcell: Dadcell: Office phone: Other: Other name: Momemail: I Dademail: MailAddress: I Citv: I Zio: Emerqencv contact ohone (if different from above): I Emerqencv name: Returning to woodshopf Yes E Retumingsfudenfs need o nly enter changed information, Return by mail,emailor to the school office: Checks or Money Orders (total $165) payable to Larry Lichter. {eWiW charge my EMasterCard EVisaEDiscovercard. Credit CardNumber / Card Expiration (mm/w) _ / 20- Security Code Nameon Card(rnrr'rr) State Billing Address (if different fromabove) AGREEMENT, WAIVER AND RELEASE It is the responsibility ofthe parent/legal guardian to insure that your child arrives at and is promptly picked up from class. l// personal absences are forfeited. Design It In Wood, nor the Santa Monica-Malibu Unified SchoolDistrict, their agents; employees or administrators will not assume any liability. By participatingin, or authorizingparticipationin, this program in any way whatsoever you herebyrelease and hold harmless expressly and forever the Santa Monica-Malibu Unified SchoolDishict and Design It In Wood, their instructors, employees, agents and consultants from any and all liability, for any claim, demand, injury, expense, damage, action or cause ofaction arising out ofor connected with the services or facilities ofthese entities,including thosearising from actsofactive or passive negligence. All photographs of and writings by students arethe sole propertyof Design It In Wood and can appear in any promotion. Design It In Wood is not afliliated with the Santa Monica-Malibu Unified SchoolDistrict. There is a $25 fee for returnedchecks. {f0 ParenVGuardian Signature: Date: Design lt In Wood Inc. o 1372Corte de Primavera r Thousand Oaks. CA91360o .805-523-2420 r [email protected] . contact Debbie or Larry Webster Elementary EnrichmentProgramRegistration Form - Winter 2013

description

After School Class Registration Forms

Transcript of Winter AfterSchool Classes

wooDsHoP grades 1-3 / 4-5Webster

Wishing WellThere are many different parts to cut, measure,

drill, and assemble. The crank lifts the lid toreveal a hidden storage compartment. Additional

details can be added as time allows.

Everyone remembers woodshop! Students use a variety of tools.They learn . safety techniques . design . assembly . spatialperception . concentration . small motor skills . to followdirections . to think for themselves. Participants feel a senseof accomplishment and pride as they craft their project and watchit develop into something recognizable. During the process theyare both learning and having fun. We teach basic woodshop skillswith a focus on safety. The knowledge gained in this course willbe useful to them throughout their lives.

Dav of the Week Mondays

Class dates 1114, 1128, 214, 2111, 2125, 314, 3111, 3118

Class times 3:15 pm - 4:15 pm (duration: t hour)

Meeting Room outside lunch tables (inside in inclementweather)

Class Fee $1 65 (inctuoes materials)

Class size Limited Space (vendors discretion to cancel ifminimum not met)

PLEASE PRINT wooDsHoP Webster Elementarv Winter 2013

After woodshop my child will be: tr Picked up tr Walk home E Daycare/ YMCA

El Male E Female I SpeciatNeeds E Yes E trto Explain:Mom's name: I Dad's name:Home phone: Mom cell: Dad cell:Office phone: Other: Other

name:Mom email: I Dad email:MailAddress: I Citv: I Zio:Emerqencv contact ohone (if different from above): I Emerqencv name:

Returning to woodshopf Yes E Retumingsfudenfs need o nly enter changed information,

Return by mail, email or to the school office: Checks or Money Orders (total $165) payable to Larry Lichter.

{eWiW charge my EMasterCard EVisa EDiscovercard.Credit Card Number / Card Expiration (mm/w) _ / 20- Security CodeName on Card (rnrr'rr)

StateBilling Address (if different from above)

AGREEMENT, WAIVER AND RELEASEIt is the responsibility ofthe parent/legal guardian to insure that your child arrives at and is promptly picked up from class. l//personal absences are forfeited. Design It In Wood, nor the Santa Monica-Malibu Unified School District, their agents; employees oradministrators will not assume any liability. By participating in, or authorizing participation in, this program in any way whatsoever youhereby release and hold harmless expressly and forever the Santa Monica-Malibu Unified School Dishict and Design It In Wood, theirinstructors, employees, agents and consultants from any and all liability, for any claim, demand, injury, expense, damage, action or causeofaction arising out ofor connected with the services or facilities ofthese entities, including those arising from acts ofactive or passivenegligence. All photographs of and writings by students are the sole property of Design It In Wood and can appear in any promotion.Design It In Wood is not afliliated with the Santa Monica-Malibu Unified School District. There is a $25 fee for returned checks.

{f0

ParenVGuardian Signature: Date:

Design lt In Wood Inc. o 1372 Corte de Primavera r Thousand Oaks . CA 91360 o .805-523-2420r [email protected] . contact Debbie or Larry

Webster Elementary Enrichment Program Registration Form - Winter 2013

AFTER SCHOOL PROGRAMBASKETBALL FU N DAM ENTALS

WITH GOAGH DARYL

Location: Webster ElementaryTimel 3:{Opm- 4l3opmDuration: 6 weeksWhen: Twice Weekly (Tues & Thurs)Gost: $2oo/child(${ OO for one day a week)Dates: Jan {Sih- Feb 2{.t

Gontac* Goach DarylPhone: 323-595-4042Emai l:[email protected]

Ghilds Name: Payment: Gash _

Gheck

(make payable to Daryt Adams)

Parents Name:

Phone:

Emergency Gontact:

Email:

Webster Enrollmenl FormWINTER SESSION

SNACK ATTACK. TUESDAYS

Tired of the same old snacks? Come learn how to make some new and differenttasty treats. From savory to sweet, every flavor is a blast. The best part is that

after you make them, you eat them!Delicious!

Grqdes: KTime: 1:55 pm - 2:55 pmDoy: TuesdoyDqles: 1 /15, 1 /22, 1 /29, 2/5, 2/12, 2/19, 2/26 & 3/5Fees: $.|60 for on 8-week session

Grodes: l -5Time: 3: , |0 pm - 4:10 pmDoy: TuesdoyDqles: 1 /15, 1 /22, 1 /29, 2/5, 2/12, 2/19, 2/26 & 3/5Fees: $.|60 for on 8-week session

Pleose see reverse side for regislrolion

Afler School Regislrolion FormCreqlive Spoce

I l916 W. Pico BlvdLA, CA 90064

(3r0) 231-7600www. c reolives po c eusq. c omRelurn form lo school otfice

Nqme of porliciponl:

Closs nqme & Time:

DOB: Grode: Rm#:

Nqme of porenls:

Address:

City, Slole, Zip:

Emoil Address:

Home phone: Cell phone:

Any relevonl medicql informolion: (Allergies, regulqr medicofion, etc.)

Pediotricion: Tel#:

Credit Cord:MC/VISA exp._

Nqme on Cqrd billing zip

Atler Poyment is mode, lhere ore no refunds. Creolive Spoce iscommitled lo providing o sofe qnd secure environment for qll children.In lhe evenl of injury or illness, Creolive Spoce will mqke every effort toconloct, but if such conlocl is nol forlhcoming, Creolive Spoce stoff willbe compelled to use lheir besl judgment with regords to the heolth qndsofety of my child. Any such lreqtmenl or core sholl be rendered of myexpense. I hereby indemnify Creolive Spoce qnd ony odministrolor oremployee from ony liobility becouse of lhe exercise of such conseni.

Signoture of Porenl or Guqrdiqn Dole

N UP for Classes!,IGS

Closses offered:Arl lnnovofors: Grodes KArl Innovqtors Grodes I -5

Doy: Wednesdoy

A s#ffifXdems**building *o*fng p*grum t

Time: K 2:00-3:00Clossroom:

l -5 3:14-4:14Rm8

Questions? Call 310 823-3631 or email [email protected]

Onl ine www. a ft in novatorswestla. co m1.(choose Kidz Classes)

Fax 310 823-3600Phone 310 823-3631Or return completed form to school office

DWinter Session Jan 16 - Mar 20 2013 10 wks $150trSpring Session Apr 10 - Jun 12 2013 10 wks $150trWinter & Spring Jan 16-lun t2 2OL3 20 wks $3p0*

(xFree T- shirt with both sessions) , ,:" " " . , 'Additional options: (delivered to your child in their Art InnovatorsClass)tr9x12 Basic Art Portfolio ($10)trArt Innovators T-shirt Youth-(circle) S / M I L I XL($15)*

2.3.4.

qeqssed-ruStudeni Nome (s):

Dvtsa trNc BDiscover Clnurx Echect< (attach)Please make checks payable to Art Innovators

Card#; Exp:*Porent/Guordion:*Phone: ( *Cell: (

II authorize Art Innovators to charge my card:X*Address:

*City: *Zip:*Emoil (closs updotes):*Grode(s): *Birthdote(s):*Kinder Rm #*Does your child normolly ottend ofterschool core?

--t nave reao and understand the information provided in this flyer. I

waive any right to claim against Art Innovators owners, staff andteachers'in the event of an accident, injury or loss 6f personal items. Iunderstand I am committing to my chjld's participation in ArtInnovators and reserving a place in class for the designated sessionabove, tuition refunds are only available when providing Art Innovatorswith 2 weeks advanced notice of the class the party wishes to cancel(discounts will be removed and free items will be,charged based on thecurrent sell ing price). I understand it is,my responsibil i ty to pick up mychild from the desionated classroom at the desionated end time unless

*After Art lnnovotors closs my child will:tl Be picked up by poreni/guordion from the

Art Innovotors.clossroomtr GoJo AfterschoolCore

Websler Enrollmenl FormWINTER SESSION

cttwvscome leorn lo ploy

"tr . Chess is fun, hqs been

proven lo enhonce creolivily, crilicol thinking ond execulive functioning whileimproving ocodemic performqnce. Your child's confidence will increose oll in

fun, while ploying o gome of chess. Lels ploy!

Grodes: KTime: 1:55 pm - 2:55 pmDoy: WednesdoyDoles: I /16,1/23, I /30, 2/6,2/13,2/20,2/27 &3/6Fees: $l 60 for on 8-week session

Grodes: l -5I ime: 3: l 0 pm - 4:1 0 pmDoy: WednesdoyDoles: 1 /1 6, 1 /23, 1 /30, 2/6, 2/13, 2/20, 2/27 &3/6Fees: $l 60 for on 8-week session

Pleose see reverse side for regislrqlion

Atler School Regislrotion FormCreqlive Spoce

1 l916 W. Pico BlvdLA, CA 90064

(310) 231-7600www.c reolivespo c e u so. c omRelurn form lo school office

Nome of porliciponl:

Closs nome & Time:

DOB: Grqde: Rm#:

Nome of porenls:

Address:

City, Sfole, Zip:

Emoil Address:

Home phone: Cell phone:

Any relevonl medicol informqlion: (Allergies, regulor medicotion, elc.)

Pediotricion: Tel#:

Credit Cord:MC/VISA

Nome on Cord

exp

billing zip

Afler Poyment is mode, lhere ore no refunds. Creotive Spoce iscommitled lo providing o sofe qnd secure environment for oll children.ln lhe evenl of injury or illness, Creolive Spoce will moke every efforl loconlqct, bul if such conloct is not forlhcoming, Creolive Spoce stqff willbe compelled lo use lheir best judgment with regords to the heolfh qndsofety of my child. Any such treolmenl or core sholl be rendered ol myexpense. l hereby indemnify Creolive Spoce qnd ony odminislrotor oremployee from ony liobility becquse of the exercise of such consent.

Signofure of Porent or Guordiqn Dole

11061 Swinton Ave Granada Hills,CA 91344. (818) 223-9344Web : www.creativefire-studio.com Email : creativefirestudio @ mac.com

After School Clay Class!Web$sr Hementary Sshool, Room 4

Thursday$ January | ?th - March ?th

Kindergarten: 1:45-2:45 pm; Grades 1-5: 3:05-4:05 pm. Send registration and payment to School Office by 1115113

ln this session of Ceramics, students will create an Asian Cloud Vase, envision a Winter Scene, fabricate a Picture Frame, and make a

Creation of Their lmagination. Goiling, pinching, and slab building techniques will be explored. Once painted and lired, your child's art'

work will spring to lifi from our kilns to your home! Flowers will spring to life, Winter stories will be told, pictures will look lovely , and

imaginations wilt soar to the unique intuition ol your child's creativity!

pRICE: $i1S.00 per child. Enrollment is on a first come first serve basis! CLASS LIMIT 25 KIDS

Please make check payable to Creative Fire.

This class is extremely popular!!! Prompt registration is urged.

Student name(s) Grade(s) AgesParent or Guardian names Hm PhoneAddress eitY ZiPEmergency Contact- Phone(s)School Room #Kindergarten Only: Does your child need to go to the bus or YMCA after class?

I hereby enroll my child in creative Fire's after school clay class. I understand there is no relund after the second week of classes. I hereby expressly and forever release and

discharge Creative Fire, webster Elementar School, an'd e Santaity for aiy claim, demand, injury expense, damage, action or cause ot action arising out of or connected with the services or lacilities ot Creative Fire, Webster Elementary and

S.lvt.trrt.U.S.O., including those arising from acts df active or passive negligence on the part ot Creative Fire Clay Studio,

I agree to all terms printed on this flyer' Signature

fi-tcnfes el,|mtncsficsloHll L. IIEBSTEn

3602 Winter Canyon Rd.

Curriculum includes progressivepositioning, hand-eye and foot coordination,The trampoline and mini-trampoline will bewith other children is enhanced.

GTASS SGHETIUTE E FEES

NAKE

'ANTSruDEIIT IilFONilATIOIILast:Sex: MalenAddress #l:Address #2:School:

Femaleu

Grade:

PANEilT TilFONilATIOIIGuardian #1:Employer:Address:City: zip:Email (required):

Pleaseindicate phone numbers in the order that you would like to be

Phone #1:Phone #2:

cn hn ws

skills, spatial awareness, correct bodyance and basic gymnastic skills on all equipment.

and air sense. In addition, social development

TO:

Previous Student?:Emergency Card?:

Yesn NonYesn NonZipz

City: zipzTeacher: Room #:

Guardian #2:Employer:Address:City: zip:Email (reqaired)zcontacted with the area code first under the guardian it applies to.

Phone #l:Phone #2:

cn ho wccn hn wn co hn wn

PREREGISTRATION IS REQUIRED. Preregistration includes a (l)emersency card" (2) registration form: a newone must be completed every school year, and (3) payment in full by the due date (class+yearlfiotal). VERBALREGISTRATIONS ARE NOT ACCEPTED. All classes are filled on a first come, first serve basis. The number ofstudents per class is limited. If the class is full, you will be informed. We recommend you notate the session dates,time and days off on your calendar. All late enrollments must email Hugo Montes to verify class availability andprorated fees. I have read and completed all of the above information and understand there are NO MAKE-UPS'TRANSFERS, CREDITS OR REFUNDS.Print: Sign:

zUE PATE: JANUARV IO, 2OI3Date: t l

Family Karate Center Inc.5290 Kaman RoadAgoura, CA 91301Familykarate.net(818) s97-32s3

After School Karate Program

About the program:

Hello, my name is Paul Karami. Thank you for giving me this opportunity towork with your kids. My goal is to make sure kids can learn and have funwhile training. Our system is called Aikido blend. For more informationabout me you can check familykarate.net.

Tuition:

Day:Time:Time:Dates:

Student NameParent NameAddress:Telephone:e-mail:

Program Information:

S160.00 payable to Family Karate Center.No refunds available after class starts.FridayKindergarten 1 :50-2:35 PM1't grade and up 3:10- 4:10 PMlll9, 1126, 2ll, 2lg, 2115, 2122,3/1 and 3/g

GradeRoom #

Does your child go to the YMCA after Karate?

I understand that martial arts (Hapkido) training may be dangerous. PaulKarami and Family Karate Center, Inc. are not responsible for any injuriesduring and after training. Please sign and date.

Signature Date

Animol EdventuresAfter School Progrom ot

Pleose Complete, sign, ond Detoch slip with check poyoble to: Porty Aninols.This completcd form with poyment must be turned in to the fiont desk by l{ondoy, Jon. 7, 2013.

65lt's like having the Discovery Channel inyour classroom! The kids get to touch,handle and experience the animals; theyhave fun and dontt even realize how muchthey are learning!"

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The closs meets weekly for one hourFeotures o different onimol(s) eoch weekThe students leorn obout our onimol(s), hold,pet & interoct with the onimol(s),then creoteon ort project reloted to the onimol(s) of theweeklOffered to 6rodes K-5ihWe hove over 160 kid-friendly onimols fromsnokes & tortoises to furry critters & bugs ofoll kinds, form onimols & even our very friendlywolves!l

PERMITTED, INSURED, AND QUALIFIED!Pleose visit our website ot

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Dotes: Jon 18 - rlAorch 8, 2013Nurnber of Weeks:8Price: $120.00

1:50-2

DoV j week: Fridoy

Closs.Times:I't 6rode thru 5th-3:10-4:1

*Includes oll materiols

Nome of Child: Aoe: Room #: GradezPorent's Nomes: Phone Number(s):

Phone Number(s):Porent's Emoil:(e-moil will be used for updotes ond notificotions gn!y)

Please read carefully and sign-I hereby enroll my child in Animal Edventures Program. I understand there is no refund after the first class or for any classes. I also understandthere will be a $25 fee for retumed checks. I hereby expressly release Party Animals and Webster Elementary School, their employees, instructors,agents, and owners, of any and all liability for any claim, demand, injury, expense, damage, action or cause of arising out of or in connection withmy child's participation in the Animal Edventures Program.

Signature: