Afterschool
Summer Enrichment

Summer Enrichment Program  2010

Thank you for your interest in Parkside’s Summer Enrichment Program.  We are excited to be able to engage your child in 6 weeks (8 weeks for Preschool) of fun, project-based hands-on learning activities that will propel them to educational success.  And they will be in a safe, family oriented environment

The theme for this summer is Made For A Purpose.  Students will engage in activities that will coordinate with each weekly theme.  Thank Activities include academic enrichment in reading, writing, math, and science/technology, as well as periods for active play and language lab. Afternoon projects will be fun hands-on activities that promote active learning and problem-solving.  We will end each week with a field trip that allows students to interact with the weekly theme experientially.  Download a flyer here.

Program Dates: Preschool: June 28, 2010 - August 20, 2010; K - 10: July 5, 2010 - August 13, 2010

Program Hours: 8:30 am to 5:00 pm.  (You may drop your child off anytime between 8:00 am and 8:30 am. )

Program Cost: $180 per week; Siblings ($150 per week) - You must sign up for a minimum of 3 weeks.

 Deadlines: May 1, 2010 (Deposit Due = 1/2 of total cost); June 1, 2010 (Final Payment Due)

 You may apply to enroll your child in the Summer Enrichment Program below!

Summer Enrichment Program Registration Form 2010:

Check all weeks your child will attend. (You must select a minimum of 3 weeks.)

1.
*

Week 1 is available to Preschool and Bridge Program students ONLY.

Week 8 is available to Preschool students ONLY.

 (3 required)
Week 1: June 28 to July 2   Week 2: July 5 to July 9
Week 3: July 12 to July 16   Week 4: July 19 to July 23
Week 5: July 26 to July 30   Week 6: August 2 to August 6
Week 7: August 9 to August 13   Week 8: August 16 to August 20
2.
*

Student Last Name
3.
*

Student First Name
4.

Student Nickname
5.
*

Gender
Male   Female
6.
*

Date of Birth
7.

Ethnic Background
8.

Primary Language
Use your Ctrl & Shift keys to select multiples.
9.
*

Parent1/Guardian1 Name
10.
*

Relationship to Student
11.
*

Parent1/Guardian1 Street Address
12.
*

Parent1/Guardian1 City and Zip Code
13.
*

Parent1/Guardian1 Home Phone
14.

Parent1/Guardian1 Cell Phone
15.

Parent1/Guardian1 Email Address
16.

Place of Employment
17.

Occupation
18.

Parent1/Guardian1 Work Phone

For Parent2/Guardian2, only enter the information that is different from Parent1/Guardian1.
19.

Parent2/Guardian2 Name
20.

Relationship to Student
21.

Parent2/Guardian2 Street Address
22.

Parent2/Guardian2 City and Zip Code
23.

Parent2/Guardian2 Home Phone
24.

Parent2/Guardian2 Cell Phone
25.

Parent2/Guardian2 Email Address
26.

Parent2/Guardian2 Place of Employment
27.

Parent2/Guardian2 Occupation
28.

Parent2/Guardian2 Work Phone
29.
*

Marital Status of Parents/Guardians
Married   Single   Divorced   Separated   Widowed
30.
*

Student lives with:
Both Parents/Guardians   Mother   Father   Other
31.

If "Other", please indicate here who the students lives with.

EMERGENCY CONTACT PERSON (OTHER THAN PARENT)
32.
*

Name
33.
*

Address
34.
*

Home Phone
35.
*

Cell Phone
36.
*

Work Phone
37.

Student's Current School/Location
38.
*

Does your child have any unique learning needs/abilties that we should be aware of?
Yes   No
39.

If yes, please explain:
40.

Has your child been retained in any grade?
Yes   No
41.

If yes, please give the grade(s) and explanation:
42.

Place of Worship/Denomination
43.
*

How did you hear about the Summer Enrichment Program?

 (1 required)
PCA Parent   PCA Staff
Internet Search   Alumnus/a of PCA
Pastor   Friend
Newspaper   Other
44.

Are you interested in learning more about Parkside Christian Academy or Cross Factor Academy?
Yes   No

STATEMENT OF RESPONSIBILITY

I understand that my child cannot attend unless a completed physician’s exam, including immunization record, is received by June 1, 2010.

I understand it is my responsibility to bring any special concerns about my child to the Director’s attention at the time of registration.

I authorize Parkside Christian Academy to have, use, publish, and reproduce photographs, slides, moving pictures or videotape of my child for its records or public relations efforts. No names will be used.

I grant permission for my child to participate in Parkside Christian Academy’s organized programs.

I have read the Tuition Schedule. I understand and accept the program’s policy concerning registration fees, tuition, and terms of enrollment.

I understand that once an application is accepted by Parkside Christian Academy, no refunds or transfer of funds will be made for withdrawal, dismissal, failure to attend, or incomplete attendance.

 

I understand the Director reserves the right to dismiss a student when, in her judgment, the student’s behavior interferes with the rights of others, the smooth functioning of the group or activity, or violates the Parkside’s principles of conduct.

I understand that Parkside Christian Academy cannot guarantee a space for my child if the payment terms are not met.

 
45.
*

I have read the Statement of Responsibility.

 (1 required)
Yes   No

Type in the text that you see above:

  

Highlights from Summer 2009!

During the summer of 2009, we had an awesome time of learning and growing - academically, spiritually and socially.  Parkside's Summer Enrichment Program, Great Expeditions. was filled with an exciting exploration of knowledge in the classroom and outside.  Approximately 50 students participated in project-based hands-on learning activities, and formed lasting friendships.  Here are some pictures highlighting our time.

 

 

SEP 2009
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Ecotarium : Preschooler looking at speciman
Ecotarium : Preschooler looking at speciman

Parkside Christian Academy
215 Forest Hills Street
Jamaica Plain, MA 02130
Phone: 617-522-1841
Fax: 617-524-9583
admissions@parksideca.org

Office Hours: M-F  8:30 am to 5:00 pm

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