Elementary K-5 Registration November 2014 Revised 10/30/2014 Mission Statement Offering expanded learning opportunities that facilitate academic excellence and positive youth development in a safe and structured environment for all students and their families. Lights On Information At-A-Glance Lights On in Lander afterschool program is a 21st Century Community Learning Center grant funded through the U.S. Department of Education and the State of Wyoming. Lights On in Lander is a Fremont County School District #1 school-based program designed to provide quality extended day programming to students in Grades K-12. Since 2001, Lights On in Lander has been a strong support service for academic and youth development. Lights On in Lander operates before and after school, Monday through Friday and offers both academic tutoring and enrichment activities. Early Bird Power Hour: Afterschool Power Hour: Enrichment Classes: Monday through Friday Baldwin Creek Elementary: Gannett Peak Elementary: 7:00am - 8:00am 7:00am - 8:00am Monday, Tuesday, Thursday, Friday North Elementary:* 3:15pm - 4:30pm Wednesday North Elementary:* 2:20pm - 4:30pm Monday through Friday North Elementary:* 4:30pm - 5:30pm * We will no longer be rotating host schools each month for afterschool programming. The new home of Lights On is in North Elementary, with the offices located in the library. Students will be bused from Gannett Peak Elementary and Baldwin Creek Elementary right after school for Power Hour and Enrichment. Payment Information Power Hour (both Early Bird and Afterschool) are free of charge to all participants. Please note that if you chose to pick your student up from Power Hour BEFORE 4:30PM, his/her homework will most likely NOT be completed due to time constraints. There is a small fee for Enrichment Activities. We charge Standard Fees or Reduced Fees for those who qualify through the Federal Lunch Program. Payment is due at the end of each session and bills will be mailed out to each family. NO CHILD IS DENIED SERVICE FOR FINANCIAL REASONS. Please call for a confidential arrangement plan or scholarship application, if necessary at 332.4240 or email at [email protected] Enrichment Fees Standard Fees Reduced Fees $3.00/day $. 50/day Program Details 2014-2015 POWER HOUR & ENRICHMENT SITE North Elementary School Two Easy Ways to Sign Up! Download the form or register online at www.landerlightson.org OR Return the yellow registration form to your student’s school or the Lights On Office at North Elementary prior to attendance. **PLEASE NOTE** EMERGENCY CONTACT INFORMATION AND COMPLETED REGISTRATION IS REQUIRED FOR EACH CHILD BEFORE THEY CAN ATTEND. PARENTS ONLY HAVE TO COMPLETE ONE REGISTRATION PER STUDENT PER YEAR UNLESS CONTACT INFORMATION AND/OR SCHEDULE CHANGES. Contact Information Main Office 626 Washington Street Lander, WY 82520 332.4240 (phone) 332.4412 (fax) http://www.landerlightson.org Executive Director Katie Rollino [email protected] Program Coordinator Janet Mays [email protected] Grade Level Coordinators Gannett Peak Elementary (K-1) Kelly Davey 332.6690 (school) 307.349.1047 (cell) Gannett Peak Elementary (2-3) Mary Rollino 805.901.3261 (cell) Baldwin Creek Elementary (4-5) Beth Shipley Schedule of Activities November 3, 2014 - November 28, 2014 EARLY BIRD & POWER HOUR: Homework help and tutoring MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY EARLY BIRD TUTORING Baldwin: 7:00-8:00am Gannett: 7:00-8:00am Baldwin: 7:00-8:00am Gannett: 7:00-8:00am Baldwin: 7:00-8:00am Gannett: 7:00-8:00am Baldwin: 7:00-8:00am Gannett: 7:00-8:00am Baldwin: 7:00-8:00am Gannett: 7:00-8:00am POWER HOUR TUTORING North: 3:15-4:30pm North: 3:15-4:30pm North: 2:20-4:30pm North: 3:15-4:30pm North: 3:15-4:30pm NOVEMBER ENRICHMENT CLASSES MONDAY 4:30-5:30pm TUESDAY 4:30-5:30pm WEDNESDAY 4:30-5:30pm THURSDAY 4:30-5:30pm FRIDAY 4:30-5:30pm Toobeez Grades K - 2 Bridges Grades K-2 Zumba Grades K-2 Poetry Grades K-2 Nov. 7 Fun Fridays Movies & Pretzels Speak Latin Grades K-2 Nov. 14 Fun Fridays K-2 Centers 3-5 Ice Cream Social/Games Problem Solving Grades K-2 Legos Grades K-2 Holiday Art Grades K-2 Mosaics Grades K-2 Surprise!! Grades K-2 Computers Grades K-2 Drawing Grades K-2 Nov. 21 Fun Fridays K-2 Holiday Art 3-5 Cardboard Creations Movement Mats Grades K - 2 Science Experiments Grades K - 2 Playdough Grades K - 2 Sports Grades K - 2 Nov 26 No Lights On 1/2 day of School Kids-in-the Kitchen Grades 3 - 5 Latin Activity Grades 3 - 5 Poetry Grades 3 - 5 Bridges Grades 3 - 5 Nov. 27 Happy Thanksgiving Computers Grades 3-5 To-BeAnnounced Grades 3-5 Surprise!!! Grades 3-5 S.T.E.M. Surprise! Grades 3-5 Nov. 28 No School No Lights On IMPORTANT BEFORE/AFTER SCHOOL PROCEDURES If you want to leave a message or make alternate pick up arrangements, call your child’s school by 2:30 pm M, T, Th, F, and 1:30 pm W. You must let us know if you want to be notified in the event your child is not at Power Hour. It is NOT our policy to notify parents. Parents/guardians must sign their child out of Lights On when picking them up early from North. If you chose to pick your student up from Power Hour BEFORE 4:30PM, his/her homework will most likely NOT be completed due to time constraints. FINAL PARENT PICK-UP TIME IS 5:30 PM. Lights On reserves the right to discontinue services to students who are frequently picked up late. BUS DROP-OFF – SCHOOL OF ORIGIN or OUT OF TOWN ONLY – Hudson School, Hudson City Park; ALCO Parking Lot, Game and Fish Parking Lot, Milford Store, Wyoming Indian High School, Wyoming Indian Elementary and Blue Sky Hall. Important Lights On Notes Market Day Nov. 19th Spend your Lights On Bucks HAPPY THANKSGIVING No Lights On Nov. 26 -Nov. 28 Family Night Schedule We are pleased to once again offer Family Nights during the school year. Family Nights will take place at North Elementary from 5:30pm to 7:00pm. All students and their families are welcome and every event is free of charge! Lights On Celebration! Thursday, December 18th REGISTRATION FORM (One Registration per Student) NOTE: It is your responsibility to update this information with our office should it change! Student Name: _______________________________________ Grade: ________ Teacher: _____________________________ School Attending: Gannett Peak Baldwin Creek Cornerstone Christian Other: _________________________ DATE MY STUDENT WILL BEGIN ATTENDING PROGRAM(S) MARKED BELOW: _____________________________________ Check ALL days that apply MON TUES WED THUR FRI EARLY BIRD: EARLY BIRD CHESS: GPE 1st-3rd ONLY POWER HOUR: ENRICHMENT: EVERYTHING MUST BE COMPLETED & PRINTED CLEARLY Parent/Guardian: _______________________________________ Address: ___________________________________________ Home phone: ________________________ Work phone: _________________________ Cell: ____________________________ Email (please complete so you can be contacted via email): _________________________________________________________ Local Emergency Contact: _______________________________________ Local Emergency #: __________________________ Limitations, special needs, accommodations, allergies: ___________________ Medications: ______________________________ List all persons AUTHORIZED to pick up your child ________________________________________________________________ Persons NOT AUTHORIZED to pick up your child _________________________________________________________________ May we photograph and/or video tape your child during Lights On activities? Yes No Would you be interested in sitting on our Community Advocacy Council? Yes No MY CHILD QUALIFIES FOR THE FEDERAL LUNCH PROGRAM: Yes No If you are unsure, please contact our office, and we can help you to determine your eligibility for free and reduced program fees. IF YOUR CHILD IS ON AN IEP, MAY WE ACCESS THAT INFORMATION FOR INDIVIDUAL PLANNING PURPOSES? Yes No My child is not on an IEP. I understand that if my child is picked up before 4:30PM, his/her homework may not be completed. YES I hereby authorize Fremont County School District #1 to release pertinent information (i.e., Emergency Information, Health Information & Personal Information) regarding the above named student to Lights On in Lander personnel as needed. I also authorize officials to take whatever action is deemed necessary in their judgment for the health of my child. I will not hold them financially responsible for the emergency care and/or transportation of my child. Parent/Guardian Signature: _____________________________________ Date: ______________________ Alternative Pick Up Arrangement Options: My student will be walking home. He/she will be allowed to leave program at 4:30PM OR 5:30PM ONLY. My student will be attending the King’s Kids program on Wednesday evenings. Please note that if you check this box, you must add King’s Kids to the authorized pick up list and contact our office to sign a release form before we can allow this organization to pick up your child. Bus drop off to: Hudson City Park ALCO Parking Lot Blue Sky Hall Gannett Peak Hudson School Wyoming Indian Elementary Milford Store Baldwin Creek Game & Fish Parking Lot Wyoming Indian High School Blue Ridge Apartments Wyoming 21st Century Community Learning Centers Passive Parental Consent Form Dear Parent(s)/Guardian(s): Your child is taking part in out-of-school time programming funded by the U.S. Department of Education and the 21st Century Community Learning Centers program. The Wyoming Department of Education (WDE) requests your permission to collect classroom behavior information from your child’s teacher(s). In past years, the WDE also collected grade reports from your child’s teacher(s). This year, the WDE is utilizing a new database system that will aggregate data which is already collected by the WDE. Data will include PAWS scores, MAP scores, Statewide Youth Risk Behavior Survey (YRBS) results, and 636 data. The classroom behavior data the WDE will be requesting from your child’s teacher will be tracked using WISERID numbers. This data will be aggregated at the state level to protect your child’s identification. Only researchers and the Wyoming Department of Education will have access to these data. If you do not give WDE permission to collect data from your child’s teacher, it will not affect your child’s participation in the 21 st Century Community Learning Centers program. Data is collected so that the out-of-school time program your child is attending can be evaluated by researchers as well as state and federal policy makers. Your child’s data will help researchers and policy makers evaluate Wyoming 21st Century Community Learning Centers’ effectiveness. In order for policy makers to spend your tax dollars wisely, they need to know which programs are successful and which are not. The out-ofschool time program your child attends needs to be able to provide evidence of its effectiveness if it is to continue to receive state and federal funding. Teacher reports documenting your child’s academic achievement are critical to this process. A copy of the teacher report can be obtained from and questions or concerns can be directed to: Karen Bierhaus, Program Manager 21st Century Community Learning Centers Wyoming Department of Education 2300 Capitol Avenue, Hathaway Building, 2nd Floor Cheyenne, Wyoming 82002 Phone: (307) 777-5332 Email: [email protected] Fax: (307) 777-6234 Please let us know only if you do not wish to have your child’s teacher(s) complete a report and return this form to program providers Child’s Name: ___________________________________________________________ I have read this form and understand that my child’s teacher(s) will be completing reports on my child’s grades and classroom behavior. I understand that my child’s participation in the evaluation of the programming is voluntary and that my refusal to allow my child’s teacher(s) to complete the report will not involve penalty or the loss of benefits to my child of any kind. ___My child’s teacher(s) may not complete a report. Parent/Guardian signature: ______________________________ Date: ___________________
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