A LEARNING ADVENTURE
Dear Parents,
This summer the Boys & Girls Club of Moody County will be offering a summer enrichment program for youth who were in kindergarten to fifth grade for the 2019-2020 school year. Power Up gives youth opportunities to review and practice reading skills and math skills taught during the school year. Specifically, youth work on comprehension skills, high frequency words, phonics skills, and writing skills.
The Power Up program will run Monday through Thursday for five weeks (July 6 – August 6) and the location will be announced prior to the program starting. Youth participants that were in Kindergarten, 1st, 2nd or 3rd grade during the 19-20 school year will participate in the 8-9:55 AM session and those that were in 4th or 5th grade will participate in the 10-11:55 AM session. It is required that all youth participants be present for at least four out of the five weeks to ensure the greatest academic success impact, so if you intend to reserve enrollment for your child, it is expected that you plan any extended family vacations for before or after the program.
For youth enrolled in the 8:00 AM program, parents are responsible for dropping their child off at the program location, but not prior to 7:45am. There will be a teacher at the location at 7:45am to supervise children who may need to be dropped off as early as 7:45am. After the session, parents can either coordinate pick up their child or request that the Boys & Girls Club transport to the Boys & Girls Club. For youth enrolled in the 10:00 AM program, parents can coordinate drop off and pick up for their child or request that the Boys & Girls Club transport.
If you would like to enroll your child in this program, complete the attached registration form and return it to your child’s classroom teacher no later than Friday, May 1. Participants of Power Up will also need to be members of the Boys & Girls Club of Moody County. Membership applications can be picked up at the Club or found on our website: . The Boys & Girls Club of Moody County membership dues are $25, with an additional $25 summer program fee if you wish for them to take part in any Club summer programming outside of Power Up. Club memberships must be completed and handed in with your child’s Power Up membership form if they do not already have Club membership.
Other than the Club membership dues and summer program fee, there is no additional cost to Power Up. The Boys & Girls Club is able to provide Power Up to the youth in our community through the generous support of donors. If you are interested and able please consider a donation to this program, the estimated price to run this summer enrichment program is $340 per child.
Thank you for your consideration of the Boys & Girls Club of Moody County Power Up Program. If you have any questions, please feel free to contact me.
Sincerely,
Bekah Bambas
Unit Director, Boys & Girls Club of Moody County
rbambas@ | 605-573-0150
2020 POWER UP REGISTRATION FORM
REGISTRATION DEADLINE: Friday, May 1, 2019
YOUTH INFORMATION (PLEASE PRINT)
( M ( F
STUDENT NAME BIRTHDATE (MM/DD/YYYY)
GRADE (19-20 School Year): ( Kindergarten ( 1st Grade ( 2nd Grade ( 3r Grade ( 4th Grade ( 5th Grade
SCHOOL TEACHER
Please list any food allergies your child has or medications they currently take:
PARENT INFORMATION (PLEASE PRINT)
PARENT NAME PARENT EMAIL
MAILING ADDRESS Street City State Zip
HOME # CELL # WORK#
ENROLLMENT CONFIRMATION:
( I wish to enroll my child in the Boys & Girls Club of Moody County Power Up Program.
• I understand that if my child was in Kindergarten, 1st, 2nd, or 3rd during the 2019-2020 school year, they will participate in the 8-9:55 a.m. session and I will be responsible for dropping off my child at the program location.
• I understand that if my child was in 4th or 5th grade during the 2019-2020 school year, they will participate in the 10-11:55 a.m. session.
TRANSPORTATION:
|8 – 9:55 AM SESSION: |10-11:55 AM SESSION |
| | |
|AFTER POWER UP: |BEFORE & AFTER POWER UP: |
|( I will coordinate pick up for my child after each days session. |( I will coordinate drop off & pick up for my child for each days session. |
|( I would like my child to be transported by the Boys & Girls Club to the |( I would like my child to be transported by the Boys & Girls Club from & to the|
|following program for which they hold current membership: |following site for which they hold current membership: |
|( Boys & Girls Club |( Boys & Girls Club |
PARENT SIGNATURE: DATE:
PERMISSION FOR EXCHANGE OF INFORMATION:
I give my permission to the Boys & Girls Club of Moody County and ________________________ School to exchange information regarding the minor child listed on this Power Up Registration Form. The purpose of the exchange is to help both organizations do a better job of helping the student be successful in Power Up, in Boys & Girls Club programming and in life. This release is valid for one year and may be revoked at any time by contacting the School District or the Boys & Girls Club of Moody County in writing.
YOUTH NAME (PLEASE PRINT)
PARENT NAME (PLEASE PRINT)
PARENT SIGNATURE DATE
Once you have completed the registration form for your child, please submit the complete form to their teacher. They will complete this page and your child’s principal will submit the completed forms to the Boys & Girls Club. This information from your child’s teacher will help the Power Up teachers have the greatest academic impact possible for your child.
YOUTH NAME (PLEASE PRINT)
SCHOOL TEACHER’S NAME
TEACHER COMMENTS:
What are the current challenges this youth faces (academically & socially/emotionally)?
What are the current academic strengths of this student?
Please list any specific or unique strategies that you have found to work best with this youth.
Does this student have an IEP? (This is not mandatory to share. However, this information would help us to provide the best services to the youth.) If yes, what are their specific goals that they work on throughout the year?
Please mark if your student uses the following services:
( SPED ( Social Skills
( Speech ( ESL
( PT ( OT
Please list any know scores for the following:
Fountas and Pinnell Reading Level
Star Math
Star Reading
Do you give permission for Power Up teachers to contact you if they have more questions concerning this student during Power Up?
( Yes ( No
If yes: Phone #: Email:
................
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