accommodate children’s choices. Computer Workshop€¦ · REGISTER BY JUNE 7, 2013 AND DEDUCT $5...

REGISTER BY JUNE 7, 2013 AND DEDUCT $5 Early registration is encouraged since enrollment is limited. If space is available, registrants will be accepted up to the first day of classes. This registration entitles each student to participate in all classes as their selected schedule permits. Students must also be able to follow their schedule unassisted. Children will be assigned to classes as scheduling permits. Efforts will be made to accommodate children’s choices. Parental signature denotes that student is in good health to participate in all activities. No transportation is provided. No refunds after June 28, 2013.

NETWORK/INTERNET USER ACCOUNT REQUEST FORM STUDENTS: I understand and will abide by the Network/Internet Use Agreement. I further understand that any violation of the regulations is improper. Should I commit any violation, my access privileges may be revoked and school disciplinary action may be taken. STUDENT’S FULL NAME_____________________________________ STUDENT’S SIGNATURE_____________________________________ PARENT/GUARDIAN: As the parent or guardian of the above student, I have read the Network/Internet Use Agreement. I understand that this access is designed and provided for educational purposes and that the Caldwell-West Caldwell School District has taken precautions to eliminate controversial material. However, I also recognize it is impossible for the district to restrict access to all controversial materials and I will not hold them responsible for materials acquired on the network or internet. I hereby give my permission to issue a user’s account for my child and certify that the information contained on this form is correct. PARENT/GUARDIAN’S FULL NAME E-MAIL ADDRESS ______________________________ ______________________

HAVE YOU REGISTERED FOR THE SUMMER SCIENCE WORKSHOP?

CALDWELL-WEST CALDWELL CENTER FOR CONTINUING EDUCATION

2013 Summer Arts & Computer Workshop

James Caldwell High School

Westville Road, West Caldwell, NJ 07006

Register by mail to:

Summer Arts Workshop

c/o Superintendent’s Office

Harrison School Building

Gray Street, West Caldwell 07006

Tel: (973) 228-6979

REGISTRATIONS RECEIVED BY JUNE 7, 2013

DEDUCT $5.00

MAKE CHECK PAYABLE TO:

C-WC CONTINUING EDUCATION CENTER

PROGRAM FEE: $435




NOTE: After June 21, registrations will only be accepted

in person at the Summer Arts Office at the high school

on July 1 and will be subject to a $5 late fee.

******************************************************

ELIGIBILITY

The workshops are open to all children who have completed first

through ninth grade.

FOR FURTHER INFORMATION:

Call the Superintendent’s Office at

(973) 228-6979

Monday through Friday

Between 9:00 AM and 3:00 PM

2013 CALENDAR

July 1 through July 24

Monday - Friday, 9:00 AM - 12:45 PM

July 1, Monday – 9:00 AM - For parent and student.

Distribution of schedules, medical and procedural information, late

registrations, and scheduling changes at JCHS Center for Performing

Arts.

July 2, Tuesday 9:00 AM - FIRST DAY OF CLASSES. Return medical and telephone forms if you have not already done so.

July 4, Thursday - NO CLASSES.

July 23, Tuesday - Last full day of classes.

July 24, Wednesday - 6:30 PM - Art Show and Final Performance.

July 25, Thursday - Summer Arts and Computer Workshop cleanup

day (teachers only) - pick-up remaining student projects.

Emergency Contact/Health History, Telephone, Waiver Letter, and

Publicity Permission Forms should be returned with your registration

sheet.

2013 Summer Arts & Computer Workshop Registration Form

July 1 through July 24 - Monday through Friday

9:00 AM—12:45 PM Program is held at James Caldwell High School

Please read course descriptions and note any prerequisites and periods offered to avoid conflicts. Check FIVE areas of interest, FOUR with a Musical Theater focus. Students may not register for the same class twice. Note periods offered to avoid conflicts.

Anyone who registers for a performing course MUST attend the final week of the session. The teacher has the right to remove any student from the final performance if that student’s absences have prevented the student from adequately performing their assigned role.

Course Period Offered

Fun with Computers (All Grades) 1-5

Web Design (Grades 4-9) 1-5

Joy of Dance (Grades 2-4) 2



Acting Workshop (Grades 2-9) 1 and 2

Jr. Musical Theater (Grades 2-5) 3

Musical Theater (Grades 5-9) DOUBLE PERIOD 4 and 5

Ceramics (All Grades) 1-5

Pottery Wheel (Grades 6-9) 1-5

Drawing: The Most Immediate Art (All Grades) 4,5

The Painter’s Brush (Grades 6-9) 2,3

Mixed Crafts (All Grades) 1-5

Student’s Name School Grade in Sept. 2013

Address City Zip Code

Parent’s Name Signature

_______________________ __________________________

Daytime Telephone Cell Telephone

Method of Payment: O Check O Cash Receipt # _________

Make check payable to C-WC Continuing Education Center

Program Fee $435

Internet Acceptable Use Agreement

Internet access is available to students and staff in the

Summer Arts Workshop. With access to computers and

people all over the world also comes the availability of

material that may not be of educational value in the

context of the workshop setting. The Caldwell-West

Caldwell School District is taking precautions to restrict

the access of controversial materials that may be on the

internet. Our staff is trained on internet use and policies

and filtering hardware and software is in place.

However, on a global network, it is impossible to control

all materials and industrious users may discover

controversial information on their own.

The following guidelines are provided so that users are

aware of the responsibilities they are about to acquire.

In general, this requires efficient, ethical, and legal

utilization of the network and internet resources. If a

Workshop participant violates any of these provisions,

their internet access will be terminated pending

appropriate action.

The signature(s) on the Registration Form is (are) legally

binding and indicates the party (parties) who signed has

(have) read the terms and conditions carefully and

understand(s) their significance.

INTERNET TERMS AND CONDITIONS

ACCEPTABLE USE: The use of your account must be in

support of education and research consistent with the

educational goals and objectives of the Caldwell-West

Caldwell School District. Use of other organization’s

network or computing resources must comply with the

rules appropriate for that network. Transmission of any

material in violation of any national or state regulation is

prohibited. This includes but is not limited to:

copyrighted material, threatening or obscene material

or material protected by trade secret.

PRIVILEGES: The use of the internet is a privilege, not a

right. Students will receive training as to proper use of

the network. Inappropriate use will result in a

cancellation of those privileges and disciplinary action.

Administrators will deem what is inappropriate and their

decision is final. Also, an administrator may close an

account at any time as required. The school district may

deny, revoke, or suspend specific use accounts as

deemed necessary.

NETWORK ETIQUETTE: Users are expected to abide

by the generally accepted rules of network etiquette.

These include (but are not limited to) the following:

Be polite. Do not get abusive in messages to others.

Use appropriate language. Do not swear, use

vulgarities, or any other inappropriate language. Illegal

activities are strictly forbidden.

Do not reveal full names, personal addresses, or phone

numbers of yourself or anyone else.

Understand that electronic mail (e-mail) is not

guaranteed to be private. People who operate the

system do have access to all mail. Messages relating to

or in support of illegal activities may be reported to the

authorities.

Do not use the network in such a way that you would

disrupt the use of the network by other users.

All communications and information accessible via the

network should be assumed to be private property.

CALCULATING COMPUTERS

FUN WITH COMPUTERS (All Grades) – Learning the basics of

Word and PowerPoint to prepare children for success in their

elementary school. This course will give young learners a jump

start in their knowledge of computers. Students will learn how to

save, print, create and scan in the computer lab. They will have the

opportunity to design and create T-shirts. Your imagination is the

limit to what can be done! Fridays are always internet game days.

WEB DESIGN (Grades 4-9) - Students will learn how to design

Web Sites, using free software available on the internet. Internet

safety is stressed throughout the course. This course is specifically

designed for the older students. Exceptions are considered based

upon individual skills. The course allows students to create web

site topics geared to their individual interests. Creativity and

imagination in their designs are always encouraged.

NOTE: Students must provide their own USB drive for all computer

classes in order to save their work.

CREATING WITH CRAFTS

CERAMICS (All Grades) – We will learn the basic pinch pot

technique combining this with a fun and functional project of Pinch

Pot Birdhouses. Along with this, we will briefly learn about native

birds that live in our area as well as having the opportunity to glaze

the houses so they can be used outdoors. We will also create

sculptures that will be ”tough as stone.” After firing, we will use

special “stone” paint to give their creations a realistic stone

texture.

The students will have the opportunity to create functional mugs.

Using the “slab” technique, students will roll out clay, assemble

mugs, add handles, and use food safe glazes to create their own one-of-a-kind mugs. Using plaster mold forms, students can create

bowls, plates and platters that can be made functional with food

safe glazes

POTTERY WHEEL (Grades 6-9) - Advanced students will be given

instruction on throwing techniques in the use of the Pottery Wheel.

This will include centering, shaping, and finishing their wheel

projects. In addition, we will work with plaster molds to create

bowls and plates that can be used with real food.

MIXED CRAFTS (All Grades) – The class will begin the summer

using recycled and natural materials to make handmade one of a

kind paper, woven brown bag baskets, and cool origami creations.

Students will use their handmade paper to create a Japanese bound

book. They will also learn the secrets to creating a themed

accordion book and a pop-up book. Older students will design

their own tinted glue papers to decorate a handmade personal

journal. Using their imaginations, the students will create

spectacular masks and will use paper mache, feathers, beads, and

glitter to design and decorate their masks. The summer will

conclude with learning different stitches for friendship bracelets,

patterns to create beaded creatures, pendants, and bead making

(with paper, clay and string).

DRAWING - THE MOST IMMEDIATE ART (All Grades) – This

workshop will demonstrate some fantastic illusions of depth. The

students will draw portraits, a silly beast or maybe a Van Gogh Still

Life, a collage, and a drawing with string materials. Everyone will

work at their own pace.

THE PAINTER’S BRUSH (Grades 6-9) – This class will use “wet

media”, water color, and acrylic paint on canvas. Think you are not

an artist? We beg to differ! Join in on The Painter’s Brush and

you’ll see. The hardest part is that first stroke!

DISCOVER THE JOY OF DANCE

Jazz is a dance form that appeals to everyone because of its energy,

variety and use of well-known pop music. The classes are upbeat

and begin with a warm-up, followed by movement across the floor,

and choreographed combinations of rhythmic movements

including turns and leaps.

Grades 2-4: Learn basic body isolations, stretching exercises, and

jazz movements to show tunes and contemporary music.

Grades 5-6: Learn choreographic routines to show tunes and

contemporary music geared to performance.

Grades 7-9: For the advanced student, exposure to different

musical styles. Develop full dance routines to contemporary shows

and popular music.

DEVELOP DRAMA

ACTING WORKSHOP (Grades 2-9)

Our theme this year is “From Page to Stage.” The class will take

popular characters from children’s literature and put them in new

situations. Would the Wizard of Oz be good friends with Harry

Potter? Instead of meeting the Cheshire Cat in Wonderland, what if

Alice met The Cat in the Hat? We’ll answer these questions and

more this summer.

JUNIOR MUSICAL THEATER (Grades 2-5) - Children will be

introduced to the world of musical theater and learning to sing,

dance, and act with fellow peers to easy music. This year’s Junior

Musical Theater’s presentation will focus on our theme “From Page

to Stage.” Students will sing and dance to songs that evolve from

stories based on popular characters from children’s literature.

MUSICAL THEATER (Grades 5-9)

THIS CLASS IS A DOUBLE PERIOD, AND STUDENTS MUST BE

PRESENT FOR THE COMPLETE 4-WEEK WORKSHOP.

A musical theater class designed for students entering grade 5.

This class will focus on singing, dancing, and acting at a more

advanced level. Students can explore their love of theater while

having fun. They will dance and sing to music related to this year’s

theme of “From Page to Stage.” Let your inner star shine, and join

us for some singing and dancing!

HIGH SCHOOL SUMMER ART STUDIO

This open studio is designed for students to work on a drawing,

painting, sculpture, or ceramics portfolio or project of their choice.

Teachers will be available to instruct and assist as needed. Also,

students will have the option to exhibit their work as part of the

workshop’s final presentation. As an open studio, students

determine their own attendance provided they sign in and out on a

daily basis. An additional studio fee will be charged to cover

instructional time and supplies.

HIGH SCHOOL SUMMER MUSICAL THEATER INTENSIVE

This course will explore the many facets of the American musical

theater in terms of acting technique, monologue and scene study,

dialects, stage combat, vocal technique, song interpretation,

“Glee” style show choir, and dance technique and performance

(jazz, tap, ballet). This is an opportunity to “major” in musical

theater for the summer by following a conservatory style schedule.

The course will culminate with a variety show focused on each

participant’s individual talents as well as fully staged group

numbers.

CALDWELL-WEST CALDWELL CENTER FOR

CONTINUING EDUCATION


Registration Form

(Detach and return with payment)

HIGH SCHOOL SUMMER ART STUDIO

AND MUSICAL THEATER INTENSIVE

July 1 through July 24 - Monday through Friday

Program is held at James Caldwell High School

Course Session Fee

Art Studio 9:30-11:00 a.m. $110

Musical Theater Intensive 9:00 a.m.-12:30 p.m. $435

Make check payable to C-WC Continuing Education Center

Method of Payment: O Check O Cash Receipt #_________

_____________________________________________________ Student’s Name School Grade in Sept. 2013

Address City Zip Code

Parent’s Name Signature

Daytime Telephone Cell Telephone

Emergency Contact/Health History, Telephone, Waiver Letter,

and Publicity Permission Forms should be returned with your

registration sheet.

Registration on or before June 21 will take place in the

Superintendent’s Office Monday through Friday between

9:00 a.m. and 3:00 p.m. After June 21, registrations will only be

accepted in person at the Summer Arts Office at the high school.

DISMISSAL INSTRUCTIONS

SUMMER ARTS AND COMPUTER WORKSHOP

PLEASE READ COMPLETELY

1) Students should be dropped off and picked up at the lobby of the JCHS Center for

Performing Arts.

2) Children should be picked up promptly at 12:45 p.m.;

3) Students will not be released from the program without the written and signed

consent of a parent or authorized adult; and

4) Parents must present a dated, written, and signed note to Dr. Shapiro authorizing the

release of a student from the program to walk home on their own instead of being

accompanied by a parent or an authorized adult. Telephone calls or e-mails are not

acceptable.

CALDWELL-WEST CALDWELL PUBLIC SCHOOLS

Summer Arts and Computer Workshop

Summer Science Explorations

Parent/Guardian Telephone Form

THIS FORM IS TO BE COMPLETED BY PARENT/GUARDIAN AND RETURNED

WITH YOUR REGISTRATION. PLEASE PRINT CLEARLY.

Student’s Name:

Parent/Guardian Name:

Parent Cell Telephone Number:

Home Telephone Number:

Work Telephone Number:

Telephone number you can be reached between 12:00 and 1:00 p.m. daily:

The Summer Arts and Computer Workshop Program ends at 12:45 p.m.

The Summer Science Explorations and Adventures Program ends at 12:00 p.m.

Parents should pick up their child promptly at the end of the program at the lobby

of the JCHS Center for Performing Arts. STUDENTS WILL NOT BE

ALLOWED OUT OF THE BUILDING WITHOUT AN ACCOMPANYING

PARENT OR GUARDIAN.

You will be contacted by telephone only if your child has not been picked up.

Parent/Guardian Signature Date

Thank you for your cooperation in this matter.

Dr. David Shapiro, Supervisor

09/08


HEALTH AND MEDICAL HISTORY FORM

TO BE COMPLETED BY PARENT.

NAME:

BOY GIRL DATE OF BIRTH:

HEALTH INSURANCE: NO YES

INSURANCE CARRIER:

HEALTH HISTORY (COMPLETED BY PARENT): If YES, please explain:

Chronic or recurring illness/condition No Yes ___________________________________________________

Asthma No Yes ___________________________________________________

Diabetes No Yes ___________________________________________________

Epilepsy/Seizures/Blackouts No Yes ___________________________________________________

Cardiac/Heart Disease No Yes ___________________________________________________

Hypertension No Yes ___________________________________________________

Bleeding Disorder No Yes ___________________________________________________

Frequent Headaches No Yes ___________________________________________________

Skin Disorder No Yes ___________________________________________________

Gastrointestinal Disorders No Yes ___________________________________________________

Neuromuscular Disorder No Yes ___________________________________________________

Orthopedic Condition No Yes ___________________________________________________

Respiratory Illness No Yes ___________________________________________________

Mental/Emotional Issues No Yes ___________________________________________________

Dental/Orthodontic Appliances No Yes ___________________________________________________

Hearing Problems No Yes ___________________________________________________

Vision Problems (glasses or contacts) No Yes ___________________________________________________

Hospitalizations/Surgeries No Yes ___________________________________________________

Recent injury, illness, infectious disease No Yes ___________________________________________________

Other __________________________ ___________________________________________________

__________________________ ____________________________________________________

OTHER SIGNIFICANT MEDICAL INFORMATION THE SCHOOL SHOULD KNOW ABOUT:

Signature of Parent: Date: ______________________




Emergency Contact/Health History Form

THIS FORM IS TO BE COMPLETED BY PARENT/GUARDIAN AND RETURNED WITH YOUR

REGISTRATION. PLEASE PRINT CLEARLY.

Name:

Boy Girl

Date of Birth:

Home Telephone:

Cell Telephone:

Work Telephone:

Emergency Telephone:

Physician’s Name:

Physician’s Telephone: Date of Last Medical

Examination:

Please complete the following health information concerning your child. This information will be kept on

file in the Nurse’s Office for emergency reference. NO STUDENT MAY ATTEND CLASSES

WITHOUT AN EMERGENCY/HEALTH HISTORY FORM ON FILE.

HEALTH HISTORY: If YES, please explain:

a) Asthma .......................................................... No Yes

b) Cardiac/Heart Disease .................................... No Yes

c) Hypertension .................................................. No Yes

d) Chronic or recurring illness/condition ........... No Yes

e) Diabetes .......................................................... No Yes

f) Epilepsy/Seizures/Blackouts .......................... No Yes

g) Bleeding Disorder .......................................... No Yes

h) Gastrointestinal Disorder ............................... No Yes

i) Hearing Problems ........................................... No Yes

j) Skin Disorder ................................................. No Yes

k) Respiratory Illness .......................................... No Yes

l) Orthopedic Condition ..................................... No Yes

m) Vision Problems (glasses or contacts) ............ No Yes

n) Other ..............................................................

OTHER SIGNIFICANT MEDICAL INFORMATION THE PROGRAM SHOULD KNOW ABOUT:

ALLERGIES: List all known allergies Describe reaction and

management of reaction

Medication Allergies: Yes No __________________________ _______________________________

Food Allergies: Yes No __________________________ _______________________________

Insects/Animals: Yes No __________________________ _______________________________

Environmental/ Pollens: Yes No __________________________ _______________________________

Does your child need an EpiPen for a food allergy?

No Yes

If YES, you need to pick up a form from the Nurse to be

filled out by the doctor and parent before the program begins.

CONTINUED ON PAGE 2




Emergency Contact/Health History Form

Name: Boy Girl Date of Birth:

MEDICATIONS: List all medications (prescription, over-the-counter, non-prescription) taken routinely.

Medication Dosage/Frequency Reason for Medication

________________________________ _________________________ ___________________________ ________________________________ _________________________ ___________________________

Student may participate in all physical activities:

Yes No

Student may not participate in the following

physical activity(ies):

Parent/Guardian Name: (Print)

Parent/Guardian Signature:

Date:

If you have any questions, please contact Maryann Rivera, School Nurse, Jefferson Elementary School, at

973-228-5994.

BOARD OF EDUCATION CALDWELL-WEST CALDWELL

HARRISON SCHOOL BUILDING Gray Street, West Caldwell, New Jersey 07006

Dr. James G. Heinegg, Superintendent Telephone 973-228-6979

March 25, 2013

Dear Parents and Guardians:

Please be advised that there is one School Nurse working in our summer school programs.

From July 1 to July 31, the school nurse, Mrs. Maryann Rivera, will be located at the Harrison

School which houses our special education summer program. She will be located at James

Caldwell High School from August 1 to August 9.

In the event of an emergency at the Summer Arts or Summer Science programs while the School

Nurse is at Harrison School, 911 will be called, and Mrs. Rivera will be called to come to the

building.

Sincerely,

James G. Heinegg

Superintendent

By signing below, I acknowledge I am aware of the nursing staffing and emergency procedure

during the summer programs.

Child’s Name

Parent/Guardian Signature

Date

3/27/2012

Caldwell-West Caldwell Center for Continuing Education

2012 Summer Program Publicity Permission Form

HARRISON SCHOOL BUILDING Gray Street, West Caldwell, New Jersey 07006

Parents / Guardians:

Please check off the appropriate box below and sign as indicated to grant or deny permission for the Caldwell-West

Caldwell Center for Continuing Education to submit a photo(s) of your child or children to the local print and online

newspapers, television stations and/or the school district website as indicated. These photos revolve around summer

program activities, including art show, final performance and science fair. Please note, in instances where children are

selected for photos, only those children for whom we have a permission form returned will be asked to join in the photo.

It is important to note that this form is independent from the form distributed by the local school district at the

beginning of the school year, regarding the use of student photos on the website. Thank you, and please feel free to

contact me with any questions or concerns.

Regards,

Christine Corliss

CWC School District

973-228-6979

[email protected]

PRINT

I grant permission for the CWC Center for Continuing Education to use my child’s photograph and name for program -

related photo opportunities in local newspapers.

YES NO

TELEVISION

I grant permission for the CWC Center for Continuing Education to include my child in the taping of segments for local

television broadcasts associated with summer program-related activities.

YES NO

SCHOOL WEBSITE (CWCBOE.ORG)

I grant permission for the CWC Center for Continuing Education to include my child’s photo from summer program -

related activities on the CWC school district website.

YES NO

Child’s Name: ______________________________________________ Date: _______________________

Parent’s/Guardian’s Signature: ________________________________________________________________

accommodate children’s choices. Computer Workshop€¦ · REGISTER BY JUNE 7, 2013 AND DEDUCT $5...

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