21st Century Registration Form

 2017-18 After-School 21st CCLC Instructional Support/Enrichment Registration   Bedford Middle School   April 9, 2018-May 10, 2018  3:45-6:00pm                                                                    

Student Name:  _________________________________  Grade:   ________________

Homeroom Teacher:  ____________ Parent Signature ______________________

Contact Phone # ___________________________________________________

Emergency Contact Name:  ________________________________ Emergency Phone #:  __________________

Medical Information (include food allergies): _____________________________

Parent’s e-mail: ____________________________________________________________________________

Yes____ No_____ My child’s photo can be shown in the paper/website

Yes ____No_____ My child may watch the following movies while at the Public library enrichment time.   Cross out any non-acceptable movies: Elana 7, the Secret of Avalor, Middle school- the Worst year, Kung Fu Panda 3, LEGO Batman, Captain Underpants.

**This program is a student commitment to attend each registered class.   Any student who does not come for 3 class times will be dropped from the program  (unless sick or reasonable absence)**

Parents:   The instructional support/enrichment program is provided free and sponsored by the 21st Century grant.  The program is offered from 3:30-6:00 pm on Monday, through Thursday.  Participating students will stay at school after normal afternoon dismissal, reporting to the cafeteria at 3:45.  A snack will be given to each after school participant, at 4:00 they will report to their designated afternoon support area. 

Class Registration:  Students must enroll in one instructional support time in order to attend the enrichment timePlease list selected instructional classes and enrichment activities below (options shown on back)

Student’s choice:         
                Instructional choice 4-5pm                    Enrichment choice: 5-6pm   Class name

Monday:   ___________________________        _________________________________

Tuesday:  ______________________________      ______________________________

Wednesday:  ______________________             _______________________________

Thursday:        _____________________           _____________________________

*Following are the only stops approved for the 21st Century bus.  You must choose from this list:

 (Montvale/Thaxton Bus Route)                        (Big Island Bus Route)

Raintree                                                                                              Vista Foods

Montvale Elementary             State Shop-DOT                                   Liberty High School

Thaxton Market                                                                                  Big Island Elementary School                        

(Exceptions are possible if a student lives directly on routes-check with Mrs. Slingerland)

The following information is needed from all students. Please note that the 21st Century bus will not wait for parents/guardians at the stops.  Please be on time at drop spots. 

____My child will ride the bus at 6pm and should be dropped off at (circle drop off location listed above)

____My child will be walking home after the instructional support session. (4:50)

____My child will be a car rider and picked up after the instructional support session (4:50)

____My child will be walking home at 6:00 pm.

____My child will be a car rider and be picked up at BMS at 6 pm.

All students are dismissed from BMS, not the enrichment locations unless arranged beforehand.

Registration forms are due as soon as possible. Students may join at any time but it is best if they begin at the start of the program. Forms can be sent back with students, emailed or FAXed, 586-4957.  If you have questions or concerns, please contact Mrs. Slingerland at BMS (586-7735) or sslingerland@bedford.k12.va.us    

21st Century Afterschool Programs – Spring Session -BMS

 After School Teacher time: Mon.-Thurs., (4:00-4:50pm)

Students may attend 1 2, 3 or 4 days a week-write choice/s on front page.

Make your own Business-(last session made cookies and sold them)limit 8 Mr. Bryant

Harry Potter-play Quiddich after reading       Mr. MacDougall

Crazy Theater-read, act and design your own theater class.                  Mr. MacDougall

Focus on reading comprehension for SOL’s with the latest news   Mr. MacDougall

Algebra 1 

 Ms. Burnette

History 6

Mr. King

Homework Help

Mr. Booth

History 7,8                     Mr. King

Science 7,8

Ms. Phillips

SOL test strategies GRADE 6 only

Life Science 6                 Ms. Phillips

Homework Help

 

Spanish

Mrs. Rooney

Homework Help

Ms. Bell

DimensionU -a fun reading game enhancing critical thinking.  Mr. Bryant

Math 6

 Ms. Bell

Math 7 -SOL review

Ms. Moore

 Math 7- SOL review

Mrs. Brown

Math 7-SOL review

Ms. Moore

Math 7 SOL-review

Mrs. Brown

 

Students are expected to behave in the after school classes and enrichment activities.  If a child cannot control himself or herself after a verbal warning, a warning letter of behavior issues will be sent home.  After a second offense, the child will be asked to leave the program.

 Enrichment classes: 5pm-6pm.   ***Students must attend a 4:00-5:00 instructional class in order to participate in the enrichment part of the program. *** All enrichment dismissals will be at BMS at 6pm unless otherwise arranged with Mrs. Slingerland. Students are transported by bus to and from enrichment locations.                                              You can choose one per day for the session. Write choice on front page.

Enrichment classes: 5pm-6pm.   ***Students must attend a 4:00-5:00 instructional class in order to participate in the enrichment part of the program. *** All enrichment dismissals will be at BMS at 6pm unless otherwise arranged with Mrs. Slingerland. Students are transported by bus

to and from enrichment locations.                                         You can choose one per day for the session. Write choice on front page.

Monday

Tuesday

Wednesday

Thursday

Public Library-Movies each Monday, crafts

Quiddich-goes along with reading Harry Potter book with Mr. MacDougall

Nature crafts-use recycled items (and new) to create fun crafts-Mrs. Jones

Paint night fun-during the day.  Paint your own picture- limit 10. Ms. Stover

Breakout Box mysteries- - figure out the mystery code  to open the box-new surprises each week.

Dance moves-Fun dancing to popular music.               Ms. Bell

Minecraft- with Mr. Booth-in the school computer lab

Public Library-Tech day with Minecraft/board games

Getting Fit with Mr. Bryant- have fun exercising in an unconventional way.

Board games-new this session LEGO’s and BINGO! with the regular games.

YMCA-swimming-Mr. Bryant, Mrs. Dawson

Sewing Crafts-cross-stitch, latch-hook, yarn crafts with Mrs. Brown

Students may also attend a half hour MORNING session any day during the week…to get help on unfinished homework, class projects, math, reading or whatever is needed.  Times are 7:55-8:25, Monday through Friday.  See Mr. Bryant, room 111, or Mr. Mac Dougall, room 109.  No registration needed…just come in!       

 

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