Quarter 1 Course Offerings

2016-2017 School Year Quarter1 Classes: August 29, 2016 – October 14, 2016

Quarter 1 Registration Deadline: August 26, 2016

Dear Parents: Our After School Enrichment program offers unique opportunities for students outside of the classroom. The purpose of this program is to extend student learning and achievement through teamwork, meaningful hands-on opportunities and performance. Below, you will see a description of each class offered, including the day, grade level, room and cost. The cost funds the instructors for their time, materials used, as well as teacher supervision during study hall (which occurs from dismissal until the start of the enrichment class, if applicable). Prices vary due to the nature of the class and the varying cost for materials. *Please note: Any enrichment may be cancelled due to lack of/low enrollment. All enrichment courses will be released through the front CAFETERIA and must be signed out with the enrichment coordinators. When picking up students, a green car tag MUST be presented. If you do not have a green car tag, you may purchase one from the front office. Otherwise, you must present a valid ID and be in our SIS system. When picking up students, you must park in the parking lot (not car loop) and walk in to physically sign out your student. These procedures are in place for the protection of all of our students and your cooperation is necessary and appreciated. Please be on time when picking up from enrichments. After 15 minutes, students will be signed in to After Care and be charged for the day. In the event that an enrichment needs to be cancelled for the day, the teacher, vendor or enrichment coordinator will contact you with as much advance notice as possible. We try to ensure that all classes are taught as scheduled, but occasionally emergencies do come up. If a class is cancelled by the instructor, a make-up class will be offered prior to the end of the quarter. If a class falls on a holiday, there will be no make up for that class. Along those lines, we do take attendance at every class meeting, and if your child will not be staying for an enrichment, please contact Mr. Laird and he will forward that information on to the instructors. All checks are to be made payable to RCSSL unless you are signing up with one of our outside vendors. Vendors indicate who to make checks payable to in their class description. If paying with cash, please separate money between teacher offered enrichments and vendor offered enrichments. If you sign up for more than one enrichment, list only one enrichment per application form. If you have any questions, please do not hesitate to contact me. Thank you, and we look forward to another great year! Scott Laird ASE Coordinator slaird@stluciecharter.org 772-344-5982

After School Enrichment

Do you have a guitar laying around that you are dying to learn how to play? Come hang out with Mr. Jackson, an experienced

musician and guitar player. All students are welcome regardless of ability level. Students will learn fundamentals and songs

designed to improve playing. Continuing students/more experienced students will learn chord progressions and improvisation.

Student will need to provide their own guitar. We recommend Guitar Center or Music Man Inc (both located in PSL) if you are

looking to purchase or rent an instrument.

Class Name Grade

Levels

Day & Time Maximum

Enrollment

Quarter Price Location Instructor(s)

Guitar 3-8 Tuesdays

3:45-4:45

Open $65 334 Mr. Jackson

Renaissance Chorus K-8 Mondays

3:45 – 4:45

Open $65 110 Ms. Gerheart

Do you love to sing? Would you like to improve your vocal technique and ability? Then the Renaissance Chorus is the place for you.

Whether you have been singing for years, or are just getting started, you will expand your talents and create beautiful harmony with

our group. The chorus will perform at the Enrichment showcase in December*. *Students will need to reregister for Quarter 2.

Ballet & Acro K-5 Fridays

3:00 – 4:00

Open $85 222 Mrs. Adela

Balletfest Dance Academy is very pleased to be in charge of the ballet and acrobatic classes at RCSSL. Registered students will be

invited to perform in our December and June recitals at our Academy (not mandatory, but it is a great opportunity). Students will need

to wear comfortable clothing. (For those interested, Mrs. Adela will be able to provide ballet shoes, leotards, tights, etc. at a great

price.) This group will perform at the Enrichment showcase in December. Check us out online at www.balletfest.com Please note

that this class is run by an outside vendor. Checks should be made payable to Ballet Fest Dance Academy. .

Dancing Divas K-8 Mondays &

Thursdays

3:45 – 4:45

25 $65 332 Ms. Toney

If you feel like dancing, c’mon! During this class, you will learn and develop all of the aspects of a color guard dancer. Time will be

spent learning basic technique, choreography and team sportsmanship! The group will perform at the Enrichment Showcase in

December*. *Students will need to reregister for Quarter 2.

Glee Club 6-8 Thursdays

3:45 – 4:45

16 $65

New

Members

Only

310 Mr. Laird

The Glee Club is the place to be if you have a love of performing. Members will get the full show choir experience, combining

singing, acting and dance. Membership is limited to 16 people and is by audition only. Anyone in 6th thru 8th grade is invited to try

out. Those interested should speak to Mr. Laird in room 310 prior to filling out an enrichment form to set up an audition time. The

group will perform at the Enrichment Showcase in December*. *Students will need to reregister for Quarter 2.

Step Team Jr. K-5 Fridays

3:45 – 4:45

25 $25 308 Ms. Gabby

The team will perform a unique art form that originated in Africa. Stepping is a form of percussive dance in which the participant’s

entire body is used as an instrument to produce complex rhythms and sounds through a mixture of footsteps, spoken words, and

hand claps. The group will perform at the Enrichment Showcase in December*. *Students will need to reregister for Quarter 2.

Performing Arts

Class Name Grade

Levels

Day & Time Maximum

Enrollment

Quarter Price Location Instructor(s)

Goju-Karate Do K - 8 Tuesdays

3:45 – 4:45

25 $80 Cafeteria Shihan Mic Norcia

Students will learn a number of things dealing with self-defense, anti-abduction and dealing with bullying. They will strive to build

confidence, discipline, motivation and a proper attitude towards schoolwork. They will learn to be accountable for their actions...at

school and outside of school. Their grades must stay up, or they cannot train in my Dojo. Shihan Mic Norcia ****Must complete a

release form before participation****. (Form found before the registration form.) *Please note that this class is run by an

outside vendor. *Checks should be made out to Goju Karate.

Softball 5-8 Tuesdays

3:45 – 4:45

Open $70 PE Field Ms. O’Brien &

Ms. Rolle

Calling all students with a love of the game! Boys and girls alike are welcome on the field to work on their skills and to play some

friendly games. Comfortable clothing and sneakers are encouraged. Students should bring their own gloves if they have them.

Leader Cheer

Leader Cheer

1 - 2

3 - 4

Tuesdays

3:15 – 4:45

JV – 12

Varsity - 15

$90

$90

PE Field

PE Field

Ms. Meltzer

Ms. Meltzer

LeaderCheer offers young athletic students (JV 1-2 grade, Varsity 3-4 grade) the opportunity to learn the sport of cheer from

Beginner Level through Level2. Knights cheer teams who register for QTR 1 and QTR 2 will perform an exhibition routine on

Friday December 16th 6:30pm at LeaderCheer gym (540 NW Mercantile Road PSL - across from the Mets stadium). Students will

learn school spirit, leadership and teamwork! Teams receive practice shirt and cheer bow. Practices will be every TUESDAY 3:15-

4:45. Cost is $90/Qtr (Not avail 4th qtr) Cheerleaders who cheer all three quarters will receive a discount for the 3rd Qtr. ($90 1st

Qtr, $90 2nd Qtr, $75 3rd Qtr) Attendance at practice is expected. Both JV and Varsity teams have been full in the past so DON’T

wait to sign up! This will be the 4th year Knights have had cheer teams for their school! It has been truly exciting to watch these

young cheerleaders grow from beginner cheerleaders to competitive cheerleaders over the years! Through positive and encouraging

instruction from new and returning LC coaches, students will learn to Cheer for Fun, Lead for Life with LeaderCheer! Go Knights!

*Please note that this class is run by an outside vendor. Checks should be made payable to LeaderCheer.

Playball K - 4 Thursdays

3:15 – 4:30

Minimum

Of 12

$90 PE Field Coach Frank

Playball introduces students to a wide variety of sports: hockey, baseball, basketball, tennis, soccer, and flag football. Playball is

taught in a safe, energetic, creative and fun atmosphere that promotes learning. Positive reinforcement, specialized coaching

techniques and the use of imagery allow us to nurture students on the physical, social and emotional levels. For more information

visit www.coachingplayball.com/playball. *Please note that this class is run by an outside vendor. *Checks should be made

payable to Playball Treasure Coast. CLASSES DO NOT BEGIN UNTIL 9/3!!

Ball Games K-5 Mondays

3:45 – 4:45

Open $65 Carloop Ms. Babos

Students in this class will be exposed to various ball games such as soccer, basketball, volleyball and dodgeball. While learning the

basics, students will also be working on teamwork and sportsmanship. This is a great opportunity to make some new friends and

stay active outside!

Basketball

Conditioning

5-8 Tuesdays &

Fridays

3:45 – 4:45

Open $50 Carloop Coach Perez

Training for basketball is a yearlong commitment. The preseason training period typically starts at the beginning of September and

runs through mid-October. A strength and conditioning coach working with basketball players has the responsibility of designing a

program that will make them better athletes. Flexibility, conditioning, speed, quickness and agility, along with strength and power

are all worked on in the program to prepare students for basketball try outs in October.

Athletics

Cross Country 5-8 Mondays &

Thursdays

3:45 – 4:45

Open $50 Meet in 311 Coach Perez

Cross Country is a competitive team sport that is traditionally offered in the fall that incorporates training and group running.

Teams are made up of five or more athletes who run together to compete against other teams. Students typically run across grassy

fields, wooded paths, and hills. Some courses even have small streams and log jumping to make it interesting. The benefit of a cross

country team is that all athletes get to compete and participate in every meet.

Class Name Grade

Levels

Day & Time Maximum

Enrollment

Quarter Price Location Instructor(s)

G.L.A.M.

G.L.A.M

2 – 5

6-8

Mondays

3:45 – 4:45

Tuesdays

3:45 – 4:45

Open

Open

$25

$25

107

107

Ms. Hughes

Ms. Hughes

What parent doesn't want to give their daughter the opportunity to build self-confidence? Girls Learning About Maturity (G.L.A.M)

is a new and exciting group being introduced to RCSSL for the 2016-2017 school year. This uplifting organization will focus on

promoting positive self-esteem, encouraging leadership skills, and building a sisterhood. Through community involvement and

female empowerment your child will experience a first look at what it takes to be positive role model.

Homework Helper

Homework Helper

K – 8

K- 8

Mondays,

Thursdays

3:45 – 4:45

Tuesdays

3:45 – 4:45

25

25

$25

$25

308

332

Ms. Gabby

Ms. Toney

In this class, students will have the opportunity to work on assignments that they have been given, as well as receive additional

help. This is a great opportunity for students who may need a little extra motivation and encouragement. Students will have access

to computers and any other resources they may need to complete the assignments that they have been given

Write and Illustrate

A Picture Book

3-7 Tuesdays

3:45 – 4:45

20 $80 130 Mrs. Mangual-Price

Explore the art of creative writing and illustrate your own book! Students will learn how to organize, write and illustrate their very

own picture book. Join this published writer/teacher led enrichment and immerse yourself in the adventure of writing and

illustrating your own story. Come join the fun!

Cooking for Teens 6-8 Thursdays

3:45 – 4:45

Open $80 +

$20 for

supplies

305 Ms. Philip

Do you want to be the next Gordon Ramsay or Rachael Ray? They all had to start somewhere! Come join us in Cooking for Teens.

We will explore different foods, and how to prepare them in a fun and healthy way! Who knows, we may even find the next Food

Network Star!

Miscellaneous Activities

Knight’s News

School Paper

4 - 8 Mondays

3:45 – 4:45

10 $65 211 Ms. Kircheis

Renaissance Charter School of St. Lucie is proud to be publishing their very own newspaper this year. Students will learn the ins

and outs of the paper industry and be able to interview, write, edit, and layout their own articles for the Knights News! Our

publication will go to print quarterly.

Fun Science K - 5 Thursday

3:45 – 4:45

16 $89 132 Ms. Babos

Fascinating, fun, hands-on science experiments to enrich your mind. In this class, you will learn about and do experiments

concerning Earth Science (volcanoes, geysers), weather (rainbows, snow/ice), life (animals), and so much more! All supplies are

covered in the cost of the course.

Mad Science 6 - 8 Mondays &

Tuesdays

3:45 – 4:45

Open $65 301 Ms. Calderon

Put on your lab coat and safety goggles because it is time to put your energy into science! Be prepared to explore the world of

STEM (Science, Technology, Engineering, and Mathematics) to create new and innovating inventions in a classroom lab. We will

explore scientific strategies to create an engaging environment for students to become lifelong learners!

Monet Jr. Oil Painting 3 - 7 Thursdays

3:45 – 4:45

10 $80 + $20

Supplies

130 Mrs. Mangual-Price

Club Monet Jr. will empower students to explore their creativity and help develop their affinity for the fine arts in this hands-on oil

painting class. Students will learn and practice basic skills for oil painting. Students will also have the opportunity to critique and

reflect on their work. The $20 materials cost covers supplies the students will use and keep.

Multicultural

Snack Time

K-5 Tuesdays

3:45 – 4:45

Open $95 132 Ms. Babos

Do you have an interest in cooking? This is the group for you. In this class, students will be making and enjoying different unbaked

snacks from many cultures from all over the world. We will be making famous European, American, and African dishes! All

materials are covered in the course cost.

Kitchen Science K-5 Tuesdays

3:45 – 4:45

10 $50 119 Ms. Banat

In Kitchen Science, students will be given opportunities to explore science through hands on activities. Some of these activities will

be discovering states of matter through making ice cream, and learning about density by making juice. Our young chef/scientists

will discover that there is science everywhere they go!

Bricks 4 Kidz K-5 Thursdays Open $55 124 Shana Giles

3:45 – 4:45

Do you enjoy building with LEGO? If you do...this is the program for YOU! We will be building models based around some of

our favorite amusement rides; learning the history and mechanics behind them. Each student will get to build their own mini-

figurine the first week of class to play with during building time and creative building time. The students will take these home the

last week of class. *Please note that this class is run by an outside vendor. Checks should be made payable to Bricks4Kidz.

After School Enrichment Important Dates 2016-2017 School Year

8/15-8/26 Q1 After-School Enrichment Registration Period

8/29 Q1 After-School Enrichment Starts

9/5 No ASE - No School (Labor Day)

9/23 No ASE - No School (Teacher PD Day)

10/12 No ASE - No School (Fall Holiday)

10/14 Q1 After-School Enrichment Ends

10/17-10/21 No ASE – Make-up Week

10/10-10/21 Q2 After-School Enrichment Registration Period

10/24 Q2 After-School Enrichment Starts

St. Lucie Knights Male

Youth Group

5-8 Saturdays

9:30 – 10:30

Open $25 Meet in

Front

Lobby

Coach Perez

The goal for the St Lucie Knights Male Youth Group is to raise the aspirational levels of our youth by exposing these promising

students to practical leadership through club oriented responsibilities. The objectives will be:

1. To inspire service in the public interest through the cultural enrichment and character development of young males between the

6th to 8th grade.

2. To develop leadership skills while monitoring, encouraging, and rewarding outstanding academic performance.

3. To refine self-image, self-esteem, social skills, and environmental awareness.

4. To assist parents by providing opportunities for their child to discuss career options with successful professionals

5. To afford the less fortunate youth with sponsored entertainment and culture enrichment.

6. To inform youth of the value of higher education, assistance available for continued educational pursuits, scholarships, loans,

professional counseling, and fellowships

Key: Registration Periods Quarter Start/End Dates Showcase Dates ASE Cancellation Dates

Course Breakdown by Day

Course Grade Cost Location Instructor

Monday

Dancing Divas (Mon & Thurs) K-8 $65 332 Ms. Toney

Renaissance Chorus K-8 $65 110 Ms. Gerheart

Ball Games K-5 $65 Carloop Ms. Babos

Knights News Newspaper 4-8 $65 211 Ms. Kircheis

Mad Science (Mon & Tues) 6-8 $65 301 Ms. Calderon

G.L.A.M. 2-5 $25 107 Ms. Hughes

Homework Helper K-8 $25 308 Ms. Gabby

Cross Country (Mon & Thurs) 5-8 $50 311 Coach Perez

Tuesday

Guitar K-8 $65 334 Mr. Jackson

Goju-Karate Do K-8 $80 Cafeteria Shihan Mic Norcia

LeaderCheer 1-2,3-4 $90 PE Court Ms. Meltzer

Softball (Coed) 5-8 $70 PE Field Ms. Rolle & Ms.

O’Brien

Multicultural Snack Time K-5 $95 132 Ms. Babos

G.L.A.M. 6-8 $25 107 Ms. Hughes

Write & Illustrate a Picture Book 3-7 $80 232 Mrs. Mangual-Price

Mad Science (Mon & Tues) 6-8 $50 301 Ms. Calderon

Kitchen Science K-5 $50 119 Ms. Banat

Homework Helper K-8 $25 322 Ms. Toney

Basketball Conditioning (Tues & Fri) 5-8 $50 Carloop Coach Perez

Thursday

Glee Club 6-8 $65 310 Mr. Laird

Dancing Divas (Mon & Thurs) K-8 $65 332 Ms. Toney

Playball K-4 $90 PE Field Coach Frank

Fun Science K-5 $89 132 Ms. Babos

Monet Jr. Oil Painting 3-7 $80 +$20 232 Mrs. Mangual-Price

Homework Helper K-8 $25 308 Ms. Gabby

Bricks 4 Kidz K-5 $55 122 Ms. Giles

Cooking for Teens 6-8 $80 + $20 305 Ms. Phillip

Cross Country (Mon & Thurs) 5-8 $50 311 Coach Perez

Friday

Step Team Jr. K-5 $25 308 Ms. Gabby

Ballet and Acro K-5 $85 222 Ms. Adela

Basketball Conditioning 5-8 $50 Carloop Coach Perez

Saturday

St. Lucie Knights Male 5-8 $25 Lobby Coach Perez

Youth Group

Additional Opportunities for Enrichment Coming Soon!

Mathematical Olympiad

Students in grades 4 – 8 will have the opportunity to join the Math Olympiad team. Ms. Phillip will be

leading this group through practice sessions and competitions at the national level. There are prizes and

trophies to be won for showing off how analytical you are! There are a limited number of spots on the

team, and information will be sent home with interested students. Positions will be filled on a first come-

first served basis.

To request information, please contact Ms. Phillip at cphillip@stluciecharter.org

Science Olympiad

The goal of Science Olympiad is to improve the quality of science education through competitions

similar to sporting events. Just as students are motivated to compete in various sporting activities,

students compete as a team against other schools in 23 different events that range the spectrum of

science subjects. What's more, our events are inquiry based and have been designed to correlate with

the National Science Education Standards and the Sunshine State Standards. We are the only science

competition listed in the national standards as an exemplary implementation of inquiry and assessment.

More information coming soon.

To request information, please contact Ms. Calderon at acalderon@stluciecharter.org

Odyssey of the Mind

This is an international educational program that provides creative problem-solving opportunities for

students from kindergarten through college. Team members apply their creativity to solve problems that

range from building mechanical devices to presenting their own interpretation of literary classics. They

then bring their solutions to competition on the local, state, and World level. Thousands of teams from

throughout the U.S. and from about 25 other countries participate in the program.

To request information, please contact Ms. Eltman at keltman@stluciecharter.org

Middle School Step Team

Keep an eye out for audition info coming soon!

Gojushinkai Karate INC

HOLD HARMLESS AND

LIABILITY RELEASE AND WAVIER AGREEMENT

____________________________________________________________________/_______________

___

Last Name First MI Age Date of Birth

____________________________________________________________________________________

___Address City State Zip

____________________________________________________________________________________

___

Email Address

_______________________________________________________________________________

Phone - Area Code Date

I, ___________________________________, have voluntarily submitted my application for registration

as a student or for my student child _____________________ in the Gojushinkai Karate Inc. program.

By submitting the application for membership, I certify that I am fully aware of and understand the

inherent dangers in the participating in activities involving martial arts, and of the basic safety rules, and

procedures, including, but not limited to, promotional rank testing, summer camps, after school karate

program and tournaments which I may enter.

I understand and agree that the operator of the school, the instructors, owner of the school building, or

any other student, will not be responsible for my safety, nor will any of these parties or individuals serve

as a guardian of myself or my child’s safety.

I understand and agree that neither the operators of the school, Gojushinkai Karate Inc. its owners, the

instructors, or any other student, their agents or assigns, or any other individual or entity associated with

Gojushinkai Karate Inc. may be held liable in any way for any occurrence or event in connection with

my membership or participation in tournaments or camps which may result in injury, death or any and

all damages to me or to my family, descendants, heirs or assigns or any other individual or entity

associated with Gojushinkai Karate Inc. may be held liable in any way for any occurrence or event in

connection with my membership or participation in tournaments or camps which may result in injury,

death, or any and all damages to me or to my family, descendants, heirs or assigns.

I understand and agree that in consideration of being allowed to be a student in this program, including

tournaments or summer camps, I hereby personally assume any and all risks involved in connection with

the same; and furthermore, I release forever the aforementioned individuals and entitles and any other

individual or entity associated with this program, for any harm, injury or damage that may occur to me/

my child or befall me/ my child while I am a student in this program, including any and all risks

connected therewith whether foreseen or unforeseen, including any risks created and/or harm caused by

any negligent act (excluding gross negligence or recklessness behavior) or acts of any or all of the

above-mentioned parties. Furthermore, I will hold harmless the above-mentioned parties from any claim

by me, my family, my estate, my heirs, my personal representatives or their assigns, arising out of my

participation in the program, tournaments or camps.

I further state that I am of lawful age and legally competent to sign this agreement and that my

signing this agreement is my own free act (unless a parent or legal guardian signs this). I also understand

and agree that the terms herein are contractual, and they are not a mere recital or simply for information

purposes.

I have read, and understand, and fully informed myself of the contents of this agreement. I

assume my own responsibility for my physical condition and capability to perform under the program,

tournaments or summer camps in which I may participate.

__________________________ _________________________

Signature Date

___________________________ ___________________________

Please print name Type of Identification Produced

TO BE SIGNED IF ABOVE IS EXECUTED

BY PARENT OR LEGAL GUARDIAN

In consideration of the aforementioned activities, and as parent or legal guardian of the minor

named above, I, on behalf of said minor, agree to indemnify and save harmless Gojushinkai Karate

Inc., the organizers of the program, the instructors, tournament officials, camp directors, other

contestants in the programs or tournaments, or their agents or assigns, against any claim for damages,

compensation or otherwise on the part of said minor or his or her heirs, executors or administrators and

to reimburse or make good any loss or damages or costs that any of the above parties may have to pay if

any litigation arises on account of any claims made by said minor or anyone in his/her behalf.

Furthermore, I release any claim or cause of action that I may personally have as parent or legal

guardian resulting from any such injury or death to said minor.

__________________________ __________________________

Signature of legal guardian Date

___________________________ ___________________________

Please print name Type of Identification Produced

Quarter 1 Registration 2016-2017 School Year

Quarter 1 Classes: August 29, 2016 – October 14, 2016

Quarter 1 Registration Deadline: August 26, 2016

Enrichment Class_________________________________________________________________ Price _______ Day _____________

(One form per class, one check per class)

Student Name __________________________________________________________________ Birth

Date_______/_______/_______

Homeroom Teacher Name_________________________________________________Homeroom Room #___________ Grade

_______

Parent/Guardian Name _______________________________________________________ Phone # _________________________

Parent/Guardian Name _______________________________________________________ Phone # _________________________

E-Mail ______________________________________________________________________________________________

Emergency Contact (other than those listed above) _________________________________________________________

Phone # __________________________________ Relationship To Student ____________________________________

Is the student registered for After Care? _______ Does the child have permission to walk/ride bike home? ________

Allergies or pertinent information regarding the student:

______________________________________________________________________

The following people have permission to pick up my student(s) in the event that I am unable. They understand that they must show

valid ID.

Please Print.

1._____________________________________________________________

2._____________________________________________________________

3._____________________________________________________________

4._____________________________________________________________

*Please make sure there is only one form and one check for each enrichment. Please see class descriptions for outside vendor check

information. All students should consider themselves “accepted” into classes unless contacted otherwise by teachers. Enrichment programs

are non-refundable, except for long-term illness or the cancellation of a program, due to low enrollment. Attach payment (checks made

payable to RCSSL are preferred for non-vendor run classes) in an envelope and turn in to the homeroom teacher or office. Any check that

bounces will incur a $25 fee. Please make note that the registration deadline is August 26, 2016. Classes begin August 29, 2016 and

end October 14, 2016. There is no ASE on teacher planning days, school holidays, nor days when the school district cancels after-school

activities due to severe weather alerts. Parents must PARK (not in the carloop) when picking up student. ALL PARENTS MUST

PRESENT A GREEN CARLOOP TAG WITH THEIR CHILD’S NAME IN ORDER TO SIGN OUT. Students who are not picked

up within 15 minutes of enrichment ending will be signed in and charged for Aftercare. If you have any additional questions or concerns

please contact Mr. Laird via e-mail at slaird@stluciecharter.org.

I understand and agree to the above guidelines.

Parent/Guardian Signature: ________________________________________________________ Date:________________

ASE Teacher use only! (One copy for teacher, one copy for After-School Enrichment Coordinator)

Cash _____ Check #_________ Total Amount $ ________

Enrichment Coordinator Signature__________________________________________ Date_______________