MONDAY 3/27-5/22

No Class 4/10,4/17

After School Recreation All classes are held on campus.

WEDNESDAY 3/29-5/24

No Class 4/12

Grades K-5

Guitar & Ukulele

Room 4

2:45-3:45pm

6852.2171

Grades K-5

Stamp Club

Room 4

2:45-3:45pm

6853.2171

THURSDAY 3/30-5/25

No Class 4/13

Grades K-5

Logic & Mind Games

Room 4

2:45-3:45pm

6905.2171

FIRST DAY OF CLASS: Students need to meet at the assigned location listed above. LAB FEE: Will be paid at the time of class registration. Lab fee is separate from class fee.

PICK UP: Children need to be picked up immediately after class. Failure to pick up your child on time

could result in dismissal from the program without a refund and A $1.00 per minute late fee will be charged.

ABSENCES: Please notify Conejo Center at 805-495-2163 if your child will be absent. Attendance is

taken in each class and absences are verified.

RAINY DAYS: Rain or bad weather does not cancel programs. Programs will be moved to an

indoor area. ***No class on days of no school***

Refunds and Cancellations by the Participant

A full refund will be granted if we are notified 24 hours prior to first class. Refunds will not be granted day of class or once a class has begun.

Students may not “try out” a class.

Refunds for medical reasons will be granted on a pro-rate basis, written verification by a physician is

required. Cancellations by Conejo Recreation & Park District

* A full refund will be made if a class is cancelled by the district prior to the starting date.

* Children may be dismissed from the program without a refund due to behavior problems.

Sometimes courses are cancelled because people wait too long to register!

TUESDAY 3/28-5/23

No Class 4/11

Grades K-5

1:40pm-2:40pm

Super Soccer

On Field

6904.2171

Grades 1-5

Spanish

In Science Lab

6834.1171

Preregistration with Payment Required! Email a scanned form or take a photo with your Smart-

phone and send it to ccc@crpd.org, Fax form to (805)381-2738, Walk-in or Mail to Conejo

Community Center at 1175 Hendrix Ave. Thousand Oaks, CA 91360.

Your last chance to Register is the week of 3/20 we will be on campus this week as well.

6853.1171 W 2:45-3:45pm $75 3/29-5/24 8 Wks

6852.1171 Th 2:45-3:45pm $75 3/30-5/25 8 Wks

Stamp Club, Grades k-5 Do you want to be a "philatelist", aka stamp collector? Do

you like stamps, and want to start a collection?

If you said "yes" to either of these questions, then join Mrs.

Fry's Stamp Club. Earths' Stamp Club is affiliated with the

American Philatelic Society. No Class 4/12

Meet in Room 4

Instructor: Jennifer Fry

Guitar & Ukulele, Grades K-5 Come learn the guitar and ukulele while singing new

songs and some old favorites. Instruments will be

provided or you may bring your own.

Meet in Room 4

No Class 4/13

Instructor: Jennifer Fry

Logic & Chess Games Grades k-5 Unplug and connect with others. Join us as we interact

and stimulate the brain by playing games of logic and

problem solving.

Meet in Room 4

No Class 4/10, 4/17

Instructor: Jennifer Fry

6905.2171 M 2:45-3:45pm $66 3/27-5/22 7 Wks

Super Soccer Stars Grades k-5 On Field Class includes ball activities with high repetition which

promotes muscle memory to build confidence and ball

control. No Class 4/11

Meet on Soccer Field

Instructor Super Soccer Stars

6904.1171 T 1:40-2:40pm $75 3/28-5/23 8 Wks

Spanish Grades 1-5 Learn to write and speak Spanish through songs, and

games. Read simple stories and acquire new Spanish vo-

cabulary. Learn to articulate sentences and use them in

daily conversations. This class is 75% in Spanish, all the

instructions are in English. NEW LESSONS EACH SESSION

Meet in Physical science Lab

No Class 4/11

instructor: Claudia Nagatoshi

6834.1171 T 1:40-2:40pm $75 3/28-5/23 8 Wks

We are searching for new classes. Do you have a class

idea? Know someone who may be interested in teaching

an after school program? Please contact the

Conejo Community Center 805-495-2163 or CCC@CRPD.ORG

Kinders must be picked up at regular dismissal

and returned to campus for Enrichment Class,

unless enrolled in Child Care. Unfortunately,

students and parents may not remain on campus

for class to start.

Pre-registration required Email, Fax Or Walk-In Registration To:

Conejo Community Center

1175 Hendrix Ave, Thousand Oaks 91360

Email: ccc@crpd.org

Fax (805) 381-2738

Ph (805) 495-2163 Make Checks Payable to CRPD

Registration Not accepted at School

Attention

Kindergarten Parents!

To attend After School Programs:

____ Will be picked up in the room/ Recogido en el salón ____ Has permission to walk to parking area/ Caminar al estacionamiento ____ Has permission to ride his/her bike/ Irse en su bicicleta ____ Has permission to walk home/ Tiene permiso de caminar a casa ____ Will be escorted by CRPD staff back to onsite Child Care/ Irse a la guardería

Payment Method:____MC/Visa Debit ____ MC/Visa ____Discover ____AMEX ____Check/Money Order ____Cash Forma de pago: Tarjeta de débito Cheque- escriba a CRPD Efectivo Cardholder’s Name/Nombre en la tarjeta:_____________________________ Signature/Firma: __________________________ MC/Visa/Debit/DiscoverAMEX #:_______________________________________________ Exp Date/Fecha de exp: ________

Email, Fax Or Walk-In Registration To:

Conejo Community Center 1175 Hendrix Ave, Thousand Oaks 91360

Email: ccc@crpd.org

Fax (805) 381-2738

Ph (805) 495-2163 Make Checks Payable to CRPD

AGREEMENT, WAIVER, AND RELEASE

In consideration for being permitted by the Conejo Recreation & Park District to participate in the above activities,I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activities. This release is intended to discharge in advance the Conejo Recreation & Park District (its officers, employees, and agents) from any and all liability arising out of or connected in any way with my participation in said activities, even though that liability may arise out of negligence or careless-ness on the part of the persons or entities mentioned above. It is understood that these activities involve an element of risk and danger of accidents and knowing those risks I hereby assume those risks. It is further agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold the above person or entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as the result of my death or any injury or property damage that I may sustain while participating in said activities. PARENTAL CONSENT: (to be completed and signed by parent/guardian if applicant is under 18 years of age) I hereby con-sent that my son/daughter, _____________________________, participate in the above activities, and I hereby execute the above Agreement, Waiver, and Release on his/her/their behalf. I state that said minors are physically able to participate in said activities. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of the death or any injury or property damage that said mi-nors may sustain while participating in said activities. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE CONEJO RECREATION & PARK DISTRICT AND I SIGN IT OF MY FREE WILL.

_____________________________ ____________________________ ___________________________ Signature / Firma Name (Printed) / Nombre (Impreso) Date / Fecha

Parent Name/Nombre del padre:____________________________________Email: ____________________________________ Address/Domicilio: ____________________________________City/Ciudad: _________________ Zip/Código Postal: ________ Day Phone/:_____________________________________ Evening Phone/:___________________________________________ Número de teléfono de dia Número de teléfono por la noche

Earths After School Recreation Registration Form

Activity Number Participants Full Name Teachers Name & Grade Date of Birth Gender Fee

After Class My Child: Después de clase mi hija/o:

Special medical conditions or allergies/Allergias_________________________________________________