eka happenings - explore knowledge academy · hour of code december 9 – 15th was computer science...
TRANSCRIPT
Volume 3, Issue 5 A PUBLICATION FOR EXPLORE KNOWLEDGE ACADEMY FAMILIES
EKA HappeningsEKA Happenings December 2013December 2013
EKA CALENDAR
December 20th 1st Semester ends
Winter Break
Dec. 23rd-Jan. 3rd
Classes Resume 2nd Semester Begins
Jan. 7th
Martin Luther King Jr. Day (Offices Closed)
Jan. 20th
EKA Renewal 2014 REMINDER: Explore Knowledge Academy goes before the Clark County School District Board of Trustees to ask for our charter to be renewed on Thursday, January 9th. This will be our second renewal since the school began in 2002. Every six years, we must go through this process and it is that time again. Administration has completed all the paperwork and now we need to show CCSD that we are supported by our parents, students and community. We are asking that you join us at the trustee meeting on Thursday, January 9th, at 4:00 pm. The meeting is at CCSD’s Main Office at the EDWARD A. GREER EDUCATION CENTER, BOARD ROOM 2832 E. FLAMINGO ROAD, LAS VEGAS, NV 89121. Please join us for this exciting milestone.
Wholesome Tummies Café
The Wholesome Tummies menu for January is attached at the end of the newsletter. To order WT Café visit www.wtcafe.com. Order a month in advance or as late as 8am the same morning. Entrees are pre-ordered online and delivered in time for lunch. Please place your hot lunch orders by January 4th to receive confirmation for the start of our second semester.
The Common Core State Standards Initiative is an education initiative in the United States that
details what K-12 students should know in English and math at the end of each grade. Over the next few newsletters, EKA will be including some questions similar to those that will be on future tests. Please refer to the last pages of this newsletter for sample questions.
EKA would like to wish all of our families Happy Holidays
& Happy New Year!
Hour of Code December 9 – 15th was Computer Science Education Week. Explore Knowledge Academy is proud to say that our
students joined 5 million students in 167 countries participating in an Hour of Code! Students watched short messages
by President Obama and Mark Zuckerberg before learning the basics of computer coding. Computer science is not a
course typically taught to K – 12th grade students, yet the market for employment in this field is growing. Computer
science develops students’ computational and critical thinking skills and shows them how to create, not simply use,
new technologies. This fundamental knowledge is needed to prepare students for the 21st century, regardless of their
ultimate field of study or occupation. Through www.code.org tutorials, EKA students were
able to learn about coding and the response was amazing! Students were challenged to
complete code for games such as Plants v. Zombies and Angry Birds. Parents reported that
students went home and continued working through the tutorials at home after school. One
of our seniors is now changing his intended college major to computer science after this
experience. The tutorials are free and can be accessed through the site listed above. EKA is
proud to be part of this world wide week of computer science education and looks forward
to enhancing our students’ computer science knowledge in the future.
from the Registrar Re‐enrollment packets will be sent home with your child on Tuesday, January 7th. To ensure placement for the 2014‐2015 school year, please return the completed packet to the front office no later than January 24th. Incomplete packets will be returned and will not hold a student’s spot for the 2014‐2015 school year. Open enrollment for new students for the 2014‐2015 school year will begin on Monday, January 27th. Upcoming orientation dates for new students interested in attending EKA include: January 14th and 21st February 7 and 25th March 11th and 28th April 22nd May 2nd and 13t June 6th. Please remember when picking your student up early from school, the absence may be considered unexcused. (Secondary ‐ If a student misses 30 minutes or more of any class they are considered absent.) Students with 3 or more unexcused absences will receive a truancy letter in the mail. Parents have 3 days upon the students return to turn in an absence note. If a note is not received in 3 days, the absence is considered unexcused. If you plan on your student being absent, please fill out a pre‐arranged absence form. Students are allowed 10 approved pre‐arranged absences (1 day = 1.3 EKA days.) Also, please remember we DO NOT release students after 2:45 (Elementary) and 3:20 (Secondary.) If students must schedule an appointment, please try to schedule on Mondays or later in the day.
Students can earn the chance to win $15 over Winter Break! The student who earns the most Blue Ribbons (combination of English and Math) on STUDY ISLAND from Dec. 21 to Jan. 5 will win a $15 Target gift card. Second place earns a $10 gift card while third place gets $5. You can use your normal login and password at www.studyisland.com. There will be one set of winners from the Elementary Campus and one set from the Secondary Campus
from the Superintendent
Happy Holidays to all of our EKA friends and families, The semester is over and Winter break is here. Semester report cards will be collated the first week advisors return in January and should be mailed by January 17th. We hope to have updated Discovery score sheets included with the report card mailings. School staff is working diligently to prepare for second semester enrollment, as well as enrollment and re-enrollment (existing students) for the 2014 – 2015 school year. Please see our website for additional information on new student orientations and enrollment dates. If you know of someone that could benefit from a project based technology infused learning environment, please let them know about EKA!
As we look to 2014, students will begin preparing for standardized testing. We have included some sample problems for you to review so that you can understand what the new increase in Common Core State Standards (CCSS) means to students having to take these exams. We know this transition year has been difficult for everyone, but we feel that each day our students learn more and are better equipped for these tests than the day before. We will continue to mentor your students and assist them in learning the skills necessary to be successful on these mandated tests. You can also go to the Smarter Balanced Assessment Consortium at http://www.smarterbalanced.org/ for more information on these upcoming exams. This year our 5th grade students are part of the pilot testing in mathematics, and we have been told that the Criterion Reference Tests (CRTs) will have a CCSS portion to them. While Nevada works to meet the requirements of the Nevada Waiver to the No Child Left Behind waiver, there will be some changes to the tests your children have to take. Please be patient as we try to navigate through these changing times. We will keep you informed as best we can.
Finally, I want to remind everyone that on January 9th, EKA goes before the Clark County School District Board of Trustees to renew our charter. We would love to have as many EKA supporters in attendance as possible. Hope to see you there.
Sincerely,
Abbe Mattson Superintendent
EKA Elementary Happenings EKA Families, As we are approaching the end of the first semester of the 2013-2014 school year, we want to thank you for your continued support to our school and our academic program. Most advisories are finishing up their last round of projects before going on Winter Break. Students are increasingly becoming more independent in completing their projects by pulling out content that is important to them from the standards their advisors are assigning. The standards are becoming more meaningful as the students extract content by generating questions that are significant to them. This fall, advisors have also fully taken on the task of teaching the new Common Core State Standards (CCSS). We have done this through modifications to our existing Saxon Math program and the full implementation of Reading Wonders. Our staff recognizes that this transition is not an easy one. In some instances, students are being taught math and reading that is on a level that is a year or more beyond what has ever been taught at their grade level. Initially, there was a level of discomfort for students, and yes, even parents. Some of the uneasiness was a result of longer and more complex reading passages and some was from scores earned on weekly reading assessments. Our initial goal in giving the weekly Reading Wonders Common Core assessments was to see a continuum of growth throughout the school year; which in turn would allow advisors and parents to see the students’ progress in meeting the rigor of the standards. Only halfway through the year, we are exceptionally pleased to see our students responding. Students who initially were frustrated by the long, nonfiction passages are now tackling those head on with the strategies taught by advisors. Advisors regularly meet with students to set goals for weekly assessments. As a result of the rigor of the Reading Wonders program and the regular homework help students are receiving from families, we are seeing growth! Students are excited to see the results of their hard work. The other component of our state’s implementation of the new CCSS is a change in the yearly assessments our students will be taking. The examinations students in Nevada will be taking are part of the Smarter Balanced Assessment Consortium (SBAC). Some 3rd – 5th students will be participating in a pilot SBAC assessment and some students will be administered the CRT test with additional CCSS components. Given that there will be new assessments beginning in the spring, we want to give our parents an opportunity to start seeing some of the sample types of questions your children will be asked to solve. Families are also encouraged to go to smarterbalanced.org for more information. Sincerely, Dawn Gustafson Elementary Principal
The Kindergarten and 1st grade advisories performed "A Bear-y Merry Holiday" song for the parents. Each first grade advisory performed their own winter song and kindergarten closed the show with the Winter Pokey.
PTSA provided juice and cookies for the families after the show! We had a fantastic turn out and parents really enjoyed it!!
EKA Secondary Happenings
Study Island Update Middle School students continue to improve their math and reading skills by using the Study Island program. Class leaders are Mr. Keyer P. 2, Mr. Knudson P. 6, and Ms. Ferguson P. 5. The class with the most Blue Ribbons during the second quarter will receive a pizza party.
Most Number of Blue Ribbons 2nd Quarter
Grade 6: Celeste T., Nicco R., Bianca C., and Courtney M. Grade 7: Jeanine D., Benjamin W., and Ethan H.
Grade 8: Sidney H., Sarah M., Lauretta W. and Amaya Z. Students can use the program at home by logging into www.studyisland.com
and using their specific login and password.
Discovery #2 Tests Middle school students recently completed the second of four rounds of the Discovery Education English and Math exams. Advisors use the results of these exams to analyze growth and target specific standards in their instruction. Growth reports should be sent home in January with your child’s semester report card. Overall EKA students showed average or above average growth . Congratulations to the following students who showed above average growth compared to the first exams in September:
Math 6 English 6 Math 7 English 7 Math 8 English 8 Skylar J. Bjorn R. Ethan H. Mercedes Z. Pamela C. Alexander R. Nicco R. Skylar J. Matthew M. Bianca C. Eric G. Lauretta W. Jordan B. Nadia P. Taylor C. Raymond L. Jonathan W. James M. Zavier U. Bianca C. Melanie V. Ariana L. Michael M. Sebastian J. Ryan D. Sean C. Charleise W. Adrian M. James M. Willis W. Cameron G. Angelica B. Brandon E, Paige J. Mia R. Isaac C. Langley W. Ibrahim F. Maria C. Zach L. Franklin J. Zavier U. Zach L. Nick O. Cameron G. Michael E. Langley W. Willis W. Christopher W. Lauretta W. Dylan H.
Leadership 6 EKA sixth graders completed their Leadership 6 class this week with Mr. Synold. Along with studying law and government, students had several guest speakers including: Henderson City Council Woman Schroeder, Judge Weiss, Metro Officer Delap and District Attorney Bawa (pictured). On December 4 and 5, students took a field trip downtown to experience the Regional Justice Building and Federal Courthouse. Students met several judges and marshals, watched court cases, and visited the Nevada Supreme Court. Leadership 6 provided background knowledge for the sixth graders biography project that they completed in their advisory. It was a memorable semester of learning!
EKA Happenings
Caleb W.- Helped set up lunches and then cleaned the lunch room Dayton D.– Checked on a friend when he fell Martha H. - Waited patiently for a class to pass by Demetrius S. - Mercy Q.– Gave her extra spoon to a friend. Derrick D. - Calmed a student while waiting for the bus Frank H.– Picked up a jacket so that nobody would trip over it Damani G.– Closed the door to the closet for someone else
We encourage students to wear their “Be Kind” shirts each Friday as part of our “Be Kind” day!
Elementary Tip Top Singers: Mrs. Carr Grades 2/3 Tuesday 3:15-4:10 Meet in Elementary Library Step Up Dance: Friday’s 3:15-4:00 Session 2 Nov. 8-Dec. 20 $48.00 per session Karate: Thursday’s 3:15-4:00 Session 2 Oct. 31-Dec. 12 $48.00 per session Secondary Chess Club: Mr. Knudson Thursday 3:50-4:30 Knudson Advisory
Secondary (Cont.) Sewing Club: Ms. Chapman To Be Announced Introduce students to the fun and value of the sewing skill. Drama Club: Ms. Carty Tuesday 3:50-4:30 Carty Advisory National Honor Society: Ms. Kinoshita Wednesday 12:30-1:00 (During lunch) Meet in the Science Lab Student Government: Ms. Mattson Wednesday 2:30-3:30 Meet in the Science Lab
School Clubs
KARATE CLUB New Session begins December 19th
ELEMENTARY DANCE New Session begin January 10th
IT’S NOT TOO LATE TO SIGN UP! Information and sign-up sheets about Session 2
are attached at the end of the newsletter. Each six week session costs $48
Lunch Schedule
Secondary (2nd Semester) 10:56-11:26 Kindergarten & 1st grades 11:30-12:00 2nd & 3rd grades 12:00-12:30 4th & 5th grades 11:30-12:00 *Please be advised, parents are discouraged from dropping lunch off for their student after 10:30 as we do not have the staff available to deliver.
Elementary Office Hours Monday 7:30-2:30
Tues - Fri 7:30-4:00 ~
Secondary Office Hours Monday 8:00—3:00 Tues - Fri 7:30-4:15
5871 Mountain Vista Las Vegas, NV 89120
(702) 870-5032
Superintendent —Abbe Mattson Secondary Principal —Jonathan Synold Elementary Principal —Dawn Gustafson Operations Manager—Hope Vivas
Student Email 2nd—12th grade students can access their email at home through the resource section on our website. Click on the link that says, “EKA Email.” Students will be given their email addresses at the start of the school year. Emergency Contact Information If you have recently changed your contact information (email or phone numbers, specifically) please be sure to notify the front office and change them on your student’s emergency cards. Medication Please remember the Health Office requires proper documentation before your student can receive any medication at school. All medication must be given to the Health Office. Lunch Please send your child’s lunch with the needed utensils. We cannot provide them. Also, please remember to label your child’s belongings. This includes lunch boxes and lunch bags. This will prevent your student’s lunch from getting mixed up with someone else’s. Please remember to drop lunches off to the front office no later 11:00. Early Pick-up Parents who need to have their children picked up from school early by a person other than the child’s legal guardian need to send in an email or fax with picture ID stating the name of that individual. We need something IN WRITING or the student will not be released. Missed School Work Policy When your child is absent, please be sure to contact their advisor to request any missed assignments. All EKA advisors can be reached via email through our website. Parents are responsible for contacting the advisors. Also, please check back with the advisor when coming in to collect missing work to make sure it has been brought to the front office.
Parent Reminders
PTSA: Why join the EKA PTSA? Research studies show that kids do better when parents get involved. PTSA’s keep parents informed. Involved parents can understand the challenges schools face and become part of the solution. Strong schools mean stronger communities. Thank you to everyone who came out to support the EKA Holiday Bazaar.
Wishing everyone a safe and restful holiday break! Happy 2014
Straight A Honor Roll
Alahna Carstens 1 Haley Corn 2 Brianna Stevnes 4
Cole Isom 1 Jose Echeninque 2 Annison Harhay 4
Casey McCracken 1 Quinn Beauliu 2 Jessamina Piazza 4
Fiona Morgan 1 Freyja Pouncy 2 Jade Bowman 4
John Rees 1 Anthony Rodriguez 2 Sophia Caggiano 4
Adrian Rizo 1 Haley Escarrilla 2 Christianel Justine Ramos 5
Janae Sanders 1 David Rodriguez 2 Jaden Wagner 5
Jasmin Sowell 1 Celeste Contreras 2 Kristana Ferguson 5
Jayden Sykes 1 Conner Segura 2 Derrick Diaz 5
Mahaila Tavares 1 Ella Sholer 2 Katie Burchert 5
Maya Anika Boone 1 Samantha Keller 2 Rachel Schramm 5
Bianca Cortez 1 Eric Vega 2 Elijah Walker 5
Audrie Magee 1 Alena Irubor 2 Bailey Williams 5
Hannah McKittrick 1 Jade McEnery 2 Victoria Zubia 5
Capri Reiss 1 Caleb Roston 2
Marissa George 1 Amya Hall 2
Julius Quarnstrom 1 Brianna Meadows 2
De'Metrius Slay 1 Brianna Walsh 2
Kaylynn Spencer 1 Zachariah Williams 2
Troy Stevenson 1 Cody Braun 3
Nathaniel Cramer 1 Azayvra Char 3
Troy James Gonzalez 1 Elijah Palmer 3
Trenton Kinsley 1 Dublin Paxman 3
Jenni‐Lynn Maravilla 1 Kasey Peterson 3
Michael Rees 1 Matthew Allen Gamatero 3
Jessa Swift 1 Andrew Smith 3
Alice West 1 Tyler Bentley 3
Ashlyn Whitham 1 Allan Huskins 3
Janeane Wright 1 Azul Oropeza 3
Skyler Yamasaki 1 Sean Smith 3
Alexandria Zubia 1 Adelaide Hubble 3
Daniel Vaughn 3
Angelina Walsh 3
Aidan Whitty 3
Elementary 1st Quarter Honor Roll
A & B Honor Roll
Elizabeth Allgood 1 Caden Baumeister 2
Ean Cantos 1 Jasper Bennincasa 2
Gracelyn Castro 1 Naomi Bolton 2
Chasson Clark 1 Kira Boyd 2
Skye Cox 1 Dylan Brooks 2
Aiden Cratty 1 Vinson Brundy 2
Victoria Dinkel 1 Benicio Cicala 2
Skylar Fincken 1 Kash Denney 2
James Hairr 1 isabella Drumm 2
Ema Hutcherson 1 Nilah Fortson 2
Keanu Illustrisino‐Edrosa 1 Sebastian Fronda 2
Elijah Jackson 1 Braden Garafola 2
Violet LeFort 1 Daniel Gilkey 2
Angelina Longoria 1 Julia Lourdes Golez 2
Paradise Lopez 1 Lillian Harhay 2
Trace Lybarger 1 Bryce Hay 2
Kiera Matteson 1 Travis Hayn 2
Alabama Mize 1 Alyssa Huckabee 2
Andrea Ochoa 1 Dylan James 2
Ilan Oropeza 1 Alec Kasamis 2
Bethanie Osborne 1 Chole Keovorabouth 2
Zakk Palmer 1 Sarah Lloyd 2
Ella Pamukcu 1 Donovan Lopez 2
Thomas Piazza 1 Kora Maalouf 2
Katelyn Pringle 1 Nathaniel Mayo Bohl 2
Leonardo Reyna Perez 1 Abigail Mendoza 2
Emma Roach 1 Ashley Meyers 2
Julian Roy 1 Katrina Muscat 2
Clark Sarol 1 Maili Oshiro 2
Evan Simmons 1 Mark Pealock 2
Logan Slavens 1 Chaelyn‐ Pedrina‐ 2
Aysia Suyat 1 Oceanna Pretz 2
Garrett Taylor 1 Lane Pusko 2
David Thomas 1 Elijah Redic 2
Jordan Toney 1 Justin Sanchez 2
Sebastian Varela 1 Sydney Scrutchens 2
Lilly Vega 1 Madeline Stewart 2
Eileen Wolf 1 Corryn Taylor 2
Noah Tomlin 2
Michael Torrence 2
Brycelynn Usitalo 2
Melvin Vernon 2
Aidan Leigh Williams 2
A & B Honor Roll
Nicholas Bainbridge 3 Juliet Acosta 4
Liam Boone 3 Annalee Avila 4
Aria Born‐Helmuth 3 Parker Beining 4
Leroy Brice 3 Megan Cary 4
Ryder Bryan 3 Kayla Clifford 4
Conner Durand 3 McKenna Cox 4
Amelia Echeverria 3 Elizabeth Garcia 4
Baylee Edgel 3 Kylie Glover 4
Jessenia Flores 3 Erica Hincapie 4
Gianna Frisco 3 Ginger Howard 4
Andrew John Gamatero 3 Eli Jalou 4
Angel Garcia 3 Faith Javate 4
Loshe Gerba 3 Jasmine Kaaukuu 4
Caroline Gomez 3 Emily Matrtinez‐Figueroa 4
Olympia Goodwin 3 Melissa Melquist 4
Damani Green 3 Athena Morales 4
Landon Hairr 3 Desert Pretz 4
Noah Highsmith 3 Yazindah Rodriguez 4
Carlee Horsfall 3 Issaak Spencer 4
Nathaniel Intrieri 3 Anastasia Stevens 4
Heaven Lopez 3 Jayleigh Swift 4
Adrian Maravilla 3 Liliana West 4
Isaiah Marcell 3 Erika Brown 5
Joanah Mills 3 Erik Cihlar 5
Skyler Murray 3 Bonnie Diehl 5
Lillian Nganga 3 Louis Fletcher 5
An Nguyen 3 Kena Gerba 5
Mariah Osborne 3 Raeann Gonzalez 5
Brandon Palmer 3 Sean Grant 5
Lavender Patterson 3 Ashley Hine 5
Justin Price 3 Noah Huckabee 5
Dallice Prior 3 Jeffrey Lance 5
Renwick Rivera 3 Gregory Loveday‐Kiechler 5
Dianna Robles 3 Kaden Maalouf 5
Dominick Ross 3 Gavin Patterson 5
Nayomi Smith 3 Jacob Steiner 5
Breyon Spears 3 Dominik Tavares 5
Schuyler Taylor 3 Austin Wright 5
Marshon Thompson 3
Julienne Valdez 3
Noah Webster 3
Caleb Whitham 3
Nicholas Whittinghill 3
Caleb Wingate 3
All entrees come with two sides. Including: Fresh, in-season fruit and veggies and/or all-natural snacks. Our foods are made from only natural and organic ingredients.NOTE: Our menu items are free from nut ingredients and our Gluten Free menu items do not contain gluten ingredients.
However, our foods are prepared in a facility that uses equipment which may come in contact with nuts, gluten, dairy, eggs, soy and other foods that can cause allergic reactions.
Order now at www.wtcafe.com | 702-431-4463
Monday Tuesday Wednesday Thursday Friday30 31 1 2 3
6 7 8 9 10
13NO LUNCH SERVICE
NO LUNCH SERVICE
14ENTREESChicken Tenders
Gluten Free Chicken Tenders
Waffles & Sausage
Penne Marinara
Chicken Tortilla Soup
15ENTREESMac & Cheese
Chicken Cordon Bleu
Penne Marinara
Greek Pita w/Chicken
ENTREES
16ENTREESHamburger
Roasted Chicken & Potatoes
Penne Marinara
Taco Salad
17ENTREESPizza Dippers
Chicken & Bean Burrito
Penne Marinara
Ham & Cheese Sub
NO LUNCH SERVICE ENTREESChicken Tenders
Gluten Free Chicken Tenders
Chocolate Chip Pancakes
Penne Marinara
Chicken Noodle Soup
ENTREESAll-natural Hot Dog
Super Burrito Bowl
Penne Marinara
Buffalo Chicken Salad
ENTREESHamburger w/Cheese
Loaded Nacho Dip w/Chicken
Penne Marinara
Winter Salad
ENTREEPizza Dippers
Chicken Mash Bowl
Penne Marinara
Turkey & Prov Sub
20 21ENTREESNew York Style Pizza
New York Style Peperoni Pizza
Gluten Free Pizza
22ENTREEMac & Cheese w/ BBQ Chicken
Loaded Potato Skins
Penne Marinara
Buffalo Chicken Salad
23ENTREESHamburger w/Cheese
Gluten Free Chicken Tenders
Chicken Tenders
Penne Marinara
Loaded Baked Potato Soup
Hamburger
Super Burrito Bowl
Penne Marinara
Winter Salad
24ENTREESPizza Dippers
Sloppy Joes
Penne Marinara
Ceasar Salad w/Chicken
Pizza Dippers
Chicken Mash Bowl
Penne Marinara
Turkey & Prov Sub
27NO LUNCH SERVICE ENTREES 28
Chicken Tenders
Gluten Free Chicken Tenders
Waffles & Sausage
Penne Marinara
Broc & Cheddar Soup
Mac & Cheese
BBQ Chicken Quesadilla
Penne Marinara
Chicken Soft Taco Wrap
ENTREESENTREES29 30 31
AVAILABLE DAILY
Penne Marinara Served Daily
- RUSH item
Except Monday - Pizza Day
Our Foods NEVER contain:• High Fructose Corn Syrup
• Arti!cial Trans-fats• Arti!cial Flavors and Colors
• Arti!cial Nitrates
JANUARY 2014
MENU
Happy New Year!
Explore Knowledge Academy is proud to announce that Master Allen R. Sarac will be offering students the opportunity to participate in a weekly Karate Club at EKA. Master Sarac is 7th degree black belt and the owner of the Professional Karate Center (PKC) located at:
5455 S. Fort Apache #100 ~ Las Vegas, NV ~ 798-5425 Where: Six (6) classes held at Explore Knowledge Academy Cost per session: $48.00 (If student signs up for 4 sessions, the last WHOLE session will be free)
THURSDAYS, GRADES K-5
Session 1: Sept. 19, 26, Oct. 3, 10, 17, 24
Session 2: Oct. 31, Nov. 7, 14, 21, Dec. 5, 12
Session 3: Dec. 19, Jan. 9, 16, 23, 30, Feb. 6
Session 4: Feb. 13, 27, Mar. 6, 13, 20, 27
Session 5: Apr. 3, 10, 24, May 1, 8, 15
Classes are held on Thursdays from 3:15 pm until 4:00 pm.
Special Instructions:
**Students must be picked up by their parent promptly at 4:00 pm.
Please complete the bottom of this form and return it to the school front office if you would like PKC to contact you to discuss Karate class. NOTE: Your child will receive all 6 classes even if a class is missed due to a late sign up.
[ ] Please have PKC call me to discuss the club.
Student Name: Advisor: Grade:
Phone: Parent Name:
Please complete the back of this form if you want to sign your child up and return it to the school front office. Exact payment must be attached.
PLEASE CONTACT PROFESSIONAL KARATE CENTERS WITH ANY QUESTIONS REGARDING THE KARATE PROGRAM, NOT EKA STAFF. THANK YOU!
Professional Karate Center Sign up form and Medical Release For Explore Knowledge Academy Karate Club
Child’s Name: Grade: Advisor:
Parent/Guardian Name: Phone: Cell:
[ ] My child will be picked up after class by: (Specific names please, ID required)
Payment Options: [ ] Check: Make checks payable to Professional Karate Center. (There is a $25 fee for returned checks)
[ ] Master Card [ ] Visa Card # Billing Zip Code:
Name as appears on the card: Card expiration date:______________
Cardholders Signature: 3 digit security code:
Health History/Special Needs:
Allergies:
For ourselves, and on behalf of our child, our heirs, executors, and administrators, I hereby do expressly and forever waive and release the organizers of this event/activity and all their officers, employees, agents and representatives from any and all liability for personal injuries or damages sustained, incurred, arising from, or connected with travel to and from the activity names above, and all activities related to, or in connections with, said activity by our child/services recipient.
I hereby authorize the organizers of the event, their agents and representative to take and use promotional photos, videos and other media source for promotional purposes and understanding that there are no monetary benefits involved.
The health history is correct so as I know, and the person herein described has permission to engage in all prescribed activities, except as noted by me. In the event that I cannot be reached in an emergency, I hereby authorize the organizers agent or representative and physician they select to hospitalize and/or secure proper treatment for and order injection, anesthesia or surgery for m y child names above. If medical care or treatment is necessary, I agree to assume full financial responsibility.
Insurance carrier and policy # is:
Emergency contact: Phone: Cell:
I hereby give my permission for my child to attend and participate in the planned activities scheduled by agents/representatives for this event:
Parent/Guardian Signature Printed Name Date
Student Registration Explore Knowledge Academy Fridays 3:15 p.m. – 4:00 p.m.
Medical Emergencies: I/we, the undersigned hereby authorize Step Up Academy of the Arts LLC, its owners, operators, agents, and employees to seek medical treatment for my child, in the event they are not able to reach me/us, the legal parent/guardian. I hereby declare my child is in a condition of health and soundness of body that warrants his/her undertaking all aspects of the dance programs. I request that my child be transported to the nearest available hospital in the event of any serious medical emergency requiring immediate professional medical attention.
I have read the above and agree: __________________________________________ Date:___________
Publications: I understand that photographs and/or videos may be taken any time throughout the year during activities and performances. All such photos and videos are property of Step Up Academy of the Arts, LLC and may be published and/or used for promotional purposes, including the studio’s website. I hereby consent to the use of said materials and I relinquish the right to protest any such use.
I have read the above and agree: __________________________________________ Date:___________
Release of Liability: As the legal parent/guardian, I hereby release and hold harmless Step Up Academy of the Arts, LLC, and their respective agents, heirs, assigns, contractors, landlords, and employees from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Step Up Academy of the Arts, LLC, their respective agents, heirs, assigns, contractors, and employees or while my family member is in route to or from any of said premises.
I have read the above and agree: __________________________________________ Date:___________
Student Information First Name
Last Name
Birth Date
List any medical conditions
Parent/Legal Guardian First Name
Last Name
Home/Cell
Address City Zip Email
□ Session 1 – September 20, 27, October 4, 11, 18, November 1 □ Session 2 – November 8, 15, 22, December 6, 13, 20 □ Session 3 – January 10, 17, 24, 31, February 7, 14 □ Session 4 – February 28, March 7, 14, 21, 28, April 4 □ Session 5 – April 11, 25, May 2, 9, 16, 23
$48/session CASH/CHECK
ONLY Pay for all sessions in advance and get
the last session free! Children will learn jazz and hip hop with a special parent
presentation at the end of each session!
