kids/youth registration form … · session 1: june 5-23, 2017 session 2: july 10-28, 2017...

2
SESSION 1: JUNE 5-23, 2017 SESSION 2: JULY 10-28, 2017 Orientation | May 6 | 9 a.m. - 2 p.m. Dunn-Oliver Acadome Banquet Room Division of Continuing Education P.O. Box 271 • Montgomery, AL 36101-0271 Nonprofit Org. U.S. Postage PAID Montgomery AL Permit #149 Name of Classes: 8-10 a.m. __________________________________________________________________________________________ 10 a.m.-noon ______________________________________________________________________________________ 1-3 p.m. ___________________________________________________________________________________________ 3-5 p.m. ___________________________________________________________________________________________ What school did you attend for the 2016-17 school year? ______________________________________ Total Cost: $425: 4 classes, 8 a.m.-5 p.m. Includes lunch, field trip, t-shirt and backpack $300: 2 classes, 8 a.m.-noon or 1-5 p.m. Includes lunch, t-shirt and backpack Session 1 Session 2 Both sessions Please print Student Name: ____________________________________________________ Grade: ________ Age: ________ Address: ___________________________________________________________________________________________ City, State & Zip Code: ___________________________________________________________________________ Name of Parent/Guardian: _______________________________________________________________________ Day/Work Phone: _________________________________________________________________________________ Cell Phone: ___________________________________ Home Phone: ____________________________________ Email: _________________________________________________________________ T-shirt Size: _______________ PAYMENT OPTIONS REGISTER & PAY ONLINE AT www.alasu.edu/continuingeducation Do NOT fill out this form if you register online. Personal Check Make payable to ASU Continuing Education. Please include driver’s license number, home and work phone numbers on check. Cash Visa Mastercard Discover AmExpress Card number: _____________________________________________________________________________________ Expiration date: ________________________ CVV Code (# on back of card): ________________________ Signature: _________________________________________________________________________________________ Mail to: ASU Division of Continuing Education, P.O. Box 271, Montgomery, AL 36101-0271 or Fax to: 334-229-8763 CALL 334-229-4686 TO REGISTER BY PHONE WITH CREDIT CARD or visit our office at 1030 W. University Drive, Campus of Alabama State University I acknowledge that my child received 2 T-shirts and 1 Backpack. Signature: _________________________________________________________________________________________ How did you hear about SKYCAP? Radio Online TV Magazine Brochure Person Other _______________ Is this your first time participating in SKYCAP? Yes No How many years has your child participated in SKYCAP? __________ KIDS/YOUTH KIDS/YOUTH REGISTRATION FORM For complete registration, go to www.alasu.edu/skycap to download additional forms. ALABAMA STATE UNIVERSITY ALABAMA STATE UNIVERSITY KIDS/YOUTH KIDS/YOUTH Summer fun and learning for students entering 1st-12th grades. 10% DISCOUNT if you register for a full-day on or before May 6, 2017. 15% DISCOUNT if you register for both sessions on or before May 6, 2017.

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SESSION 1: JUNE 5-23, 2017 SESSION 2: JULY 10-28, 2017

Orientation | May 6 | 9 a.m. - 2 p.m. Dunn-Oliver Acadome Banquet Room

Div

isio

n of

Con

tinui

ng E

duc

atio

n P.

O. B

ox 2

71 •

Mon

tgom

ery,

AL

3610

1-02

71

Non

pro

fit O

rg.

U.S

. Pos

tage

PAID

M

ontg

omer

y A

L P

erm

it #1

49

Name of Classes:

8-10 a.m. __________________________________________________________________________________________

10 a.m.-noon ______________________________________________________________________________________

1-3 p.m. ___________________________________________________________________________________________

3-5 p.m. ___________________________________________________________________________________________

What school did you attend for the 2016-17 school year? ______________________________________

Total Cost: $425: 4 classes, 8 a.m.-5 p.m. Includes lunch, field trip, t-shirt and backpack $300: 2 classes, 8 a.m.-noon or 1-5 p.m. Includes lunch, t-shirt and backpack Session 1 Session 2 Both sessions

Please print Student Name: ____________________________________________________ Grade: ________ Age: ________

Address: ___________________________________________________________________________________________

City, State & Zip Code: ___________________________________________________________________________

Name of Parent/Guardian: _______________________________________________________________________

Day/Work Phone: _________________________________________________________________________________

Cell Phone: ___________________________________ Home Phone: ____________________________________

Email: _________________________________________________________________T-shirt Size: _______________

PAYMENT OPTIONSREGISTER & PAY ONLINE AT www.alasu.edu/continuingeducation Do NOT fill out this form if you register online. Personal Check Make payable to ASU Continuing Education. Please include

driver’s license number, home and work phone numbers on check. Cash Visa Mastercard Discover AmExpress

Card number: _____________________________________________________________________________________

Expiration date: ________________________ CVV Code (# on back of card): ________________________

Signature: _________________________________________________________________________________________

Mail to: ASU Division of Continuing Education, P.O. Box 271, Montgomery, AL 36101-0271

or Fax to: 334-229-8763

CALL 334-229-4686 TO REGISTER BY PHONE WITH CREDIT CARD

or visit our office at 1030 W. University Drive, Campus of Alabama State University

I acknowledge that my child received 2 T-shirts and 1 Backpack.

Signature: _________________________________________________________________________________________

How did you hear about SKYCAP? Radio Online TV Magazine

Brochure Person Other _______________

Is this your first time participating in SKYCAP? Yes No

How many years has your child participated in SKYCAP? __________

KIDS/YOUTHKIDS/YOUTH REGISTRATION FORM For complete registration, go to www.alasu.edu/skycap to download additional forms.

A L A B A M A S T A T E U N I V E R S I T YALABAMA STATE UNIVERSITY

KIDS/YOUTHKIDS/YOUTH

Summer fun and learning for students entering 1st-12th grades.

10% DISCOUNT

if you register for a full-day on or before May 6, 2017.

15% DISCOUNT

if you register for both sessions on or before May 6, 2017.

SKIL

LS E

XP

LOR

ATIO

N

Read

ing

Rock

s (G

rade

s 1-

3)

Sess

ion

I #1

7-10

1-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

101-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

A. C

oope

r, in

stru

ctor

Mat

hem

atic

s (G

rade

s 1-

3)

Sess

ion

I #1

7-10

2-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

102-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

M. R

eyno

lds

& H.

Ban

ks, i

nstru

ctor

s

Read

ing

& S

pelli

ng (G

rade

s 1-

3)

Sess

ion

I #1

7-10

3-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

103-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

S. L

ong

& K.

Will

iam

s, in

stru

ctor

s

Read

ing

& L

angu

age

(Gra

des

4-5)

Se

ssio

n I

#17-

104-

01

June

5-2

3, M

on.-

Fri.

8-10

a.m

. or 1

0-no

on

Sess

ion

II #1

7-10

4-02

Ju

ly 1

0-28

, Mon

.-Fri.

8-

10 a

.m. o

r 10-

noon

S.

Cal

houn

, ins

truct

or

Lang

uage

Art

s (G

rade

s 6-

8)

Sess

ion

I #1

7-10

5-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

105-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

S. S

mith

, ins

truct

or

Com

preh

ensi

on &

Stu

dy S

kills

(G

rade

s 6-

8)

Sess

ion

I #1

7-10

6-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

106-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

Dr. S

. Huf

fman

, ins

truct

or

Esse

ntia

l Com

mun

icat

ion

Skill

s (G

rade

s 9-

12)

Sess

ion

I #1

7-10

7-01

Ju

ne 5

-23,

Mon

.-Fr

i. 8-

10 a

.m. o

r 10-

noon

Se

ssio

n II

#17-

107-

02

July

10-

28, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

Dr. S

. Huf

fman

, ins

truct

or

Span

ish

I (Gr

ades

4-5

) Se

ssio

n I

#17-

108-

01

June

5-2

3, M

on.-F

ri., 8

-10

a.m

. Se

ssio

n II

#17-

108-

02

July

10-

28, M

on.-

Fri.,

8-1

0 a.

m.

R. M

orto

n, in

stru

ctor

Span

ish

II (G

rade

s 6-

8)

Sess

ion

I #1

7-10

9-01

Ju

ne 5

-23,

Mon

.-Fri.

, 10-

noon

Se

ssio

n II

#17-

109-

02

July

10-

28, M

on.-

Fri.,

10-

noon

R.

Mor

ton,

inst

ruct

or

CR

ITIC

AL

SKIL

LS

EN

HA

NC

EM

EN

T

ACT

Prep

arat

ion

(Gra

des

9-12

) Se

ssio

n I

#17-

110-

01

June

5-2

3, M

on.-F

ri., 8

a.m

. - n

oon

Sess

ion

II #1

7-11

0-02

Ju

ly 1

0-28

, Mon

.-Fr

i., 8

a.m

. - n

oon

D. C

hapm

an, i

nstru

ctor

(In

clud

es b

ook

& CD

ROM

)

SCIE

NC

E,

TEC

HN

OLO

GY,

E

NG

INE

ER

ING

&

MAT

HE

MAT

ICS

(STE

M)

>>Sc

ienc

e Sc

ienc

e I (

Grad

es 4

-5)

Sess

ion

I #1

7-11

1-01

Ju

ne 5

-23,

Mon

.-Fri.

, 8-1

0 a.

m.

Sess

ion

II #1

7-11

1-02

Ju

ly 1

0-28

, Mon

.-Fr

i., 8

-10

a.m

. K.

Dav

is, i

nstru

ctor

Scie

nce

II (G

rade

s 6-

8)

Sess

ion

I #1

7-11

2-01

Ju

ne 5

-23,

Mon

.-Fri.

, 10

a.m

.-noo

n Se

ssio

n II

#17-

112-

02

July

10-

28, M

on.-

Fri.,

10-

noon

K.

Dav

is, i

nstru

ctor

Fore

nsic

Sci

ence

s Ex

plor

atio

n (G

rade

s 9-

12)

Sess

ion

I #1

7-11

3-01

Ju

ne 5

-23,

Mon

.-Fri.

8-

10 a

.m. o

r 10

a.m

.-no

on

Sess

ion

II #1

7-11

3-02

Ju

ly 1

0-28

, Mon

.-Fr

i.

8-10

a.m

. or 1

0 a.

m.-

noon

T.

H. P

arke

r, in

stru

ctor

Biom

edic

al E

ngin

eeri

ng

Expl

orat

ion

(Gra

des

6-9)

Se

ssio

n I

#17-

114-

01

June

5-2

3, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

Sess

ion

II #1

7-11

4-02

Ju

ly 1

0-28

, Mon

.-Fr

i.

1-3

p.m

. or 3

-5 p

.m.

TBA,

inst

ruct

or

>> T

echn

olog

y Co

mpu

ter

Codi

ng (G

rade

s 9-

12)

Sess

ion

I #1

7-11

5-01

Ju

ne 5

-23,

Mon

.-Fri.

1-

3 p.

m. o

r 3-5

p.m

. Se

ssio

n II

#17-

115-

02

July

10-

28, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

T. Th

omas

, ins

truct

or

Basi

c Co

mpu

ters

(Gra

des

1-3)

Se

ssio

n I

#17-

116-

01

June

5-2

3, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

Sess

ion

II #1

7-11

6-02

Ju

ly 1

0-28

, Mon

.-Fri.

1-

3 p.

m. o

r 3-5

p.m

. S.

Low

e, in

stru

ctor

Com

pute

r Ga

mes

I (G

rade

s 4-

8)

Sess

ion

I #1

7-11

7-01

Ju

ne 5

-23,

Mon

.-Fri.

, 1-3

p.m

. Se

ssio

n II

#17-

117-

02

July

10-

28, M

on.-F

ri., 1

-3 p

.m.

D. C

hapm

an, i

nstru

ctor

Com

pute

r Di

gita

l Art

(Gra

des

4-8)

Se

ssio

n I

#17-

118-

01

June

5-2

3, M

on.-F

ri., 1

-3 p

.m.

Sess

ion

II #1

7-11

8-02

Ju

ly 1

0-28

, Mon

.-Fri.

1-

3 p.

m.

D. H

utto

n, in

stru

ctor

Robo

tics

Expl

orat

ion

(Gra

des

6-8)

Se

ssio

n I

#17-

119-

01

June

5-2

3, M

on.-F

ri., 1

-3 p

.m.

Sess

ion

II #1

7-11

9-02

Ju

ly 1

0-28

, Mon

.-Fri.

, 1-3

p.m

. Dr

. C. J

ones

, ins

truct

or

Com

pute

r In

form

atio

n Sy

stem

s (G

rade

s 6-

12)

Sess

ion

I #1

7-12

0-01

Ju

ne 5

-23,

Mon

.-Fri.

1-

3 p.

m. o

r 3-5

p.m

. Se

ssio

n II

#17-

120-

02

July

10-

28, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

T. Th

omas

& A

. Chr

istia

n, in

stru

ctor

s

Com

pute

r An

imat

ion

(Gra

des

4-8)

Se

ssio

n I

#17-

121-

01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-12

1-02

Ju

ly 1

0-28

, Mon

.-Fri.

, 3-5

p.m

. D.

Cha

pman

, ins

truct

or

Com

pute

r Gr

aphi

cs (G

rade

s 4-

8)

Sess

ion

I #1

7-12

2-01

Ju

ne 5

-23,

Mon

.-Fri.

, 3-5

p.m

. Se

ssio

n II

#17-

122-

02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

D. H

utto

n, in

stru

ctor

Web

Des

ign/

Phot

osho

p (G

rade

s 4-

8)

Sess

ion

I #1

7-12

3-01

Ju

ne 5

-23,

Mon

.-Fri.

1-

3 p.

m. o

r 3-5

p.m

. Se

ssio

n II

#17-

123-

02

July

10-

28, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

P. M

ezeh

& A

. Chr

istia

n, in

stru

ctor

s

Dron

e Ex

plor

atio

n (G

rade

s 6-

12)

Sess

ion

I #1

7-12

4-01

Ju

ne 5

-23,

Mon

.-Fri.

, 3-5

p.m

. Se

ssio

n II

#17-

124-

02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

Dr. C

. Jon

es, i

nstru

ctor

>> M

athe

mat

ics

Basi

c M

athe

mat

ics

(Gra

des

4-5)

Se

ssio

n I

#17-

125-

01

June

5-2

3, M

on.-F

ri., 8

-10

a.m

. Se

ssio

n II

#17-

125-

02

July

10-

28, M

on.-F

ri., 8

-10

a.m

. K.

Cal

low

ay, i

nstru

ctor

Basi

c M

athe

mat

ics

II (G

rade

s 6-

8)

Sess

ion

I #1

7-12

6-01

Ju

ne 5

-23,

Mon

.-Fri.

, 10

a.m

.-noo

n Se

ssio

n II

#17-

126-

02

July

10-

28, M

on.-F

ri., 1

0 a.

m.-n

oon

K. C

allo

way

, ins

truct

or

Alge

bra

I (Gr

ades

6-8

) Se

ssio

n I

#17-

127-

01

June

5-2

3, M

on.-F

ri., 8

-10

a.m

. Se

ssio

n II

#17-

127-

02

July

10-

28, M

on.-F

ri., 8

-10

a.m

. B.

Jef

fers

on, i

nstru

ctor

Alge

bra

II (G

rade

s 9-

12)

Sess

ion

I #1

7-12

8-01

Ju

ne 5

-23,

Mon

.-Fri.

, 10

a.m

.-noo

n Se

ssio

n II

#17-

128-

02

July

10-

28, M

on.-F

ri., 1

0 a.

m.-n

oon

B. J

effe

rson

, ins

truct

or

Geom

etry

(Gra

des

9-12

) Se

ssio

n I

#17-

129-

01

June

5-2

3, M

on.-F

ri.

8-10

a.m

. or 1

0-no

on

Sess

ion

II #1

7-12

9-02

Ju

ly 1

0-28

, Mon

.-Fri.

8-

10 a

.m. o

r 10-

noon

P.

Hill,

inst

ruct

or

CR

EAT

IVE

E

XP

RE

SSIO

N

Pain

ting

(Gra

des

1-3)

Se

ssio

n I

#17-

130-

01

June

5-2

3, M

on.-F

ri., 1

-3 p

.m.

Sess

ion

II #1

7-13

0-02

Ju

ly 1

0-28

, Mon

.-Fri.

, 1-3

p.m

. M

. Gre

atho

use,

inst

ruct

or

Wild

life

Art (

Grad

es 1

-3)

Sess

ion

I #1

7-13

1-01

Ju

ne 5

-23,

Mon

.-Fri.

, 3-5

p.m

. Se

ssio

n II

#17-

131-

02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

M. G

reat

hous

e, in

stru

ctor

Yout

h Ce

ram

ics

(Gra

des

4-8)

Se

ssio

n I

#17-

132-

01

June

5-2

3, M

on.-F

ri., 1

-3 p

.m.

Sess

ion

II #1

7-13

2-02

Ju

ly 1

0-28

, Mon

.-Fri.

, 1-3

p.m

. T.

Shuf

ford

, ins

truct

or

Draw

ing

& S

ketc

hing

(Gra

des

4-8)

Se

ssio

n I

#17-

133-

01

June

5-2

3, M

on.-F

ri., 1

-3 p

.m.

Sess

ion

II #1

7-13

3-02

Ju

ly 1

0-28

, Mon

.-Fri.

, 1-3

p.m

. C.

Spe

arm

an, i

nstru

ctor

Voic

e/Ch

oir

(Gra

des

6-12

) Se

ssio

n I

#17-

134-

01

June

5-2

3, M

on.-F

ri.

1-3

p.m

. or 3

-5 p

.m.

Sess

ion

II #1

7-13

4-02

Ju

ly 1

0-28

, Mon

.-Fri.

1-

3 p.

m. o

r 3-5

p.m

. D.

Sto

vall,

inst

ruct

or

Pian

o I (

Grad

es 4

-5)

Sess

ion

I #1

7-13

5-01

Ju

ne 5

-23,

Mon

.-Fri.

, 1-3

p.m

. Se

ssio

n II

#17-

135-

02

July

10-

28, M

on.-F

ri., 1

-3 p

.m.

R. M

alon

e, in

stru

ctor

Pian

o II

(Gra

des

6-12

)

Sess

ion

I #1

7-13

6-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-13

6-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

R. M

alon

e, in

stru

ctor

Yout

h Ca

rtoo

ning

(Gra

des

4-5)

Sess

ion

I #1

7-13

7-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-13

7-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

C. S

pear

man

, ins

truct

or

Pott

ery

for

Teen

s (G

rade

s 5-

9)

Sess

ion

I #1

7-13

8-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-13

8-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

T. Sh

uffo

rd, i

nstru

ctor

Sing

/Dan

ce Id

ol (G

rade

s 1-

12)

Sess

ion

I #1

7-13

9-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-13

9-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

J. J

ohns

on, i

nstru

ctor

SPO

RTS

&

FITN

ESS

Zu

mba

tom

ic/Z

umba

(Gra

des

1-12

)

Sess

ion

I #1

7-14

0-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-14

0-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

K. S

umlin

, ins

truct

or

Swim

min

g (G

rade

s 1-

12)

Sess

ion

I #1

7-14

1-01

June

5-2

3, M

on.-F

ri.

1-2:

30 o

r 3:3

0-5

p.m

.

Sess

ion

II #1

7-14

1-02

July

10-

28, M

on.-F

ri.

1-2:

30 o

r 3:3

0-5

p.m

.

J. M

oham

mad

/M. G

ilber

t, in

stru

ctor

s

Socc

er (G

rade

s 1-

5)

Sess

ion

I #1

7-14

2-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-14

2-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

D. H

arol

d &

I. Ju

de, i

nstru

ctor

s

Tenn

is (G

rade

s 4-

12)

Sess

ion

I #1

7-14

3-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-14

3-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

B. S

ewel

l, in

stru

ctor

Volle

ybal

l (Gr

ades

6-1

2)

Sess

ion

I #1

7-14

4-01

June

5-2

3, M

on.-F

ri., 3

-5 p

.m.

Sess

ion

II #1

7-14

4-02

July

10-

28, M

on.-F

ri., 3

-5 p

.m.

D. C

voric

& O

. Ros

ario

, ins

truct

ors

For

cour

se d

escr

ipti

ons

and

a c

om

ple

te li

stin

g o

f al

l kid

s/yo

uth,

ad

ult

enri

chm

ent

and

pro

fess

iona

l d

evel

op

men

t co

urse

s, v

isit

our

Co

ntin

uing

Ed

ucat

ion

Sum

mer

201

7 C

atal

og

web

site

at

w

ww

.ala

su.e

du/c

onti

nuin

geducati

on

or

call

334-2

29-4

686

fo

r ad

dit

iona

l inf

orm

atio

n.

KIDS

/YOU

THKI

DS/Y

OUTH