After School Activity Sign Up Please note
Wilson Middle School Before/After School Activity Sign Up Please note this form is a way for students to signup for various Before/After School clubs, events, academies, intramurals, etc. Most of the Before/After School activities will accept a maximum number of participants. Communication regarding the final list of participants for each activity will be shared with students & parents via email. We encourage all students and parents to check the school website for daily announcements and information about upcoming Before/After School activities . Transportation to all activities off school property will be provided by the school district, unless noted otherwise. If your student rides the bus there will be a late bus available to them, leaving the school at 4:30pm. On Mondays there is a late bus offered at 3:00 PM AND 4:30 PM. There will not be before OR after school clubs on the following dates, due to these being student vacation days: November 24th through November 27th and December 21st through December 31st. *Additional paperwork (i.e. permission slip, physical form) may be required for certain Before/After School activities. ***Filling this out does NOT guarantee a spot in the program you have selected. Each program has a set maximum and once it is full we will stop accepting new sign ups, unless under certain circumstances.*** Program Coordinator: Jessica Clark [email protected] 7123286476 ext. 1210 ONLINE SIGNUP HERE: http://tiny.cc/8woc4x OR Download the app QR Reader and sign up online by scanning this barcode! C.B. D.R.E.A.M.S. Leadership will be meeting the first Monday of each month from 1:153:00PM beginning Monday, November 1st
REGISTRATION FORM: Before and After School (This registration form needs to be completed once for the year from each student participating in activities!)
___________________ Student’s First Name
____________________ Student’s Last Name
___________ Student’s Grade
____________ Student’s ID
__________________ Advisor Name
Student Transportation ❏ Student will need to ride the late bus which leaves at 4:30pm ❏ Student will be walking home after activities at 4:30pm ❏ Student will be picked up after activities at 4:30pm If your student participated in Before & After School activities in 2015 and your information has not changed, you do not need to complete it again. If your student has not previously participated, please complete the below section so we have it on file. Participant Waiver: Students must have a parent or guardian complete this portion. PARENT OR GUARDIAN: Please sign below if you agree to your child participating in Before & After School activities. ______________________________ _____________________ Print Parent(s) Name Phone Number ______________________ _______________________ ________________ Parent Email Address Emergency Contact Emergency Contact Phone # Does your child have a medical condition we should be aware of? Yes_____ No____ If yes, what is the condition? ________________________________________________________ Any known allergies? Yes_____ No____ If yes, what are they? ______________________________________________________________ IMAGE RELEASE Supplier: CBCSD
Event: Before & After School Programs Date of Event: 8/20156/2016 By signing this form, you are giving permission for your image (or son/daughter’s image) to be used in marketing materials. Images may be used in television commercials, newspaper articles, websites or other forms of media. I, the undersigned, hereby warrant that I am the ___________________ (parent or legal guardian) of ______________________ (youth’s name) , a minor, and have full authority to authorize the above release ,which I have read and approved. Signature of Parent or guardian __________________________________________________ Date _____________
WILSON NOVEMBER/DECEMBER 2015 CB DREAMS SIGN UP STUDENT NAME _____________________________ GRADE_____ ADVISOR_____________________
Please mark the clubs / programs you want to sign up for. There are max numbers on some of the clubs / programs.
BEFORESCHOOL PROGRAMS
BeforeSchool Clubs
Date Range
AM B.O.K.S
Morning Book Buzz & Homework Hall
Days
Time
Description
9/2/2015 to 12/18/2015
M, T, W, Th, F
7:00 AM to 7:45 AM
Rise and shine for some early moving to get your body and mind in gear! There will be a different activity planned for each day of the week where you can meet new friends and learn how to be a team player, and be active and healthy!
10/7/2015 to 12/16/2015
W
7:007:45
Want to relax with a good book in the morning before school or work on any homework you have? Morning Book Buzz & Homework Hall is the place for you!
AFTERSCHOOL PROGRAMS
AfterSchool Clubs Art Club Drawing Basics (NOVEMBER)
Art Club Winter Crafts (DECEMBER) Calling All Book Lovers! Cooking Club (NOVEMBER)
Cooking Club (DECEMBER)
Community Service Club
Date Range
Days
Time
Description
11/4/2015 to 11/18/2015
W
3:00 PM to 4:30 PM
Have you always wanted to learn how to draw but have never figured out how? This is the perfect place to start as we will begin with very simple pieces and work our way up!
12/2/2015 to 12/16/2015
W
3:00 PM to 4:30 PM
It’s too cold outside to do anything else! Come join us in making winter crafts! These crafts are the perfect gift to give your friends and family!
10/1/2015 to 12/17/2015
Th
3:00 PM to 4:30 PM
Do you love learning about new and exciting books? Check out this after school book club!
11/3/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Pick up a spatula and whip up something delicious every week! New to the kitchen? Don’t worry because you will learn a lot too!
12/1/2015 to 12/15/2015
Tu
3:00 PM to 4:30 PM
Pick up a spatula and whip up something delicious every week! New to the kitchen? Don’t worry because you will learn a lot too!
10/2/2015 to 12/18/2015
F
3:00 PM to 4:30 PM
Serve others in your community each month! This is a great way to earn volunteer hours and have a positive impact on others in your area through a variety of projects!
Craftmania!
11/3/2015 to 12/15/2015
Tu
3:00 PM to 4:30 PM
If you constantly find yourself scrolling through different crafts and projects on Pinterest, Craft Mania is the place for you! You don't need to be artistic to create some fun, homemade projects for yourself or others!
Creative Writing
9/3/2015 to 11/19/2015
Th
3:00 PM to 4:30 PM
Do you like to write? Do you want to learn more about writing and share your writing with others? You should join Wilson Creative Writing Club! During club meetings we will explore different ways to make your writing great, have writing workshops to make your writing stronger, and have time to free write (the most fun part!). At the end of the year, we will put together a Literary Magazine to show friends and family the pieces we've been working on!
Cyber Patriot
9/1/2015 to 3/22/2015
Tu
3:00 PM to 4:30 PM
At the center of CyberPatriot is the National Youth Cyber Defense Competition. The competition puts teams of high school and middle school students in the position of newly hired IT professionals tasked with managing the network of a small company. Teams are given a set of virtual images that represent operating systems and are tasked with finding cybersecurity vulnerabilities within the images and hardening the system while maintaining critical services. Teams will compete within their state.
Friendship Club
9/1/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Just want to have fun and make new friends? Join the friendship club for a variety of activities from nail painting to jewelry making and more! The environment is filled with laughter and support!
Get Fit!
11/3/2015 to 12/17/2015
Tu, Th
3:00 PM to 4:30 PM
Come join us GET FIT! If you are looking for a great way to stay in shape during the colder months, this is the activity for you! You will also learn about safety in the weight room as well as some muscle building/toning strategies you can take with you when this program is over. A healthy life is a happy life! (Limit 35 students)
11/6/2015 to
F
3:00 PM to 4:30 PM
Interested in becoming a nurse, surgeon, dietitian, or doctor? Learn how with Healthcare Academy as we learn first hand how it is done!
9/1/2015 to 6/3/2016
M, Tu W, Th, F
1:15 PM to 3:00 PM 3:00 PM to 4:30 PM
Need some extra time and help with homework? Stay after school and get some extra time with teachers from your school!
Healthcare Academy 12/4/2015
Homework Help
11/9/2015
M
1:15 PM to 4:30 PM
Sharpen your blades at Motto McLean Ice Arena (formerly Hitchcock Ice Arena) ! (all equipment will be provided) LIMIT 25 STUDENTS
Musicology Club
9/2/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Join us in our journey to tune in and understand, dig in and branch out, discover and be discovered. We will study your favorite music. Learn the influences of your favorite musicians. Realize the vast numbers of people involved in the music industry. Experience real world applications for our love of music. We will be having real life musicians coming to Wilson to share with us their experiences in music and assist us in our journey to becoming more knowledgeable about music! We will also be taking a trip to the HiFi House in November. Join us to learn more about these opportunities!
Ping Pong
11/6/2015 to 12/18/2015
F
3:00 PM to 4:30 PM
Come join us for some quick lessons on ping pong and enjoy some noncompetitive games with your friends!
11/23/2015
M
1:15 PM to 4:30 PM
If you are interested in learning about planets and space, join us on November 23rd as we visit the UNO Planetarium! This program highlights the critical periods of exploration that have shaped our view of our World and the Universe. It discusses exploration of our oceans, the continents, and on into outer space. This program takes us to deep space on a journey through the Milky Way Galaxy and to the galaxies beyond. LIMIT 25 STUDENTS
12/14/2015
M
1:15 PM to 4:30 PM
Get rolling at Umba hall! (All equipment provided) LIMIT 25 STUDENTS
11/4/2015 to 11/18/2015
W
3:00 PM to 4:30 PM
Come explore inexpensive healthy meals and snacks! Oh, and make them too! New to the kitchen, don't worry because you will learn a lot too! LIMIT 15 STUDENTS
12/2/2015 to 12/16/2015
W
3:00 PM to 4:30 PM
Come explore inexpensive healthy meals and snacks! Oh, and make them too! New to the kitchen, don't worry because you will learn a lot too! LIMIT 15 STUDENTS
Ice Skating
Planetarium Trip
Rollerskating
Top Teen Chef (NOVEMBER)
Top Teen Chef (DECEMBER)
REGISTRATION FORM: Before and After School (This registration form needs to be completed once for the year from each student participating in activities!)
___________________ Student’s First Name
____________________ Student’s Last Name
___________ Student’s Grade
____________ Student’s ID
__________________ Advisor Name
Student Transportation ❏ Student will need to ride the late bus which leaves at 4:30pm ❏ Student will be walking home after activities at 4:30pm ❏ Student will be picked up after activities at 4:30pm If your student participated in Before & After School activities in 2015 and your information has not changed, you do not need to complete it again. If your student has not previously participated, please complete the below section so we have it on file. Participant Waiver: Students must have a parent or guardian complete this portion. PARENT OR GUARDIAN: Please sign below if you agree to your child participating in Before & After School activities. ______________________________ _____________________ Print Parent(s) Name Phone Number ______________________ _______________________ ________________ Parent Email Address Emergency Contact Emergency Contact Phone # Does your child have a medical condition we should be aware of? Yes_____ No____ If yes, what is the condition? ________________________________________________________ Any known allergies? Yes_____ No____ If yes, what are they? ______________________________________________________________ IMAGE RELEASE Supplier: CBCSD
Event: Before & After School Programs Date of Event: 8/20156/2016 By signing this form, you are giving permission for your image (or son/daughter’s image) to be used in marketing materials. Images may be used in television commercials, newspaper articles, websites or other forms of media. I, the undersigned, hereby warrant that I am the ___________________ (parent or legal guardian) of ______________________ (youth’s name) , a minor, and have full authority to authorize the above release ,which I have read and approved. Signature of Parent or guardian __________________________________________________ Date _____________
WILSON NOVEMBER/DECEMBER 2015 CB DREAMS SIGN UP STUDENT NAME _____________________________ GRADE_____ ADVISOR_____________________
Please mark the clubs / programs you want to sign up for. There are max numbers on some of the clubs / programs.
BEFORESCHOOL PROGRAMS
BeforeSchool Clubs
Date Range
AM B.O.K.S
Morning Book Buzz & Homework Hall
Days
Time
Description
9/2/2015 to 12/18/2015
M, T, W, Th, F
7:00 AM to 7:45 AM
Rise and shine for some early moving to get your body and mind in gear! There will be a different activity planned for each day of the week where you can meet new friends and learn how to be a team player, and be active and healthy!
10/7/2015 to 12/16/2015
W
7:007:45
Want to relax with a good book in the morning before school or work on any homework you have? Morning Book Buzz & Homework Hall is the place for you!
AFTERSCHOOL PROGRAMS
AfterSchool Clubs Art Club Drawing Basics (NOVEMBER)
Art Club Winter Crafts (DECEMBER) Calling All Book Lovers! Cooking Club (NOVEMBER)
Cooking Club (DECEMBER)
Community Service Club
Date Range
Days
Time
Description
11/4/2015 to 11/18/2015
W
3:00 PM to 4:30 PM
Have you always wanted to learn how to draw but have never figured out how? This is the perfect place to start as we will begin with very simple pieces and work our way up!
12/2/2015 to 12/16/2015
W
3:00 PM to 4:30 PM
It’s too cold outside to do anything else! Come join us in making winter crafts! These crafts are the perfect gift to give your friends and family!
10/1/2015 to 12/17/2015
Th
3:00 PM to 4:30 PM
Do you love learning about new and exciting books? Check out this after school book club!
11/3/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Pick up a spatula and whip up something delicious every week! New to the kitchen? Don’t worry because you will learn a lot too!
12/1/2015 to 12/15/2015
Tu
3:00 PM to 4:30 PM
Pick up a spatula and whip up something delicious every week! New to the kitchen? Don’t worry because you will learn a lot too!
10/2/2015 to 12/18/2015
F
3:00 PM to 4:30 PM
Serve others in your community each month! This is a great way to earn volunteer hours and have a positive impact on others in your area through a variety of projects!
Craftmania!
11/3/2015 to 12/15/2015
Tu
3:00 PM to 4:30 PM
If you constantly find yourself scrolling through different crafts and projects on Pinterest, Craft Mania is the place for you! You don't need to be artistic to create some fun, homemade projects for yourself or others!
Creative Writing
9/3/2015 to 11/19/2015
Th
3:00 PM to 4:30 PM
Do you like to write? Do you want to learn more about writing and share your writing with others? You should join Wilson Creative Writing Club! During club meetings we will explore different ways to make your writing great, have writing workshops to make your writing stronger, and have time to free write (the most fun part!). At the end of the year, we will put together a Literary Magazine to show friends and family the pieces we've been working on!
Cyber Patriot
9/1/2015 to 3/22/2015
Tu
3:00 PM to 4:30 PM
At the center of CyberPatriot is the National Youth Cyber Defense Competition. The competition puts teams of high school and middle school students in the position of newly hired IT professionals tasked with managing the network of a small company. Teams are given a set of virtual images that represent operating systems and are tasked with finding cybersecurity vulnerabilities within the images and hardening the system while maintaining critical services. Teams will compete within their state.
Friendship Club
9/1/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Just want to have fun and make new friends? Join the friendship club for a variety of activities from nail painting to jewelry making and more! The environment is filled with laughter and support!
Get Fit!
11/3/2015 to 12/17/2015
Tu, Th
3:00 PM to 4:30 PM
Come join us GET FIT! If you are looking for a great way to stay in shape during the colder months, this is the activity for you! You will also learn about safety in the weight room as well as some muscle building/toning strategies you can take with you when this program is over. A healthy life is a happy life! (Limit 35 students)
11/6/2015 to
F
3:00 PM to 4:30 PM
Interested in becoming a nurse, surgeon, dietitian, or doctor? Learn how with Healthcare Academy as we learn first hand how it is done!
9/1/2015 to 6/3/2016
M, Tu W, Th, F
1:15 PM to 3:00 PM 3:00 PM to 4:30 PM
Need some extra time and help with homework? Stay after school and get some extra time with teachers from your school!
Healthcare Academy 12/4/2015
Homework Help
11/9/2015
M
1:15 PM to 4:30 PM
Sharpen your blades at Motto McLean Ice Arena (formerly Hitchcock Ice Arena) ! (all equipment will be provided) LIMIT 25 STUDENTS
Musicology Club
9/2/2015 to 11/17/2015
Tu
3:00 PM to 4:30 PM
Join us in our journey to tune in and understand, dig in and branch out, discover and be discovered. We will study your favorite music. Learn the influences of your favorite musicians. Realize the vast numbers of people involved in the music industry. Experience real world applications for our love of music. We will be having real life musicians coming to Wilson to share with us their experiences in music and assist us in our journey to becoming more knowledgeable about music! We will also be taking a trip to the HiFi House in November. Join us to learn more about these opportunities!
Ping Pong
11/6/2015 to 12/18/2015
F
3:00 PM to 4:30 PM
Come join us for some quick lessons on ping pong and enjoy some noncompetitive games with your friends!
11/23/2015
M
1:15 PM to 4:30 PM
If you are interested in learning about planets and space, join us on November 23rd as we visit the UNO Planetarium! This program highlights the critical periods of exploration that have shaped our view of our World and the Universe. It discusses exploration of our oceans, the continents, and on into outer space. This program takes us to deep space on a journey through the Milky Way Galaxy and to the galaxies beyond. LIMIT 25 STUDENTS
12/14/2015
M
1:15 PM to 4:30 PM
Get rolling at Umba hall! (All equipment provided) LIMIT 25 STUDENTS
11/4/2015 to 11/18/2015
W
3:00 PM to 4:30 PM
Come explore inexpensive healthy meals and snacks! Oh, and make them too! New to the kitchen, don't worry because you will learn a lot too! LIMIT 15 STUDENTS
12/2/2015 to 12/16/2015
W
3:00 PM to 4:30 PM
Come explore inexpensive healthy meals and snacks! Oh, and make them too! New to the kitchen, don't worry because you will learn a lot too! LIMIT 15 STUDENTS
Ice Skating
Planetarium Trip
Rollerskating
Top Teen Chef (NOVEMBER)
Top Teen Chef (DECEMBER)
