West Intermediate 2015 -2016 School Year

Community Learning Centers

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For Office Use Only: Cash/Check #: ___________ RecTrac Receipt #: ___________ Parent Packet Issued:

Parent or Guardian Signature Required for Enrollment Date

PEAK West IntermediateRegistration Form

Child's Last Name: Child’s First Name: M/F:

Date of Birth: / / School: Teacher: Grade:

Primary Guardian

Email

Address (required)

City State Zip Code

Home Phone ( )

Work Phone ( ) Ext.

Cell Phone ( ) Provider

Secondary Guardian

Email

Address (required)

City State Zip Code

Home Phone ( )

Work Phone ( ) Ext.

Cell Phone ( ) Provider

1. I, the undersigned, parent/guardian having legal guardianship of said minor, give permission to attend any of the PEAK After School activities. Said minor is physically and mentally prepared to participate in all activities as described for said program. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities for which I have given my permission and, thereby, will not hold the PEAK Program, Mt. Pleasant Parks and Recreation, or Mt. Pleasant Public Schools liable for any injuries incurred dur-ing these activities.

2. I do hereby grant permission for photos and/or videos of my/our child to be used by the PEAK Program and Mt. Pleasant Parks and Recreation for promotional and educational purposes.

3. I do hereby grant permission for my/our child to participate in PEAK Program surveys and program evaluations.

Dates Rate

Total: (Cash or Check Only Please)

Who can attend PEAK?Children, grades 7 and 8, will discover the awesome benefits of education, recreation, and service learning through a variety of daily activities: sports, arts, crafts, creative expression, cultural and educational enrichments.

When is PEAK offered?PEAK follows the Mt. Pleasant Public Schools calendar. PEAK will be offered on all full days of school. PEAK is closed on school holidays, snow days, professional development days or early dismissal, scheduled or otherwise.

What does the daily schedule look like? Monday – Thursday 2:33 - 3:15 p.m. | Program sign-in/activity sign-up/snack3:15 - 4:30 p.m. | Academic time (required for all students)4:30 - 6 p.m. | PEAK fun activities6 p.m. | PEAK closes

Friday 2:33 - 3:15 p.m. | Program sign-in/activity sign-up/snack 3:15 - 6 p.m. | FUN Friday 6 p.m. | PEAK closes

Is Transportation available?Transportation is the responsibility of the parent/guardian. Please have your student picked up by 6 p.m. each day. A late fee will be assessed if the student is not picked up by 6 p.m. The fee is $5.00 per student for the first 10 minutes you are late, and an additional $1.00 for every minute thereafter.

What is academic time?Time is set aside for homework assistance Monday through Thursday. Participants who do not have homework will participate in hands-on educational related activities.

Is there a snack provided?The program will provide an afternoon snack each day. If your child has specific food needs, please send your own.

What is a FUN Friday?FUN Fridays consist of special events, movies, assemblies, and local area field trips. All on-site activities are closed when field trips are planned. Participants must attend the field trip or find an alternate activity for that day; the site will be closed. Field trip fees, if any, will be announced in advance.

PEAK After School Frequently asked questions

What is the cost to attend?There is a weekly rate of $15 for a child to attend the PEAK Program at West Intermediate.

Non-PaymentsIndividuals that do not submit payment in full within that two week period will be denied access to the program and will be denied future participation in Mt. Pleasant Parks and Recreation programs until the account has been settled.

PEAK After School RateGrades K-6 Weekly Rate*Paid in advance

$45.00

Grades K-6 Daily Rate $11.00Scholarship Rate K-6 Weekly*Paid in advance

$30.00

Scholarship Rate K-6 Daily $7.00 West PEAK Weekly Rate $15.00

United Way of Isabella County

PEAK partners:

Experience PEAKwww.mt-pleasant.org/PEAK

Contact InformationMonday - Friday 8 a.m. - 4:30 p.m.

Main Office: 779-5331

Monday - Friday 2 - 6 p.m. Site Coordinator 9 8 9 - 944-3922

PEAK’s MissionPEAK, Partners Empowering All Kids, is designed to provide all school age children with educational, enrichment, and recreational activities in a fun and safe environment by keeping schools open until 6 p.m. on school days and turning schools into community centers for kids during the summer months.

How do I register?Please return the attached registration form to the main office or the PEAK office at West Intermediate. Please fill out a separate for each student in your family.

Enrollment ProcessAdvance registration is required. All enrollments will be taken at the Mt. Pleasant Parks and Recreation Office in City Hall, by mail or walk-in, using the attached registration form. An individual registration form must be completed for each child and submitted prior to attendance. Please allow 48 hours to process your registration.

Late Pick UpYou will be assessed a $5 per child late fee for the first 10 minutes you are late picking up your child(ren) and an additional $1 for every minute thereafter.

Assistance for Special NeedsPEAK provides an educational and fun outlet for people of all abilities. Persons with disabilities needing assistance to participate may call the Parks and Recreation Office at 989-779-5331. Seven day advance notice is necessary for accommodation. Persons requiring speech or hearing assistance may contact the City through the Michigan Relay Center at 1-800-649-3777.

Opting OutYou may choose to opt out of participation in the PEAK program at any time. Please write a letter to inform the site coordinator at your school if your child will no longer be attending.