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Contact Info: Ms. Kathy Cearlock Call 217-531-7149 after 3:45pm [email protected] Urbana Middle School 1201 S. Vine St. Urbana, IL 61801 SPLASH Students Playing & Learning After School Hours Session 2 November 11-December 19 No SPLASH on November 27 SPLASH is funded by the 21st Century Community Learning Center Grant REMINDER: Pick your students up at the 6th Grade entrance (Door 4) on Vine Street. #Urbana Better Together

Session 2 - USD116

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Page 1: Session 2 - USD116

Contact Info:Ms. Kathy CearlockCall 217-531-7149 after 3:45pm

[email protected] Middle School1201 S. Vine St.Urbana, IL 61801

SPLASH Students Playing & LearningAfter School Hours

Session 2November 11-December 19No SPLASH on November 27

SPLASH is funded by the 21st Century Community Learning Center Grant

REMINDER:Pick your students up at the 6th Grade entrance (Door 4) on Vine Street.

#UrbanaBetter

Together

Page 2: Session 2 - USD116

2 | The SPLASH Program is free for any student who qualifies for a Fee Waiver

Time Monday Tuesday Wednesday Thursday2:50-3:40pm Wednesday Early Out

Game Room

Movies

Open Gym

Brain Games

Chess

Loops and Threads

3:45-4:40pm Homework Lab Homework Lab Homework Lab Homework LabKPop Culture FRESH Crew (2 Hrs) Rec Around Town! (2 Hrs) 1, 2, 3 Snacks on the Go! (2 Hrs)Winter Olympics Magic the Gathering (2 Hrs) Wednesday Ping Pong ENVISION (2 Hrs)

Monday Basketball 1 Minecraft 1 Fabric Art Minecraft 1

Happy Nails Part 2 Tiger Locker Room (2 Hrs) Wednesday Basketball 1 Dungeons & Dragons (2 Hrs)

UMS SQUAD (2 Hrs) Thursday Basketball 1

UMS SQUAD (2 Hrs)

4:40-5:30pm Game Room 1 Game Room 2 Game Room 3 Game Room 4

Monday Basketball 2 Pinterest Projects Cake Creations Pinterest Projects

Loops and Threads Magic the Gathering (cont.) Wednesday Basketball 2 Dungeons & Dragons (cont.)

Crafty Gifts Tiger Locker Room (cont.) Shake It! Minecraft 2

Monday Ping Pong Minecraft 2 Rec Around Town! (cont.) Thursday Basketball 2

FRESH Crew (cont.) Cardmaking 1, 2, 3 Snacks on the Go! (cont.)

UMS SQUAD UMS SQUAD (cont.)

ENVISION (cont.)

SPLASH! Schedule-At-A-Glance

Session 2: November 11 - December 19Monday-Thursday at 4:25pm students are served a light supper

FEE POLICY: IF YOUR CHILD QUALIFIES FOR FEE WAIVER, YOU DO NOT NEED TO PAY ANY FEES.

Page 3: Session 2 - USD116

The SPLASH Program is free for any student | 3who qualifies for a Fee Waiver

Page 4 Homework Lab, Morning Jump Start, Wednesday Early Out Activities

Page 5 KPop Culture, Winter Olympics, Monday Basketball 1, Happy Nails Part 2,

Crafty Gifts

Page 6 Monday Basketball 2, Monday Ping Pong, Loops and Threads,

Game Room 1

Page 7 FRESH Crew, Magic the Gathering, Game Room 2

Page 8 Tiger Locker Room

Page 9 Minecraft, UMS SQUAD, Pinterest Projects

Page 10 Brain Games, Chess, Rec Around Town!, Wednesday Basketball 1,

Fabric Art, Wednesday Ping Pong

Page 11 Shake It!, Wednesday Basketball 2, Cake Creations, Cardmaking,

Game Room 3

Page 12 Art & Science with ENVISION, 1,2,3 Snacks on the Go!,

Dungeons & Dragons, Thursday Basketball 1

Page 13 Thursday Basketball 2, Game Room 4

Table of Contents

Please return the registration form to the drop box outside of Room 1350 at UMS before September 10, 2019.

Cancellations will not result in a refund.

Page 4: Session 2 - USD116

4 | The SPLASH Program is free for any student who qualifies for a Fee Waiver

Homework LabThis program offers Urbana Middle School students a safe educational environment after school Monday-Thursday on normal school days. Tutors from the University of Illinois may be available to work one-on-one with students.

Participation is not required for all four days

After School: 3:45-4:40pm (Monday-Thursday)

Registration is required for after school Homework Lab! Limited space!

We encourage Urbana Middle School students to sign up for a homework lab. Get your homework done before going home!

Un maestro bilingüe (ingles/español) estará disponible para ayudar a los estudiantes con sus tareas los martes, miércoles y jueves.

Morning Jump StartThis program before school helps students organize and prepare for the coming day. Students will be encouraged to clean out their binders, finish their homework, check their assignment notebooks and prepare for the day ahead. Jump Start teachers will give students a registration form. Students should ask a dean at their morning entrance for a pass. Go directly to the SPLASH room 1350.

Monday-Thursday, 8:00-8:40amRoom 1350Questions? Contact Ms. Cearlock in Room 1350 or call 217-531-7149 after 3:45pm.

Wednesday Early Out ActivitiesNeed a place to hang out on Early Out Wednesdays? SPLASH will provide a safe, fun, and supervised activity for students each Wednesday from 2:50-3:45pm. Please choose an activity from the selection below. No fees are charged for this activity.

MoviesA selection of age-appropriate movies (PG & PG13) will be shown. Table space is available for students to do homework while watching the movie.

Game RoomStudents can learn new board games or have fun playing familiar ones. Ping Pong tables, air hockey, Foosball, and playing cards available too!

Open GymStudents will play for fun or divide into teams on the decks.

Brain Games - page 10

Chess - page 10

Loops and Threads - page 6

Hi everyone! Meet Ty the SPLASH tiger! Look for him throughout the booklet to show you new and exciting programs.

Page 5: Session 2 - USD116

The SPLASH Program is free for any student | 5who qualifies for a Fee Waiver

Monday

KPop (Korean Pop)

You Asked for It, You Got It!Korean pop musicians pair Europop with American popular music styles such as hip hop, rock, jazz, and electronic dance. Videos catch your attention with bright colors and the fashion of the artists. Join this class to learn popular Kpop music, dances, anime (cartoons), food and more….

Instructor: Urbana Park DistrictDay: MondayTime: 3:45-4:40pmLocation: CafeteriaFee: $15

Winter OlympicsDo you like a challenge? In Winter Olympics you will get a taste of the Winter Olympics by competing in different team challenges every week! We need you to win!

Instructor: Urbana Park DistrictDay: MondayTime: 3:45-4:40pmLocation: Cafeteria StageFee: $15

Monday Basketball 1Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDay: MondayTime: 3:45-4:40pmLocation: East DeckFee: $15

Happy Nails Part 2Get your nail artist on! Whether you are great at nail design or can barely give yourself a manicure, come to the nail studio. In this class we will cover the basics of a good manicure and learn simple, easy, nail art that doesn’t require fancy tools. Practice some of the techniques you know and get to work with different nail materials and learn some new techniques!

Instructor: Urbana Park DistrictDay: MondayTime: 3:45-4:40pmLocation: CafeteriaFee: $15

Crafty GiftsThe Holidays are coming! Do you know someone who has a birthday coming up? Everyone likes to give and receive gifts! In this class we will make different crafts for you to give to that special someone!

Instructor: Urbana Park DistrictDay: MondayTime: 4:40-5:30pmLocation: CafeteriaFee: $15

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6 | The SPLASH Program is free for any student who qualifies for a Fee Waiver

Monday Basketball 2Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDay: MondayTime: 4:40-5:30pmLocation: East DeckFee: $15

Monday Ping PongDo you know about Ping Pong? Some call it Table Tennis! If you want to “step it up” and learn how to play real Ping Pong, come train and practice in a fun and active setting. You will learn as you are challenged by peers and coaches!

Instructor: Urbana Park DistrictDay: MondayTime: 4:40-5:30pmLocation: T HallwayFee: $15

Loops and ThreadsSpiral knot, square knot, open square switchback, ripple, wave and looped knot! What do all of these words have in common? Answer: The oh so popular friendship bracelet! Join this class and you will learn how to make bracelets to share with friends or give as gifts!

Instructor: SPLASH StaffDay: Monday & Early Out WednesdayTime: 4:40-5:30pmLocation: CafeteriaFee: $15

Game Room 1Who doesn’t love playing games? Students can learn new board games or have fun playing familiar ones. Ping Pong tables, air hockey, foosball, and playing cards are available too!

Instructor: SPLASH StaffDay: MondayTime: 4:40-5:30pmLocation: Room 1350Fee: $15

Monday

#UrbanaBetterTogether

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The SPLASH Program is free for any student | 7who qualifies for a Fee Waiver

Tuesday

FRESH SPLASH with the Urbana Park District(2 Hrs)Want to try new things? Students in this session will engage in a variety of hands-on experiences involving multiple groups and organizations within the Urbana-Champaign community. Create and explore at the CU Community Fab Lab, practice cooking basics in a real teaching kitchen, dive into The Urbana Free Library’s Open Teen Lab, and work as a team to conquer an escape room at CU Adventure’s in Time and Space. The class will be at a different location every week. A schedule will be provided on the first day of the session.

Instructor: Urbana Park DistrictDay: TuesdayTime: 3:45-5:30pmLocation: Meet by Room 1350Fee: $25

Magic the Gathering (2 Hrs)Have you ever wanted to become a Planes walker? Magic the Gathering is a challenging but fun card game of strategy and quick thinking. This class will go over the basics: gathering mana, casting spells and summoning countless creatures. Build and customize your own deck to keep.

Instructor: Mrs. CurioDay: TuesdayTime: 3:45-5:30pmLocation: Room 2703Fee: $25

Game Room 2Who doesn’t love playing games? Students can learn new board games or have fun playing familiar ones. Ping Pong tables, air hockey, foosball, and playing cards are available too!

Instructor: SPLASH StaffDay: TuesdayTime: 4:40-5:30pmLocation: Room 1350Fee: $15

NEW!

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8 | The SPLASH Program is free for any student who qualifies for a Fee Waiver

Tuesday

Tiger Locker Room (2 Hrs)PROJECT ATHLETES is an exciting athletic training and mentoring program for students. This program provides fun and games while improving speed, agility, and conditioning training from certified personal trainers. It will help athletes improve their speed and athleticism. PROJECT ATHLETES also provides students who may not be involved in a sport an opportunity to be part of a team atmosphere and get active while having fun. All regular participants will receive a PROJECT ATHLETES Tiger Locker Room shirt. For more information on PROJECT ATHLETES, visit www.projectathletes.com.

Instructor: PROJECT ATHLETESDay: TuesdayTime: 3:45-5:30pmLocation: East DeckFee: FREE

#UrbanaBetterTogether

Page 9: Session 2 - USD116

The SPLASH Program is free for any student | 9who qualifies for a Fee Waiver

MinecraftEnter a Minecraft world and explore electricity generation and transmission. Mine materials to create fuel, craft a generator and electrify your world. Investigate circuitry and power your buildings. Students are encouraged to attend class on both Tuesday and Thursday during the same time slot!

Minecraft 1Instructor: U of I MarlowDays: Tuesday & ThursdayTime: 3:45-4:40pmLocation: Computer LabFee: FREE

Minecraft 2Instructor: U of I MarlowDays: Tuesday & ThursdayTime: 4:40-5:30pmLocation: Computer LabFee: FREE

UMS SQUAD: Step Queens Unifying and Dancing(2 Hrs)This team is created to learn unique forms of movement (step, jazz, hip hop, and modern) to enhance confidence, build community with one another while moving with a common purpose. This team will be performing at different events and games.

Instructor: Ms. SmithDays: Tuesday & ThursdayTime: 3:45-5:30pmLocation: CafeteriaFee: $25

Pinterest ProjectsDo you have a long list of Pinterest projects that you want to make, but you just can’t find the time? Join us in making some of the most popular art projects from Pinterest. We will work with canvas, mason jars, wood, and more! See Mrs. Fiedler with any questions or for any project suggestions!

Instructor: Mrs. FielderDays: Tuesday & ThursdayTime: 4:40-5:30pmLocation: Room 2421Fee: $25

Tuesday & Thursday

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Wednesday

The SPLASH Program is free for any student | 10who qualifies for a Fee Waiver

Brain GamesDiscover and play different board games while improving your brain skills. Enjoy fun games like Munchkin, Tapple, Stratego, Spot It, Yikerz, and Fandooble as you improve your cognitive memory, vocabulary, speed and even math!

Instructor: Urbana Park DistrictDay: WednesdayTime: 2:50-3:45pmLocation: CafeteriaFee: FREE

ChessDo you want to up your checker game? Chess is a two-player strategy board game played on a checkered board with 64 squares arranged on a grid using 1 king, 1 queen, 2 rooks, 2 bishops, 2 knights, 8 pawns. Come join the fun!

Instructor: Urbana Park DistrictDay: WednesdayTime: 2:50-3:45pmLocation: CafeteriaFee: FREE

Rec Around Town! (2 Hrs)The weather is turning cold and wet! Since we can’t be outside as much, we are taking field trips to different fun place in CU area for our recreation! The first trip will be to Arrowhead for some mini golf! Join us to see what other places we have lined up for you!

Instructor: Urbana Park DistrictDay: WednesdayTime: 3:45-5:30pmLocation: Meet by Room 1350Fee: $25

Wednesday Basketball 1Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDay: WednesdayTime: 3:45-4:40pmLocation: East DeckFee: $15

Fabric ArtAre you creative? Would you like to be creative? This class will use all kinds of “fabric” for you to make your own creations! You will learn to make a variety of art projects including crocheting, quilting and 3D sculpture. Can’t wait to see what you can create!

Instructor: Urbana Park DistrictDay: WednesdayTime: 3:45-4:40pmLocation: CafeteriaFee: $15

Wednesday Ping PongDo you know about Ping Pong? Some call it Table Tennis! If you want to “step it up” and learn how to play real Ping Pong, come train and practice in a fun and active setting. You will learn as you are challenged by peers and coaches!

Instructor: Urbana Park DistrictDay: WednesdayTime: 3:45-4:40pmLocation: T HallwayFee: $15

Page 11: Session 2 - USD116

The SPLASH Program is free for any student | 10who qualifies for a Fee Waiver

The SPLASH Program is free for any student | 11who qualifies for a Fee Waiver

Shake It!Have you seen some dances on YouTube that you would like to try and be in style? Come and have fun with us and we learn new popular dances you may have seen go viral!

Instructor: Urbana Park DistrictDays: WednesdayTime: 4:40-5:30pmLocation: Cafeteria StageFee: $15

Wednesday Basketball 2Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDays: WednesdayTime: 4:40-5:30pmLocation: East DeckFee: $15

Cake CreationsYum, yum, yummy! Do you have a sweet tooth? In this class you will decorate your very own sweet treat every week and learn techniques you can try at home to surprise your family!

Instructor: SPLASH StaffDays: WednesdayTime: 4:40-5:30pmLocation: CafeteriaFee: $15

CardmakingCome join us as we make our own handmade cards! Learn how to cut your own cardstock, use stamps, punches and other cool decorative tools to create your own special card! We will finish 10+ cards for you to take home!

Instructor: DurstDays: WednesdayTime: 4:40-5:30pmLocation: Room 2425Fee: $15

Game Room 3Who doesn’t love playing games? Students can learn new board games or have fun playing familiar ones. Ping Pong tables, air hockey, foosball, and playing cards are available too!

Instructor: SPLASH StaffDays: WednesdayTime: 4:40-5:30pmLocation: Room 1350Fee: $15

Wednesday

#UrbanaBetterTogether

Page 12: Session 2 - USD116

The SPLASH Program is free for any student | 12who qualifies for a Fee Waiver

Thursday

Art & Science with ENVISION(2 Hrs)Are you interested in seeing how scientists and engineers make decisions? How careful testing and experimenting can lead to accomplishing a given task? Graduate students from the University of Illinois will work with you to successfully build LED bracelets, develop stable structures with 3D pens, understand how funhouse mirrors work, and create magnetic slime! A different task will be assigned to you each day, with changes to designs for each task being emphasized throughout the program.

Instructor: University of IllinoisDay: ThursdayTime: 3:45-5:30pmLocation: Room 1733Fee: FREE

1, 2, 3, Snacks on the Go! (2 Hrs)1, 2, 3, Snacks on the Go!” is a class that provides an overview to prepare quick healthy eats and treats to take on the go. You will be introduced to basic kitchen and food safety procedures that will allow you to demonstrate proper use of basic kitchen equipment. You will collaborate in peer groups to prepare basic recipes using 5 or less ingredients. This program is for 6th Graders only.

Instructor: Ms. PriceDay: ThursdayTime: 3:45-5:30pmLocation: Foods LabFee: $25

Dungeons & Dragons (2 Hrs)In D&D SPLASH, you will create your own adventurer and delve into the world of Dungeons and Dragons! You will learn the core rules of D&D, go through the character creation process, and then begin your adventure with your peers. Depending on the size of the class, you may also learn how to be a Dungeon Master and lead your own party through an adventure.

Instructor: Mr. SimsDay: ThursdayTime: 3:34-5:30pmLocation: Room 1530Fee: $25

Thursday Basketball 1Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDay: ThursdayTime: 3:45-4:40pmLocation: East DeckFee: $15

#UrbanaBetterTogether

NEW!

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The SPLASH Program is free for any student | 12who qualifies for a Fee Waiver

Thursday Basketball 2Whether you like to play for fun or play competitively, basketball is for you! Students can engage in more relaxed games and shooting, OR students craving more competition will be divided into teams to play each other. Are you ready to play ball?

Instructor: SPLASH StaffDay: ThursdayTime: 4:40-5:30pmLocation: East DeckFee: $15

Game Room 4Who doesn’t love playing games? Students can learn new board games or have fun playing familiar ones. Ping Pong tables, air hockey, foosball, and playing cards are available too!

Instructor: SPLASH StaffDay: ThursdayTime: 4:40-5:30pmLocation: Room 1350Fee: $15

Thursday

The SPLASH Program is free for any student | 13who qualifies for a Fee Waiver

Page 14: Session 2 - USD116

Registration Form - Session 2 (November 11 - December 19)

Student Full Name (please print)

Address City State Zip

Home Phone - Alternate Phone -

Email Student Birth date

Parent or Guardian (please print)

Emergency Contact Phone - Team

I give permission for my child to walk home after class.

I give permission for my child to take MTD home after class.

My child will be picked up by a parent or guardian after class.

My child needs transportation home from SPLASH. (Child must meet the following requirements for

transportation: qualify for fee waiver and not have a direct MTD route home.)

In order to participate in SPLASH activities, students must follow UMS and district rules and procedures as outlined in the UMS Student Guide.

SPLASH Code of Conduct & Photo Release

As a student participating in UMS SPLASH, I agree to the terms listed below.Student Expectations:Every student has the right to learn and participate in the program.Every staff member has a right to teach, coach, or present their materials and activities.Everyone has the right to feel physically and emotionally safe.

Attendance Policy:I agree to attend all SPLASH classes that I have registered for.My parent or guardian may excuse me from SPLASH by a phone call or written permission to Ms. Cearlock.I understand that failure to consistently attend SPLASH may result in my being dropped from the program.SPLASH students are expected to go directly to SPLASH classes after the dismissal bell rings. Students who choose to go outside before going to class will not be allowed to reenter the building and will not be allowed to attend SPLASH that day.In accordance with non attendance in after school activities, students who are assigned to In-School Suspension for the half or entire day will not be allowed to attend SPLASH for that day.

Behavior Policy:I will maintain appropriate behavior in accordance with the Student Expectations, which are outlined in the UMSStudent handbook. I understand that my parents/guardians will be notified if I engage in inappropriate behavior. If I am referred to the SPLASH Coordinator for my behavior, I understand that a parent conference may be scheduled. I understand that a second referral to the SPLASH Coordinator may result in my being removed from the program. I understand that I may be removed from the program if I engage in behavior that threatens the physical or emotional safety of others or myself. I understand that students who roam the hallways may be asked to leave the after-school program.

Photo Release:I give permission for my child to be interviewed, identified, and/or photographed/filmed for use in SPLASH, Urbana Park District and Uni-versity of Illinois publications, including but not limited to, publications via web site or other technological publication’s, videos, newspapers, radio or television.

Student Signature Date

Parent Signature Date

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Parent Permission for Off-Campus SPLASH ClassMy child is signed up for the following class: (Check all that apply)

Magic the Gathering FRESH Crew Rec Around Town! UMS SQUAD

All classes may walk or travel by bus off school grounds to another location. I give permission for

to attend this off campus activity.

Parent Signature Date

In the event of a medical emergency, your child will be taken by ambulance to the closest hospital or trauma center. All medical fees are the parent’s responsibility. Your permission is requested for school personnel to sign any medical forms that are needed for the purpose of assuring that emergency treatment can begin as soon as possible. Please sign this request, thereby granting your permission for school personnel to act on your behalf in the case of a medical emergency. Every effort will be made to contact parents prior to exercising the authority contained in this form.It shall be the parent’s responsibility at all times to notify the School District, if, for whatever reason, the parent deter-mines to revoke permission for this field trip. In the event the field trip is canceled and rescheduled, the District will send home with your child notice of the new date. The District will assume the parent or guardian signing this form authorizes attendance for any subsequent date this trip is rescheduled, regardless if you receive notice of the new date or not. If you are not in agreement with this policy, then you should not authorize your child to attend this trip.I give permission for Urbana Middle School SPLASH Program (Funded by the 21st Century Community Learning Center Grant) to monitor my students, grades, school attendance records, and information about student grade promotion and when required, Splash staff will submit information to 21st Century Community Learning Center Program.

Parent Signature Date

Medical Concerns

Home Phone - Alternate Phone -

Comments (Health Concern Allergies)

Keep a copy of this schedule for your records. If your first choice is not available you will be contacted. Please list all classes you are interested in taking on the line(s) beside the corresponding times.

Monday3:45-4:40pm

4:40-5:30pm

Tuesday3:45-4:40pm

4:40-5:30pm

WednesdayEarly Out No Fee

3:45-4:40pm

4:40-5:30pm

Thursday3:45-4:40pm

4:40-5:30pm

Make checks payable to: Urbana School District Total Fees:

Page 16: Session 2 - USD116

16 | The SPLASH Program is free for any student who qualifies for a Fee Waiver

Parents,Please take a moment to fill out the survey below. Send completed surveys to Kathy Cearlock at Urbana Middle School, 1201 S. Vine Street, Urbana, IL 61801 or return the survey with your SPLASH registration, to the drop box outside of room 1350 at UMS.

Thank you!

Urbana Middle School *SPLASH Parent Survey* Session 1 2019-2020

For all questions, answer for your oldest child in the SPLASH Program.Please check your answer.

1. What is the grade level of your oldest child in SPLASH? ___6th ___7th ___8th

2. Gender of your child: ___Male ___Female

3. This survey is being answered by?

___Mother ___Step-Mother ___Foster Parent ___Grandparent

___Father ___Step-Father ___Other

4. Which SPLASH session has your child attended this year?

___Session I

5. What activities has your child done in SPLASH this year? (Check all that apply.)

___Homework Lab ___Academic Team ___Jump Start

___Wednesday Early Out Activities ___Enrichment Classes (Sports, Recreation, Art, Music, Etc.)

6. In an average week, how many hours does your child attend SPLASH?

___1 Day ___2 Days ___3 Days ___4 Days

7. How much do you agree or disagree with each statement about SPLASH? (Check the category that best applies.)

Strongly Agree Agree Disagree Strongly Disagree Does Not Apply

My child is learning new things.

My child has an opportunity to interact with other students.

The program offers a wide variety of activities.

My child enjoys the program.

The program is educational.

The program is affordable.

Program transportation is convenient.

Registration process is clear.

Staff members respond to my questions and concerns.

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The SPLASH Program is free for any student | 17who qualifies for a Fee Waiver

8. Since attending SPLASH, my child...

Strongly Agree Agree Disagree Strongly Disagree Does Not Apply

Completes homework more often.

Knows how to study.

Is more likely to prepare for school projects and tests.

Is a better reader.

Shows more interest in reading.

Has better academic skills.

Is more interested in school.

Is making better grades.

Has learned to set goals.

Is behaving better in school.

Is receiving positive feedback from program staff.

Looks up to program staff.

Is better at making friends.

Is better at dealing with conflict with others.

Is part of a caring, nurturing environment in the SPLASH program.

9. Overall, how satisfied are you with the services your child received at SPLASH?

___Not at all satisfied ___Somewhat satisfied ___Satisfied ___Very satisfied

10. How much interest do you have in attending the following parent workshops at SPLASH?

Not Interested Somewhat Interested Very Interested

Internet safety

Bullying Prevention

Substance abuse prevention

Pre-teen and ten development

Youth behavioral issues

Strategies for helping my child with homework

Strategies for addressing test anxiety

Preparation for high school

11. Is there anything else you would like to tell us about SPLASH?

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please return this survey to Kathy Cearlock at Urbana Middle School, 1201 S. Vine Street, Urbana, IL 61801 or place it in the drop box outside of room 1350 at UMS. Thank you!