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Summer Academic Enrichment 2018 BETHANY CHRISTIAN SCHOOL Kindergarten – 5 th grade NEW! 6 th & 7 th Jr Counselor Leadership Development Opportunities Bi-weekly Themes – Narnia Devotions | Math | Language | Reading Creative Class Opportunities | Water Days $175/Week (8am-3pm) … $50/Week PM Childcare (3-6pm) Program is designed for weekly attendance For non-Bethany students, there is a $75 non-refundable Application fee/per student due at the time of registration for the Summer Academic Enrichment Program. For ALL summer program students, there is a $100 non-refundable Enrollment fee/per student due at the time of registration for the Summer Academic Enrichment Program. This fee will be applied to the student’s summer tuition. Registration Packets in the School Office Contact: Shari Siewert, Director of Admissions 626.355.3527 ext 1651 [email protected] 93 N Baldwin Ave, Sierra Madre, 91024 | www.bcslions.org Space is Limited Register Now! Jonathan Hawes, Summer Program Director

Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

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Page 1: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

S u m m e r A c a d e m i c E n r i c h m e n t 2 0 1 8BETHANY CHRISTIAN SCHOOL

K i n d e r g a r t e n – 5 t h g r a d eN E W ! 6 t h & 7 t h J r C o u n s e l o r

L e a d e r s h i p D e v e l o p m e n t O p p o r t u n i t i e s

B i - w e e k l y T h e m e s – N a r n i aD e v o t i o n s | M a t h | L a n g u a g e | R e a d i n g

C r e a t i v e C l a s s O p p o r t u n i t i e s | W a t e r D a y s

$175/Week (8am-3pm) … $50/Week PM Childcare (3-6pm)

Program is designed for weekly attendance• For non-Bethany students, there is a $75 non-refundable Application fee/per student

due at the time of registration for the Summer Academic Enrichment Program.

• For ALL summer program students, there is a $100 non-refundable Enrollment fee/per student due at the time of registration for the Summer Academic Enrichment Program. This fee will be applied to the student’s summer tuition.

Registration Packets in the School Office

Contact: Shari Siewert, Director of Admissions626.355.3527 ext 1651 [email protected]

93 N Baldwin Ave, Sierra Madre, 91024 | www.bcslions.org

S p a c e i s L i m i t e d R e g i s t e r N o w !

Jonathan Hawes, Summer Program Director

Page 2: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

We are looking forward to the best summer program yet and we are excited to

have your child be a part of it!

REGISTRATION INFORMATION

Use the check-list below to ensure quick and complete enrollment of your child in the BCS SUMMER ACADEMIC ENRICHMENT PROGRAM 2018:

❑ Student Registration Form❑ Student Information Form❑ Financial Obligation and Student Conduct Contract❑ Emergency Release Form❑ Field Trip / Sunscreen Permission❑ Waterworks Aquatics Waiver

❑ $75 Non-Refundable Application Fee / non-Bethany students

❑ $100 Non-Refundable Enrollment Fee / ALL students (applied to summer tuition)

Please note: your child’s enrollment in BCS Summer Academic Enrichment Program is not complete until the forms listed above, as well as your non-refundable application/enrollment fee, are received in the Bethany Christian School office. Completed forms are due PRIOR TO the first day of the summer program – June 11, 2018, so don’t delay…we do not want ANYONE to miss ANY of the fun!

Page 3: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

2018

BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program IMPORTANT DETAILS

● The BCS Summer Academic Enrichment Program takes place in the BCS Daycare room(Ministry Center, room C107). If students are out of the class on an adventure, a notewill be posted on the door stating the children’s location.

● You MUST sign your child in with your full signature, no initials, including the time, atmorning drop-off, and sign him/her out at the end of the day. This is a state regulation,and helps to ensure the safety of all the children.

● The summer program staff will have copies of your Emergency Information, whichprovides the list of people who have permission to pick up your child(ren). NO studentwill be released to anyone not on this list without prior written approval from you! Ifthe teacher does not know the person picking up your child, a picture identificationwill be required before your child will be released. WE WILL NOT ALLOW A CHILD TOLEAVE WITH ANYONE WHO IS UNABLE TO PRODUCE THIS FORM OF IDENTIFICATION.

● For non-Bethany students, there is a $75 non-refundable Application fee/per studentdue at the time of registration for the Summer Academic Enrichment Program.

● For ALL summer program students, there is a $100 non-refundable Enrollment fee/perstudent due at the time of registration for the Summer Academic Enrichment Program.This fee will be applied to the student’s summer tuition.

At Bethany Christian School, your child’s well-being is our highest priority. Enclosed in this packet are important information forms that will assist our staff in making sure your child’s experience with us is fun, fulfilling and safe.

Please complete and return the forms PRIOR TO your child’s first day of attendance.

If you have any further questions about our Summer Camp program, please feel free to call our Summer Program Director, Jonathan Hawes at (626) 388-7035. School office hours during the summer months are 9:00am to 3:00pm. If you need to contact the school between 7:00am and 9:00am, or 3:00pm to 6:00pm, please use the extended day phone number, (626) 355-3527, ext 1701.

Page 4: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

THEMES

2018

BETHANY CHRISTIAN SCHOOL Summer

Academic Enrichment Program

Each two-week session of the Summer Academic Enrichment Program has been assigned themes that we will explore. Educational activities have been chosen with this in mind.

SNACK AND LUNCH

Parents will need to provide snacks and lunch Monday through Friday. There is no microwave service available so please do not provide a lunch that requires heating.

DEVOTIONALS

Devotionals will occur on a daily basis and will focus on our theme verse as well as other Biblical concepts.

WATER DAYS

We will be having swim days at Waterworks Aquatics every Tuesday and Thursday (Pool days to be determined upon availability; finalized in May). Swimming will begin at 12:00pm. Girls must wear a one-piece swimsuit. If we feel a bathing suit is inappropriate, we will, if available, put a t-shirt on your child or he/she will be unable to participate in the swim activity for that day. Your help and understanding are greatly appreciated.

Please label all WATER DAY items and keep them in a backpack.

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8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:1 5 PM

12:20-12:45 PM

12:50-1:00 PM

1 :05--1:15 PM

1:15--1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

9:00-12:00 PM

12:00-12:45 PM

12:50-1:00 PM

1:05-1:15 PM

1:15-1:45 PM

1:50-2:50 PM

3:00-6:00 PM

6/11

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/18

MONDAY

VBS

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/12

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

6/19

TUESDAY

VBS

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/13

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/20

WEDNESDAY

VBS

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/14

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

6/21

THURSDAY

VBS

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/15

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

6/22

FRIDAY

VBS

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

*Last 5 minutes of each activity is considered clean up/transition time.

*Pool days to be determined upon availability (finalized by May)

Page 6: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:15 PM

12:20-12:45 PM

12:50-1 :OD PM

1 :05-1 :15 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11:45AM

11 :45-12:15 PM

12:20-12:45 PM

12:50-1:00 PM

1 :05-1 :15 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

6/25

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/2

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

6/26

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/3

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

6/27

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/4

WEDNESDAY

4

T

H

0

F

J

u

L

No School

6/28

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/5

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

6/29

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

7/6

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

*Last 5 minutes of each activity is considered clean up/transition time.

*Pool days to be determined upon availability (finalized by May)

Page 7: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:15 PM

12:20-12:45 PM

12:50-1:00 PM

1 : 05-1 :1 5 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:1 5 PM

12:20-12:45 PM

12:50-1:00 PM

1 : 05-1 :1 5 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

7/9

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/16

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/10

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/17

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/11

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/18

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/12

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/19

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/13

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/ Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

7/20

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

*Last 5 minutes of each activity is considered clean up/transition time.

*Pool days to be determined upon availability (finalized by May)

Page 8: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:15 PM

12:20-12:45 PM

12:50-1 :00 PM

1 :05-1 :15 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

8:00-8:30 AM

8:30-9:00 AM

9:05-10:10 AM

10:10-10:45 AM

10:45-11 :45 AM

11 :45-12:1 5 PM

12:20-12:45 PM

12:50-1:00 PM

1 :05-1 :15 PM

1:15-1:45 PM

1 :50-2:50 PM

3:00-6:00 PM

7/23

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/30

MONDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/24

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/31

TUESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7/25

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

8/1

WEDNESDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Afternoon Activity

Extended Daycare

7/26

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

8/2

THURSDAY

Arrival

Devotionals

Focused English/Math Review

Snack/Recess

Class 2

Lunch

Pool

Quiet Time

Extended Daycare

7127

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

8/3

FRIDAY

Arrival

Devotionals

Fun Friday

Snack/Recess

Class 2

Lunch

Lunch Recess

Quiet Time

Literature Corner

Fun Friday

Extended Daycare

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Weekly Schedules*

*Last 5 minutes of each activity is considered clean up/transition time.

*Pool days to be determined upon availability (finalized by May)

Page 9: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program

BETHANY CHRISTIAN SCHOOL | 93 N. Baldwin Ave., Suite B | Sierra Madre, CA | 91024 626.355.3527 | FAX 626.921.1285 | bcslions.org | [email protected]

Student Registration Form

NOTE: The $75 Application fee/for non-Bethany students, and enrollment fee of $100/for ALL students and ½ of your total Camp Fee is DUE IN FULL BEFORE YOUR CHILD CAN BEGIN the SUMMER PROGRAM.

Student Name: ________________________________________

□ $75 Application Fee – non-Bethany Student

□ $100 Enrollment Fee – all students (applied to summer tuition)

5 DAYS PER WEEK: I am requesting the following weeks:

□ FULL DAY: $175/week (8am-3pm):□ June 11-15

□ June 18-22 (No BCS Classes due to BC VBS 9am-noon)

□ June 25-29

□ July 2-3, 5-6 (No School Wed., July 4)

□ July 9-13

□ July 16-20

□ July 23-27

□ July 30-August 3

□ EXTENDED CHILDCARE $50/week (3pm-6pm):□ June 11-15

□ June 18-22 (Childcare avail. for those attending VBS)

□ June 25-29

□ July 2-3, 5-6 (No School Wed., July 4)

□ July 9-13

□ July 16-20

□ July 23-27

□ July 30-August 3

I understand:

□ That ½ of my summer program total is due on or before June 1, 2018 $ _________________________

□ That my summer program balance is due in full on or before July 1, 2018 $ _________________________

□ Changes to the schedule must be made in writing to the school office prior to the date of change.

After June 15, 2018 no refunds will be given for weeks not attended. Requests for change must be approved

by the Program Director. Requests may be denied if child cannot be accommodated on requested date(s).

__________________________________________________ ____________________________________ Parent Signature Date

For Office Use Only: Date Received: ______________

□ Accounting Notification □ Teacher Notification □ RenWeb Updated

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BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program

__

__

_

___

__

___

__

__

Student Information Form

Student’s Name

Student’s Current Age Age in Fall of 2018

Parent’s Name

Address

City State Zip

Cell Phone

Work Phone

Email

Email

□ My child is currently enrolled at BCS□ My child is not enrolled at BCS

❖My child currently attends:

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BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

2018 BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program

IMPORTANT DUE DATES:

Financial Obligation and Student Conduct Contract

● Summer Program Application Fee of $75, for non-Bethany student,is non-refundable, non-transferable and DUE at the time of registration

● Summer Program Registration Fee of $100, for each participating student,is non-refundable, non-transferable and DUE at the time of registration

● 1/2 of the TOTAL Program fee is DUE on or before June 1, 2018

● Remaining balance of the TOTAL Program fee is DUE on or before July 1, 2018

(Please initial each line below)

My child’s enrollment in the Summer Program will be automatically terminated for payments not received by the published due date(s) or any unpaid balance comprised of additional fees incurred.

A discount will not be applied for days not attended which includes sick, vacation, and holidays.

After June 15, 2018, no refunds will be given for weeks/days not attended.

Late pick-up is strongly discouraged. I will be charged $1.00 for each minute my child remains past his/her contracted pick-up time.

I will be charged a $30.00 fee if my check is returned to Bethany Christian School unpaid, in addition to any late charge(s) that may apply. If a second check is returned unpaid, I will be required thereafter to pay with cash, money order, cashier’s check or certified check.

I am aware that my student’s behavior and conduct, both at BCS and school sponsored events, is expected to meet the standards established by the school for maintaining an atmosphere conducive to learning. Students whose behavior and conduct consistently make it difficult to maintain such an atmosphere will be subject to dismissal or denial of re-enrollment. The Program Director will make such decisions after careful consideration, which may include a conference with me, teachers and my student.

I hereby give permission for my child’s photographs to be used for program or promotional purposes, i.e. school news, school brochure, newspaper articles, web site, etc. Such material shall remain the exclusiveproperty of Bethany Christian School and shall be used without notice or compensation.

I understand that in signing this contract for the Summer Program, I am agreeing to accept the rules and policies of Bethany Christian School.

Parent/Guardian Signature Date

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BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

2018

BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment ProgramEmergency Release Form

STUDENT NAME: School authorities will notify you or your designated representatives if your child is ill or injured. If no one can be reached, it is the policy of Bethany Christian School to send the child in an ambulance to the nearest emergency hospital unless your instructions to the contrary are on file at the school.

In case of EMERGENCY, contact:

Allergies?

RES:

Parent or Guardian Printed Name BUS:

CEL:

Parent or Guardian’s Signature OTHER

RES:

Name BUS:

CEL:

Relationship to minor OTHER

RES:

Name BUS:

CEL:

Relationship to minor OTHER

OFC:

Family Physician

OFC:

Family Dentist

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BETHANY CHRISTIAN SCHOOL | 93 N. BALDWIN AVE., SUITE B | SIERRA MADRE | 91024 626.355.3527 | www.bcslions.org | [email protected]

2018

BETHANY CHRISTIAN SCHOOL

Summer Academic Enrichment Program Field Trip / Sunscreen Permission Form

FIELD TRIP PERMISSION

I the undersigned, being the parent or guardian of , give my permission to Bethany Christian School

to take my child on outings and field trips during the summer program. Transportation for such trips may be by public carrier or private vehicle.

I also authorize the designated leaders of such outings and field trips, in the event of an emergency and if contact cannot be made with myself, pursuant to Section 25.8 of the California Civil Code, to consent to any x-ray examination, anesthetic, hospital or medical treatment for my child which is deemed advisable by and to be rendered by or under the supervision of a physician licensed under the provisions of the medical practice act in which state treatment is rendered. I accept liability for the cost of any such treatment.

This consent is to remain in effect for the summer term 2018 unless sooner revoked.

Child’s Name Parent/Guardian Signature Date

SUNSCREEN PERMISSION

I hereby give the staff of Bethany Christian School permission to apply sunscreen on my child as needed. I understand that it is my responsibility to provide sunscreen with my child’s name on it to the summer staff. Due to the potential of allergic reactions to certain sunscreens, Bethany Christian School cannot provide the sunscreen for me.

Child’s Name Parent/Guardian Signature Date

Page 14: Summer Academic Enrichment 2018 BETHANY … Camp Info/K-7... · The BCS Summer Academic Enrichment Program ... Focused English/Math Review Snack/Recess Class 2 Lunch Lunch Recess

WATERWORKS AQUATICS

WAIVER/RELEASE OF LIABILITY (201.4 V.1)

Please read carefully before signing! This is a release of liability and waiver of certain legal rights.

I, _________________, the parent/guardian of the participant and/or the participant agree and understand that

swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, including,

but not limited to, a risk of slipping on wet decks, orthopedic injuries, brain injuries, paralyzing injuries and/or

death.

I am aware that when lessons are being taught, it is extremely difficult or impossible for the instructor and /or

lifeguard (if on duty} to supervise all children at all times. I hereby agree that I shall use extreme caution and

supervision on behalf of me and my children at all times including "playtime" while on the premises of

Waterworks Aquatics.

The parent/guardian of the participant and/or the participant hereby agrees to participate in the

Waterworks Aquatics Swim Program and hereby agrees to indemnify and hold harmless Aqua tic Ventures,

LLC and Waterworks Aquatis, its teachers, officers, directors, agents and employees against any liability

resulting from any injury that may occur to the participant while participating in the Waterworks Aquatics

Swim Program. The parent/guardian of the participant and/or the participant also agrees to indemnify

Aquatic Ventures, LLC and Waterworks Aquatics for any damages incurred arising from any claims,

demand, action or cause of action relating to the participant.

The parent/guardian of the participant and/or the participant authorizes any representative of Waterworks

Aquatics to have the participant treated in any medical emergency during their participation in the

Waterworks Aquatics Swim Program. Further, the parent/guardian of the participant and/or the participant

agrees to pay all costs associated with medical care and transportation for the participant.

I HAVE CAREFUUY READ THE ABOVE WAIVER/RELEASE OF LIABILITY RELEASE AND SIGN IT WITH FULL

KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.

Signature of Parent or Legal Guardian Date

Print Name Relationship to Student

Child(s) Name(s)

Emergency Contact

Please list below a person we can contact in case of an emergency other than a parent/guardian.

Name Phone Number Relation