PATCH 21st CCLC would like to invite all students of Spencer Elementary School to attend the Winter Session of PATCH 21st CCLC.
Please fill out the following information and return it to your child’s homeroom teacher or school office.

PATCH programs will begin the week of January 28th at Spencer Elementary School.

Students Name: _____________________________________________________________________________

Home Address__________________________________________________________________________________________

Age_______ Gender_______ Phone___________________ Grade Level_________ T-Shirt Size ___________

Homeroom Teacher _______________________ Food Allergies______________________________________

Mark beside each program your child wants to attend and rank each choice by preference 1st, 2nd, 3rd, or 4th if they wish to take multiple programs. Notification will be sent to let you know which programs you are registered to attend, or, that the classes are full, if in the event that both the first and second choices are full. Students may attend only 1 class per day.

Monday

______ Team Building Games with Lindsey Holliday (Grades k-4): Students will learn fun games focusing on teamwork and communication.
______ Recreation with Cam Wilson (Grades3-4): Students will participate in fun activities and learn about nutrition and health.
______ Art Class with Yoko Morris (grades k-2): Students will work on several different kinds of art.
______ Arts and Crafts with Leah Nazzaro(grades 3-4): Students will make arts and craft projects.

Tuesday

______ Art with Yoko Morris (Grades 3-4): Students will work on various art projects.
______ ReadingFun 2 (Grades k-1): Students will be reading and participating in fun activities related to reading.
______ Sign Language 1 (Grades 3-4): Basic American Sign Language for beginning students.
_______ Amelia Bedilia Reading Club with Kim Taylor (Grades 1-2): Students will read and do activities related to popular kids books.
_______ Recreation Station with Ethan Messineo (Grades k-4): Students will participate in fun activities and learn about health and nutrition.
______ Computer Skills and Games with Leah Bing (3-4): Students will learn computer skills and play educational computer games.


Wednesday

______ Creative Writing with Yoko Morris (Grades 3-4): Students will learn story telling and creative writing.
______ Board Games with Leah Nazzaro(Grades 2-4): games where student can work on following rules and cooperation.
______ Sign Language (Grades 3-4) Students learn American Sign Language.
_______ Recreation Station with Ethan Messineo (Grades k-2): Students will participate in fun activities and learn about health and nutrition.

Thursday

______ Board Games with Jana Smith- (Grades 1-2): Fun games where student can work on following rules and cooperation.
______ Recreation with Leah Nazzaro (Grades 2-4): Students will participate in fun activities and learn about health and nutrition.
______ Craft Projects with Ethan Messineo (Grades 3-4): Students will work on fun craft projects.
______ Reading Club with Leah Bing (Grades k-1): Students will read stories and participate in related activities.

__________________________________________________________________________________________________________________________

* You must sign the back of this form and send a note with your student before the beginning of classes saying you want them to stay for PATCH and on what days in order for them to stay for PATCH programs.*
Spencer Elementary School/ PATCH 21st CCLC
Afterschool Programs Winter 2008


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