WES Fall 2015 PTO Clubs Registration
page 1
WES PTO Clubs
2015 Fall Registration
Due Tuesday
9/29/15
Register
now!
Please complete 1 form per student with all info. Please
print clearly.
STUDENT INFO
STUDENT FIRST & LAST NAME
GRADE & NAME OF TEACHER
CONTACT INFO
PARENT/GUARDIAN FIRST & LAST NAME
EMAIL ADDRESS
Confirmation sent via email. Please print clearly
PHONE (where you may be reached during club)
ALTERNATE PHONE
Emergency Medical Info (allergies, asthma, etc.)
NO NURSE ON DUTY DURING CLUBS
NOTES ON DISMISSAL
Circle “yes” only if applicable
My child goes to extended day:
Yes
My child can walk home from club:
Yes, my child can walk home.
 Per RTSD policy, student requires a permission slip on file at WES.
 Note: no crossing guards available at 4:30.
My child will be picked up by other than guardian
This will be noted on club roster given to instructor.
If pick up by another is only occasionally, please send detailed note
(person picking up, date, etc.) with your child to give to instructor.
Yes, a signed permission slip is on file at WES.
Yes
Specify name:
Terms and Conditions
The WES PTO adheres to the policies and procedures outlined below:
1. Supporting your child
After-school is a challenging time of day for many students. We encourage all parents to consider whether the club is a good
fit for their child with regard to energy level, interest, etc.
2. An environment for success
Instructors have a limited window of time in which to create and maintain a learning environment. If an instructor observes a
student is struggling to engage and/or disrupts the learning process, the instructor will consult with the PTO Club Coordinator
and the parents/guardians to determine appropriate action, which may mean the student is asked to withdraw. A prorated
refund will be available.
3. Pick-up
All After School PTO sponsored Clubs will be dismissed promptly at 4:30pm. If a child is consistently picked up late,
students may be requested to withdraw from the club.
 You must come into the school to get your child. For their safety, all students will only be dismissed inside the school
at the intermediate foyer at 4:30.
 If school or after school activities for township are cancelled, there will be no clubs held that day. There will be no makeup days.
By signing and returning this Policy and Release form, the parent agrees to the above terms and conditions, consents to the
participation of his/her child in WES PTO Clubs and agrees to release and hold harmless the WES PTO and all persons acting
for the WES PTO in connection with the Club, from all claims and liabilities arising out of his/her child’s participation in WES
PTO Clubs.
Please note there is no nurse on duty during after-school- clubs… 911 will be called for all emergencies.
Signature of Parent / Guardian: ___________________________________________________
Date: _________________________________
WES Fall 2015 PTO Clubs Registration
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To register, please:
1. Sign “Terms & Conditions/Liability Release” on the front side of this form.
2. Indicate your child’s club preference on the below table. Include a second choice in case your first choice club fills up.
Clubs will be decided by lottery after all forms have been collected on Tuesday 9/29/15. If your child wants to
participate in more than one club, please state that below. Refer to the attached description sheet for meeting dates (or go
to http://www.rtsd.org/Page/6760 ).
3. Specify check number and $ amount below. Write a check for your first choice club. Checks should be made out to
WES PTO.
4. Enclose check with form and submit via your child’s backpack or drop off at WES office.
Any questions, please contact: Rachel Sule and Jess Richter at [email protected]


Each club’s fees are noted below. Fees go toward paying instructors, supplies (if applicable), and club related overhead
expenses.
Need – based scholarships are possible. Please submit 20% of club fee with your registration
DATES
Club Name
Chess
Fees *
1 to 5
$115
4 and 5
$65
OSA Sports Spectacular
K to 5
$75
Bricks 4 Kidz Lego Club
K to 5
$125
Puppet Workshop
1 to 5
$85
1 to 5
$55
1 to 5
$85
8 Tuesdays
10/6, 10/13, 10/20, 10/27, 11/10,
11/17, 12/1, 12/8
Grades
Drama
Please specify your child’s
preference & any other notes
8 Wednesdays
10/7, 10/14, 10/21, 10/28, 11/4,
11/11, 12/2, 12/9
Science Explorer students can
sign up for 1 or both sessions.
Science Explorers
(3 weeks – 10/7, 10/14,
10/21)
Science Explorers
(5 weeks – 10/28, 11/4,
11/11, 12/2, 12/9)
8 Thursdays
Drawing
2 and 3
$65
10/8, 10/15, 10/22, 10/29, 11/5,
11/12, 11/19, 12/3
Glee
1 to 5
$65
Yoga
1 to 5
$65
PLEASE FILL OUT CHECK
INFO
>>>>>>>>>>>>>>>>>>>>>>>
CHECK Number:
Check $ Amount:
WES Fall 2015 PTO Clubs Registration
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Club Descriptions
TUESDAYS
Chess Club (Gr. 1 to 5) with Shining Knights Chess
Knights, captures, action! Whether you are new to the game, learning to push pawns for the first time, or have played in
numerous tournaments, and want to sharpen your chess skills, join us at Shining Knights Chess Club! We have trained
numerous state champions and national trophy winners. We have trained even more kids to enjoy the game that they can
spend hours playing with friends and family. So, whether you want to win games in your living room against your parents
or win tournaments in other states, come join us and learn how to play chess or play better chess!
8 Tuesdays
Oct. 6, 13, 20, 27, Nov. 10, 17, Dec. 1, 8
Drama (Gr. 4 and 5) with Mr. Rick Goldstein
In this club students will learn the fundamentals of acting. Activities will focus on stage presence, non-verbal
communication, and improvisational acting.
8 Tuesdays
Oct. 6, 13, 20, 27, Nov. 10, 17, Dec. 1, 8
Sports Spectacular (Gr. K to 5) with Overtime Athletics
Let’s Play! Save the best for last by finishing up the school day with Sports Spectacular, a variety athletic program that
features different sports throughout the session. Participants will practice skills and play games in both traditional sports
and playground favorites. The Sports Spectacular Variety Program features the best “to-do” list ever – Basketball, Soccer,
Flag Football, Kickball, Capture the Flag, Wiffle Ball, Bump and Bite, Knights and Dragons, Numbers Game, Tag
Games, Safe Base and MORE! OTA covers all the bases with our emphasis on playing, teamwork, sportsmanship, and
fitness. Don’t miss out on the FUN!
8 Tuesdays
Oct. 6, 13, 20, 27, Nov. 10, 17, Dec. 1, 8
WEDNESDAYS
Lego Club (Gr. K to 5) with Bricks 4 Kidz Instructor
During this 1 hour afterschool class we will use LEGO® bricks to introduce your child to the world of Science,
Technology and Engineering. We will cover fascinating topics such as Space, Inventions, Animals, Transportation and
many others. During this class your child will learn a new science concept and get to build a LEGO Model which
demonstrates that principle. They could build a moving satellite, a walking monkey or a spinning helicopter. Our goal is
to provide a fun educational program that inspires your young builder to new heights.
8 Wednesdays
Oct. 7, 14, 21, 28, Nov. 4, 11, Dec. 2, 9
Puppet Workshop (Gr. 1 to 5) with Mrs. Saskia Bankert
One of the most ancient forms of storytelling was through the art of puppetry. Over the course of eight weeks, students
will use their creativity and craftsmanship to develop various types of puppets, ranging from finger puppets to glove
puppets, rod puppets to shadow puppets, and time-permitting, a basic marionette. Each student will get to keep all of the
characters he or she creates and go through the process of brainstorming, planning, and executing their plans. This is a
great chance for students to express their creativity while focusing in a technology-free but fun environment. No
experience necessary!
8 Wednesdays Oct. 7, 14, 21, 28, Nov. 4, 11, Dec. 2, 9
Science Explorers (Gr. 1 to 5)
Students can sign up for 1 or both sessions.
Mix It Up! We’ve picked our top 3 favorite hands-on science activities for this special 3-session club! This is a great
program to try if you’ve never participated in Science Explorers before, or if you want to experience some favorites, this
is for you! We’ll take some chemistry, throw in a little creativity, and mix in tons of fun! Create our ever popular foaming
“Matter Monster”, build your own motorized invention, and make groovy lava lamp test tubes!
3 Wednesdays
Oct. 7, 14, 21
Abracadabra! Hocus Pocus, you’re the focus, as you amaze and astound your friends with some awesome science
magic! Master the art of illusion and discover the scientific secrets behind these tricks. Use your newfound skills to make
an egg sink or float on command, create invisible ink, make water disappear, and shock your family and friends when you
walk through a piece of regular copy paper! 5 Wednesdays Oct. 28, Nov. 4, 11, Dec. 2, 9
WES Fall 2015 PTO Clubs Registration
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THURSDAYS
Drawing Club (Gr. 2 and 3) with Mrs. Mimi Byrne
Have fun and join Mrs. Mimi Byrne, MFA, in learning about artists and artistic techniques. We will cover Pointillism,
Shading, One Point Perspective, Watercolors, Cray-Pas, Pastels, Landscapes, Seascapes, Scratch-Art, and Marble-Art.
Sketchbook, art pencils, eraser and carry bag included. If you are returning to this club, feel free to reuse and continue
adding to your current sketchbook.
8 Thursdays
Oct. 8, 15, 22, 29, Nov. 5, 12, 19, Dec. 3
Glee Club (Gr. 1 to 5) with Mrs. Saskia Bankert
Do you love to sing, dance, and perform? Have you ever wanted to try out performing in a fun way? Boys and girls
should consider signing up for “Glee Club,” where each week we will work on an exciting song accompanying cool dance
moves! Great for confidence-building, team-building, and performance skills!
Saskia Bankert is a graduate of NYU Tisch School of the Arts with a BFA in Theater.
8 Thursdays
Oct. 8, 15, 22, 29, Nov. 5, 12, 19, Dec. 3
Yoga (Gr. 1 to 5) with Ms. Sharon Hickey
Kids love yoga! It allows them to use and move their bodies in ways that creative, silly, and fun! Children will move
through the “parts” of the ashtanga series in a way that is perfect for their ages. Each of the classes has a theme – classes
include yoga and yoga based games. For more info, go to http://www.YogaSchoolInc.net. Students will need their own
yoga mat (available at Five Below and other retail).
8 Thursdays
Oct. 8, 15, 22, 29, Nov. 5, 12, 19, Dec. 3
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