Transportation
You must register by April 15, 2016 to be included in the
initial transportation scheduling.
Students registered after April 15, 2016 will be assigned
transportation based on availability.
£ I will transport my child to and from Camp Propel.
£ My child will ride the bus from:
£ Home (address same as first page)
School District 196
£ Child care (Child care must be located in school
attendance area bus route to be eligible for
transportation.)
Kindergarten
Camp
Child care provider ________________________________
propel
Address ________________________________________
Phone _________________________________________
Tuition Information
Do not submit payment with this form.
You will be billed later.
Monday through Thursday
July 25 – August 11, 2016
£ I am able to pay full tuition of $180.
£I will need tuition assistance. Please answer the
following questions to help determine your fee.
1. Number of people in household?________________
2. Approximate annual family income?______________
(Verification of income may be requested)
8-1953
Call 952-38 rmation!
fo
for more in
Screening
Your child must be screened or have a screening
appointment scheduled before attending this program.
Referral Agency (if applicable)
District 196 School Board
Jackie Magnuson, Chairperson
Gary Huusko, Vice Chairperson
Joel Albright, Clerk
Bob Schutte, Treasurer
Art Coulson, Director
Rob Duchscher, Director
Mike Roseen, Director
£ Early Childhood Screening
Jane K. Berenz, Superintendent
Has your child been through early childhood screening?
£ Yes
£ No, I will call for an appointment — 651-423-7899
£ Early Childhood Special Education
£ Other ______________________________________________
Person Referring______________________________________
For questions, call 952-388-1953.
Mail to: Kindergarten Camp Propel, DVLC
4679 West 144th Street
Apple Valley, MN 55124
Fax to: 952-388-1948
(remember to fax both sides)
Khia Brown, Director of Community Education
School Readiness - 952-388-1960
District 196 does not discriminate in employment or in any of its programs and
activities on the basis of race, color, creed, religion, national origin, sex, marital
status, status with regard to public assistance, familial status, membership or
activity in a local human rights commission, disability, sexual orientation, age
or genetic information. District 196 provides equal access to designated youth
groups. The Director of Human Resources (651-423-7859) has been designated to respond to employment-related inquiries regarding the non-discrimination
policies. The Director of Elementary Education (651-423-7782) and the Director
of Secondary Education (651-423-7712) have been designated to respond to
student-related inquiries regarding the non-discrimination policies. The Director
of Special Education (651-423-7629) has been designated to respond to inquiries concerning the rights of a student with a disability. The mailing address for
all directors is 3455 153rd Street W, Rosemount, MN 55068. This program is for children who
need additional time and support in
transitioning to a new routine.
Registration is required in order to
participate in this program.
The deadline for registration
is April 15, 2016.
Please call 952-388-1953
for more information.
2016 Kindergarten Camp
Propel Registration
Registration Deadline is April 15, 2016
Who Should Attend?
This program is for children who are enrolled to
begin kindergarten in District 196 this September.
Classes are held for three weeks in July and August,
Monday through Thursday, at many of the district’s
elementary schools.
Kindergarten Camp Propel is designed for children who:
• have not participated with other children in a group
setting or have had limited preschool experience
• are learning English
• need additional time and support in transitioning
to a new routine
Transportation
Transportation is available to the elementary school
based on your attendance area. Busing to magnet
or open enrollment schools outside your attendance
area is NOT available. Registration must be received
by April 15, 2016 in order to be included in the initial
transportation scheduling.
Tuition
The full tuition fee for this program is $180. Tuition
assistance is available and determined by family
size and annual income. Your fee is determined by
answering the tuition questions during registration.
Payment is not required at this time. You will be
billed at a later date.
Meals
Food & Nutrition Services will be serving breakfast
and lunch at each school, although students may
choose to bring meals from home. Payments for
meals can be made via School View/FeePay or on
the first day of school by check. Please make checks
out to School District 196-Foodservice and include
the child’s full name in the memo. Your household
may be eligible for free and reduced-priced meals.
Online applications for school meal benefits will be
available after July 1st, 2016. All applications need
to be submitted and officially processed prior to the
start of camp to determine your eligibility. Detailed
information will be available this spring on the district
website. Please visit www.district196.org under the
Student Services/Food and Nutrition tab.
Kindergarten Camp Propel
Locations and Times
Monday through Thursday
July 25-August 11, 2016
School
Cedar Park
Deerwood @ Glacier Hills
Diamond Path
Echo Park
Glacier Hills
Greenleaf @ Diamond Path
Highland @ Parkview
Northview @ Red Pine
Oak Ridge
Parkview
Pinewood @ Red Pine
Red Pine
Rosemount @ Shannon Park
Shannon Park
Southview @ Cedar Park
Thomas Lake @ Oak Ridge
Westview @ Echo Park
Woodland @ Glacier Hills
Time
9 am - 3 pm
8 am - 2 pm
8 am - 2 pm
8 am - 2 pm
8 am - 2 pm
8 am - 2 pm
9 am - 3 pm
9 am - 3 pm
9 am - 3 pm
9 am - 3 pm
9 am - 3 pm
9 am - 3 pm
8 am - 2 pm
8 am - 2 pm
9 am - 3 pm
9 am - 3 pm
8 am - 2 pm
8 am - 2 pm
student Information
(Please print)
First ________________________________________
Last________________________________________
£ Male £ Female
Date of Birth_________________
Home Phone_________________________________
Address_____________________________________
City______________________ZIP_________________
Parent/guardian Information
Name_______________________________________
£ Male £ Female
Home Phone_________________________________
Cell/Work ___________________________________
Email _______________________________________
Name_______________________________________
£ Male £ Female
Home Phone_________________________________
Cell/Work ___________________________________
Primary language spoken at home:
___________________________________________
What school will your child attend for kindergarten?
___________________________________________
If this is NOT your attendance area school, please
check one of the following:
£ Open Enrollment
£ Magnet School
£ Daycare Attendance Area
MEAL PREFERENCE
£ Home meals only
£ School meal ($)
£ Milk only ($)
Please fill out both sides of
registration form