M a n d a r i n C h i n e s e L a n g u a g e
I m m e r s i o n M a g n e t S c h o o l
A f t e r S c h o o l P r o g r a m
SPRING 2016 REGISTRATION PACKET
VISIT THE SCHOOL’S WEBSITE TO DOWNLOAD THE
:
(Registration is first come first serve to registration forms submitted to Ms. Connie in the After School Office.)
Dec. 3-17
(3:00-6:00)
After School Office
(Registration is first come first serve. $25.00 Late
Registration Fee to be included in your payment)
After Dec. 17
Until Jan. 22
CIASP
2020 SW Freeway, Ste. 310
Houston, Tx 77098
After School Office
Ext Day Bi Weekly: At Registration, Jan. 8, 22; Feb. 5, 19; March 4, 24; Apr 8, 22 and May 6
Full Time Option 1 - $810.00: 10 pymts of $81.00 (must be enrolled in 5 Enr Classes)
Full Time Option 2 - $910.00: 10 pymts of $91.00 (must be enrolled in 2-4 Enr Classes)
Full Time Option 3 - $1010.00: 10 pymts of $101.00 (must be enrolled in 0-1 Enr Classes)
Half Time Option 1 - $605.00: 8 pymts of $60.00.50 (must be enrolled in 5 Enr Classes)
Half Time Option 2 - $705.00: 10 pymts of $70.50 (must be enrolled in 2-4 Enr Classes)
Half Time Option 3 - $810.00: 10 pymts of $81.00 each (must be enrolled in 0-1 Enr Classes)
OR
4 Equal Monthly Payments of Total Amount: At Registration, February. 5, March 4, April 8
For questions contact:
Sylvia Ponce de Leon, Director: ciasp2@sbcglobal.net
OR 713-529-3507
Connie Godina, Coordinaor, mclimsafterschool@sbcglobal.net
Copyright © 2015 CIASP

Dear MCLIMS Parents,
The Mandarin Chinese Language Immersion Magnet School is proud to present a quality After School Program in collaboration with childrens Initiatives After School Programs! This program is designed to provide the needs of the school community in an after school setting. The quality of our program will thrive with the cooperation of the school community (i.e. administration, staff, parents, children). Please read the following information thoroughly:
1.
2.
REGISTRATION:
• Registrations are processed on a first come first serve basis and are considered complete ONLY upon receipt of
a signed contract, registration form, and payment. Please make all checks or money orders payable to: MCLIMS
• Beginning December 3 registration forms are to be dropped off to the ASP Office so that your registration is accepted on a first come first serve basis. Registrations submitted to any other location (i.e. classroom teacher,
front school office) will be collected at the end of each day, at which time, registrations will be processed. Keep in mind that registrations submitted to the After School Office will take priority.
• An itemized statement will be mailed to your home via U.S. mail by December 28 listing your child’s schedule if your registration is received by December 22.
• During the first week of school statements for registrations received after December 22 will be available for pick up in the ASP office beginning January 5.
PAYMENT :
You may select one of the 2 Payment Options (Bi-weekly or 4 Monthly Payments) as listed on the front cover page. All due dates are listed on Front Cover Page, Page 2 and the Contract Document.
3.
4.
5.
A. Pay the full amount of your bill at the time of registration.
B.
C.
Pay in 4 installments (required for any Enr Class you sign up for): At Registration, Feb. 5, March 4, April 8
Pay Bi-weekly installments for Ext Day ONLY on the following dates as follows: At Registration, Jan. 8, 22;
Feb. 5, 19; March 4, 24; Apr 8, 22 and May 6.
These payment options are offered as a convenience to you. ONLY checks or money orders are accepted and
MUST BE MADE PAYABLE TO: MCLIMS.
Please see the Contract Agreement Safety Plan Form for important details including deadlines.
OUTSTANDING BALANCES:
Registration cannot be accepted from anyone who has an outstanding balance from any previous semester.
Registrations submitted must include a separate check for their outstanding balance in addition to their first payment.
In addition, any accounts with outstanding balances remaining after December 4 will be rolled over to the Spring
2016 semester and will be assessed a $25.00 rollover fee . Also, any Spring 2016 outstanding balances greater than $100 remaining after April 8 will be rolled over to the Fall 2016 with a $25.00 rollover fee.
Failure to meet your financial obligations may result in suspension of services to you .
INFORMATION REGARDING 1
ST
, 2
ND
, 3
RD
, CHOICES:
Please note the following important details regarding your 1 st
• If the 1 st
, 2 nd
, AND 3 rd
, 2 nd
, 3 rd
, choices for Enrichment Classes:
, choices are filled, you will be sent an email informing you of available classes. ( You must respond to this email within 2 working days (Mon-Fri) if you wish to select another class. Other classes may fill up quickly.
• If you enrolled in an enrichment class and it is canceled due to lack of enrollment, a full refund/credit for that class will be issued. In the event of teacher illness, a substitute will be provided OR students will be contacted as early as possible to inform them of a class cancellation. Make up classes will be scheduled and you will be notified by the Coordinator.
For Half Time & Enrichment Only Students: If your child is not picked up immediately upon dismissal of an enrichment class or by 5:00, which is the end time for Half Time Ext Day, you will be assessed an Occasional Ext Day
Card of 5 Units at a cost of $50.00 which will provide supervision until 6:00 PM. Anyone picked up after 6:00PM will be assessed a fee of $2.00/minute
We are looking forward to a successful Spring 2016 Semester! If you have any other concerns and/or questions, please do not hesitate to contact us.
Sincerely,
Parent Copy
Sylvia Ponce de Leon
Director, After-School Program
713-529-3507 email: ciasp2@sbcglobal.net
2
Copyright © 2015 CIASP

M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A F T E R S C H O O L P R O G R A M
Contract Agreement SPRING 2016
By signing below, I understand the contents of this registration packet and agree to the following for the Spring
Semester of 2016. Disregard of this contract and/or the contents in the registration packet will result in immediate dismissal from MCLIMS ASP.
1.
I understand that I am enrolling only for SPRING 2016 .
2.
TIMELINES: I have received a copy of the timeline (front cover page) with all important dates, including registration dates, payment due dates, and the dates that Extended Day and Enrichment Classes begin and end.
(Timeline and Payment Schedule are listed on front cover.)
3.
CLASS TIMES: I understand the times of Extended Day Options, Enrichment Classes, and Homework according to the Extended Day Options Form and the Master Schedule of Enrichment Classes provided in this registration packet.
4.
PAYMENTS : (Please initial each item below on the line)
_____ MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY made out to MCLIMS . Cash is
not accepted.
_____If I enroll in Enrichment Classes, I will pay at least of 1/4 of the total cost of classes for the Spring 2016
Semester at registration. Payments are due as follows: At Registration, Feb. 5, March 4, April 8.
_____If I enroll in Extended Day (Full/Half) I will follow the Biweekly Payment Schedule according to the Option I
have agreed upon for Spring 2016: At Registration, Jan. 8, 22; Feb. 5, 19; March 4, 24; Apr 8, 22 and May
6 . In addition, I may also opt to follow the !
payment schedule for Extended Day.
_____I will be assessed a late fee of $10.00 each time I do not pay my bill as I have agreed and indicated on
Page 6.
_____I will be assessed $35.00 for each returned check. After 2 returned checks, payment must be made by
money order payable to MCLIMS.
_____I understand that after school services may be suspended if I do not pay my bill on time. Accounts with
5.
outstanding balances after Dec. 11 will be assessed a $25.00 Rollover Fee and your balance will be
rolled over to Spring 2016. Also, any Spring 2016 outstanding balances greater than $100 remaining
after April 8 will be rolled over to the Fall 2016 with a $25.00 rollover fee.
ADD/DROP: Only 2 changes are permitted during Add/Drop period (until January 22). No class changes will be made and no refunds or credits will be issued after January 22.
6.
PRORATION OF CLASSES: ANY class attended during the weeks of January 11-22 will be prorated should you drop classes. You are responsible for all costs of any classes not dropped after January 22. After January 22, your bill will be prorated ONLY if your child is required to attend Tutoring Classes by his/her school teacher OR if your child withdraws from MCLIMS. NOTE: NO refunds OR credits will be assessed in the event of HISD canceling after-school activities for inclement weather or any other extenuating circumstances .
7.
OCCASIONAL DAYS:
• If I purchase sets of Occasional Days I understand the full amount for each set is due at the time I sign up.
•
If I purchase sets of Occasional Days and they run out, another 5-Unit Occasional Card will be automatically billed to my account.
8.
SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign my child out from the after school program at the time of pick-up. Failure to sign the student out from the school office will be regarded as an “Incident” and may result in suspension from the program for the remaining school year .
ONLY adults 18 years or over authorized to pick up children. SHOWING PHOTO ID IS MANDATORY
UPON REQUEST.
Parent Copy 3
Copyright © 2015 CIASP

M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A F T E R S C H O O L P R O G R A M
Contract Agreement SPRING 2016
9.
ENRICHMENT CLASSES AFTER 4:25 ONLY : I must enroll my child in either a 3:55 PM enrichment class,
Bridge until the start time of an Enrichment Class beginning after 4:25 or Occasional Extended Day in order for my child to participate in an Enrichment Class beginning after 4:25 PM.
10.
CHANGES IN HOW A STUDENT GETS HOME : I MUST notify the ASP Coordinator in writing (phone calls not accepted) via fax or written note dropped off in the ASP Office or in the ASP Box (located in front school office)
OR via email ( ciasp2@sbcglobal.net
OR mclimsafterschool@sbcglobal.net) for ANY changes in how my child gets home. Without written permission, my child will not be permitted to leave.
11.
12.
LATE PICK UP:
•
If my child is picked up after 6:00PM I will be assessed a late pickup fee of $2.00/minute.
•
When I am late picking up my child from Half-Time or Enrichment I will be automatically issued a 5-Unit
Occasional Card which will provide supervision until 6:00 PM. 1 Unit from this card will be used for the late pick up and I understand that I will have 4 Units remaining.
• After the 5th late pick-up I may be asked to make other arrangements for After School Child Care .
• The official time for our after school program will be gauged by the clock located in Pick UP Location in the school.
• Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically doubled. (Check or money order only)
BEHAVIOR EXPECTATIONS: The HISD Code of Student Conduct will serve as the basis for all discipline expectations to ensure the safety of all students and staff members. Parents will be notified immediately if their child has violated any portion of the school’s previously communicated Code of Student Conduct. Services will be suspended should disrespectful or unsafe behavior be directed towards a student or staff member, either by a parent of a student or a student enrolled in the program. I understand that it is my responsibility for reading and knowing the expectations of the HISD Code of Conduct. I also understand that the program reserves the right to deny services on a permanent basis if behavior expectations are not being met.
13.
SPECIAL NEEDS: We do not provide staff trained to deal with special needs. Please contact the school administration with any questions.
14.
TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any student in grades K-5. All such devices must be kept in the student’s backpack.
15. All information published in this registration packet applies to this contract. In addition, I understand and agree to adhere to any guidelines amended to this contract and that I will be notified in writing by the after school program.
16. I understand that my email address and/or phone number(s) may be given to the Provider of any Enrichment class in which I have enrolled my child should the Provider find it necessary to contact me.
17.
MEDIA PERMISSION: I authorize MCLIMS ASP to include my child in photographs used for publicity.
____YES ____NO
__________________________/____________________________/__________/____________________
Name of Parent (please print) Parent Signature Date STUDENT NAME
__________________________/____________________________/__________/____________________
Name of Parent (please print) Parent Signature Date STUDENT NAME
Parent Copy 4
Copyright © 2015 CIASP

Office Use Only: ____________Date Reg. Received ____________Time Received ______Initial of Staff __________CK # __________Amount
M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A F T E R S C H O O L P R O G R A M
T u i t i o n / F e e F o r m S P R I N G 2 0 1 6
________________________________________________ _____________________________ _________________________________________________
Student Name Grade Level 2015-2016 2015-2016 Homeroom Teacher
______________________________________________________________ ________________________________________________
Name of person responsible for account/billing/changes Relationship to child
______________________________________________________________ ________________________________________________
Name of person responsible for account/billing/changes Relationship to child
___________________________________________________________/____________________/___________________/_____________
Billing Street Address City State ZIP
_________________________________________________________________________________________________________________
Email Contact for person(s) responsible for billing
I authorize MCLIMS to disclose any information regarding my account to the following individual(s) (if applicable):
_________________________________________________________________________________________________________________
Name(s)
A. Extended Day Options (Write in the amount(s) for all that apply:
Extended Day Option: Total Tuition:
Full-Time Option (#1-$810.00; #2-$910.00; #3-$1010.00) ………. $________________
Half-Time Option(#1-$605.00; #2-$705.00; #3-$810.00)………… $________________
Occasional Days PLUS $25.00 Supply Fee………….…………… $________________
Bridge Enrichment Mon Tues Wed Thur Fri………………… $________________
Early Dismissal Only…………………………………………………..$________________
Ext Day Supply Fee (#1-$10.00; #2-$10.00; #3-$30.00)………… $________________
Total for Extended Day Options …………………………………… $________________ (A)
B. *Total Tuition for Enrichment Class(es): .............................................................................................
$________________ (B)
*List the total cost for your first option for Enrichment Classes on ITEM B below. If you do not get your 1st choice, the 2 nd payment due
will be readjusted. If you pay the entire amount NOW based on your first choice, your bill will be adjusted accordingly.
C. Total Fees for Enrichment Class(es) (see Enrichment Class descriptions for any additional fees)……… $________________ (C)
D. Any Late Fees incurred……………………………………………………………………………………….. $________________ (D)
(See timeline on front cover)
E. Grand Total of A-D ………………………………………………………………………………………….... $_______________ _ (E)
Payment enclosed – must include the total cost of Materials/Supply Fee
Check or Money Order made out to: MCLIMS (No Credit Cards/ No Cash) Payment Amount Enclosed
$______________
(Must be at least 1/4 of Grand Total. If purchasing only Occasional Days, please pay in full.)
Please Initial:
1. ________ Registration in MCLIMS After School Program is an acceptance of the MCLIMS ASP Contract Agreement.
2. ________ I am submitting my payment for the Grand Total. I understand if I have signed up for Enrichment Class(es) that my
payment is based on my 1st choice(s) and that the amount due may increase or decrease if my first choice is not met.
The ASP will adjust my account accordingly & I will submit my payment by the 2 nd
due date, as listed in this packet.
3. ________ I am paying
!
of the Grand Total. I understand if I have signed up for Enrichment Class(es) that my payment is based on
my 1st choice(s) and the amount due may increase or decrease if my first choice is not met. The ASP will adjust my
account accordingly & I will submit my payment when my 2 nd payment is due.
4. ________ I am choosing the Bi Weekly Payment Option for Extended Day and am submitting the 1 st
payment due, including the
Supply Fee. I understand if I have signed up for Enrichment Class(es) my payment is based on my 1st choice(s) and the
amount due may increase or decrease if my first choice is not met. The ASP will adjust my account accordingly & I will
submit my payment (if necessary) by the 2 nd payment due date.
5. ________ I understand that a late payment fee of $10.00 will be added to my account if I do not submit my payments by the due
dates as specified in this packet.
_________________________________
Name
(person responsible for bill)
_________________________________
Name
(person responsible for bill)
__________________________________
Signature
__________________________________
Signature
____________
Date
____________
Date
Office Copy 5
Copyright © 2015 CIASP

AFTER SCHOOL PROGRAM – SPRING 2016
(There are many options/choice for you to select from. You must decide which option best fits your needs. Note the descriptions listed below the table. In all options, once Homework Time ends, students will spend time doing a physical activity for some down time either indoors or outdoors).
Choose
!
Course ID
(Office Use)
Full Time Ext Day
3:30-6:00
Tuition Supply
Fee
Choose
!
Course ID
(OfficeUse)
Half Time Ext Day
3:30-5:00
Tuition Supply
Fee
Choose
!
Choose
!
101
102
103
Course ID
(OfficeUse)
105
110
115
120
125
Course ID
(OfficeUse)
204
Full Time #1 $810.00 $10.00
Full Time #2 $910.00 $10.00
Full Time #3 $1010.00 $30.00
Full Time
Occasional
FT 5 Units
FT10 Units
FT15 Units
Tuition Supply
Fee
Choose
!
$50.00 $25.00
$100.00 $25.00
FT 20 Units
FT 25 Units
$150.00 $25.00
$200.00 $25.00
$250.00 $25.00
Early Dismissal
12:30-3:30
Tuition Supply
Fee
Early Dismissal $145.00 $30.00
201
202
203
Course ID
(OfficeUse)
205
210
215
220
225
Choose
!
Course ID
(OfficeUse
300
301
302
303
Half Time #1 $605.00 $10.00
Half Time #2 $705.00 $10.00
Half Time #3 $810.00 $30.00
Half Time
Occasional
HT 5 Units
HT 10 Units
HT 15 Units
HT 20 Units
HT 25 Units
Bridge to
2nd Class
Monday
Tuesday
Wednesday
Thursday
Tuition Supply
Fee
$40.00 $25.00
$80.00 $25.00
$120.00 $25.00
$160.00 $25.00
$200.00 $25.00
Tuition
$72.00
$76.00
$76.00
$76.00
304
Description of Extended Day Options
Friday $72.00
FULL or HALF TIME OPTION #1: For Full Time you may enroll in an Enrichment Class everyday (Mon-Fri), either 1 st
hour or
2 nd
hour. For Half Time you MUST enroll in an Enrichment Class ONLY the 1 st
hour everyday. The cost of each class is in addition to the cost of Extended Day.
Homework Assistance will be provided during the hour your child is not in Enrichment.
Also, Early Dismissal Days are included.
FULL or HALF TIME OPTION #2: You must enroll in either 2, 3 or no more than 4 Enrichment Classes on any day/time. For
Full Time you may enroll in an Enrichment Class everyday (Mon-Fri), either 1 st
hour or 2 nd
hour. For Half Time you MUST enroll in an Enrichment Class ONLY the 1 st
hour . The cost of each class is in addition to the cost of Extended Day.
Homework Assistance will be provided during the hour your child is not in Enrichment. Also, Early Dismissal Days are included.
FULL or HALF TIME OPTION #3: This option provides you with Extended Day Activities and Homework Assistance provided daily by the ASP Staff. This option is open ONLY to students who enroll in ONE or NO Enrichment Class. For Half Time you
MUST enroll in an Enrichment Class ONLY the 1 st
hour . Homework will always be a priority. The Extended Day Activities consist of: Art; Chinese Games; Board Games; Story Hour; Crafts, etc. Also, Early Dismissal Days are included.
OCCASIONAL Units – Full Time (FT) and Half Time (HT) Units are sold in sets of 5. This is designed for you to send your child to Ext Day on an average of 2-3 days per week. Each time your child reports to the After School Program, 1 Unit will be used. FT Occ provides services from 3:30-6:00 and HT Occ provides services from 3:30-5:00. There is a 1 time Supply Fee of
$25.00. Also, if your child is enrolled in Half Time Ext Day and you do not pick up your child by 5:00, an AUTO Purchase of 5
HT Units will be assessed to your account which will provide services until 6:00 PM. Anyone picking up after 6:00 PM will be assessed a late pick up fee of $2.00/minute.
EARLY DISMISSAL – This is ONLY for those students who are NOT enrolled in Full OR Half Time Extended Day everyday. If you are enrolled in Occasional Ext Day, and you need Early Dismissal Occasionally, you may use one of your FT Units from
12:30-3:30. If your child remains in after school after 3:30 PM, a second unit will be used.
BRIDGE TO 2
ND
CLASS - If your child is enrolled ONLY in a class that begins after 1:00 PM (Wednesday Private Lesson) or after 4:00 PM, your child must be supervised until the start of the class. Therefore, you must enroll in Bridge to 2 nd
Class.
However, you MUST pick up your child immediately at the end of the Enrichment Class Time.
6
Copyright © 2015 CIASP
Office Copy

NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional costs, the Providers will notify you.
CHOICES
1st 2nd
!
3rd Course Name
Ballet & Chinese Dance Inter/Advanced/3:55***
Basketball/PK-1
Computer Animation, Game Design & 3D Printing
Interactive Robotics
Life Hackers: Social Skills for Kids NEW
Sculpture & Ceramics 2-5
Spanish for Life Part 2 / K-5
Ballet & Chinese Dance Beginner/5:00***
Fun with Money
Spanish for Life Part 1 / K-1
Track & Field
Time Day Grade Crse# Tuition Fees Teacher
3:55-4:55
3:55-4:55
3:55-4:55
3:55-4:55
3:55-4:55
5:00-6:00
5:00-6:00
5:00-6:00
5:00-6:00
Mon
Mon
Mon
Mon
Mon
3:55-4:55 Mon
3:55-4:55 Mon
Mon
Mon
Mon
Mon
PK-5
PK-1
2-5
1-5
K-4
2-5
K-5
PK-5
1-5
K-1
3-4
02
03
04
05
06
07
08
09
10
11
12
$305.00 $0.00
Mitsi Dancng School
$255.00 $5.00
Mini Stars
$410.00 $0.00
Monart School of Art
$290.00 $0.00
Interactive Robotics Academy
$325.00 $10.00
Common Cents Kids
$255.00 $40.00
City ArtWorks
$275.00 $25.00
Coloquia Language Arts
$305.00 $0.00
Mitsi Dancng School
$325.00 $10.00
Common Cents Kids
$275.00 $25.00
Coloquia Language Arts
$255.00 $5.00
Mini Stars
Guitar (Private) Tu 3:55 NEW
Piano (Private) Tu 3:55 (closed)
An Engineering World II/2-5
Art Multi Media/PK-1
Camp Einstein/1-3
Camp Einstein/PK-K
Pre MLP (Chinese Native Speaker/Tues)
Guitar (Private) Tu 4:30 NEW
Piano (Private) Tu 4:30 (closed)
Volleyball
Guitar (Private) Tu 5:05 NEW
Piano (Private) Tu 5:05 (closed)
Guitar (Private) Tu 5:40 NEW
Piano (Private) Tu 5:40 (closed)
En Guarde: Fence for Fun
Get Ready Art Class
Soccer Clinics/Footskills 2-3
Soccer Clinics/Footskills 4-5
Soccer Clinics/Footskills PK
Soccer Clinics/Footskills K-1
Storytelling & Programming 1st hour - closed
Visual Art & Writing 1st hour - closed
Yoga for Kids
Storytelling & Programming 2nd hour - closed
Office Copy
7
3:55-4:25 Tues PK-5
3:55-4:25 Tues PK-5
3:55-4:55 Tues 2-5
3:55-4:55 Tues PK-1
3:55-4:55 Tues 1-3
3:55-4:55 Tues PK-K
3:55-4:55 Tues PK-K
4:30-5:00 Tues PK-5
4:30-5:00 Tues PK-5
5:00-6:00 Tues 3-5
5:05-5:35 Tues PK-5
5:05-5:35 Tues PK-5
5:40-6:10 Tues PK-5
5:40-6:10 Tues PK-5
12:45-1:45 Wed 1-5
12:45-1:45 Wed PK-1
12:45-1:45 Wed 2-3
12:45-1:45 Wed 4-5
12:45-1:45 Wed PK
12:45-1:45 Wed K-1
12:45-1:45 Wed
12:45-1:45 Wed
3-5
1-2
12:45-1:45 Wed 2-5
1:50-2:50 Wed 3-5
21
22
23
24
25
26
17
18
19
20
13
14
15
16
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
$345.00 $0.00
Engineering for Kids
$270.00 $20.00
City ArtWorks
$345.00 $0.00
Camp Einstein
$345.00 $0.00
Camp Einstein
$325.00 $60.00
OAEC
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
$270.00 $5.00
Mini Stars
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
31
32
33
34
27
28
29
30
35
36
$305.00 $0.00
Bayou City Fencing
$325.00 $0.00
Monart School of Art
$270.00 $5.00
Mini Stars
$270.00 $5.00
Mini Stars
$270.00 $5.00
Mini Stars
$270.00 $5.00
Mini Stars
$0.00
$0.00
$0.00
WITS
$0.00
WITS
$270.00 $5.00
Mini Stars
$0.00
$0.00
WITS
Total ______/_______
Tuition Fees
(B) (C)
Copyright © 2015 CIASP
NOTE! NOTE! NOTE! NOTE! NOTE!
NOTE THE CLASS HOURS: 1ST HOUR: 3:55-4:55; 2ND HOUR: 5:00-6:00 & Wednesday 12:45-1:45
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum enrollment.
NOTE: ***See Class Descriptions for important information regarding extra costs. Also, Kung Fu and Ballet may incur extra costs. Note the details in the Class Descriptions as well as be on the look out for further details via notices sent home through your child! Thank you.

NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional costs, the Providers will notify you.
CHOICES
1st 2nd
!
3rd Course Name
Visual Art & Writing 2nd hour - closed
Mandarin Chinese Choir
Piano (Private) Wed 3:55 (closed)
Performance Events - Wed
Pre MLP (Chinese Native Speaker/Wed)
Public Speaking - Chinese NEW
Piano (Private) Wed 4:30 (closed)
Chinese Advanced Reading NEW
Piano (Private) Wed 5:05 (closed)
Piano (Private) Wed 5:40 (closed)
Storytelling & Programming 3rd hour - closed
Visual Art & Writing 3rd hour - closed
Time
1:50-2:50
Day
Wed
Grade
1-2
2:40-3:40 Wed PK-5
3:55-4:25 Wed PK-5
3:55-4:55 Wed PK-5
3:55-4:55 Wed 1-5
3:55-4:55 Wed K-5
4:30-5:00 Wed PK-5
5:00-6:00 Wed K-5
5:05-5:35 Wed PK-5
5:40-6:10 Wed PK-5
3:30-4:30 Wed 3-5
3:30-4:30 Wed 1-2
44
45
46
47
48
40
41
42
43
Crse#
37
Tuition Fees
$0.00
Teacher
$0.00
WITS
38
39
$345.00 $35.00
$540.00 $35.00
Singer Piano Studio
Singer Piano Studio
$325.00 $0.00
$325.00 $60.00
$305.00 $25.00
$540.00 $35.00
OAEC
OAEC
I Love Chinese
Singer Piano Studio
$305.00 $25.00
I Love Chinese
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
$0.00
$0.00
WITS
$0.00
$0.00
WITS
Piano (Private) Th 3:55 (closed)
Art Multi Media/2-5
Chess Instruction with USA Chess
Mad Science/PK
Pre MLP 2(Chinese Native Speaker/Th)
Story Book Illustration
Piano (Private) Th 4:30 (closed)
Mad Science/K-5
Piano (Private) Th 5:05 (closed)
Piano (Private) Th 5:40 (closed)
Piano (Private) F 3:55 (closed)
An Engineering World I/PK-1
Become a Geography Bee NEW
Performance Events Team
Sculpture & Ceramics PK-1
***Shaolin Kung Fu for the Intermediate
Video Game Creation-The Platform Style Game NEW
Piano (Private) F 4:30 (closed)
***Shaolin Kung Fu for Beginners
Piano (Private) F 5:05 (closed)
Piano (Private) F 5:40 (closed)
3:55-4:25 Thur PK-5
3:55-4:55 Thur 2-5
3:55-4:55 Thur 1-5
3:55-4:55 Thur PK
3:55-4:55 Thur 1-5
3:55-4:55 Thur 1-5
4:30-5:00 Thur PK-5
5:00-6:00 Thur K-5
5:05-5:35 Thur PK-5
5:40-6:10 Thur PK-5
3:55-4:25
3:55-4:55
3:55-4:55
3:55-4:55
3:55-4:55
3:55-4:55
3:55-4:55
4:30-5:00
5:00-6:00
5:05-5:35
5:40-6:10
Fri PK-5
Fri PK-1
Fri
Fri
3-5
PK-5
Fri PK-1
Fri PK-5
Fri
Fri
2-5
PK-5
Fri PK-5
Fri PK-5
Fri PK-5
49
50
51
52
53
54
55
56
57
58
$540.00 $35.00
Singer Piano Studio
$270.00 $20.00
City ArtWorks
$270.00 $5.00
Active Learning
$285.00 $0.00
Mad Science
$325.00 $60.00
OAEC
$325.00 $0.00
Monart School of Art
$540.00 $35.00
Singer Piano Studio
$285.00 $0.00
Mad Science
$540.00 $35.00
Singer Piano Studio
$540.00 $35.00
Singer Piano Studio
63
64
65
66
59
60
61
62
67
68
69
$510.00 $35.00
Singer Piano Studio
$325.00 $0.00
Engineering for Kids
$305.00 $0.00
Tour-A-Culture
$305.00 $0.00
OAEC
$255.00 $40.00
City ArtWorks
$340.00 $0.00
Houston Shaolin Kung Fu
$275.00 $5.00
Active Learning
$510.00 $35.00
Singer Piano Studio
$340.00 $0.00
Houston Shaolin Kung Fu
$510.00 $35.00
Singer Piano Studio
$510.00 $35.00
Singer Piano Studio
NOTE! NOTE! NOTE! NOTE! NOTE!
NOTE THE CLASS HOURS: 1ST HOUR: 3:55-4:55; 2ND HOUR: 5:00-6:00 & Wednesday 12:45-1:45
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum enrollment.
NOTE: ***See Class Descriptions for important information regarding extra costs. Also, Kung Fu and Ballet may incur extra costs. Note the details in the Class Descriptions as well as be on the look out for further details via notices sent home through your child! Thank you.
Student's Name_______________________________________
Office Copy
Student's Name_______________________________________
8
Total ______/_______
Tuition Fees
(B) (C)
Copyright © 2015 CIASP

Name of Student____________________________________Homeroom Teacher_______________Grade_________
Select
!
Class Name Min/Max Grade
Level
Mandarin Chinese Tutoring Program 4-8 PK
Mandarin Chinese Tutoring Program
Mandarin Chinese Tutoring Program
Mandarin Chinese Tutoring Program
Private Tutoring
Private Tutoring
4-8
4-8
4-8
1-3
1-3
Day Time Tuition Supply
Fee
Mon/Wed 3:55-4:55 $560.00
$0.00
K
1st
2 nd
1 st
3 rd
-5
-2
-4 th nd th
Mon/Wed 3:55-4:55 $560.00
$0.00
Tues/Thur 3:55-4:55 $580.00
$0.00
Tues/Thur 3:55-4:55 $580.00
$0.00
Tues
Thur
3:55-4:55 $360.00
$10.00
3:55-4:55 $360.00
$10.00
Mandarin Chinese Tutoring Program by Language Kids
Class Description: Our Mandarin Chinese native-speaker teachers will focus on Mandarin
Chinese language skills development. We will tutor students and prepare them for the Mandarin
Chinese tests in February and April and help your child with Mandarin Chinese language and Math homework assignments. Our lessons will be developed around the Better Chinese curriculum used by MCLIMS and aligned with what your child is learning at school in Mandarin Chinese. This class will meet 2 times a week.
Teacher Description: Our mission is to provide immersion language acquisition programs for children in a fun and nurturing environment that fosters multiculturalism. All our teachers are native
Mandarin Chinese speakers with a minimum education of a bachelors’ degree and with experience working with children. Our founder started her first language school in Mexico City 20 years ago and has extensive experience and knowledge of teaching languages to children.
Private Homework Assistance by ASP Staff
Class Description: In this class, a staff member will meet with your child to assist his/her with the homework assignments. The Tuition Rate listed is for enrollment of 1 student. Note the cost per student should more than 1 student sign up for the same class: 1 student: $360.00; 2 students:
$180.00; 3 students: $120.00
Teacher Description: ASP Staff experienced in assisting students one on one with homework assignments. It is highly recommended that the parent meet with the staff member to address personal needs.
Office Copy 9
Copyright © 2015 CIASP

M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A F T E R S C H O O L P R O G R A M
Contract Agreement SPRING 2016
By signing below, I understand the contents of this registration packet and agree to the following for the Spring
Semester of 2016. Disregard of this contract and/or the contents in the registration packet will result in immediate dismissal from MCLIMS ASP.
1.
I understand that I am enrolling only for SPRING 2016 .
2.
TIMELINES: I have received a copy of the timeline (front cover page) with all important dates, including registration dates, payment due dates, and the dates that Extended Day and Enrichment Classes begin and end.
(Timeline and Payment Schedule are listed on front cover.)
3.
CLASS TIMES: I understand the times of Extended Day Options, Enrichment Classes, and Homework according to the Extended Day Options Form and the Master Schedule of Enrichment Classes provided in this registration packet.
4.
PAYMENTS : (Please initial each item below on the line)
_____ MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY made out to MCLIMS . Cash is
not accepted.
_____If I enroll in Enrichment Classes, I will pay at least of 1/4 of the total cost of classes for the Spring 2016
Semester at registration. Payments are due as follows: At Registration, Feb. 5, March 4, April 8.
_____If I enroll in Extended Day (Full/Half) I will follow the Biweekly Payment Schedule according to the Option I
have agreed upon for Spring 2016: At Registration, Jan. 8, 22; Feb. 5, 19; March 4, 24; Apr 8, 22 and May
6 . In addition, I may also opt to follow the !
payment schedule for Extended Day.
_____I will be assessed a late fee of $10.00 each time I do not pay my bill as I have agreed and indicated on
Page 6.
_____I will be assessed $35.00 for each returned check. After 2 returned checks, payment must be made by
money order payable to MCLIMS.
_____I understand that after school services may be suspended if I do not pay my bill on time. Accounts with
5.
outstanding balances after Dec. 11 will be assessed a $25.00 Rollover Fee and your balance will be
rolled over to Spring 2016. Also, any Spring 2016 outstanding balances greater than $100 remaining
after April 8 will be rolled over to the Fall 2016 with a $25.00 rollover fee.
ADD/DROP: Only 2 changes are permitted during Add/Drop period (until January 22). No class changes will be made and no refunds or credits will be issued after January 22.
6.
PRORATION OF CLASSES: ANY class attended during the weeks of January 11-22 will be prorated should you drop classes. You are responsible for all costs of any classes not dropped after January 22. After January 22, your bill will be prorated ONLY if your child is required to attend Tutoring Classes by his/her school teacher OR if your child withdraws from MCLIMS. NOTE: NO refunds OR credits will be assessed in the event of HISD canceling after-school activities for inclement weather or any other extenuating circumstances .
7.
OCCASIONAL DAYS:
• If I purchase sets of Occasional Days I understand the full amount for each set is due at the time I sign up.
•
If I purchase sets of Occasional Days and they run out, another 5-Unit Occasional Card will be automatically billed to my account.
8.
SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign my child out from the after school program at the time of pick-up. Failure to sign the student out from the school office will be regarded as an “Incident” and may result in suspension from the program for the remaining school year .
ONLY adults 18 years or over authorized to pick up children. SHOWING PHOTO ID IS MANDATORY
UPON REQUEST.
Office Copy 10
Copyright © 2015 CIASP

M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A F T E R S C H O O L P R O G R A M
Contract Agreement SPRING 2016
9.
ENRICHMENT CLASSES AFTER 4:25 ONLY : I must enroll my child in either a 3:55 PM enrichment class,
Bridge until the start time of an Enrichment Class beginning after 4:25 or Occasional Extended Day in order for my child to participate in an Enrichment Class beginning after 4:25 PM.
10.
CHANGES IN HOW A STUDENT GETS HOME : I MUST notify the ASP Coordinator in writing (phone calls not accepted) via fax or written note dropped off in the ASP Office or in the ASP Box (located in front school office)
OR via email ( ciasp2@sbcglobal.net
OR mclimsafterschool@sbcglobal.net) for ANY changes in how my child gets home. Without written permission, my child will not be permitted to leave.
11.
12.
LATE PICK UP:
•
If my child is picked up after 6:00PM I will be assessed a late pickup fee of $2.00/minute.
•
When I am late picking up my child from Half-Time or Enrichment I will be automatically issued a 5-Unit
Occasional Card which will provide supervision until 6:00 PM. 1 Unit from this card will be used for the late pick up and I understand that I will have 4 Units remaining.
• After the 5th late pick-up I may be asked to make other arrangements for After School Child Care .
• The official time for our after school program will be gauged by the clock located in Pick UP Location in the school.
• Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically doubled. (Check or money order only)
BEHAVIOR EXPECTATIONS: The HISD Code of Student Conduct will serve as the basis for all discipline expectations to ensure the safety of all students and staff members. Parents will be notified immediately if their child has violated any portion of the school’s previously communicated Code of Student Conduct. Services will be suspended should disrespectful or unsafe behavior be directed towards a student or staff member, either by a parent of a student or a student enrolled in the program. I understand that it is my responsibility for reading and knowing the expectations of the HISD Code of Conduct. I also understand that the program reserves the right to deny services on a permanent basis if behavior expectations are not being met.
13.
SPECIAL NEEDS: We do not provide staff trained to deal with special needs. Please contact the school administration with any questions.
14.
TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any student in grades K-5. All such devices must be kept in the student’s backpack.
15. All information published in this registration packet applies to this contract. In addition, I understand and agree to adhere to any guidelines amended to this contract and that I will be notified in writing by the after school program.
16. I understand that my email address and/or phone number(s) may be given to the Provider of any Enrichment class in which I have enrolled my child should the Provider find it necessary to contact me.
17.
MEDIA PERMISSION: I authorize MCLIMS ASP to include my child in photographs used for publicity.
____YES ____NO
__________________________/____________________________/__________/____________________
Name of Parent (please print) Parent Signature Date STUDENT NAME
__________________________/____________________________/__________/____________________
Name of Parent (please print) Parent Signature Date STUDENT NAME
Office Copy 11
Copyright © 2015 CIASP

M a n d a r i n C h i n e s e L a n g u a g e I m m e r s i o n M a g n e t S c h o o l
A f t e r S c h o o l P r o g r a m – S p r i n g 2 0 1 6
A U T H O R I Z A T I O N F O R M
Only the individuals listed on the Tuition Fee Payment Form are authorized to make any changes to this form.
___________________________________ _________________ ______________________________________
Student Name Grade Level 2015-2016 2015-2016 Homeroom Teacher
______________________________________________ _________________________________________________
Father’s Name Mother’s Name
__________________________________________________________________________________________________
Father’s Home Phone# Father’s Work Phone# Father’s Cell Phone#
__________________________________________________________________________________________________
Mother’s Home Phone# Mother’s Work Phone# Mother’s Cell Phone#
Will your child be a Bus Rider when not reporting to the After School Program?
!
YES
!
NO
Individuals authorized to pick up my child are:
__________________________________________________________________________________________________
Name Work Phone # Home Phone# Other Phone#
__________________________________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
__________________________________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
__________________________________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
My child is allergic to the following: _____________________________________________________________________
My child has special medical needs as follows: _____________________________________________________________
Please note:
1. It is important you notify the After School Program in writing when you have updated information such as an address change, individuals you authorize to pick up your child, foods your child may be allergic to, etc.
2 If on any given day someone NOT listed on the ASP Authorization/Emergency Form needs to pick up your child, the
After School Office must receive notification in writing (no later than 11:00AM) from the parent or the individual registering the student. You MUST notify the After School Office as follows:
A. email this notification to: ciasp2@sbcglobal.net AND mclimsafterschool@sbcglobal.net
B.
Fax it to: (713) 662-3527 and address the note to the attention of ASP.
C. Drop off a note in the ASP box located in the front school office.
D. Drop off a note in the ASP office.
3 Please be aware that we will NOT release your child to anyone unless we have it in writing. We will not
make any exceptions.
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Copyright © 2015 CIASP