Alexander Graham Bell School
3730 N. Oakley Avenue
Chicago, IL 60618
773.534.5150
After­School All­Stars Registration Form
Please complete a Registration Form for each child you intend to enroll in the ASAS program.
Registration for classes beginning December 2nd are due on or before November 26, 2013.
Registration for classes beginning January 13th are due on or before December 13, 2013.
You may sign up for as many courses as desired. In order to prevent schedule conflicts, please be mindful of course
start and end times, as well as course start and end dates.
Attendance is mandatory. All ASAS courses require a strict attendance policy. More than two absences during the
course of the program may cause your child(ren) to be dropped from the course OR may cause the course as a whole
to be dropped from the program. If your child(ren) must be absent, please be sure to inform the instructor or the ASAS
Coordinator (Ms Clancy) in writing.
Student’s Name:
___________________________________
Homeroom/Grade:
__________
Course Selection:
Begins December 2, 2013 and Ends February 21, 2014
____ Digital Photography (Tuesdays/Thursdays 3:15­4:45 p.m.)
Please list the make/model of the camera you plan to use: ____________________________
Begins December 2, 2013 and Ends May 9, 2014
____ Lego­Math & Engineering (Mondays 3:15­4:45 p.m.)
____ Yoga & Nutrition (Tuesdays 3:15­4:45 p.m.)
____ Response to Intervention: Reading & Writing (Wednesdays 7:30­8:15 a.m.)
____ Response to Intervention: Reading & Writing (Thursdays 3:15­4:45 p.m.)
____ Grandmother’s Crafts (Mondays/Thursdays 3:15­4:45 p.m.)
____ Guitar Club (Wednesdays 3:15­4:45 p.m.)
____ Gaming Club (Fridays 3:15­4:45 p.m.)
Begins January 13, 2013 and Ends February 28, 2014
____ ISAT Preparation (Mondays, Wednesdays, Thursdays 7:30­8:15 a.m.)
Grade (circle one)
3
4
5
6
7
Begins January 13, 2013 and Ends April 11, 2014
____ K­4 Homework Help (Mondays/Wednesdays 3:15­4:45 p.m.)
___ Mondays only
___ Wednesdays only
____
5­8 Homework Help (Mondays/Wednesdays 3:15­4:45 p.m.
___ Mondays only
___ Wednesdays only
Begins January 13, 2013 and Ends May 9, 2014
____ Finding Your Voice (Mondays 3:15­4:45 p.m.)
____ 4­5 Intramural Sports (Mondays/Wednesdays 7:30­8:15 a.m.)
____ 6­8 Intramural Sports (Tuesdays/Thursdays 7:30­8:15 a.m.)
8
___ Mondays and Wednesdays
___ Mondays and Wednesdays
Emergency Contact Information
Parent Name:
__________________________________
Telephone/Cell Number: _____________________
Relationship to Child: _________________
Alternative/Cell Number: _______________
Primary Emergency Contact Name: ______________________________________
Relationship to Child: __________________________
Telephone Number: _________________
Secondary Emergency Contact Name: ____________________________________
Relationship to Child: ___________________________
Telephone Number: _________________
Statement of Release
Student Name: ________________________________________
As parent/legal guardian for the student named above, I hereby give my child permission to participate in the
After­School All­Stars (ASAS) program. I understand that transportation home will NOT be provided. I also recognize
that my child is responsible for appropriate behavior and language while participating in the ASAS program. In the
event that my child is injured and I or the below listed emergency contact cannot be reached, I give my permission for
Bell School to seek medical treatment on my behalf and henceforth give permission to the attending physician to
render such treatment as would be reasonable and necessary. I agree to pay the reasonable and necessary fees for
said treatment.
I hereby release the Alexander Graham Bell School and its employees and volunteers for any and all claims for
personal injury and/or property damage that may arise from or be in any way connected to the named child’s
participation in this activity. I understand that this release applies to both present and future injuries. I sign voluntarily
and with full knowledge of its significance.
______________________________________________
Parent Signature
__________________________________________
Printed Signature
___________________________________
Date
Alexander Graham Bell School
3730 N. Oakley Avenue
Chicago, IL 60618
773.534.5150
After­School All­Stars 2013­2014
Bell School is excited to offer the After­School All­Stars (ASAS) program for the 2013­2014 school year. ASAS offers fun
and engaging academic, enrichment and wellness activities for students outside of the school day. Activities are
offered before­ and after­school and are FREE to all families.
Based on data collected from the survey provided during Parent­Teacher Conferences on November 12th, Bell School
is pleased to offer a variety of programs this school year. In order to provide the highest quality instruction, some
programs have equipment requirements and/or a student maximum limit. Students interested in these programs will
be accepted on a first­come, first­served basis… so sign­up soon!
You may sign up for as many courses as desired. Please be mindful that each course has a distinct program start and
end date, as well as specific weekly class offerings.
Attendance is mandatory. All ASAS courses require a strict attendance policy. More than two absences during the
course of the program may cause your child(ren) to be dropped from the course OR may cause the course as a whole
to be dropped from the program. If your child(ren) must be absent, please be sure to inform the instructor or the ASAS
Coordinator (Ms Clancy) in writing.
Do not hesitate to direct any questions, comments or concerns to Patricia Clancy through the Main Office telephone
(773.534.5150) or by email at piclancy@cps.edu. We look forward to sharing After­School All­Stars with your child(ren)!
After­School All­Stars Course Description
Begins December 2, 2013 and Ends February 21, 2014
Digital Photography
December 2nd­February 21st
Tuesdays and Thursdays from 3:15­4:45 p.m.
Alison Newberry, Instructor
Grades 7­8
Take your photographs to the next level by exploring the basics of exposure, composition and digital
processing. Participants will practice shooting photographs and then learn how to use Photoshop Elements to
edit, enhance and ultimately print their best images.
● This course requires each participant to provide his/her own digital camera. A DSLR is preferred but
not mandatory. Camera phones are NOT acceptable. A tripod is also recommended.
● This course has a maximum student limit. Students will be accepted on a first­come, first­served
basis.
After­School All­Stars Course Description
Begins December 2, 2013 and Ends May 9, 2014
Lego­Math and Engineering
December 2nd –May 9th
Mondays 3:15­4:45 p.m.
Ryan D’Angelo, Instructor
Heather Flugstad, Instructor
Grades 5, 6, 7, 8
Learn the practical applications of physics and 3D design as you analyze graphs, formulas and computations to
develop and engineer Lego­based concepts.
Yoga & Nutrition
December 2nd­May 9th
Tuesdays 3:15­4:45 p.m.
Ryan D’Angelo, Instructor
Grades 5, 6, 7, 8
Develop healthy outlets and positive coping strategies for stress, anxiety and anger through the use of yoga poses and
controlled breathing techniques. Nutritional influences on emotions and cognitive abilities will also be addressed.
Response­to­Intervention: Reading& Writing
December 2nd­May 9th
Wednesdays 7:30­8:15 a.m.
Thursdays 3:15­4:45 p.m.
Patricia Clancy, Instructor
Grades K­8
Participate in targeted reading and writing interventions to support literacy growth and development.
● Please note: This course is extended to current RTI candidates and is NOT “homework help”.
Grandmother’s Crafts
December 2nd­May 9th
Mondays and Thursdays 3:15­4:45 p.m.
Melia Bennett, Instructor
Grades 4, 5, 6
In this electronic­age, it is easy to forget the sense of accomplishment and joy that comes from hand­crafting a project
from start to finish. Students will develop cognitive abilities, attentiveness and fine­motor coordination through the
simple art of sewing, quilting and crafting. Yes, this is your “grandmother’s crafts”!
● This course has a maximum student limit. Students will be accepted on a first­come, first­served basis.
Guitar Club
December 2nd­May 9th
Wednesdays 3:15­4:45 p.m.
David Schmeissing, Instructor
Grades 6, 7, 8
Learn individual and ensemble guitar chording and techniques as they apply in various styles of music, including
classical, blues and rock.
● Some guitar experience required. Provision of student guitar is preferred, but not required.
● This course has a maximum student limit. Students will be accepted on a first­come, first­served basis.
After­School All­Stars Course Description
Begins December 2, 2013 and Ends May 9, 2014
Gaming Club
December 2nd­May 9th
Fridays 3:15­4:45 p.m.
Jason Schoenbeck, Instructor
Grades 6, 7, 8
Build sportsmanship, teamwork and problem­solving skills through a variety of interactive and online games.
● This course has a maximum student limit. Students will be accepted on a first come, first­served basis.
Begins January 13, 2013 and Ends February 28, 2014
ISAT Preparation
January 13th­February 28th
Mondays, Wednesdays, Thursdays 7:30­8:15 a.m.
Instructors TBD
Grades 3, 4, 5, 6, 7, 8
Review grade­level benchmark skills in Reading, Math and Science while mastering effective test­taking strategies.
Begins January 13, 2013 and Ends April 11, 2014
Primary (K­4) Homework Help
January 13th­April 11th
Mondays and Wednesdays 3:15­4:45 p.m.
Stacy Rangel, Instructor
Grades Kg, 1, 2, 3, 4
Students will receive support with homework and classwork in all subject areas.
● This course is not a “drop­in” homework center. Students are expected to commit to and consistently attend
one or both days for the duration of the program.
Intermediate/Upper (5­8) Homework Help
January 13th­April 11th
Mondays and Wednesdays 3:15­4:45 p.m.
Amy Giradini, Instructor
Grades 5, 6, 7, 8
Students will receive support with homework and classwork in all subject areas.
● This course is not a “drop­in” homework center. Students are expected to commit to and consistently attend
one or both days for the duration of the program.
After­School All­Stars Course Description
Begins January 13, 2013 and Ends May 9, 2013
Finding Your Voice: A Primer of Facing History Themes for Social Action
January 13th­May 9th
Mondays 3:15­4:45 p.m.
Shana Pearlmutter, Instructor
Grades 5, 6, 7, 8
Explore community­building and social justice themes through music, art and history. Students will research, develop
and implement a social­action/service project.
Intramural Sports
January 13th­May 9th
Grades 4­5 Mondays & Wednesdays 7:30­8:15 a..m.
Grades 6­8 Tuesdays & Thursdays 7:30­8:15 a.m.
Jason Fair, Instructor
Mickey Alexander, Instructor
Develop athletic skills, teamwork and sportsmanship through competitive play with fellow Bell students in volleyball,
basketball and soccer.
● Please note: This course is intended to build skills among Bell students and is NOT the same as Chicago
Public Schools sanctioned inter­school/inter­league play.