Melrose Public Schools
Middle School Summer Enrichment
(For students currently in grades 5-8)
Students Without Borders 2014
Melrose Public Schools is pleased to announce summer enrichment programming for all incoming and current
middle school students. The Students Without Borders program will offer students the opportunity to
experience many of the sights and sounds our area has to offer through exciting field trips and "on campus"
days participating in Creation Stations. Field trips in the past have included the Museum of Science, Plimouth
Plantation, The Salem Witch Museum, Fenway Park, bowling and other area attractions. As always, we are
planning to add new trips for the summer 2014 program to keep it interesting and engaging for returning
students. Students Without Borders will be led by our trained staff of experienced teachers and supported by
high school mentor students.
Programming will begin on Monday, June 30th, and conclude on Thursday, August 7th.
FOR CURRENT 6-8 GRADERS: Current middle school students will participate in Creations Stations on Mondays
and attend field trips Tuesdays, Wednesdays and Thursdays. Creation Stations provide opportunities for
students to engage in physical activity, video production, art, cooking and drama. All field trip costs are
included in this tuition. Students will be required to bring a bag lunch and wear sneakers every day. Flip flops
and sandals are not allowed.
HOURS:
8:00 AM – 2:00 PM Monday – Thursday
COST:
$175 per week
FOR CURRENT 5th GRADERS: Current 5th grades will have the best of both worlds as they explore the world
around them and become familiar with the middle school. These students will participate in a three day
program which will run Tuesday – Thursday. Students will stay on campus on Tuesdays and travel on field trips
Wednesdays and Thursdays with the other middle school students. On Tuesdays, students will participate in
Creation Stations, which provide opportunities for students to engage in physical activity, video production,
art, cooking and drama while meeting their middle school peers. This day will be reserved as the day that only
current 5th graders are on campus. In addition to creation stations, students will also be provided the
opportunity to learn the ins and outs of the middle school including location of lockers, the gymnasium,
cafeteria, main offices, Performing Arts Center, and locations of the 6 th grade classrooms. Students will also
gain skills by engaging in team building exercises and confidence building activities, develop organization skills
and share other enrichment opportunities. All field trip costs are included in this tuition. Students will be
required to bring a bag lunch and wear sneakers every day. Flip flops and sandals are not allowed.
HOURS:
8:00 AM – 2:00 PM Tuesday – Thursday
COST:
$135 per week
Melrose Public Schools – Students Without Borders 2014
Last Name:
First Name:
Address:
Special Needs/Allergies:
Age on 6/30/14:
DOB:
School during the 20132014 school year:
Grade during 2013-2014:
Please provide written documentation of any relevant custody issues or restrictions to parental pick-up.
Parent/Guardian 1
Parent/Guardian 2
Name
Address
Cell Phone
Home Phone
Email Address
Work Phone
List emergency contacts we may call after trying parent/guardians and to whom we may release your student.
Emergency Contact 1
Emergency Contact 2
Name
Address
Cell Phone
Home Phone
Email Address
Work Phone
Pediatrician/Family Doctor's name:
Phone number(s) and contact information
Please list any chronic health conditions (asthma, allergies, other medical/psychological diagnoses), health concerns,
medications and/or special dietary requirements. Please explain severity/related needs in detail, OR check line below.
_____ My student does not currently have any chronic health conditions. I will give written notice of this status
changes.
Does your student demonstrate any emotional/behavioral difficulties? Please explain how we may be helpful.
Please check the week(s) that the above named child would like to participate in.
Current 6th-8th graders ($175/week)
Current 5th graders ($135/week)
Week 1:
_____ June 30th – July 3rd
Week 1:
_____ July 1st – July 3rd
Week 2:
_____ July 7th – July 10th
Week 2:
_____ July 8th – July 10th
Week 3:
_____ July 14th – July 17th
Week 3:
_____ July 15th – July 17th
Week 4:
_____ July 21st – July 24th
Week 4:
_____ July 22nd – July 24th
Week 5:
_____ July 28th – July 31st
Week 5:
_____ July 29th – July 31st
Week 6:
_____ August 4th – August 7th
Week 6:
_____ August 5th – August 7th
$25___
Registration fee
_____
Tuition
_____
Total amount due (Registration + Tuition)
_____
Total amount paid
Return registration and deposits to : Melrose Public Schools
C/O Cari Berman – PPS
360 Lynn Fells Parkway
Melrose, MA 02176