St. Patrick School 2017 Summer School Packet
Summer School
Extended Care
Principal: Kelly Stevens
Program Coordinator: Suzanne Smith
Summer School hours are 8:30 am. to Noon.
Extended Care – 6:30 am – 8:15 am/12:00 noon – 6:00 p.m. (schedules are attached for
additional fees) - Includes organized sports, arts and crafts, cooking, and more
SESSION 1 Monday, June 12 to Friday, June 23
SESSION 2 Monday, June 26 to Friday, July 7
(There will be no class Tuesday, July 4th)
SESSION 3 Monday, July 10 to Friday, July 21
SESSION 4 Monday, July 24 to Friday, August 4
$180.00
$160.00
$180.00
$180.00
Our Summer School program is open to all students who, for the school year 2017-2018
are/were:
1. In grade K-7 AND
2. Enrolled in a Catholic School in the Oakland Diocese OR
3. Enrolled in Faith Formation OR
4. Participated in a CYO sports program
STUDENTS FOR WHOM SUMMER SCHOOL IS A REQUIREMENT, MUST
ENROLL IN AND SUCCESSFULLY COMPLETE 2 SESSIONS.
This packet contains the following information:
Information for turning in Summer School Forms
Summer School Registration Form
Class Selection Form
Class Selection Guide
Emergency Health Form
Application for EDC
Parent Agreement
(Students must be enrolled in summer school to be eligible for Extended Care)
Summer School Registration papers, emergency form, and non-refundable tuition are due into the St.
Patrick School office by Friday, May 26th. Students will be placed in classes in the order in which
registration papers and tuition are received. Please respond early to assure your first choices. Classes are
subject to cancellation due to insufficient enrollment.
Information for Turning in Summer School Forms
All forms should be returned to St. Patrick School with payment for all sessions
All forms and money due by May 26, 2017
If your child will only be attending summer school we will need:
Registration Form
Class Selection Form
Emergency Health Form
Your check paid in full
If your child will be attending summer school and Extended Care we need:
Registration From
Class Selection Form
Emergency Health From
Extended Care Application
Extended Care Parent Agreement
Your check for summer school classes paid in full
Your check for extended care registration fees (balance to be paid in full on first
day of summer school)
Summer School Registration Form
(Please fill out one form for EACH student enrolling. Please Print)
Last Name:__________________First:_______________Grade in Aug. 2017______
Address:________________________________School___________________________
City:
_________________________________
Zip:
_________________________________
Telephone: ___(____)_____________________
Parent Information:
Father:_________________________________Mother:__________________________
Employer:______________________________Employer:________________________
Telephone:__(______)____________________Telephone:__(______)______________
Cell Phone #____________________
Cell Phone #_______________________
E-mail Address for Summer Contact
Is Summer School a requirement for this child? Yes______ No______
(If Yes, child must attend Two Sessions in recommended subject areas)
Referring Teacher:______________________
Sessions Attending:
Session 1 $180.00
$__________
Session 2 $160.00
Session 3 $180.00
Session 4 $180.00
Extended Care Fees
$__________
$__________
$__________
$
Summer School Total
$__________
Summer Intensive (add $100.00)
$
__
(if pre-paying – EDC Fees must be paid in
advance of services)
Please mail or bring to the St. Patrick School Office
2017 Class Selection Form
(Use one form for each child)
Student’s Last Name_____________________First_________________Grade in Sept. 2017______
Three class choices are offered each session (ELA/Math/Enrichment.) Put a check in front of the SESSION and CLASS
LEVEL that the student will be attending. One “fun” enrichment class will be offered each session following the ELA
and Math Workshops.
Session 1 – June 12th
K-2
3-5
6-8
8
Session 2 – June 26th
K-2
3-5
6-8
Session 3 – July 10th
K-2
3-5
6-8
Session 4 – July 24th
K-2
3-5
6-8
Reading Workshop
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Language Arts Workshop – Reading, Grammar Skills, Text Analysis, Creative Writing
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Language Arts – Critical Reading, Study Skills, Poetry, Vocab Development, Test
Taking Strategies, Creative Writing
Math Review/ Introduction to Pre Algebra
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Algebra Prep (8:30 – 11:00 am) – (by invitation only)
Liturgy Band - (by invitation only)
Summer Intensive (Musical Theater Prep for 6-8th grades only – 12:30 – 3:00 pm) – add $100.00
Reading Workshop
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Language Arts Workshop – Reading, Grammar Skills, Text Analysis, Creative Writing
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
English Review – Critical Reading, Study Skills, Vocab Development, Test Taking Strategies,
Creative Writing
Math Review/ Introduction to Pre Algebra
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Reading Workshop
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Language Arts Workshop – Reading, Grammar Skills, Text Analysis, Creative Writing
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
English Review– Critical Reading, Study Skills, Vocab. Development, Test Taking Strategies,
Math Review/ Introduction to Pre Algebra
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Reading Workshop
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Language Arts Workshop – Reading, Grammar Skills, Text Analysis
Math Workshop
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
English Review – Critical Reading, Study Skills, Vocab Development, Test Taking Strategies
Math Review/Introduction to Pre Algebra
Emerging Artist/Fun with Computers/Cooking/Hands on Science/Play Production/Board Games
Please Note:
Students receive an hour of ELA and an hour of Math each day. The third hour will be a fun,
enrichment activity - sample activities are listed above.
Class Selection Guide
These are the classes being offered for St. Patrick Summer School 2017. Be sure to check the age and session
availability of each. Not all classes are offered for all grades or in all sessions. When choosing an age group, please use
the grade that the student will be entering in the fall of 2017. Students referred by teacher or principal must attend
2 Sessions.
Cooking Grades - Come and explore your culinary talents and skills in cooking and baking! Along with
cooking techniques students will learn about food nutrition and eating a balanced diet, and social graces
associated with food and dining. Enrichment
Creative Writing - Students will have the opportunity to use their imaginations. We will read and enjoy
shorter works, noting the techniques of published writers. Emphasis will be placed on writing as a process:
effective brainstorming, prewriting, editing, and revision. Students and teacher will talk about each piece
of writing, discussing strengths and weaknesses. Instruction will be provided to boost skills. Three to four
pieces will be written, and one will be revised and put into final form. Students will be asked to share this
piece with the class. Remedial and Enrichment
Emerging Artists! Welcome young artists to a week of fun art projects. Using a variety of different media,
that are unique and cool to use for the emerging artist, students will create various individualized projects.
Enrichment
English Review - Tired of all those red marks on your written assignments? Here is the class for you! We
will review elements of grammar, usage, and mechanics that young writers must master in order to be
proficient. Students will be challenged to daily exercises in editing. Skills mastered will be applied to
writing. We will practice writing sentences of varied structure and paragraphs that are organized and well
developed. Students will also read and write short stories. The work of numerous authors will be shared.
Works will be discussed and critically analyzed. Class will culminate with dramatic readings of work
produced. Skills targeted are critical reading and analysis, writing as a process, illustration, and dramatic
reading. Remedial and Enrichment
Language Arts Workshop - This 3-5 class will focus on both reading and writing components during the
two weeks. Students will read and interpret short stories, identify aspects of writing and create pieces of
their own. In the upper grades students will read different forms of Literature. Students will learn to
identify different parts of a piece of writing while enjoying and interpreting the meaning of the work.
Enrichment and Remedial
Math Workshop - Students will learn to improve problem solving techniques through manipulative and
cooperative learning strategies. Emphasis will be on addition, subtraction, patterns, measurement, time,
and money. In grades 3-5 emphasis will be on addition, subtraction, multiplication, division, fractions,
word problems, time, and money. Remedial
Math Review/Pre-Algebra -This class offers 5-8 students the opportunity to strengthen and reinforce basic
math fundamentals. Focus areas will include mastery of decimals, fractions,
ratios, and their application. Students in grades 7-8 will also have an emphasis on Pre-Algebra
skills and word problem solving. This class also provides an introduction to the basics of algebra, which
would benefit both students in regular and advanced mathematics courses. Remedial and Enrichment
Movie Production - Become the next Steven Spielberg and learn the art and design of creating films from
scratch. Students will learn stop animation skills, live video feed, and how to use imovie for your finished
production product. Enrichment
Liturgy Band/Choir - If you were born to make music then this is the 6-8 class for you. Students will
practice songs to prepare for being a part of Liturgy band in the Fall. Enrichment
Play Production - During the two week session students will memorize lines, make costumes and scenery,
and learn dances for a mini musical production. Enrichment
Reading Workshop - This class offers students a chance to improve their reading and writing skills. The
focus will be on recognizing sounds and letters in context, blending sounds into words, recognizing parts of
speech within reading material. This class will also review the proper use of speech, punctuation,
capitalization, fragment/complete sentences, and proper verb use. Enrichment and Remedial
Fun with Science - This class will help students understand the basics of Earth Science (gardening, soil, solar
system, environmental studies,) Biology (plant science, flower dissection, cells,) Astronomy (solar systems, stars, black
holes, telescopes.) Chemistry (balancing equations, solids and liquids,) and Oceanography (water science, marine and
fresh water biology.) Science activities will involve art, food, nature, and cool experiments. Enrichment and
Remedial
Three D Modeling/Coding – Learn to make your own 3 D Model on the computer in this interactive and
hands on class! Learn how to program a Raspberry Pi to create your own interactive computer device.
Enrichment
Video Game Design – Learn to make your own video game in this interactive and hands on class!
Enrichment
Writer’s Workshop - This class is meant to be a creative adventure! Students will read examples of good
writing by professional authors and use these as models for their own writing. Basic writing skills will be
practiced and there will also be opportunities to design and illustrate books for their favorite pieces of
writing. Remedial and Enrichment
EMERGENCY HEALTH INFORMATION
Diocese of Oakland School Department
Name____________________________________BirthDate__________________Grade______
Home
Address________________________________________ZipCode___________Phone________
Father/Guardian__________________Day Phone ______________________________________
Mother/Guardian_________________Day Phone _____________________________________
Relative, friend, or neighbor who has been authorized by parent to pick up child if parent cannot
be reached:
Name______________________________Relationship__________________Phone__________
Name______________________________Relationship__________________Phone_____
Medical Insurance:
Name___________________________________ID#____________________________
I understand that the school does not assume responsibility for payment of a physician in
any case. However, in an emergency the school may choose a physician. Please state:
Yes_______ No________
Name of Doctor______________________________________
Dentist_______________________________________
Phone______________________________
Phone____________________________
Is your child allergic to any drugs? Yes_____ No_____ If yes, what?_______________________________
Foods? Yes_____No_____ If yes, what?_______________________________
(bee sting, etc.) Other? Yes_____No_____ If yes, what?_______________________________
Does your child have any chronic illness such as asthma, diabetes, heart disease, and epilepsy?
Yes____No_____
If yes, what?_________________________________________________________________________
Does your child take any medicines on a regular basis? Yes____No_____
If yes, what and what for? List:_____________________________________________________________
CONSENT FOR TREATMENT
I/We, the undersigned parent(s) or legal guardian of______________________________, a minor, do hereby authorize
a representative of____________________________School as agent(s) for the undersigned to consent to any x-ray
examination, anesthetic, medical or surgical diagnosis or treatment and hospital care that is deemed advisable by, and is
to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of
the California Medicine Practice Act, on the medical staff of an accredited hospital, whether such diagnosis or
treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization is given in
advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power
on the part of the above mentioned agent(s) to give specific consent to any and all such diagnosis, treatment or hospital
care that the above mentioned physician in the exercise of his or her best judgment may deem advisable.
This authorization shall remain effective until August 4, 2017, unless sooner revoked in writing and delivered to the
above mentioned agent(s).
Mother’s signature____________________________________________________Date___________________
Father’s signature_____________________________________________________Date___________________
Legal Guardian’s signature______________________________________________Date__________________
APPLICATION FOR SUMMER SCHOOL EDC
AN EXTENDED CARE PROGRAM
Please note that only students who are enrolled in St. Patrick Summer School are
eligible to participate in the extended care program
APPLICATION
Child’s Name
Date of Birth Grade Sex
_________________________________________________ ___________ _______ ______
_________________________________________________ ___________ _______ ______
_________________________________________________ ___________ _______ ______
Parent(s) or Guardian(s) Name
____________________________________ _______________________________________
Mother’s Information
HomeAddress____________________________________________________________
Home Phone Number_________________Cell Phone #___________________________
Work Phone Number__________________________
Father’s Information
HomeAddress____________________________________________________________
Home Phone Number__________________Cell Phone #__________________________
Work Phone Number___________________________
Indicate below the plan you desire. Extended Care Hours:
6:30 am -8:15 am
12:00 pm – 6:00pm
Plan A: Unlimited
_____$785 during the entire eight week program
_____$210 for session 1
_____$210 for session 2
_____$175 for session 3
_____$210 for session 4
Plan B:
_____$140.00 for unlimited A.M. care only (Session 1-4)
_____$650.00 for unlimited P.M. care only (Session 1-4)
Plan C: Coupon Card
_____$40 redeemable for 10 hours of care. Charges are based on full hour increments.
Coupon card is good for combined use of siblings.
Remember: All payments must be made in advance of services provided; otherwise a $10 late fee will be assessed.
ST. PATRICK SUMMER SCHOOL EDC
PARENT AGREEMENT
We are looking forward to another year of summer school here at St. Patrick School. It is
a joy and a privilege for our staff to care for your children before and after school. Please
feel free at any time to communicate with us if you have any questions or concerns.
Please read the information carefully and sign below.
As a parent I agree to
⇒ Support the goals set forth by the principal and the director.
⇒ Pick up my child/children no later than 6:00 P.M. I realize that $1.00 will be
charged for every minute I am late.
⇒ Sign my child/children in for morning care and out in the afternoon. I understand
that my child will not be released to any person who is not authorized by me on this
form.
⇒ Pay my fees in advance. I realize that if payments are made after the care has been
given, I will be responsible for a $10.00 late fee. I realize that all registration fees
and payments are non-refundable. A $25.00 late fee will be charged for returned
checks.
Child/children enrolled in the program
NAME
GRADE
_______________________________________________
________
_______________________________________________
________
_______________________________________________
Persons authorized to pick up my child/children
________
Name_________________________________________Relationship_______________
Name_________________________________________Relationship_______________
Name_________________________________________Relationship_______________
Out of state contact (in case of emergency)
Name___________________________________Phone Number__________________
Relationship____________________
Parent Signature__________________________________________Date___________