The Terra Centre PTA Presents
The Science of Harry Potter
Your child is invited to attend an exciting 1 week summer science
program. The program promotes the Virginia Standards and FCPS
Program of Studies through hands on learning activities. We will
meet June 27th through July 1st from 9:00-11:45. This
program is for students in kindergarten through 5th grade
Cost: $150 please make checks payable to the Terra Centre
PTA and send payment along with the signed waiver and bottom
of this form to your student’s teacher or drop in the TC front
office for the PTA. Payment and forms are due no later than
June 10th.
~Morgan Occhuizzo, [email protected]
Levitating Frogs and Broomstick Aerodynamics 101
If Gryffindor traded their capes for aerodynamic spandex would they fly faster? Could dragons
really fly based on their weight and wing span?
Fluffy the Three Headed Dog: A Study of Genetics
Can modern genetic engineering techniques create furry replicas of our favorite Hogwarts
beast? Are wizarding genes inherited?
Advanced Potions and Charms
Should liquid luck be banned from use in all sports at Hogwarts? Learn the science behind
Weasleys Wiz bangs fireworks and more! Many of the potions and charms that Harry has so
much trouble replicating in Snape's class are in fact grounded in the science of ethnobotany.
Care of Magical Creatures
Did you know that dragons really do exist? Komodo dragons may not fly like mythical dragons,
but they are fierce nonetheless. Learn about a fish that carries its own light, a giant squid and
it ‘s octopus cousins who can change their skin color and texture instantly, 8 ft. long earthworm,
and more!
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Harry Potter
Child’s name _________________________
Classroom teacher ____________________________
Grade ________________
Allerigies or anything else we need to know?_______________________________________________
__________________________________________________________________________________
How will they be getting home?__________________________________
Emergency contact (phone and email) _____________________________
Signed __________________________
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Terra Centre PTA
After School Programs
Participation Waiver Agreement
Read through the Permission and Waiver Agreement, below; sign and date; and submit with your paper
registration form.
THIS PERMISSION AND WAIVER AGREEMENT IS REQUIRED FOR PARTICIPATION IN ALL TERRA
CENTRE PTA AFTER SCHOOL PROGRAMS. If multiple children participate in the same program, only one
Permission and Waiver Agreement needs to be submitted for all children. All programs require this completed waiver
prior to the start date of each program.
1.
2.
Permission. I am the parent or guardian of the child whose application is being submitted herewith. I give
permission for my child to participate in the class(es) for which I have registered my child.
Waiver. I assume, on behalf of myself, my child, and my heirs, assignees, agents and anyone who could
bring any claim or action on behalf of my child, all risks associated with participation in the class. Terra
Centre Parent Teachers Association (the “PTA”) assume no liability for loss, accident, bodily injury, or
other injury arising from participation in the program that is not the result of gross negligence or
intentional acts by the agents and/or employees of any of these entities.
3.
Attorneys’ Fees and Costs. I agree that if I or anyone acting on my behalf or my child’s behalf,
brings any claim or action against this PTA, I will pay the reasonable attorneys’ fees and costs incurred by
the party against whom such claim or action is brought in defending or responding to such claim or action.
4.
Instructors. The instructors provided to teach the offered class(es) are FCPS approved vendors,
independent contractors, employees of the school, parents and legal guardians of Terra Centre students
and members of this PTA.
Fitness. I understand and agree that any physical activities involved in this program may carry a risk of
death or serious bodily injury. Due to the strenuous nature of some activities, each participant is
encouraged to consult his or her physician concerning fitness to participate in the program. The PTA
has made no physical assessment of my child prior to his or her participation in the class(es) and I assume
the responsibility for making such assessment.
Emergency Care. I consent to emergency treatment for my child if deemed necessary during my
child’s attendance at the class(es). I understand that no coverage or reimbursement for medical expenses
shall be available from the PTA or any of their agents, and I agree to be responsible for all medical
expenses relating to my child’s participation in this program. Furthermore, I agree that none of the PTA or
any of their agents, shall be held responsible for the quality of medical care given in any such emergency.
5.
6.
7.
8.
9.
Weather Policy. I understand that the PTA will do everything in its power to ensure that classes are held as
scheduled; however, in the event that classes are cancelled or rescheduled due to bad weather or other
unforeseen school closure, I will not be compensated, either through additional class days or monetary
reimbursement, for any unexpected class cancellations, either weather related or otherwise.
Transportation. I understand that none of the PTA or their representatives are responsible for students
once they have departed the school property after the scheduled activity, whether they are walking or
being transported by automobile or bus. I agree to make every effort to ensure that my child is
appropriately and safely transported from the class to my care. No FCPS Elementary School
students are allowed to walk home alone from after school clubs.
Late Fees. I agree that, in the event that I am late in picking up my child after class, the PTA may charge
me a fee of up to $10 for every 15 minutes or less of tardiness. Habitual late pick up will
result in a warning notification and potential removal from the class for repeated late pick up. Refunds
will not be issued for any student removed from a class due to late pick up’s.
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10.
11.
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13.
Class Behavior. My child and I understand and agree that my child’s participation in the class may be
terminated for inappropriate behavior. Inappropriate behavior is determined in the sole discretion of the
PTA in collaboration with said programs instructors. After one warning for inappropriate behavior, any
student who does not maintain appropriate behavior in the class will not be allowed to attend the
remaining classes scheduled for that program. Parents will be notified at the time of the first warning and
before the child is removed from class. Refunds will not be issued for any student removed from a class
for behavioral reasons.
Snacks. Children will not be permitted to eat snacks of any kind during the PTA activity. Any snacks
consumed must comply with School policy and occur before or after the said program and outside of the
designated classroom, gym, or field of play.
Promotions. I consent to use by the PTA, or this school, use of any photographs taken or video made of
the after-school programming through standard PTA and school media.
School Affiliation. I certify that my child who is attending this PTA program is currently
enrolled at this School and lives within the boundaries of this School (or has been given
explicit approval by the PTA/PTSA to attend this activity).
I acknowledge that I have read, understood, and submit to this Permission and Waiver Agreement.
Program Name: ___________________________________________________________
Session #(s) if applicable: ___________________________________________________
Name(s) of child(ren): _____________________________________________________
_____________________________________________________
_____________________________________________________
Name (please print):_______________________________________________________
Signature: _______________________________________________________________
Date: ____________
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