MIS IN
MOTION
SATURDAY, MARCH 19, 2016
BEDFORD MIDDLE SCHOOL
88 NORTH AVENUE
WESTPORT, CT 06880
12:00-12:45 p.m. Check-in/Lunch
WESTPORT
1:00– 4:00 p.m. Program
 Fast-paced, hands-on workshops for all students in
Kindergarten – 8th Grade, plus Pre-K program
 Free parent & teacher program – parents are
encouraged to stay
 Free literature, resources, networking opportunities
 Exhibitors, camps, books, educational toys and more
New this year – Frank’s Pizza
Food Truck starting at noon!
REGISTER ONLINE AT CAG WEBSITE:
www.ctgifted.org (preferred)
Or REGISTER BY MAIL USING ATTACHED FORM
DEADLINE – Monday, March 7, 2016
REGISTER EARLY: FIRST-COME, FIRST-SERVED!
NO REFUNDS!
NO SNOW DATE If inclement weather, call 203-341-1766
for recorded announcement or visit www.ctgifted.org
For questions or issues, please email [email protected]
The 2015-16 Minds in Motion statewide events are sponsored by
GoQuest recognizes the uniqueness of each student with the Renzulli Learning Profiler. GoQuest provides
interest-based resources for exploration, differentiates instruction to engage students and enables project-based
learning that allows deeper learning and investigation. GoQuest assists educators with the kind of teaching that
ignites students’ curiosity and builds a foundation that stays with students for a lifetime.
For more information, visit https://compasslearning.com/goquest/
or contact Rita Mauro at [email protected] or 203-393-2453
WHAT TO DO?
Any child interested in participating in these workshops is encouraged to attend. Please
choose workshops from your child’s grade group. The workshops are assigned on a first-come,
first-served basis. *You must list at least 4 choices, 2 for grades 6-8. Every effort will be
made to give students their top choices.
You will be notified if there is a problem, and your enrollment will be refunded if there is no
space. Registrations can be mailed to the address listed on the form or completed online at
www.ctgifted.org.
*Priority registration for children of parents who volunteer!
CHECK IN BY 12:45 or risk forfeiting your child’s workshop assignment.
KEYNOTE ADDRESS & WORKSHOPS OPEN TO ALL ADULTS EVEN IF
YOUR CHILDREN ARE NOT ATTENDING THE PROGRAM
(Please pre-register online or use the attached form)
STUDENT SCHEDULE
12:00 – 12:45
CHECK IN/LUNCH/VENDORS
Grades K-1
1:00 – 2:00
1ST WORKSHOP
2:00 – 3:00
BREAKOUT/SNACK
3:00 – 4:00
2ND WORKSHOP
Grades 2-5
1:00 – 2:25
1ST WORKSHOP
2:30 – 4:00
2ND WORKSHOP
Grades 6-8
1:00 – 4:00
ONE WORKSHOP
Presented By
WESTPORT PTA
COUNCIL WORKSHOP
COMMITTEE
THE
WESTPORT
PUBLIC SCHOOLS
PARENT/TEACHER SCHEDULE
12:00-12:45
CHECK IN/LUNCH/VENDORS
12:55
CHILDREN TO WORKSHOP
1:00-2:30
KEYNOTE ADDRESS
(Please pre-register on form or website)
2:30-2:55
2:55-3:55
VENDOR SHOPPING
Resources, Books and Exhibitors
CHOICE OF WORKSHOPS
(Please indicate choice on form or website)
4:00
SIGN OUT/PICK UP CHILDREN
THE CONNECTICUT
ASSOCIATION
FOR THE GIFTED
New This Year: Wondersitters Preschool Workshop
Preschoolers (ages 3-5) will work on art and science projects while parents and older siblings attend their workshops
and presentations. Children will be taught by preschool teachers and college students who are a part of
Wondersitter, an on-call babysitting service. Space is limited to 10 students.
Stefanie Buchalter, Wondersitter, Westport
GRADES K-1
Making Math Fun!
(Session 1 Only)
Playing games with numbers helps
develop number sense, which is based on
Counting, Proportional Thinking and
Wholes & Parts. With number sense one
can reason out problems and find the
easiest way to solve them. No more drills
and memorization or using complicated
algorithms, and much more fun!
David Lubner, Director, and Evan Kulhawik,
Instructor, Mathnasium, Fairfield and
Greenwich (MIM Sponsor)
Bricks 4 Kidz
Animal Adaptations
In this hands-on workshop, you
will build structures out of
LEGO® bricks, using one-of-akind model plans designed by
engineers and architects. While
exploring STEM principles, you
will develop problem solving and
critical thinking skills. You'll
love our interactive Bricks 4
Kidz® models!
Animals are amazing! They have
evolved over time to use their covering,
color and physical structure to adapt,
camouflage, survive, and escape danger.
Through a study of animal pelts and
animal mounts, you will explore the
different ways that vertebrates
(mammals, reptiles, fish and birds) use
their adaptations to survive in various
environments. You will also learn about
patterns and classification.
Ricky Wang, Director, Bricks 4
Kidz®, Fairfield
Corinne Flax, Bruce Museum, Greenwich
Egg-Marine Challenge
Theater in Motion
Participants will make egg-marines to
experiment with neutral buoyancy in
water. This is an example of
biomimicry: a submarine uses air and
water to control its level in the water the
way a fish uses its swim bladder.
You will learn about the art of
storytelling through an interactive
and immersive hour of theater
games, creative play and non-stop
fun! Please wear comfortable
clothes and be prepared to move!
Phaedra Taft, Camp Invention Director,
Fairfield/Westport
Samantha Goober, Artistic and
Management Associate, Westport
Country Playhouse
A Musical Journey
Around The World
Join me as we play instruments, sing,
and read our way around the world!
Want to learn a Spanish song? Or learn
to say “Hello” in a few different
languages? Barefoot Books and games
will be featured as well as an interactive
craft and plenty of time to explore
instruments from different cultures.
Judy Engel, Barefoot Books Ambassador
Robotics (Session 2 only)
Ballet Class (Session 2 only)
Learn how to build and program robots with varying degrees
of difficulty. You will learn to use gears, sensors, pulleys,
Come join us for a beginner dance class for both boys and
girls. Learn the basic positions, some simple stretches, play
some movement games and explore a magical land of make
believe.
and motors, as well as engineering principles: gear ratio,
design process and problem solving. You will build the
robot and then program it yourself!
Komal Vora and Program Directors, CompuChild, Westport
Brenda Froehlich, Director Wilton Dance Studio
K-1 Breakout and Snack
All K-1 children will be assigned to participate in one of the breakout sessions below.
A snack of nut-free pretzels and water will be provided.
Intensity
Mary Ann Hall’s Music for Children
SPRINT PROGRAM!
TAKE A BITE OF MUSIC!
Join Intensity personal trainer MJ Liu for a fun program
of FITNESS FOR KIDS. There will be stretching, fun
conditioning, strength games and backyard games.
Have some fun while getting fit!
Mary Ann and Bill Hall present an upbeat, interactive musical
performance in a fun-filled, encouraging environment. They will
highlight songs from their MUSIC FOR CHILDREN Program!
MJ Liu, Personal Trainer, Intensity, Norwalk
Mary Ann and Bill Hall, Mary Ann Hall’s MUSIC FOR CHILDREN,
Westport
GRADES 2-3
Pre-Engineering Using LEGO
Leonardo’s Robot Drum Horse
Making Math Fun!
Let your imagination run wild with
tens of thousands of LEGO®! Build
engineer-designed projects such as
boats, bridges, mazes and motorized
cars, and use special pieces to create
your own unique design! Explore the
endless creative possibilities of the
LEGO® building system with the
guidance of an experienced Play-Well
instructor. This is an ideal way to
prepare for the challenge of
Engineering FUNdamentals.
(Session 1 Only)
Hear the logic of Leonardo's mind at
work as he invents the first modern
robot, an automatic drummer whose
rhythms can be re-programmed
flexibly and whose tempos adjust
automatically. Construct a robot
horse that makes the sound of a horse
walking, trotting, running and
galloping.
(Session 2 Only)
Playing games with numbers helps
develop number sense, which is based on
Counting, Proportional Thinking and
Wholes & Parts. With number sense one
can reason out problems and find the
easiest way to solve them. No more
drills and memorization or using
complicated algorithms, and much more
fun!
Ian Hogan, Play-Well TEKnologies
Instructor
NOTE: THERE IS A $12 MATERIALS FEE
FOR THIS WORKSHOP, TO BE
COLLECTED AT EVENT CHECK-IN
DJ Johnston, Eli Whitney Museum,
Hamden
Crazy Colors
In this painting class, the focus is on
mixing colors to create a final work.
You will select a famous work of art,
then attempt to complete your own
original composition by matching the
color palette.
Lindsay Heffernan, Director of Education,
Westport Arts Center, Westport
Computer Programming:
Intro to Scratch
Have fun learning concepts such as
sequences, loops, iterative development
and debugging. You will be guided in
creating animations to share with each
other.
.
Joandra Cardeal, Zaniac Westport
Ballet Class (Session 1 only)
Come join us for a beginner dance class for both boys and
girls. Learn the basic positions, some simple stretches, play
some movement games and explore a magical land of make
believe.
Brenda Froehlich, Director Wilton Dance Studio
David Lubner, Director, and Evan Kulhawik,
Instructor, Mathnasium, Fairfield and
Greenwich (MIM Sponsor)
Gadgets and Gizmos
Imagine like Einstein! Learn about
electrical circuits and vibrating motors as
you create gadgets and devices of your
own invention.
Milen Bedon, Museum Educator, Stepping
Stones Museum for Children, Norwalk
Introduction to Kempo Karate
(Session 2 only)
Try a new activity and learn about the martial arts! You will
get hands-on instruction in basic Kempo punches, blocks,
kicks and may learn the first two Kempo combinations. We
will also discuss the rich heritage and traditions of martial
arts and explore the connection between the study of martial
arts and improved self-confidence, focus and academic
performance, as well as respect for others.
Sensei Morgan Ewing , Kempo Academy of Martial Arts, Fairfield
GRADES 4-5
Blended Lights
(Session 2 Only)
Light Emitting Diodes (LEDs) are an
energy efficient light source that will
brighten the future. LEDs emit light in
distinct colors. Construct a 3LED light
show which will blend light, colors,
and shadows in a scientific and artful
theatre.
Squid Dissection
The Mysteries of Pi
One of the most amazing creatures in
the sea - a magician who can disappear
in an instant, a master of disguise, a
monster of the deep feared by even the
largest whale... complete with a beak, a
pen, and its own ink. Learn the inner
workings of the crafty and mighty
squid in a hands-on dissection lab.
We all know that Pi is the quotient
between the length of the circumference
and its diameter, and has an infinite
number of digits. We might even have
memorized quite a few of them. But Pi
is a lot more. Come and discover what
Pi has to do with sticks and floors.
Alyson Tockstein, Education and Outreach
Associate, World Science Festival, NY, NY
Janet Striuli and Laura McSweeney,
Associate Professors, Fairfield University
NOTE: THERE IS A $12 MATERIALS FEE
FOR THIS WORKSHOP, TO BE
COLLECTED AT EVENT CHECK-IN
DJ Johnston, The Eli Whitney Museum,
Hamden
Scratch Programming
(Session 2 Only)
Scratch is a graphical programming
language developed at the MIT Lab.
Scratch makes computer programming
more engaging and accessible while
you are learning to program. You will
learn important mathematical and
computational ideas, while also
learning to think creatively, reason
systematically and work
collaboratively.
Komal Vora and Program Directors,
CompuChild, Westport
H2O Whoah
Artful Wanderings
Today we will travel through the water
cycle as a water droplet. We will learn
the importance of water and where it
spends most of its time. We will
discover where some water pollution
comes from and different things that
we can do to prevent pollution. After
this is complete we will put on our
engineer hats, get our hands dirty and
work to clean up polluted water.
Working on a printing press, students
will explore the possibilities
of monotype, embossing and chine
collé, combining collage materials with
printing. We will study the work of
master printers including Picasso,
Matisse and Jim Dine, using direct
reference and also developing original
ideas.
Becky Newman, Program & Summer
Camp Director, Senior Naturalist,
Earthplace, Westport
Paula Scinto, multi-media artist, Monroe
Design Thinking and Everyday Invention
(Reinventing Toys)
Introduction to Kempo Karate
(Session 1 Only)
Dr. Ching-Fu Lan will use a design thinking approach to
help students learn, explore, brainstorm, and prototype
everyday invention projects. Learners will understand the
basics of Littlebits electronic circuit modules (e.g. light,
sound, motor, logical, wire and wireless modules) and use
common craft and recycling materials to create and re/invent
popular toys (such as moving Lego cars, bubble hurricane,
and Furby).
Try a new activity and learn about the martial arts! You will
get hands-on instruction in basic Kempo punches, blocks,
kicks and may learn the first two Kempo combinations. We
will also discuss the rich heritage and traditions of martial
arts and explore the connection between the study of martial
arts and improved self-confidence, focus and academic
performance, as well as respect for others.
Dr. Ching-Fu Lan, Founder of Citizen Invention, Westport
Sensei Morgan Ewing , Kempo Academy of Martial Arts, Fairfield
Special thanks to the Staples High School Key Club,
National Honor Society,
and SLOBS (Service League of Boys)
for their volunteer help
GRADES 6-8
(Students will take one 3-hour workshop with break)
Find Your Inner DaVinci!
Maker Mix-up
Have lots of fun with math, art, and creativity! Learn exactly
how to switch between your left and right brain in order to
enjoy different specialties. You and your parents might also
like to read the inspiring book, How to Think Like Leonardo
DaVinci, by Michael J. Gelb.
Explore and discover new technologies with Team Maker
Space from the Westport Library: hands-on Lego Simple
Machines, Lego WeDo and Little Bits with robotics, Google
Cardboard VR and Makey Makey demonstrations.
Ruth Sullo, President - Square Ruth, Inc., Cheshire, CT
Maker Space Team, Westport Public Library
Destination Imagination!
Polar Lights Robot
Join in on this workshop designed to introduce you to the fun
concepts that make up the Destination Imagination program.
You will be able to solve a wide range of challenges using
collaboration, critical thinking, hands-on materials and
creativity...all while having fun and using your imagination!
In this workshop participants will build a lighted robot
display. They will wire a circuit and assemble the project.
Attendees will learn about electricity, simple circuits,
LED’s, how light is transmitted through materials and how
the colors of light are added together. All will be
encouraged to modify and personalize their projects. High
school students, supervised by Guilford physics teacher
Ernie Smoker, and who compete in the FIRST Robotics
Competition, will lead the workshop and relate the skills
demonstrated to their annual task of designing, building and
operating a competitive robot.
Kelly Woodard, Affiliate Growth Director, Destination
Imagination Connecticut
Team Members, Elm City Robo Squad, FRC # 558, H.R. Career
H.S., New Haven, and Ernie Smoker, Physics Teacher, Guilford
H.S.
Thank you to our Westport Minds in Motion
Local Supporting Sponsors!
SIG offers 3-week academic summer camps for gifted and
talented students ages 5-17.
For more info, visit www.GiftedStudy.org
We help kids in grades K-12+ understand math by
teaching the way that makes sense to them.
For more info visit Mathnasium of Fairfield at
www.mathnasium.com/fairfield
Or Mathnasium of Greenwich at
www.mathnasium.com/greenwich
ADULT PROGRAM
KEYNOTE ADDRESS, 1:00-2:30 PM ~ WORKSHOPS, 2:55-3:55 PM. YOU CAN ATTEND THE KEYNOTE AND ONE WORKSHOP.
KEYNOTE ADDRESS by Elissa Brown, Ph.D.
The Three R’s: Rigor, Relationships, and Relevance: Educating Gifted Learners in the 21st Century
We now live in an increasingly diverse, globalized, and complex, media-saturated society. We have no idea of what the
world will look in five years, much less 60 years; yet we are charged with preparing our students for life in that world.
What does it mean for parenting and teaching gifted learners in the 21st century in terms of meeting their academic and
social/emotional needs? What are supporting and impeding structures in place which help or hinder us? This interactive
presentation will provide the key elements and essential ingredients needed which contribute to models of excellence for
21st century learning.
Dr. Elissa F. Brown is the director of the Hunter College Center for Gifted Studies and Education and program coordinator of Hunter’s Advanced
Certificate Program in Gifted Education. Before coming to Hunter, she was the North Carolina state director of gifted education and teacher
preparation programs. Dr. Brown was the former director of the Center for Gifted Education at the College of William & Mary from 2002-2007. She
has been a district gifted-program coordinator, the principal of a specialized high school, and a classroom teacher. She has served as an adjunct
professor at several universities, including Rutgers and Duke University. She is a published author in the field of gifted education and presents
widely. She is the parent of three children and lives in East Harlem, NY.
WORKSHOP #1 by Scarlett Lewis – A Formula for Choosing Love
Scarlett will talk about the importance of Social and Emotional Learning in schools and her advocacy in the past three years since the
murder of her 6-year-old son in his classroom at Sandy Hook Elementary. She will share a simple yet profound formula for choosing
love in any situation. She will talk about the neuroscience behind choosing love and its benefits. Scarlett will also discuss Post
Traumatic Growth and the importance of consciously choosing love over fear for a meaningful, connected and fulfilled life.
Scarlett is the founder of The Jesse Lewis Choose Love Foundation and author of Nurturing Healing Love. Inspired by a simple message her son
wrote on their kitchen chalkboard the day he died, she has been on a journey of forgiveness and a mission to change thoughts of anger into love.
WORKSHOP #2 by Kate Maupin - “Why do I have to do this?” Understanding Your Child’s Worth Audit
Gifted students become very frequent auditors of worth: “What is this assignment, why am I doing it, what does it mean to me and my
life?” Sometimes, it even goes as deep as, “What is the teacher saying about me by having me do this assignment?” Bright children of
all ages can perform this audit, though the language evolves as the child’s reasoning skills do. “This is no fun” or “I don’t want to do
this” in kindergarten and first grade becomes “Why do I have to do this?” in early elementary, and finally, this can ultimately lead to
an “I won’t do this.” What does this process mean for our gifted students, how can we communicate it with our children’s teachers,
and how can we help? A step-by-step process will be detailed and discussed!
Kate Maupin is a gifted-education teacher and enrichment specialist in Connecticut, is the author of the book: Cheating, Dishonesty, and
Manipulation: Why Bright Kids Do It. She is an alumna of the National Research Center on the Gifted and Talented, at the University of
Connecticut, Storrs, and has worked with students throughout New England, as well as in China and Germany, before settling in Connecticut, where
she works with students K-6 and lives with her husband, son, and far too many pets.
WORKSHOP #3 by Gena M. Rotas, LICSW – New Family Habits
With all of the daily academic, social, and extracurricular demands children meet every day, navigating their busy lives can become
overwhelming--particularly for gifted children, whose social and emotional needs require a delicate balance. What if parents could
improve the entire family's well-being by practicing simple daily habits? Starting early in life, we teach children to brush their teeth
and buckle their seat belt, essential practices for health and safety. In this workshop, you will learn how to implement easy researchbased skills and strategies that will help everyone in the family reduce stress and anxiety, flourish, and thrive.
Gena is a Licensed Independent Clinical Social Worker with a private practice in East Longmeadow. She is the author of Love Your Slim Self and
Love Your Sober Self, a series devoted to helping you find love for yourself and a map to help you flourish in life. She provides strategic and
compassionate Life Coaching using HeartMath, Mindfulness, EFT or Tapping, and mBraining!
WORKSHOP #4 by Robert Selverstone, Ph.D. – Teaching our VALUES to our children; if not now, when?
No lecture; just a chance to consider what VALUES we want our children to learn, to cherish and to live by.
Bob Selverstone, a Westport psychologist in private practice, taught a “Values” course at Staples H.S. for 20+ years – and has conducted 1000+
workshops and presentations in 29 states and on 3 continents to parents and to professionals.
WORKSHOP #5 by Anca Cristina Micu, Ph.D. – Digital Marketing Strategy and Privacy
Companies are using increasingly sophisticated tools to learn our preferences and passions as well as engage us in conversations in the
digital environment. Many times we are not aware of the extent of such corporate efforts or of the type and amount of consumer
information collected. This workshop presents some of the consumer data collection methods through familiar platforms as well as the
kind of information collected. It is then up to us whether or not to share (at least some) of our digital traces.
Anca Cristina Micu, Ph.D. is Associate Dean and Program Director, MS in Digital Marketing at the Jack Welch College of Business at Sacred
Heart University in Fairfield.
WORKSHOP # 6 by Matthew Benjamin – FIRST Robotics: The Varsity Sport for the Mind
Learn about FIRST Robotics, which has been shaping the minds of students in Elementary, Middle and High School for 25+ years
through JrFLL, FLL, FTC and FRC. FIRST, an acronym for “For Inspiration and Recognition of Science and Technology”, is an
international competition to inspire young people to be science and technology leaders by engaging them in exciting Mentor-based
programs that build skills.
Matthew Benjamin, Electrical Engineer at United Illuminating Co. and Head Mentor at FIRST Team 4930
ABOUT CAG
WESTPORT
Saturday, March 19, 2016
Bedford Middle School
88 North Avenue
Westport, CT 06880
The Connecticut Association for the Gifted is a nonprofit organization founded in 1969 that supports the needs of
gifted and talented children across Connecticut. In addition to
sponsoring the “Minds in Motion” events, CAG provides
parents, teachers, and other educators with information and
resources to help in parenting and educating gifted children.
As a member, you will receive regular e-newsletters,
and e-updates on timely topics of interest. Through the CAG
Professional Development Program and Teacher Resource
Group, educators receive the latest information on meeting the
needs of gifted students.
CAG also works with the state legislature and the
State Department of Education to advocate for gifted and
high-potential students, and is an affiliate of the National
Association for Gifted Children.
Please join CAG and make a difference in a student’s
life. For more information, and to become a member online,
visit www.ctgifted.org, or contact us at [email protected], or
203-291-6586.
Registration Deadline:
Monday, March 7, 2016
P.O. Box 2598, Westport, CT 06880
Directions to Bedford Middle School, 88 North Avenue, Westport
FROM I-95 TRAVELING NORTH (From Greenwich):
Take Exit 18, Westport. Turn left onto Sherwood Island Connector. Go straight to Post Road (Route 1). Turn
right at intersection. Make first left at Cedar Road (traffic light). Turn right at top of hill on Long Lots Road. At
3-way stop sign, turn left on North Ave. Bedford Middle School will be approximately 1 mile up, on your right, a
short distance past Staples High School.
FROM I-95 TRAVELING SOUTH (From New Haven):
Take Exit 19, Southport. Go straight at stop sign. Turn right at light at Post Rd (Route 1). Go straight a few miles
to light at Turkey Hill Rd North (a bit past Lexus dealer on your right). Turn right, go to stop sign at Long Lots
Road. Turn left, then quick right at 3-way stop sign on North Avenue. Bedford Middle School will be
approximately 1 mile up, on your right, a short distance past Staples High School.
FROM THE MERRITT PARKWAY TRAVELING NORTH (From Greenwich):
Take Exit 42, Westport. Turn left at light at bottom of ramp. Go straight at 4-way stop sign. At 3-way stop sign,
turn left on Cross Hwy. Go straight approx. 2 miles. At 4-way stop sign, turn right on North Avenue. Bedford
Middle School will be a short distance on the left.
FROM THE MERRITT PARKWAY TRAVELING SOUTH (From Hamden):
Take Exit 42, Westport. Turn right at light, going under Merritt. Go straight thru traffic light to 4-way stop.
Follow directions above.
REGISTRATION FORM
Classes will be assigned on a first-come, first-served basis.
Every child K-5 will participate in 2 workshops. Students must remain for the duration
of the workshops, unless prior arrangements have been made. Grades 6-8 children
will take one 3-hour workshop. You must make at least 4 choices, and up to 6.
For Grades 6-8, please list at least three choices. Please print clearly.
Please complete ENTIRE Registration Form and mail to: Minds in Motion,
CAG, P.O. Box 2598, Westport, CT 06880
Or you may register faster online at the CAG website: www.ctgifted.org
Child’s Name _________________________________Age______Grade______
Student Workshop Choices:
1) __________________________
4)______________________________
2)___________________________
5)______________________________
3)___________________________
6)______________________________
Child’s Name ________________________________Age_____Grade_______
Student Workshop Choices:
1) __________________________
4)______________________________
2)___________________________
5)______________________________
3)___________________________
6)______________________________
Child’s Name ________________________________Age_____Grade_______
Student Workshop Choices:
1) __________________________
4)______________________________
2)___________________________
5)______________________________
3)___________________________
6)______________________________
Workshops may be photographed or videotaped for MIM records and promotional
Materials (no names). If you do not want your child to be included, initial here____
NOTE: Children of parents/guardians who volunteer receive priority registration.
Will you commit to be an adult volunteer? _______ Grade preference _______
YOU WILL NOT NECESSARILY BE ASSIGNED TO YOUR CHILD’S WORKSHOP.
Adult Volunteer Name: _________________________________________________
REGISTRATION FEES
Membership registration rates may be
used if already a CAG member or if
new or renewed CAG membership is
paid with registration.
CAG Member Registration Fee:
$35. Per child:
$______
CAG Annual Membership:
$15. Per family
$______
Non-CAG Member Registration
Fee:
$45. Per child:
$______
I wish to add a donation for
scholarships/programs $______
Total
$______
Please make checks payable to
CAG.
No child will be turned away due
to financial need. Please e-mail
[email protected]
to request scholarships, or call
Katie Augustyn at (203) 454-4735.
Registration online or by mail
Deadline:
Monday, March 7, 2016
Register Early!
Workshops fill quickly!
First come, first served!
ADULT PROGRAM FREE
All adults are welcome!
Email address (if different from below): _________________________________
Parent/
Email
Guardian Name________________________________ address: ___________________________________________
Address____________________________________________________________________________________
Cit
City____________________________________________State________ Zip Code_______________________
Telephone (Home)_________-__________-_____________Cell__________-__________-_____________
Emergency Contact ____________________________________Phone______ - __________ - ___________
Keynote Address & Adult Workshops are free; pre-registration required. (Circle what you will attend.)
Adult #1: Keynote Workshop # 1 2 3 4 5 6
Adult #2: Keynote Workshop # 1 2 3 4 5 6