Community Education program brochures Adventures Plus new family application | Page 4
Adventures Plus NEW FAMILY INTEREST FORM
Summer 2016 and School Year 2016-17
Currently enrolled families will register on site – Please disregard this form.
BILLING
PARENT/GUARDIAN
(
Last name
First name
Street address
Apt.
SUMMER 2016
)
(
Home phone
City
)
Day phone
State
Zip
*UNE
!UGUST s -ON n &RI AM
PM #LOSED *ULY
Child 1:
Home School
Last name
Grade entering fall 2016
First name
Schedule: Circle the days your child needs care (must be the same every week): Child 1: M T W TH F (Minimum of 3 day schedule required.)
Circle the week(s) you will need care: 6/16-17 6/20-24 6/27-7/1 7/4-8* 7/11-15 7/18-22 7/25-29 8/1-5 8/8-12 8/15-19 8/22-26
Please check if your child is attending other school district summer programs: Location:
ESL, ESY Targeted Services North Suburban Summer Academy
ADVENTURES PLUS For children entering grades 1 through 6. Minimum of 3 day schedule required.
Andover Elem.
McKinley Elem.
Madison Elem.
CBPA
Eisenhower Elem.
Evergreen Elem. Hoover Elem.
Rum River Elem. Sand Creek Elem.
Morris Bye Elem. Oxbow Creek Elem. Ramsey Elem.
ADVENTURES BOUND
For children entering Kindergarten in fall 2016. Minimum of 3 day schedule required.
Eisenhower Elem.
Andover Elem.
Oxbow Creek Elem. Ramsey Elem.
PEAK ADVENTURES
Jackson Middle
Hoover Elem.
Rum River Elem.
McKinley Elem.
Sand Creek Elem.
Morris Bye Elem.
For youth entering grades 6 through 8. Minimum of 3 day schedule required. Additional field trip fee applies.
Northdale Middle
Oak View Middle
Child 2:
Home School
Last name
Grade entering fall 2016
First name
Schedule: Circle the days your child needs care (must be the same every week): Child 1: M T W TH F (Minimum of 3 day schedule required.)
Circle the week(s) you will need care: 6/16-17 6/20-24 6/27-7/1 7/4-8* 7/11-15 7/18-22 7/25-29 8/1-5 8/8-12 8/15-19 8/22-26
Please check if your child is attending other school district summer programs: Location:
ESL, ESY Targeted Services North Suburban Summer Academy
ADVENTURES PLUS For children entering grades 1 through 6. Minimum of 3 day schedule required.
Andover Elem.
McKinley Elem.
Madison Elem.
CBPA
Eisenhower Elem.
Evergreen Elem. Hoover Elem.
Rum
River
Elem.
Sand Creek Elem.
Morris Bye Elem. Oxbow Creek Elem. Ramsey Elem.
ADVENTURES BOUND
For children entering Kindergarten in fall 2016. Minimum of 3 day schedule required.
Eisenhower Elem.
Andover Elem.
Oxbow Creek Elem. Ramsey Elem.
PEAK ADVENTURES
Jackson Middle
Hoover Elem.
Rum River Elem.
McKinley Elem.
Sand Creek Elem.
Morris Bye Elem.
For youth entering grades 6 through 8. Minimum of 3 day schedule required. Additional field trip fee applies.
Northdale Middle
Oak View Middle
SCHOOL YEAR 2016-17
SESSIONS AVAILABLE
SITE
SCHEDULE (circle days needed)
M T W TH F
M T W TH F
____ AM session (6:30 a.m. to school start time)
____ PM session (school dismissal time to 6:00 p.m.)
Child 1:
Last name
First name
La st name
First name
Child 2:
Home School
Grade entering fall 2016
Home School
Grade entering fall 2016