HEADSTART Brochure and Registration Form 2012 by XXK7mr


									                                                    HeadStart to Grade 9                                                                                                                                    GET A
                                     August 23-28, 2012 (9am-12pm)
Please indicate High School:                                                                                                                                                                                    from
                                                   Resurrection               St David               St. Mary’s              St. Benedict                Monsignor Doyle
                                                                                                                                                                                                       Grade 8to 9
Student is currently enrolled in Grade 8:

Please PRINT clearly                                             TO BE COMPLETED BY PARENT/GUARDIAN
LAST NAME:                                                                                 FIRST NAME:

DATE OF BIRTH (yy/mm/dd)                                                                                                              GENDER M                    F

ADDRESS (NUMBER & STREET):                                                                                                            APT/UNIT

CITY:                                                       POSTAL CODE:

SPECIAL MEDICAL INFORMATION (allergies, conditions, etc.):

CURRENT ELEMENTARY SCHOOL:                                                                  GRADE 8 TEACHER’S NAME:

PARENT/GUARDIAN:                                                                      Home #:                          Work #:                        Cell #:                                                     FREE

Additional PARENT/GUARDIAN:                                                           Home #:                          Work #:                        Cell #:

EMERGENCY CONTACT PERSON:                                                             Home #:                          Work #:                        Cell #:
                                                                                                                                                                                   August 23 – 28, 2012
The above information is collected under the legal authority of The Education Act R.S.O. 1980. The information is used for administration and statistical purposes of the
Waterloo Catholic District School Board and will be assessed by principals, teachers and support staff. Queries concerning this information collection should be directed to the
Principal of St. Louis Adult Learning and Continuing Education Centres, 519.745.1201.
                                                                                                                                                                                       9:00 Program)
                                                                                                                                                                                   (Four Dayam - 12:00 pm
Photos, videos, films or interviews will only be done with the prior knowledge and consent of the school principal or designate and
will not be used for commercial gain. I/we hereby consent to the inclusion of photographs of my/our child for use on program
promotional material and WCDSB public web sites. I/we hereby consent to the inclusion of any photographs of my/our child.
DATE OF REGISTRATION:                                                  PARENT SIGNATURE:                                                                                           Cambridge:   Monsignor Doyle CSS

                                                                                                                                                                                                St. Benedict CSS

                                                                                                                                                                                        K/W:    Resurrection CSS
 Registration Forms Due By: June 29, 20122                                                                           Please Note:
                                                                                                                                                                                                St. David CSS
 HeadStart                                                                                                         August 23-28, 2012
    PROGRAM OVERVIEW                                             DATES / TIMES                                         REGISTRATION

Your child is invited to attend a FREE four day,             August 23 – 28, 2012                                  WCDSB Elementary students register for
non-credit summer program open to all students                                                                     HeadStart at their Day School. Completed
who have successfully completed Grade 8 and                  (Thursday, Friday, Monday, Tuesday – 4 days)          registrations forms may simply be forwarded to
will be entering Grade 9 at any one of the
Waterloo Region Catholic District School Board’s             9:00 am to 12:00 pm (arrive at 8:45 am)               St. Louis Adult Learning & Continuing Education
five Catholic Secondary Schools.                                                                                   Centres before June 29, 2012.

St. Louis Adult Learning & Continuing Education                  LOCATIONS                                         Fax to: 519.621.1359
Centres and the Waterloo Region Catholic
District School Board have developed
HeadStart to prepare students to have a                      Cambridge: Monsignor Doyle CSS
seamless and less stressed transition to high                                                                      OR Mail to:
school. This program is Ministry of Education                            St. Benedict CSS
funded and is at no cost to the student.                                                                           St. Louis Adult Learning Centres

                                                                                                                   82 Beverly St., Cambridge, ON N1R 3Z7
                                                             K/W:        Resurrection CSS
Fun Group Activities by Certifed Teachers                                                                          Attn: HeadStart Program
                                                                         St. David CSS
to promote:
                                                                         St. Mary’s CSS
                                                                                                                   Registration forms also available on the St. Louis
                                                                                                                   website: http://stlouis.wcdsb.ca/programs/ss.html
       leadership
                                                                                                                           QUESTIONS / ANSWERS
                                                                 WHAT TO BRING
       teamwork
                                                                                                                       STUDENTS ACCEPTANCE
       confidence                                                                                                  More information may be obtained from your
“As one of the co-ordinators of the LINK transition                 a container for water                          child’s Elementary school or from St. Louis
program at St. Benedict’s, as well as a parent of a Head                                                            Adult Learning & Continuing Education Centres:
Start “graduate”, the level of comfort that is gained from          a nutritious snack for break                  Students are enrolled upon receipt of their
HeadStart will focus on:
this program is invaluable for all students. Those first                                                           application form. No confirmation is sent to
day jitters are noticeably lessened and they share their            basic instructional supplies                  student’s school or parents. Students should
newfound confidence with their friends.”                                                                             Phone: 519.745.1201
                                                                                                                   plan to attend the first day, unless students and
       keys to success in high school                                                                             parents are notified, otherwise.
                           ~Vice-Principal & parent                                                                 Fax:      519.621.1359

       study skills
                                                                 CLASS SIZE
                                                                                                                    Email:    stlouis@wcdsb.ca
                                                                                                                   If you have any questions concerning program
       managing your time                                                                                            Website: http://stlouis.wcdsb.ca
                                                             The Waterloo Catholic District School Board strives   content or suitability of this program for your

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