Castro Valley Adult and Career Education Incoming 6th Grade

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					               Castro Valley Adult and Career Education
                            Incoming 6th Grade Students

                                  Canyon Middle School
                                 Creekside Middle School

This course is designed specifically to prepare 5th grade students for the transition to 6th
grade. Emphasis will be on organizing, note taking, research, class changes, campus
familiarization, and basic middle school survival. Students should attend Getting
Organized at the campus they will attend in the fall.
                               Monday, June 21 – Friday, June 25, 2010
                               8:30 a.m. - 12:00 p.m.

Cost $49.00 Must register by May 5, 2010. Late registrants will not be accepted!!
I wish my child to attend the Getting Organized Class at (please select the campus that
they will attend in the fall):

               CREEKSIDE                 OR                    CANYON
Current Elementary School

       Enrollment will be determined on a first-come first-served basis.
       Daily attendance is mandatory. As space is limited, please do not sign up your
       student if you have vacation plans during the session.

       Please return completed Emergency Form and payment in person to:
          Castro Valley Adult and Career Education
          4430 Alma Avenue
          Castro Valley
          Monday-Thursday 8:00 a.m. to 7:45 p.m.
          Friday 8:00 a.m. to 4:15 p.m.
          Saturday mornings, 8:00 a.m. to 11:45 a.m.
       Please complete the emergency form on the reverse side.

       Do not turn in completed form to your elementary school.
For questions regarding the class please e-mail Mark Neal at
                                  Emergency Card

                        Please provide all information requested

Emergency information must be provided to ensure the safety of your student in
case of serious accident or illness. It is vitally important that all information be
up to date and correct. If no responsible person can be reached, the school will
call 911 or the Sheriff’s Department for necessary arrangements in case of an

Student’s Name __________________________________________________
Date of Birth _____________________ Gender _______________________
Address _______________________________________________________
Mother/Guardian ________________________________________________
Home Phone ______________________Work Phone ____________________
Father/Guardian __________________________________________________
Home Phone _____________________ Work Phone ____________________
Day Care ________________________ Phone_________________________

IN CASE OF EMERGENCY and the school cannot reach me at the telephone
number(s) above, please contact the following person(s) (this form must be

Name ________________ Relationship ________ Phone _________________
Name ________________ Relationship ________ Phone _________________
Physician Name ____________________ Location ______________________
Medical Plan _______________________ ID# _________________________
Medical or other emergency information we should know about your
child, i.e., asthma, diabetes, etc.

•   All students requiring medications (including over the counter) must supply the
    office with the medication along with a completed authorization form from the
    physician. This form can be obtained at your child’s Middle School Office.

Parent’s Signature ____________________________ Date __________________