Beaver Dam Unified School District Elementary Summer School 2016

Beaver Dam Unified School District
Elementary Summer School 2016
Monday, June 20 – Friday, July 22, 2016
No School on Monday, July 4th
*Free*
Prairie View Elementary
510 N. Crystal Lake Road
(Students in grades PreK-1 during the 2015-2016 school year.)
Lunch will be
served at both
locations!
Details inside!
Washington Elementary
600 Grove Street
(Students in grades 2-5 during the 2015-2016 school year.)
Fees must accompany your registration forms.
Non-music registration forms are due to your school office by May 1, 2016.
Instrumental music course registrations and fees should be turned into:
Dawn Gaylord, Orchestra ph: 885-7365 ext. 3125
Russ Diggins, Band ph: 885-7313 ext. 2184
SUMMER SCHOOL 2016
The Beaver Dam Unified School District is again offering a comprehensive Summer School program to students
in the Beaver Dam area. The program is available to children regardless of whether they attend public or
parochial school during the year.
This year we are providing a variety of courses at all levels. We continue to offer skill building classes that are
designed to strengthen subject areas in which students are weak. They are structured to be more remedial in
nature. Enrichment classes are also offered to provide students with learning activities that broaden their
skills and enrich their interests. Hopefully, there will be enough student interest in each course because a
sufficient number of students are needed to run a class section.
Classes are not guaranteed!
If classes fill up, your child may be scheduled into an alternative class.
Some classes have a fee to cover costs for supplies. Fee amounts are listed in the course
descriptions. Fees are required to be paid when submitting the registration form. Exception: Fees
are waived if the student qualifies for free/reduced meals during the 2015 - 2016 school year.
Teachers will often recommend that a student enroll in Summer School to further develop the skills and
abilities needed to carry on the work of the next grade. Parents are urged to give serious thought to such
recommendations. Please note that some courses are available ONLY through teacher recommendation.
I encourage you to review the information and consider enrolling your child/children in the Beaver Dam
Unified School District Elementary Summer School Program and take advantage of these worthwhile
educational opportunities.
Sarah A.S. Oudenhoven
Summer School Coordinator
Prairie View Elementary School
885-7380, ext. 4302
Summer Food Service Program
The Beaver Dam School District is proud to announce that is joining the USDA and DPI in offering a lunch
program for our summer school program. Free lunches will be served every day of summer school at both
Prairie View and Washington Elementary schools. All students are eligible to receive free meals under this
program, which is funded by the USDA. Lunches will be served between the second and third period each day.
We hope you plan for you child(ren) to join us for a nutritious lunch every day.
REGISTRATION
REGISTRATION FORMS AND FEES ARE DUE May 1.
Students should register at their respective school offices (parochial or public) before May 1. Early registration is
encouraged, so that program needs can be determined. Registrations will be processed in the order in which they are
received. Students are not guaranteed all classes they choose.
Please note, material fees are required for some classes.
Fees must accompany the registration forms, which are located in the back of this booklet.
If for some reason you require a refund, a written request must be submitted to Michelle Falkinham at the ESC, 705
McKinley Street no later than July 1. Please include your name, your child’s name, the classes they registered for, and a
brief explanation as to the reason for the refund. Requests received after July 1 will not be granted. Refunds for BDUSD
students will be applied to any unpaid fees or deposited into the family lunch account. Non BDUSD students will be sent
a refund check.
Student schedules will be mailed about a week before Summer School starts. Classes are arranged and staff employed
on the basis of registration numbers. The number of students registered for a class determines the number of sections
created for that class and the times it will be offered.
Students taking instrumental music lessons should register on the
Summer School form and return to the music directors.
GENERAL INFORMATION
Most summer school classes will run from Monday, June 20, through Friday, July 22, 2015. (No classes on Monday, July
4). Classes which vary from this schedule are identified in the course descriptions. A few classes at Prairie View are
scheduled from 8:35 – 11:25 a.m. and are listed in the course descriptions.
The class schedule for most courses is:
Washington
Elementary
8:35-9:35
Prairie View
Elementary
8:35-9:35
Recess
Recess
9:45-10:45
9:45-10:45
Recess
Free Lunch Option
11:30-12:30
Recess
10:45-11:05 (Gr. 2/3)
11:05-11:25 (Gr. 4/5)
Free Lunch Option
11:30-12:30
11:00-11:25
Any questions pertaining to elementary summer school should be directed to Sarah Oudenhoven at Prairie View
Elementary School, 885-7380 ext. 4302.
ELEMENTARY REGULATIONS
Attendance: Students enrolled in summer school courses are encouraged to attend all classes. Students enrolled in
extra reinforcement courses must attend all classes, except for emergencies or permission of the summer school
principal. Please call to report all absences. Pre-K to Grade 1, call 885-7380. Grades 2 to 5, call 885-7376.
Dress and Conduct: Students are expected to follow the same standards of dress and conduct as those which are in
effect during the school year.
Emergency Phone Numbers: Please list an emergency phone number on the registration form. At times we may need
to contact someone regarding your child.
Transportation
Shuttle Bus
There will be shuttle buses that run once daily beginning at Jefferson Elementary (8:05 am), stopping at
Lincoln Elementary (8:15 am), and arriving at Prairie View and Washington Elementary Schools (8:35 am). At
12:30 pm, the shuttles will leave Prairie View and Washington and head back to Lincoln and Jefferson.
Each shuttle bus is labeled either Prairie View or Washington and will be supervised by summer school staff.
PreK-1st grade students will ride the Prairie View bus, while students in grades 2-5 will ride the Washington
bus.
Washington Elementary Safe Arrival
Bus and Car Loading Zones
Students may be dropped off and picked up on the school side of the street on Grove and Center. We strongly urge
parents not to park on Center Street or the school side of Grove Street, as it causes too much congestion with safety
hazards due to double parking, etc. Parking would be best on Liberty, Gilmore, or the opposite side of Grove Street.
PLEASE DO NOT PARK OR PICK UP STUDENTS IN THE YELLOW BUS ZONE ON GROVE STREET.
Bicycle Safety
The decision to allow children to ride bicycles from home to school is a decision parents must make. We
establish no rule which states when a child is competent enough to handle a bicycle ride to school.
Bicycle racks are provided for students on the corner of Center and Gilmore and also on Grove Street. All
bikes are to be parked in the racks.
If your son or daughter uses a bicycle for getting to and from school, consider these safety reminders:
 Helmets are an important piece of equipment for safety.
 Riders should ride in single file on the way to and from school.
 Bicycles should be walked on the sidewalks of the school grounds.
 Bicycles should be in good working condition.
 Children are encouraged to lock their bicycles to avoid theft.
 Seats and handlebars ought to be properly adjusted.
Prairie View Elementary Safe Arrival & Dismissal
Circle Driveway
Parents are asked to drop off their children in the circle drop only. Children should then walk to the
main entrance and enter our school. Children being picked up in the circle drop will exit the main
entrance and walk to the circle drop.
Parking Lot
Parents parking in our front parking lot are able to walk to our main entrance to drop off and pick up
their children.
Only the main entrance doors will be used for drop off and pick up.
Buses are the only vehicles allowed to use the west gated exit out onto Hwy E.
PK-1 Classes
Prairie View Elementary
Speech Therapy
Getting Ready for 1st Grade
Speech Therapy is available to students in early
childhood through 1st grade who have been in the
speech program during the regular school year. Please
note- Speech Therapy does not interfere with a
student taking other courses during summer school as
it is administered on a “pull-out” basis and can be
scheduled around other classes.
Getting Ready for First Grade is intended for children
who need additional readiness work in multiple areas
to prepare them for first grade. Children must have
completed one year of kindergarten.
Speech Therapists’ recommendation is
required for enrollment.
Students by Recommendation
Materials Fee: $0
Course #PV100
Instructor: Samantha Alvarado
Threes – Fives
This program is an extension of developmental
activities for children aged 3-5 who have been
enrolled in early childhood classes during the previous
school year. This course is designed to meet students’
unique and individual needs.
Teacher recommendation is required for enrollment.
Students aged 3-5yrs
Hrs: 8:35 – 11:25 am
Materials Fee: $0
Course #PV101
Instructor: Tracy Martin
On Our Way to Kindergarten
This class is open for any students who are going to
kindergarten in the fall. The purpose of this class is to
provide an opportunity for children to further develop
school readiness skills and help prepare them for
kindergarten in the fall.
Students entering 5K
Hrs: 8:35 – 11:25 am
Materials Fee: $5.00
Course #PV102
Instructors: Allison Malueg & Ann Schwarz Bohn
Teacher recommendation is required for enrollment.
Students entering Grade 1
Hrs: 8:35 – 12:30pm
Materials Fee: $0
Course #PV103
Instructor: Trisha Poor
Getting Ready for 2nd Grade
This class is intended for children who need additional
review and reinforcement of first grade work to better
prepare them for second grade. Not designed for
children who have done average or above average work
in first grade.
Teacher recommendation is required for enrollment.
Students entering Grade 2
Hrs: 8:35 – 10:45 am
Materials Fee: $0
Course #PV104
Instructor: Vanessa Buchda
Background Experiences for ELL
This class is intended for children who need additional
work with their English language skills. In this class,
children will incorporate speaking, listening, reading
and writing in classroom and field trip experiences.
ELL Teacher recommendation is
required for enrollment.
Students entering Grades 5K-1
Hrs: 8:35 – 12:30pm
Materials Fee: $0
Course #PV105
Instructor: Peri Luedke
PreK-1 Classes
Prairie View Elementary
Reading Express
Mighty Music Makers
Reading express is for first graders who need
additional reading instruction and practice during the
summer to be on track for second grade. Instruction
will be directed toward reinforcement and re-teaching
the reading strategies introduced in first grade.
This class is a music class for actively enjoying music
through singing, movement and playing instruments.
Students will experience music of various styles and
cultures.
Teacher recommendation is required for enrollment.
Students completing Grade 1
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #PV106
11:30am-12:30 pm
Instructor: Susan Trotter
Math Magic
Math Magic is designed for children who need
additional instruction and practice with first grade
math concepts; specifically in the areas of addition &
subtraction. This course will focus on creating a basic
understanding of number relations, addition, and
subtraction through classroom lessons and games.
Teacher recommendation is required for enrollment.
Students completing Grade 1
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #PV107
11:30am-12:30 pm
Instructor: Diane Hartzheim
Story Hour
Children have fun learning to identify story elements
such as characters, setting, and problem/resolution as
they listen to a treasury of children’s literature that
includes classic fairy tales, fables, and adventure
stories. As the summer progresses, children apply
what they know about story elements to tell and even
write their own simple stories.
Students completing Grades 5K-1
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #PV108
11:30am-12:30 pm
Instructor: Jeff Rehberg
Students completing Grades 5K-1
Materials Fee: $2.50
Course #PV109
Hrs: 8:35 – 9:35 am
9:45-10:45 am
11:30am-12:30 pm
Instructors: Teresa Ploch & Rachel Godshall
Home is Where You Hang Your Habitat
Exploring a World of Habitats, Seeing a World of
Difference. As we travel to each ecosystem (coral reef
and ocean, desert, grasslands, mountain, Artic
wetlands, northern forest) the students will learn
about plant, animal, and human life. The students will
learn scientific concepts, through facts and maps
while engaging in critical thinking, related literature
activities and math and problem solving activities.
Get ready for art activities and science experiments as
well!
Students completing Grades 5K-1
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #PV110
11:30am-12:30 pm
Instructor: Melody Scott
Rainforest Explorers
Have you ever wondered what it would be like to take
a trip into a rainforest? Come and enjoy five weeks of
fun creating a rainforest in the classroom. Learn
about different animals, plants, and people that
live in the rainforest. Participate in many
hands-on craft activities.
Students completing Grades 5K-1
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #PV111
11:30am-12:30 pm
Instructor: Stefanie Buss
PreK-1 Classes
Prairie View Elementary
Fun & Games
Let’s Play a Game!
This class is all about games and having fun! Students
will learn new games, dances, and team sports.
Do you love games? This is an interactive class for
students that love all games, including creative tasks,
indoor and outdoor play, and fun with technology.
Students will enjoy game play while learning
important prosocial skills like taking turns, being a
good sport, following rules, and encouraging others.
Students completing Grades 5K-1
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #PV112
11:30am-12:30 pm
Instructor: Lorraine Mund
Students completing Grades 5K-1
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #PV114
11:30am-12:30 pm
Instructors: Sarah Becker & Jennifer Hull-Sell
Crafts & Creativity
This class is an exploratory enrichment course
affording student’s formal instruction and
opportunities with which to experiment. A variety of
art and craft activities will be offered.
Students completing Grade 1
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #PV113
11:30am-12:30 pm
Instructor: Julie Schroeder
Class sizes for Enrichment classes
are limited to 22 students, unless
otherwise indicated. No extra
sections will be added.
Grade 2-5 Classes
Washington Elementary
Mastering Math
Say Yes to Reading!
Mastering Math is designed for children who need
additional instruction and practice with second grade
math concepts; specifically in the areas of addition &
subtraction. This course will focus on creating an
understanding of addition concepts working with
numbers up to 100. Basic addition and subtraction
facts will be reviewed.
Say Yes to Reading is designed for second graders who
need additional reading instruction to refine and
maintain reading skills learned during the school year.
It emphasizes individual attention focusing on reading
fluency & comprehension, writing activities, and
motivating techniques.
Teacher recommendation is required for enrollment.
Students completing Grade 2
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE100
11:30am-12:30pm
Instructor: Bradley Worden
Teacher recommendation is required for enrollment.
Students completing Grade 2
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE101
11:30am-12:30pm
Instructor: Sandra Kreitzman
Grade 2-5 Classes
Washington Elementary
Go Figure!
Go Figure is designed for children who need
additional instruction and practice with third grade
math concepts; specifically in the area of
multiplication concepts. This course will focus on
creating an understanding of basic multiplication
concepts and facts through classroom lessons and
games.
Computer Kids
This computer class will familiarize the students
on the many web-based educational programs
used in the elementary classrooms.
Students completing Grades 2-3
Hrs: 8:35 – 9:35 am
Materials Fee: $2.50
9:45-10:45 am
Course #JE105
11:30am-12:30pm
Instructor: Tom Bock
Teacher recommendation is required for enrollment.
Students completing Grade 3
Hrs: 8:35 – 9:35 am
Materials Fee: $0
Session 2,3 NA
Course #JE102
Instructor: Staci Karnau
Guiding Readers
Guiding Readers is designed for third graders who
need additional reading instruction to refine and
maintain reading skills learned during the school year.
It emphasizes individual attention focusing on reading
fluency & comprehension, writing activities, and
motivating techniques.
Foreign Language
What’s a foreign language? Take this class and find
out! Listen and learn how to say things in Spanish and
German. Letters, colors, and numbers may look the
same, but saying their names is what you will learn
when you take this class. You will also learn about
how other people live in other places and their
cultures.
Students completing Grades 2-3
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE106
11:30am-12:30pm
Instructor: Christal Davidson
Teacher recommendation is required for enrollment.
Students completing Grade 3
Hrs: Session 1 NA
Materials Fee: $0
9:45-10:45 am
Course #JE103
11:30am-12:30pm
Instructor: Staci Karnau
Are You Game?
Traditional board games, card games and
paper/pencil games will be taught and played to
strengthen hand-eye coordination, critical thinking
skills, and social interaction. In addition, language and
math learning will be reinforced. What’s the best
part? It’s FUN!
Students completing Grades 2-3
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE104
11:30am-12:30pm
Instructor: Mary Kahler
Mad Scientists
Do you enjoy doing experiments in science class?
Have you wondered what it would be like to invent
something new? Then you have the mind of a
scientist! In our mad scientist class, we’ll conduct
experiments, build scientific tools, find wind speed,
“see” sound waves, make a water tornado, and watch
in amazement as an egg gets sucked into a bottle. If
you’re mad about science, don’t miss this class!
Students completing Grades 2-3
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE107
11:30am-12:30pm
Instructor: Susan Rehberg
Class sizes for Enrichment classes
are limited to 22 students, unless
otherwise indicated. No extra
sections will be added.
Grade 2-5 Classes
Washington Elementary
Disney Mania
Reading Connection
From The Lion King to Frozen, Disney knows how to
capture our hearts and minds with unforgettable
stories. In this class you not only will watch some of
the best story lines featured in Disney movies, you will
discuss and write about characters, settings, plot lines
and the conflict resolution within the story.
Reading Connection is designed for 4th and 5th grade
students who need improvement in their reading
development. This class will provide extra practice in
both reading and writing. It emphasizes strategies to
enhance reading fluency, comprehension, and writing
skills.
Students completing Grades 2-4
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE108
11:30am-12:30pm
Instructor: Jennifer Meyers
Teacher recommendation is required for enrollment.
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $0.00
9:45-10:45 am
Course #JE111
11:30am-12:30pm
Instructor: Kimberly Welak
Math Exemplars!
Girl Strong
This class is aimed at the HIGH AVERAGE and
ADVANCED students exiting 3rd & 4th grade. In this class,
students will solve different multi-step story problems,
such as plotting their own garden (area, perimeter,
research on fruits and vegetables and how big each
grows and production), selling produce at market
(pretend), and determining profit. Along the way, we
would also review concepts covered in school and take
things a step further.
Girl STRONG is a course designed to promote selfesteem, healthy decision making, and empowerment,
as well as self-acceptance and the acceptance of others.
We will explore issues that are important and relevant
to girls, all while new friendships are being made.
Students completing Grades 3-4
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE109
11:30am-12:30pm
Instructor: Sarah McClanathan
Read, Write, Draw
In this class, students will visit the school library,
participate in the public library reading program and
participate in creative writing. There will be several
opportunities throughout this class for drawing,
cartooning and calligraphy.
Students completing Grades 3-5
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE110
11:30am-12:30pm
Instructor: Shirley Kohls
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE112
11:30am-12:30pm
Instructor: Monica Keel
Math Connection
Math Connection is designed for students who need
additional instruction and practice with 4th & 5th grade
math concepts; specifically in the area of fractions.
This course will focus on learning the foundational
concepts of fractions while also reviewing
multiplication and division skills.
Teacher recommendation is required for enrollment.
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $0.00
9:45-10:45 am
Course #JE113
11:30am-12:30pm
Instructor: Jamie Stearns
Grade 2-5 Classes
Washington Elementary
R is for Research
Game On!
In this course, 4th and 5th grade students will have the
opportunity to learn and play a variety of fun games.
Game On! will give students opportunities for
problem solving, using logical and critical thinking
skills. Students will have both individual and team
experiences during this class. During the last week of
class, students will design, create, build, and play their
own game!
Students completing Grades 4-5
Materials Fee: $5.00
Course #JE114
Instructor: Robyn Ehrke
Hrs: 8:35 – 9:35 am
9:45-10:45 am
11:30am-12:30pm
Lego Robotics
Explore the exciting world of robotics and how
they are used in the world today. Using the
LEGO Mindstorm kit, students will learn the basics
of building a robot to perform simple tasks. They will
learn about sensors used to make the robots aware of
their environment and learn how to use a computer
to program the robot to perform tasks.
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE115
11:30am-12:30pm
Instructor: Jennifer Sprenger
Do you like technology? Have you ever wanted to
learn more about a certain topic? If so, come design
and publish a digital, 26-page ABC book while learning
about a topic of YOUR choice!
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE117
11:30am-12:30pm
Instructor: Jamie Thompson
Ultimate Team Challenge
Ultimate Team Challenge will promote helpful and
cooperative attitudes. The class will also provide
experiences that will increase personal confidence,
self-control and support within a group, physical
strength and coordination, as well as decision making
skills important for success. Students will enjoy
solving challenges with their teammates!
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $0
9:45-10:45 am
Course #JE118
11:30am-12:30pm
Instructor: Rob Nill & Dan Doyle
Hola & Guten Tag
This class will teach you some Spanish and some
German. The emphasis will be on conversation and
familiarization with pronunciation, greetings,
numbers, names, colors, and days of the week. The
customs, culture and traditions of each language and
country will also be included.
Students completing Grades 4-5
Hrs: 8:35 – 9:35 am
Materials Fee: $5.00
9:45-10:45 am
Course #JE116
11:30am-12:30pm
Instructor: Maily Kocinski
Class sizes for Enrichment classes
are limited to 22 students, unless
otherwise indicated. No extra
sections will be added.
Instrumental Music - Band and Orchestra
Session I – August 8-12 8am-12pm
Session II – August 15-19 12pm-4pm
*Held at Beaver Dam High School*
Students may begin orchestra instruction during their 4th grade year. They may begin band
during their 5th grade year. This camp is for students who have not played an instrument
before. Middle school students who have not played before should also sign up.
This is a 1-week camp, which meets Monday-Friday for four hours each day. Students have
two options-- a morning camp, which runs from August 8th-12th and an afternoon camp, which
meets August 15th-19th. Please choose the camp that best fits your schedule.
This is a new format for our beginning program and it will feature many more experiences for
students including, small group lessons, large group rehearsals, music games and activities, and
special performances by community musicians.
Session I-- Monday 8/8 - Friday 8/12 from 8am - 12 noon
Session II-- Monday 8/15 - Friday 8/19 from 12 noon - 4 pm
Students must attend Band and Orchestra Registration on Saturday, April 23rd from
8am-1pm or Wednesday, April 27th from 3:30-6pm at the Beaver Dam High
School. Registration takes about 45 minutes.
You will receive registration information in the mail during the first week of April. If you have
any questions, please contact the instructors listed below.
Orchestra:
Dawn Gaylord
gaylordd@bdusd.org
885-7365 ext. 3125
Band:
Russell Diggins
digginsr@bdusd.org
885-7313 ext. 2184
Kids in the Kitchen
July 25 – August 12, 2016
*Held at Beaver Dam High School Room 216*
Experience a new adventure…..learning to cook! This class will emphasize the fun and discovery of cooking. Topics will
include: kitchen safety, use of equipment and utensils, food selection, nutrition, food preparation, and reading recipes.
Learn to make healthy snacks and mini-meals for your friends and family.
Summer school fees are waived for families that received free/reduced meals during the 2015-2016 school year.
Kids in the Kitchen - Advanced
Kids in the Kitchen I
For students who have previously completed a Kids in the
Kitchen I or II class.
Materials Fee: $7.50
Hrs: 7:30-9:00am
Course #KK101
Location: Beaver Dam High School
Instructor: Sue Shore
Students completing Grades 2-3
Materials Fee: $7.50
Hrs: 9:15-10:45am
Course #KK102
Location: Beaver Dam High School
Instructor: Sue Shore
Kids in the Kitchen II
Students completing Grades 4-5
Materials Fee: $7.50
Hrs: 11:00am-12:45pm
Course #KK103
Location: Beaver Dam High School
Instructor: Sue Shore
Registration for BDUSD Elementary Summer School
All information needs to be completed in order to be registered. The deadline for registration is May 1, 2016. Please
return to your school office. The registration fee is waived if your family received free/reduced meals during the
2015-2016 school year.
Student Last Name
Student First Name
Date of Birth
Race
Gender
Grade 2015-16
School Attending 2015-16
 Male  Female
Address
City, State, Zip (if NOT Beaver Dam)
Parent/Guardian Last Name
Parent/Guardian First Name
Primary Phone
Relationship
Work Phone
Parent/Guardian Last Name
Cell Phone
Parent/Guardian First name
Primary Phone
Relationship
Work Phone
Emergency Contact Name
Cell Phone
Primary Phone
Alternate Phone
My student follows an IEP (Individualized Education Plan) during the school year. Yes □ No □
If a teacher recommended this course, the teacher’s signature is required.
Course #
Course Title
Fee
Teacher Signature
Total
Extended Summer Session Courses – These classes will be held at the High School.



KK101
KK102
KK103
Kids in the Kitchen - Advanced
Kids in the Kitchen I (grades 2 & 3)
Kids in the Kitchen II (grades 4 & 5)
$7.50
$7.50
$7.50
Contact Dawn Gaylord (885-7365 ext. 3125) to register for summer orchestra lessons or Russ Diggins (885-7313 ext.
2184) to register for summer band lessons.
Special scheduling request: _____________________________________________________________________
Make Checks Payable to BDUSD. Total Fees Enclosed $____________
Office Use Only
Date Received: ________
Check #: ___________
Registración para la Escuela de Verano
Toda la información necesita estar completa para poder ser registrada. El plazo para la registración termina el 1 de
mayo, 2015. Please return to your school office. The registration fee is waived if your family received free/reduced
meals during the 2015-2016 school year.
Apellido del Estudiante
Dia de Nacimiento
Nombre
Raza
Sexo
 Masculino
 Femenino
Dirección
Grado Actual
Escuela Actual
Ciudad y Codigo Postal (si no es Beaver Dam)
Nombre de los Padre
Numero del hogar
Numero del Trabajo
Numero del celular
Numero del Trabajo
Numero del celular
Nombre de la Madre
Numero del hogar
Nombre de la persona en caso de Emergencia
Primary Phone
Alternate Phone
Mi estudiante participo en un IEP (Plan de Educación Individual) durante el año escolar. Si □ No □
La firma del maestro/a es necesaria si recomiendan este curso.
Curso #
Titulo del Curso
Fee
Teacher Signature
Total
Cursos de verano extendidos – Estas clases tomaran lugar en la escuela High School.



KK101
KK102
KK103
Kids in the Kitchen - Advanced
Kids in the Kitchen I (grades 2 & 3)
Kids in the Kitchen II (grades 4 & 5)
$7.50
$7.50
$7.50
Contact Dawn Gaylord (885-7365 ext. 3125) to register for summer orchestra lessons or Russ Diggins (885-7313 ext.
2184) to register for summer band lessons.
¿Tiene alguna petición especial? _______________________________________________________________________
Los cheques deben de estar hecho a BDUSD.
Cuotas materiales totales encluidas $_____________
Office Use Only
Date Received: ________
Check #: ___________
Registration for BDUSD Elementary Summer School
All information needs to be completed in order to be registered. The deadline for registration is May 1, 2015. Please
return to your school office. The registration fee is waived if your family received free/reduced meals during the
2015-2016 school year.
Student Last Name
Student First Name
Date of Birth
Race
Gender
Grade 2015-16
School Attending 2015-16
 Male  Female
Address
City, State, Zip (if NOT Beaver Dam)
Parent/Guardian Last Name
Parent/Guardian First Name
Primary Phone
Relationship
Work Phone
Parent/Guardian Last Name
Cell Phone
Parent/Guardian First name
Primary Phone
Relationship
Work Phone
Emergency Contact Name
Cell Phone
Primary Phone
Alternate Phone
My student follows an IEP (Individualized Education Plan) during the school year. Yes □ No □
If a teacher recommended this course, the teacher’s signature is required.
Course #
Course Title
Fee
Teacher Signature
Total
Extended Summer Session Courses – These classes will be held at the High School.



KK101
KK102
KK103
Kids in the Kitchen - Advanced
Kids in the Kitchen I (grades 2 & 3)
Kids in the Kitchen II (grades 4 & 5)
$7.50
$7.50
$7.50
Contact Dawn Gaylord (885-7365 ext. 3125) to register for summer orchestra lessons or Russ Diggins (885-7313 ext.
2184) to register for summer band lessons.
Special scheduling request: _____________________________________________________________________
Make Checks Payable to BDUSD. Total Fees Enclosed $____________
Office Use Only
Date Received: ________
Check #: ___________
Registración para la Escuela de Verano
Toda la información necesita estar completa para poder ser registrada. El plazo para la registración termina el 1 de
mayo, 2015. Please return to your school office. The registration fee is waived if your family received free/reduced
meals during the 2015-2016 school year.
Apellido del Estudiante
Dia de Nacimiento
Nombre
Raza
Sexo
 Masculino
 Femenino
Dirección
Grado Actual
Escuela Actual
Ciudad y Codigo Postal (si no es Beaver Dam)
Nombre de los Padre
Numero del hogar
Numero del Trabajo
Numero del celular
Numero del Trabajo
Numero del celular
Nombre de la Madre
Numero del hogar
Nombre de la persona en caso de Emergencia
Primary Phone
Alternate Phone
Mi estudiante participo en un IEP (Plan de Educación Individual) durante el año escolar. Si □ No □
La firma del maestro/a es necesaria si recomiendan este curso.
Curso #
Titulo del Curso
Fee
Teacher Signature
Total
Cursos de verano extendidos – Estas clases tomaran lugar en la escuela High School.



KK101
KK102
KK103
Kids in the Kitchen - Advanced
Kids in the Kitchen I (grades 2 & 3)
Kids in the Kitchen II (grades 4 & 5)
$7.50
$7.50
$7.50
Contact Dawn Gaylord (885-7365 ext. 3125) to register for summer orchestra lessons or Russ Diggins (885-7313 ext.
2184) to register for summer band lessons.
¿Tiene alguna petición especial? _______________________________________________________________________
Los cheques deben de estar hecho a BDUSD.
Cuotas materiales totales encluidas $_____________
Office Use Only
Date Received: ________
Check #: ___________