Kids College - Midland College

Welcome to Kids‛ College at Midland College!
Session I .............. June 6 - 16
Session II ............. June 20 - 30
KIDS’ COLLEGE is a summer enrichment program for students who will be completing the first through sixth grade this spring.
The curriculum has been developed to offer courses for introduction and enhancement rather than for in-depth study. Every year,
over 1,000 children participate in Kids’ College. The Kids’ College staff is looking forward to a very successful program of fun and
enriching classes.
This year classes will be offered off campus through COM Aquatics, Inc. and at Midland Community Theatre.
At Midland College, three class periods are offered each afternoon, Monday through Thursday, as Midland College is closed on
Friday. Students can spend an hour and a half or the entire afternoon with us. Kids’ College registration will not be taken by phone.
Registration questions can go to the Continuing Education office at (432) 685-4518.
www.midland.edu/kc
Pre-admission Forms
Conduct
In order to register online, pre-admission forms must be
completed and received by the Kids’ College office, prior
to registering online. Pre-admission forms will be accepted
beginning Monday, February 29.
It is preferred that you submit this form electronically at
www.midland.edu/kc or complete in full and return to the
Midland College Continuing Education office located at the
Scharbauer Student Center, Room 214, 3600 N. Garfield or fax
to (432) 685-6412.
Since the purpose of Kids’ College is to provide an enrichment
program, proper standards of conduct are necessary to protect
the health, safety and well-being of all Kids’ College students.
• Behavior that might interfere with the educational process
is unacceptable.
• Students will be respectful of other students and staff.
• Students will be careful with college equipment, property,
and the property of other students.
• Safety of students is our first responsibility. Students MAY
NOT GO ANYWHERE on campus without being
accompanied by a staff member.
• Parents will be contacted if their child is involved in any
unacceptable situations during the day. If you have
been contacted due to unacceptable behavior, you will be
asked to pick up your child.
• Staff members, have the right, at any time, to
exclude any child from activities due to failure or
inability to follow, as directed, any and all rules and/or
policies for participants.
Online Registration
Online registration will increase a student’s chances of getting
into their favorite class(es). The date for online registration is
Wednesday, March 30, at 9:00 a.m. Payment is due at the time
of registration, which will ensure your child will be in the class of
their choice. Lack of payment will result in child being dropped
from course(s).
Walk-in Registration
The date for walk-in registration is Monday, May 23 at the
Continuing Education Office located at the Scharbauer Student
Center, Room 214.
Fee Schedule
Each Kids’ College class is $45 with supply fees that range
from $5 to $30. Prices for COM Aquatics, Midland Community
Theatre will differ.
Students Grade Level
To be eligible for Kids’ College, students must have finished
grades 1st through 6th in school year 2015-2016. No exceptions
will be made.
Refund Policy
Fee(s) will be refunded ONLY if a student withdraws by noon
on the Thursday proceeding the first day of the session (NO
EXCEPTIONS). A $10.00 processing fee will be assessed.
All “Request for Refund” forms may be completed in person
at the Continuing Education office located at the Scharbauer
Student Center, room 214 or by faxing to (432) 685-6412 or by
going online to www.midland.edu/kc. Refunds take up to 30
days to process.
Students risk expulsion from the program if:
• The student steals or is caught stealing another person’s
property.
• Threats of bodily injury.
• Physical contact of any kind.
Health Concerns
Kids’ College Coordinators have completed the requirements
for Standard First Aid, Adult, Child & Infant CPR, Epi-Auto
Injector, and Asthma Inhaler. If you have any concerns regarding
your child’s health, please visit with the Kids’ College Associate
Director at (432) 685-4724. Children with food allergies are
advised not to enroll in a cooking class. During Kids’ College,
if you have an inhaler or Epi pen that you would like to leave in
the Kids’ College office, please contact the CE office PRIOR to
Kids’ College at (432) 685-4518, AFTER Kids’ College,
(432) 686-4242.
Schedules and Name Tags
Since registration is online, Kids’ College will not print and
mail class schedules, therefore, please print a copy of your
child’s schedule at the time of registration. Please make
sure that your child knows their class schedule before attending
Kids’ College.
In case of inclement weather, please keep a copy of this
schedule so you will know the class and building where your
child is located.
Midland ISD is not responsible for, and does not endorse the contents of any non-school literature
that may be distributed on Midland ISD campuses as a service to students and families.
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Children will be given nametags during the first Kids’ College
class. Nametags include a list of classes with room numbers
and building names. Students are encouraged to wear their
nametags for the duration, as this assists the Kids’ College
staff.
Clothing
Students should dress in casual play clothes, with care given
to appropriate clothing for special classes. If your child is in
volleyball, basketball or PE & More, they must wear tennis/
running shoes to participate. Sandals and flip flops are not
allowed on gym floors.
Snack
There will be a break between the second and third classes
to allow for class changes and an organized “group” refreshment
break.
Lost and Found
During Kids’ College, lost and found articles will be located in
the Kids’ College office in Portable Building 7A or call
(432) 686-4242. Kids’ College is not responsible for lost or stolen
items.
T-shirts
Shirts will be given to all students in the 12:40 class on
Tuesday of the second week of each Kids’ College session. If
you are not enrolled in a 12:40 class, please pick up a t-shirt at
the Kids’ College office on the second Wednesday of classes.
The Kids’ College office is located in Portable Building 7A or call
(432) 686-4242. T-shirts cannot be replaced if students lose
them.
We encourage all students to wear their t-shirt on the
last day of classes in each session. If you are enrolled in all
Kids’ College sessions, you will receive one t-shirt during the
first session.
Drop-off/Pick-up
Carpool will be located in the Allison Fine Arts parking lot.
A map is available online at www.midland.edu/kc or at the
Continuing Education office located at the Scharbauer Student
Center, Room 214. Please make sure that your child knows
their schedule. We ask that all children go to carpool and not
wait at other locations on campus. If you must park and pick
up your child, please assist Kids’ College staff and wait for
the flow of traffic to stop before stepping into the line of
traffic. Security is essential to the safety of your children during
Kids’ College and we appreciate your cooperation. Campus
police officers will assist Kids’ College staff with traffic and your
patience and cooperation is appreciated.
Carpool will begin at 12:15 p.m. Staff will not be available
before this time and we ask that you do not leave your child
unattended. Last pick-up of the day will begin as soon as all
children are at the pick-up site, which is usually 5:10 p.m. If you
are late for pick up, please pick up your child at Portable
Building 7A, (432) 686-4242.
Off Campus Locations
COM Aquatics, Inc., 3003 N. “A” Street
For Aquatic camp, students will need to be dropped off and
picked up at COM Aquatics, Inc. A Parent Permission form
must be on file with the Continuing Education office prior to the
first day of class.
Midland Community Theatre (MCT), 2000 W. Wadley
If your child attends Midland Community Theatre in the
morning and plans to attend Kids’ College in the afternoon, a
Parent Permission form must be on file with the Continuing
Education office prior to the first day of class and submitted in
order to ride the bus. Kids can bring a lunch or enroll in the
lunch program. See page 19 for lunch information.
The Department of Continuing Education’s
mission is to provide to the diverse
population of Midland College’s community,
quality, life-long educational opportunities
for professional development and personal
enrichment.
CPCE Location
Scharbauer Student Center, Room 214
(432) 685-4518
(432) 685-6412 (fax)
Office Hours
Monday - Friday
8:00 a.m. - 5:00 p.m.
Summer Office Hours
Monday - Thursday
7:30 a.m. - 5:30 p.m.
Midland College is an equal opportunity employer/educator.
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Table of Contents
Arts & Crafts
Personal
Development
Awesome Origami ................................................................. 5
Bead It! .................................................................................. 5
Cartooning Fun...................................................................... 5
Babysitting ............................................................................. 9
Clay ....................................................................................... 5
Biking with Cops .................................................................... 9
Craft Mania ............................................................................ 5
Computer Crazy .................................................................. 10
Duck Tape Designs ............................................................... 5
Computer Wiz ..................................................................... 10
Fancy Dancy Flip Flops......................................................... 6
Cooking Up a Story! ............................................................ 10
Holiday Crafting ..................................................................... 6
Kids in the Kitchen .............................................................. 10
Molding Masters .................................................................... 6
Painting Extravaganza! ......................................................... 6
Polymer Clay Fantasy ........................................................... 6
Polymer Clay Market ............................................................. 6
Sports
Archery I .............................................................................. 10
Scrapbooking......................................................................... 7
Basketball ............................................................................ 11
Summer Fun Arts & Crafts .................................................... 7
Flag Football........................................................................ 11
Performing Arts
Magic Fun.............................................................................. 7
Communications
Golf ...................................................................................... 11
PE & More ........................................................................... 11
Soccer ................................................................................. 12
Tennis .................................................................................. 12
Volleyball ............................................................................. 12
Wild & Crazy Kids ............................................................... 12
Yoga .................................................................................... 12
Roving Reporter .................................................................... 7
Talking with your Hands ....................................................... 7
Games
Card/Dice/Board Games, Oh My! ........................................ 8
Chess for Beginners ............................................................. 8
Off Campus
Locations
COM Aquatics, Inc. ........................................ 3,15, 16, 17, 18
Midland Community Theatre (MCT) .......................... 3,19, 20
Chess (Intermediate) ............................................................ 8
Secret Codes........................................................................ 8
Science/Math
Grossology ............................................................................ 8
Ooey Gooey Science ............................................................ 8
Pebble Pups .......................................................................... 8
Reptiles & Rodents................................................................ 9
Science Explorers 101 & 102 ............................................... 9
Office Hours
Monday - Friday
8:00 a.m. - 5:00 p.m.
4
Summer Office Hours
Monday - Thursday
7:30 a.m. - 5:30 p.m.
Arts & Crafts
Awesome Origami
Carolyn Allison
Enroll in this fun-filled class and have an awesome time learning
Origami. Origami is the art of Japanese paper folding and
students will form animals and many other items.
Supplies: $15 supply fee.
Session I
5125 153Q (01)
5126 153Q (02)
5127 153Q (03)
Session II
5275 154Q (04)
5276 154Q (05)
5277 154Q (06)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 3 - 6
grades 3 - 6
grades 3 - 6
grades 3 - 6
grades 3 - 6
grades 3 - 6
Bead It!
Crissa Minett
In this beading class students will make pony bead animals,
earrings, charm bracelets, handmade dough beads, jeweled
picture frames, and much more.
Supplies: $15 supply fee.
Session I
5042 153Q (01)
5043 153Q (02)
5044 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
Session II
5214 154Q (04)
5215 154Q (05)
5216 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Clay
Eric Vickery
This course is a hands-on experience for anyone interested in
creating with clay. Each student will be instructed in various
hand building projects using pinch, coil and slab methods.
Texture and colored slip decoration will be emphasized.
Supplies: $15 supply fee.
Session I
5024 153Q (01)
5025 153Q (02)
5026 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 1 - 3
grades 1 - 3
Session II
5226 154Q (04)
5227 154Q (05)
5228 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 1 - 3
grades 1 - 3
Craft Mania
Melissa Johnson
grades 1 - 6
grades 1 - 6
grades 1 - 6
Cartooning Fun
Stan Jacobs
Improve your artistic talents – learn to draw cartoons, make a
flip book and decorate a t-shirt with your favorite cartoon.
Supplies: $15 supply fee, solid white t-shirt.
Session I
5128 153Q (01)
5129 153Q (02)
5130 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 4 - 6
grades 1 - 3
grades 4 - 6
Session II
5258 154Q (04)
5259 154Q (05)
5260 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 4 - 6
grades 1 - 3
grades 4 - 6
Have fun and be creative! Each session offers something
different. Make a new project every day! Come on and join the
fun!
Supplies: $15 supply fee.
Session I
5031 153Q (01)
5032 153Q (02)
5033 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 1 - 3
Session II
5239 154Q (04)
5240 154Q (05)
5241 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 1 - 3
Duck Tape Designs
Kymber Scheible
Making items such as wallets, folders, purses, bracelets and
much, much more out of all kinds of tape! Join the latest fad
and be hip!
Supplies: $20 supply fee.
Session I
5036 153Q (01)
5037 153Q (02)
5038 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
grades 4 - 6
Session II
5245 154Q (04)
5246 154Q (05)
5247 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
grades 4 - 6
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Painting Extravaganza!
Elizabeth Lee & Carmen Ontiveros
In this class, you will paint and design your own drawstring
backpacks, puzzles, face masks, wooden bird houses, ceramic
flower pots, sun catchers and pillowcases.
Supplies: $15 supply fee.
Fancy Dancy Flip Flops
Gloria Skaggs
Turn your inexpensive, ordinary flip flops into a masterpiece with
a few simple supplies. Students will model their flip flops at the
end of each session. Bring two pair of flip flops (new and/or
used) of your own and we will provide a pair as well.
Supplies: $15 supply fee.
Session I
5072 153Q (01)
5073 153Q (02)
5074 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5278 154Q (04)
5279 154Q (05)
5280 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Polymer Clay Fantasy
Hailey Balch
Create fantastic fantasy creatures with polymer clay! Make
great sculptures including unicorns, dragons and holiday icons
that can be given as one-of-a-kind gifts or kept for decoration!
Supplies: $15 supply fee.
Session I
5109 153Q (01)
5110 153Q (02)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
grades 1 - 6
grades 1 - 6
Session I
5111 153Q (01)
5112 153Q (03)
June 6 - 16
12:40 - 2:00 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
Session II
5309 154Q (04)
5310 154Q (05)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
grades 1 - 6
grades 1 - 6
Session II
5261 154Q (04)
5262 154Q (06)
June 20 - 30
12:40 - 2:00 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
Holiday Crafting
Tamara Schulz
Come make crafts for the different holidays, Valentine’s, spring,
Easter, 4th of July, Halloween and Thanksgiving. If you enjoy
being crafty and creative, you will want to come join the fun!
Supplies: $15 supply fee.
Session I
5053 153Q (01)
5054 153Q (02)
5055 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 – 6
Session II
5253 154Q (04)
5254 154Q (05)
5255 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Molding Masters
EW
!
Polymer Clay Market
Cody Allison
Students will explore the art of pouring molds with plaster,
priming and painting their masterpieces.
Supplies: $20 supply fee.
Session I
5134 153Q (01)
5135 153Q (02)
5136 153Q (03)
Session II
5335 154Q (04)
5336 154Q (05)
5337 154Q (06)
6
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June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 2 - 6
grades 2 - 6
grades 2 - 6
grades 2 - 6
grades 2 - 6
grades 2 - 6
Hailey Balch
Form a whole marketplace of cute food charms, mini sculptures
and keychains made from polymer clay! These cute works of
art are perfect for gifts or just wearing them yourself!
Supplies: $15 supply fee.
Session I
5115 153Q (02)
June 6 - 16
2:10 - 3:30 pm
grades 4 - 6
Session II
5271 154Q (05)
June 20 - 30
2:10 - 3:30 pm
grades 4 - 6
Scrapbooking
EW
!
Kristen Brown
Organize your pictures so you can keep the memories forever!!
Supplies: $15 supply fee.
Session I
5131 153Q (01)
5132 153Q (02)
5133 153Q (03)
Session II
5305 154Q (04)
5306 154Q (05)
5307 154Q (06)
N
Communications
Roving Reporter
Clair Adams
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 3 - 6
grades 3 - 6
grades 3 - 6
Students will create a newspaper covering Kids’ College
activities.
Supplies: $15 supply fee.
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 3 - 6
grades 3 - 6
grades 3 - 6
Session II
5331 154Q (04)
5332 154Q (05)
5333 154Q (06)
EW
grades 4 - 6
grades 4 - 6
grades 4 - 6
Talking with your Hands
Summer Fun Arts & Crafts
!
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
Marnie Wortham
EW
!
Amy Stoesser
This class is all about having fun creating arts and crafts with
a summer theme. There will be multiple projects to make and
take home.
Supplies: $15 supply fee.
Learn the sign language alphabet, numbers and basic sign
language. By the end of class, you will be able to fingerspell
simple words and sign simple sentences and phrases. Prepare
for fun!
Session II
5318 154Q (04)
5319 154Q (05)
5320 154Q (06)
Session I
5051 153Q (01)
5052 153Q (02)
N
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Performing Arts
Session II
5219 154Q (04)
5220 154Q (05)
N
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
grades 1 - 6
grades 1 - 6
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
grades 1 - 6
grades 1 - 6
Magic Fun
Jack Pallick (Magic by Jack)
Join this class and learn fun magic tricks! Each day the kids
learn a new trick and they get to keep the tricks. Each session
is different and they will get eight different tricks! After this class,
you will be able to go home and impress your family and friends!
The instructor makes these tricks available for sale because
there is not a magic store located between El Paso and Dallas.
This is PURELY OPTIONAL. If you have any questions, please
feel free to visit with Jack.
Supplies: $25 supply fee.
Session I
5059 153Q (01)
5060 153Q (02)
5061 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5266 154Q (04)
5267 154Q (05)
5268 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
7
Games
Science/Math
Grossology
N
EW
!
Stacey McDaniel
As a beginning grossologist, we will explore the science of
slimy, mushy, oozy, crusty and scaly things. We will do many
hand’s-on experiments.
Supplies: $15 supply fee.
Card Games, Dice Games, Board
Games, Oh My!
Session II
5242 154Q (04)
5244 154Q (05)
June 20- 30
12:40 - 2:00 pm
2:10 - 3:30 pm
grades 1 - 3
grades 1 - 3
Marnie Wortham
Have fun playing games of all kinds, some you know and new
ones too! On the last day, we’ll play for prizes.
Supplies: $10 supply fee.
Session I
5119 153Q (01)
5120 153Q (02)
5121 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Chess for Beginners
Katanna Zachry
This class introduces students to the fundamentals of chess.
They will also learn how to create their own sets.
Supplies: $15 supply fee.
Session I
5023 153Q (01)
June 6 - 16
12:40 - 2:10 pm
grades 3 - 6
Session II
5225 154Q (04)
June 20 - 30
12:40 - 2:10 pm
grades 3 - 6
Chess (Intermediate)
Katanna Zachry
Ooey Gooey Science
Jessica Lujan and Amanda Lee
Get in on the fun and learn science the ooey gooey way! This
hands-on class involves experiences in life, physical and earth
science. You will build, explode, make, and create all the while
getting really ooey gooey!
Supplies: $15 supply fee and some items from home. Supply
list will be available online or in the Continuing Education office.
Students who are already familiar and somewhat experienced
with the game will have the opportunity to increase their skills
with daily practice and participate in a final tournament.
Supplies: $15 supply fee.
Session I
5069 153Q (01)
5070 153Q (02)
5071 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Session I
5022 153Q (02)
June 6 - 16
2:10 – 3:30 pm
grades 4 - 6
Session II
5224 154Q (05)
June 20 - 30
2:10 – 3:30 pm
Session II
5272 154Q (04)
5273 154Q (05)
5274 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
grades 4 - 6
Secret Codes: How to Create and
Decipher
Katanna Zachry
Students will learn how secret codes have been used in history
and how to create and decipher various types of codes.
Supplies: $15 supply fee.
Session I
5014 153Q (03)
June 6 - 16
3:40 - 5:00 pm
Session II
5218 154Q (06)
June 20 - 30
3:40 - 5:00 pm
8
grades 4 - 6
grades 4 - 6
Pebble Pups - Geology 001
Midland Gem & Mineral Society
Experience the fun, facts and fantasy of rocks and minerals.
Learn how rocks are formed and how to identify the more
common types. Start your own rock and mineral collection.
Acquire the basic knowledge and tools to fully appreciate
nature’s treasure. Specimens provided.
Session I
5077 153Q (01)
June 6 - 16
12:40 - 2:00 pm
grades 3 - 6
Session II
5283 154Q (04)
June 20 - 30
12:40 - 2:00 pm
grades 3 - 6
Personal
Development
Babysitting
Kristen Mitchell
Need to earn extra money? This American Red Cross course
will teach you to be a responsible babysitter who understands
children, prevents accidents, and can handle emergencies.
Also, for those students who are 11 or older and successfully
complete all requirements, the Red Cross will present you with
a Certificate of Completion.
Supplies: $30 supply fee for book and Red Cross program fee.
Reptiles & Rodents
Jan McArthur & Veronica Wickham
Don’t go to the zoo. Let the zoo come to you! Have lots
of fun while learning responsible care for some of today’s
most popular pets. In this hands-on class, we will have as
classmates: turtles, tarantulas, hissing roaches, snakes, lizards,
frogs, insects, hedgehogs, rats, mice, hermit crabs and maybe
some surprises!
Supplies: $10 supply fee.
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5284 154Q (04)
5285 154Q (05)
5286 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Science Explorers 101
Sheri Vosburg
The students in this class, will work on science experiments that
are past favorites and some new ones.
Supplies: $20 supply fee.
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 5 - 6
grades 5 - 6
grades 5 - 6
Session II
5205 154Q (04)
5206 154Q (05)
5207 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 5 - 6
grades 5 - 6
grades 5 - 6
Biking with Cops
Midland College Police Department
Session I
5081 153Q (01)
5082 153Q (02)
5083 153Q (03)
Session I
5085 153Q (01)
5086 153Q (02)
5087 153Q (03)
Session I
5004 153Q (01)
5005 153Q (02)
5006 153Q (03)
Staff from the Midland College Police Department will introduce
to students bicycle safety, basic riding techniques and bicycle
maintenance. Students that enroll in this class will be able to
store their bicycle for the two weeks of the class before the Kids’
College session begins.
Supplies: $5 supply fee. Students MUST have a bicycle,
helmet and gloves.
Session I
5257 153Q (02)
June 6 - 16
2:10 - 3:30 pm
grades 4 - 6
Session II
5256 154Q (05)
June 20 - 30
2:10 - 3:30 pm
grades 4 - 6
grades 2 - 6
grades 2 - 6
grades 2 - 6
Science Explorers 102
Sheri Vosburg
Students will work on science experiments as well as taste tests
and learning about marketing strategies that large companies
use to market products.
Supplies: $20 supply fee.
Session II
5288 154Q (04)
5289 154Q (05)
5290 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 2 - 6
grades 2 - 6
grades 2 - 6
9
Personal
Developmentcontinued
Computer Crazy!
EW
Kids in the Kitchen
Brandie Gillette
Students will learn basic cooking skills. We will be preparing
new recipes as well as several favorites from past years.
These recipes are great for kids because they can be safely
made with little help from adults. All of the recipes are EASY
and FUN for the kids to make at home too! Children with food
allergies are advised not to take this course.
Supplies: $15 supply fee.
!
Amy Herring & Rebecca Richardson
Join our class to find out how to do some crazy and fun Web
2.0 apps on the computer. We will make singing groups,
avatars, art, comics, videos and more!
Session I
5056 153Q (01)
5057 153Q (02)
5058 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Session I
5105 153Q (01)
5106 153Q (02)
5107 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
grades 4 - 6
Session II
5263 154Q (04)
5264 154Q (05)
5265 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 1 - 3
grades 4 - 6
Session II
5236 154Q (04)
5237 154Q (05)
5238 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 4 - 6
grades 4 - 6
grades 4 - 6
N
Computer Wiz
Maria Pavon
In this fun interactive class we will teach the basic computer
skills from typing, drawing, creating our own webpage, and
doing online scavenger hunts! There will be a lot of group
work and individual work so the students can learn educational
means and have fun with a computer!
Session II
5230 154Q (04)
5231 154Q (05)
5232 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 3
grades 4 - 6
grades 1 - 3
Cooking Up a Story!
Laura Hymel
Stories, food and fun… oh my! What happens if you give a
mouse a cookie? Or when a froggy bakes a cake? Great stories
will lead us on wonderful cooking adventures! We will cook old
favorites and some new ones too. So run, run, as fast as you
can. We might catch up to the gingerbread man! Children with
food allergies are advised not to take this course.
Supplies: $15 supply fee.
Session I
5028 153Q (01)
5029 153Q (02)
5030 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5233 154Q (04)
5234 154Q (05)
5235 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Sports
Archery I
Clair Adams
In this fun class, you will learn the basics and proper techniques
of shooting a bow and arrow. You will also learn safety, form
and consistency. Students will need eight arrows and a bow
each with their initials or name. Options for the bow can be
found at Academy. Highly recommended bow is the Barnet “Lil
Sioux” Recurve Bow Set ($19.99), or the Barnet “Lil Banshee”
Bow Set ($29.99) or equivalents to these two options. No
Crossbows! Parents, please make sure that the student is able
to pull the bow back comfortably. They will develop/train the
muscle in class, however, too high of poundage (difficulty in
pulling bow back) can result in fatigue and/or strained muscles.
Supplies: Bring your own bow (20-30 lbs.), arrows, an arm
guard, and your own release aid, all marked with your name.
Session I
5001 153Q (01)
5002 153Q (02)
5003 153Q (03)
10
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Basketball
Jada Connally & Megan Powell
Teaching fundamentals of the game of basketball. Fun drills
and skills
Supplies: $5 supply fee. Wear gym shoes, socks and
preferably shorts.
Session I
5010 153Q (01)
5011 153Q (02)
5012 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 2
grades 3 - 4
grades 5 - 6
Session II
5211 154Q (04)
5212 154Q (05)
5213 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 2
grades 3 - 4
grades 5 - 6
Summer Golf
Kristen Murphy
Learn the game of golf including stance and grip, golf swing,
clubs, rules, etiquette and more!
Supplies: $5 supply fee. Bring your own clubs of suitable size
(marked with your name)
Session I
5046 153Q (01)
5047 153Q (02)
5114 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5251 154Q (04)
5252 154Q (05)
5317 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
PE and More
Daisy Narvaez
Come have fun with games and fitness. We will have modified
games, lead-up games and actual games for all ages! Fitness
Fun includes balls, hoops, jump ropes, and scooters, dodge
yarn balls, ball busters and lots more.
Supplies: $5 supply fee.
Flag Football
Curtis Joiner
This class is non-contact football. You will learn the rules and
fundamentals of the game.
Supplies: $5 supply fee.
Session I
5113 153Q (01)
5039 153Q (02)
5040 153Q (03)
June 6 - 16
12:40 – 2:00 pm
2:10 – 3:30 pm
3:40 - 5:00 pm
grades 1 - 2
grades 3 - 4
grades 5 - 6
Session II
5316 154Q (04)
5248 154Q (05)
5249 154Q (06)
June 20 - 30
12:40 – 2:00 pm
2:10 – 3:30 pm
3:40 - 5:00 pm
grades 1 - 2
grades 3 - 4
grades 5 - 6
Session I
5104 153Q (01)
5075 153Q (02)
5076 153Q (03)
June 6 - 16
12:40 – 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5304 154Q (04)
5281 154Q (05)
5282 154Q (06)
June 20 - 30
12:40 – 2:00 pm
2:10 - 3:30 pm
3:40 – 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
11
Sports - continued
Soccer
Ashley Jolly
This class will teach children basic soccer skills, help them
improve on the skills they have already developed, and they
will have the opportunity to play fun and instructional games.
Supplies: $5 supply fee. Wear tennis or soccer shoes, shin
guards, socks and a hat.
Session I
5088 153Q (01)
5089 153Q (02)
5090 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5291 154Q (04)
5292 154Q (05)
5293 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Volleyball
Tennis
Cindy Watts
Learn the basics of the sport, including terms, rules and
proper court etiquette! We will start with the proper grip, move
to forehand and backhand strokes, then volley, serve and
score! Learn about the court lines and the proper stance for
all the strokes. There will be water courtside. You should wear
play clothes, socks and tennis shoes.
Supplies: $5 supply fee. A racket and cap or visor.
Session I
5094 153Q (01)
5095 153Q (02)
5096 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5297 154Q (04)
5298 154Q (05)
5299 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Karen Guerra
Come learn the fundamentals of volleyball: serving, setting,
passing and then participate in games and scrimmages. This
year, this course will be held inside! Come ready to have lots
of FUN!
Supplies: $5 supply fee. Wear tennis shoes. Kneepads are
optional but not necessary.
Session II
5325 154Q (04)
5326 154Q (05)
5327 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Wild & Crazy Kids
Jayde De La Rosa
Almost anything goes! Come join the FUN! Wear old clothes
and bring a towel because you never know what each day will
bring. This class will develop sports skills, self-esteem and most
of all ... the laughter muscles.
Supplies: $5 supply fee.
Session I
5100 153Q (01)
5101 153Q (02)
5102 153Q (03)
June 6 - 16
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Session II
5300 154Q (04)
5301 154Q (05)
5302 154Q (06)
June 20 - 30
12:40 - 2:00 pm
2:10 - 3:30 pm
3:40 - 5:00 pm
grades 1 - 6
grades 1 - 6
grades 1 - 6
Yoga Sanctuary
Anne Lucero
Calming breathing, fluid flowing flexible movement, balance,
posture, focus.
12
Session I
5103 153Q (03)
June 6 - 16
3:40 - 5:00 pm
grades 2 - 6
Session II
5303 154Q (06)
June 20 - 30
3:40 - 5:00 pm
grades 2 - 6
Remember that it‛s really HOT
outside in the summer . . .
so be sure to bring water,
sunscreen & wear a hat or cap
marked with your name!
Kids‛ College Office
Portable Building 7A
X
?
?
?
Questions?
?
?
During Kids’ College
call (432) 685-4518 or (432) 686-4242
?
13
EVERY CHILD GETS A SHIRT!
T-shirts will be given to all students in the 12:40 p.m. class on Tuesday of the second week of each Kids’ College
session. If you are not enrolled in a 12:40 p.m. class, please pick up a t-shirt at the:
KIDS’ COLLEGE OFFICE - Portable Building 7A
(432) 686-4242
on the second Wednesday of classes.
We encourage all students to wear their t-shirts on the last day of classes each session.
If you are enrolled in all Kids’ College sessions, you will receive one t-shirt during the first session.
14
SWIM CAMP AT COM AQUATICS, INC.
3003 North A Street
$180
***Parents: For the following camp, drop-off and pick-up children at COM Aquatics, Inc.***
Our Aquatic Camp offers indoor swimming, diving, rope swing, boats, rafts, noodles, rings and
lots of other games and activities. This camp is activity driven – utilizing four different pools,
gymnastic room and trampolines! COM trained and certified coaches and camp counselors
will introduce your child to the fun and safety of water activities, games, races and much more.
Games and activities are designed to strengthen your child’s swimming and physical skills.
Campers will reenergize with a snack provided by COM.
Swim skills are assessed at the first session by our Professional Coaching Staff. Any camper
needing additional help in the water (i.e., life jackets) will be equipped at that time. This way all
campers can enjoy participating in all the games and water sports. This camp is NOT for nonswimmers, children must be comfortable in the water in order to enjoy camp.
Equipment needed: swimsuit, two towels and goggles
Drop-off starts at 12:45 p.m. at COM. Early drop-offs are not permitted.
Session I
5000 153Q (01)
1:00 - 5:00 pm
June 6 - 16
grades 1 - 6
Session II
5201 154Q (04)
1:00 - 5:00 pm
June 20 - 30
grades 1 - 6
PARENT PERMISSION FORM FOR COM AQUATICS, INC.
My child is enrolled in “Swim Camp at COM Aquatics, Inc.” Session ___ from 1:00 - 5:00 p.m. I agree to drop my
child off at COM by 12:45 pm. I hereby grant permission for my child to participate. I understand that adequate and
appropriate supervision will be provided. I recognize, however, that unanticipated situations and problems can arise
at any time, which situations or problems are not reasonably within the control of the supervising teacher(s) or staff.
In the event of an injury requiring medical attention, I hereby grant permission to the supervising teacher(s) or staff
to attend to my child. If the injury warrants further medical attention, I expect every effort will be made to contact
me to receive my specific authorization before action is taken. If efforts to contact me are unsuccessful, I grant
permission for necessary medical treatment to be given. In addition, I hereby give my permission to the supervising
teacher(s) or staff to take my child to the physician, or to the hospital if an accident or serious illness occurs and I
cannot be located.
Students must agree and abide by the rules of COM Aquatics, Inc. Failure to follow rules can result in expulsion
from the course for the safety of all campers. In the event that student must return to Kids’ College independently for
reasons of health, accident, failure to conform to rules established by the teacher in charge, etc., I agree to accept
full responsibility for and agree to pay the cost of medical care, transportation and other incidental expenses. This
permission slip also serves as a contract that the student and parent(s) understand and agree.
Student Name (please print)
Date
Parent/Guardian (signature)
Home Phone
Work Phone
Cell Phone
15
16
2016 Registration:
Aquatics Camp
Parent’s Name:______________________ Email:___________________
Address: ___________________________________________________
Best Phone Number to Call: ___________________________________
Childs Name:______________________________________DOB______________________________
Childs Name:______________________________________ DOB_____________________________
HEALTH RELEASE
Does your child have any water-related incidents that our instructors need to know about?
_____________________________________________________________________________________
Regarding Participants, please state any current, major illnesses (ADHD, Asthma, CP, Autism, Sensory
Disorders, etc) and/or medications:
____________________________________________________________________________________________________________________________________________
I agree that COM Aquatics, Inc. and the sponsors of any COM Aquatics Inc. event, along with employees, agents,
officers, and directors of these organizations shall not be liable for any injury, property, and damage of property
occurring as a result of my child’s participation except where such loss or damage is the result of intentional or
reckless conduct of one of the organizations or individuals identified above.
I hereby release COM Aquatics, Inc. the staff and/or team representatives from any liabilities for anything that
may happen accidentally or otherwise to my child. As parent/legal guardian I hereby authorize COM Aquatics,
Inc. staff and/or team representatives to seek medical and/or surgical treatment for my child as they deem
necessary for his/her safety.
I understand that if my child misbehaves in a manner that is harmful or disrespect to themselves, staff or fellow
campers he/she will be discharged from camp with no refund and not allowed to return.
Parent/Guardian Signature: ________________________________________
Date:________________________
COM Aquatics Camp Dates: Please put an X next to the dates you are registering for.
June 6 - 16:__________
June 20 -30:______
Sign the back please!
We are unable to offer refunds for any reason
17
2016 Registration:
Aquatics Camp
Aquatics Camp Rules and Discipline Policy
It is our goal to provide the best possible safe and fun environment! This can only be achieved
with the cooperation of the campers and parents. A camper who misbehaves (physically
assaults other students, spits, hits, bites, doesn’t cooperate etc.) will be subject to a timeout. A
repeat of disruptive behavior will result in the student’s removal from the camp activity to be
placed with the director or COM office staff. After a warning at this time the camper may return
to activities. If behavior continues, the child will be sent home for the remainder of the day.
If camper’s behavior is severe and/or could potentially harm them self, another child or staff, the
camper will be immediately removed from the activity and sent home.
Ongoing disruptive behavior can result in the child being dismissed from the entire remainder of
the camp. No refunds given for behavior.
Camper’s Name: ____________________________
--------------------------------------------------------Parent Signature
Photo Release:
___NO do not use my child’s photo in any COM Aquatics Inc. publications.
___YES You may use my child’s photo in any & all of COM Aquatics, Inc. publications.
18
9
Theatre School enrollment is for
students entering grades K - 9th.
Kids’ College is for children that have finished 1st through 6th grades only and is from Monday through Thursday.
Parents: Please drop-off your child/children at Midland Community Theatre at 2000 W. Wadley.
Transportation will be provided by Midland College from MCT only if children are enrolled at Kids’ College. Parents are
responsible for picking up their child/children at MCT if they are not participating in Kids’ College.
Parental Permission Slip for Transportation must accompany registration for this class.
LUNCH PROGRAM FOR MIDLAND COMMUNITY THEATRE
Session I (June 6 - 16)
Bring lunch: $0
Buy lunch: $40
12:00 - 12:30 pm
5065 153Q (01)
5066 153Q (01)
grades 1 - 6
grades 1 - 6
Session II (June 20 - 30)
Bring lunch: $0
Buy lunch: $40
12:00 - 12:30 pm
5269 154Q (04)
5270 154Q (04)
grades 1 - 6
grades 1 - 6
19
PARENT PERMISSION FORM FOR TRANSPORTATION
FROM MIDLAND COMMUNITY THEATRE TO
MIDLAND COLLEGE KIDS‛ COLLEGE
I, the parent/guardian of
, understand that Midland College will
provide transportation from Summer Theatre School at Midland Community Theatre (MCT) to Kids’ College.
My child is enrolled in Summer Theatre School in Kids’ College Session
from 9:00 a.m. - 12:00 p.m. I
agree to drop my child off at MCT by 9:00 a.m. I agree that my child will participate in afternoon classes beginning
at 12:40 p.m. at Kids’ College and I am in accord with the purposes of and procedures governing the trip. I hereby
grant permission for my child to participate. I understand that adequate and appropriate supervision will be provided.
I recognize, however, that unanticipated situations and problems can arise at any time, which situations or problems
are not reasonably within the control of the supervising teacher(s) or staff. I hereby release, absolve, and hold
Midland College harmless with respect to liability in case of injury to my child while participating, including an
accident, during transportation, in Kids’ College activities.
In the event of an injury requiring medical attention, I hereby grant permission to the supervising teacher(s) or staff
to attend to my child. If the injury warrants further medical attention, I expect every effort will be made to contact
me to receive my specific authorization before action is taken. If efforts to contact me are unsuccessful, I grant
permission for necessary medical treatment to be given. In addition, I hereby give my permission to the supervising
teacher(s) or staff to take my child to the physician, or to the hospital if an accident or serious illness occurs on the
trip and I cannot be located.
In the event that a student must return to Kids’ College independently for reasons of health, accident, failure to
conform to rules established by the teacher in charge, etc., I agree to accept full responsibility for and to pay for the
cost of medical care, transportation and other incidental expenses. This permission slip also serves as a contract
that the student and parent(s) understand and agree.
Student Name (please print)
Parent/Guardian (please print)
Date
Parent/Guardian (signature)
Home Phone
Work Phone
Cell Phone
Student’s known allergies or significant medical history:
If the student requires medication, I understand that I will be obligated to ensure that the
medication and the Medication Authorization Form are on record with the Kids’ College staff.
20
Index
Archery I ................................................................... 10
Magic Fun .................................................................. 7
Babysitting ................................................................. 9
Midland Community Theatre ......................... 3, 19, 20
Basketball ................................................................ 11
Molding Masters ........................................................ 6
Bead It ....................................................................... 5
Ooey Gooey Science ................................................. 8
Biking with Cops ........................................................ 9
Origami ...................................................................... 5
Card/Dice/Board Games ........................................... 8
Painting Extravaganza .............................................. 6
Cartooning Fun .......................................................... 5
PE and More ........................................................... 11
Chess ........................................................................ 8
Pebble Pups .............................................................. 8
Clay ........................................................................... 5
Polymer Clay Factory & Market ................................ 6
COM Aquatics, Inc. ........................... 3, 15, 16, 17, 18
Reptiles & Rodents ................................................... 9
Computer Crazy ...................................................... 10
Roving Reporter ........................................................ 7
Computer Wiz .......................................................... 10
Science Explorers 101 & 102 .................................... 9
Cooking Up a Story! ................................................ 10
Scrapbooking ............................................................ 7
Craft Mania ................................................................ 5
Secret Codes ............................................................. 8
Duck Tape Designs ................................................... 5
Soccer ..................................................................... 12
Fancy Dancy Flip Flops ............................................. 6
Summer Fun Arts & Crafts ........................................ 7
Flag Football ............................................................ 11
Talking with your Hands ............................................ 7
Golf .......................................................................... 11
Tennis ...................................................................... 12
Grossology ................................................................ 8
Volleyball ................................................................. 12
Holiday Crafting ......................................................... 6
Wild & Crazy Kids ................................................... 12
Kids in the Kitchen .................................................. 10
Yoga ........................................................................ 12
21
Community Programs Continuing Education
Kids‛ College Request for Refund
Date Prepared:
Prepared By:
Check Payable to:
Mail Refund to:
City:
State
Zip
Student’s Name:
Social Security No.
Student ID:
(for office use only)
Course Name
Refund Amt. $
Course #
Course Name
Refund Amt. $
Course #
Course Name
Refund Amt. $
Course #
Reason For Withdrawal (mandatory)
Parent Signature
Date
Approved
Date
Continuing Education
REFUND POLICY
Fees will be refunded ONLY if a student withdraws by noon on the Thursday proceeding the first day of the session (NO
EXCEPTIONS). A 10.00 processing fee will be assessed. All “Request for Refund” forms may be completed in person at the
Continuing Education office located in the Scharbauer Student Center, room 214 or by faxing to (432) 685-6412 or by going
online to www.midland.edu/kF. Refunds take up to 30 days to process.
Less processing fee:
22
CE office use only
Total refund:
Kids‛ College Pre-Admission 2016
It is preferred that you submit this form electronically at www.midland.edu/kc or complete in full and return to the Continuing Education Office
located at the Scharbauer Student Center, Room 214, 3600 N. Garfield, Midland, Texas 79705, or fax to (432) 685-6412.
Social Security Number
Students will not be enrolled without their social security number.
Last name
First name
Middle initial
Local address: Street
City
State
Date of birth
Age
Zip
Sex
Ethnicity (please circle one): White
Home phone
Grade completing now (must be in grade
1 - 6 in 2015 - 2016 school year)
Black
Hispanic
Have you attended Kids’ College before? Yes No
Asian
Other
When?
Parent/Guardian
Parent/Guardian
Name
Name
Day phone
Day phone
Cell phone
Cell phone
Email
Email
Tee shirt size:
American Indian
Child Large
Adult Medium
Adult XL
Be sure to order largest possible size; these shirts will probably run small and student must accept the size ordered.
Emergency Release Form
If I cannot be reached to make plans for emergency medical care for my child at the time of an illness or accident,
I,
give permission for Midland College staff to take my child,
to:
or
(Name of doctor)
(Name of hospital)
(Phone number of doctor)
(Phone number of hospital)
Student’s known allergies or significant medical history:
I do hereby release, absolve, and hold Midland College harmless with respect to liability in case of injury to
my child while participating in Kids’ College activities.
Midland College takes photographs of Kids’ College activities for use in its publications, advertising and
website to promote the Kids’ College program and Midland College in general. If you do not want your child’s
pictures to be included in any of these promotional pictures, please designate as such.
OK to include child in pictures
Please do NOT include my child in pictures
Refund policy: Class fees will be refunded only if a student withdraws by noon on the Thursday preceding
the first day of the session (No Exceptions). A $10 processing fee will be assessed.
Parent/Guardian’s signature
Date
Midland College is an equal opportunity employer/educator.
23
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