Newsletter Elementary - Rockwood School District

A Message from the Principal
April. 2010
Newsletter
Dear Kellison Families,
It is hard to believe I am typing up the April issue of our newsletter… this year has flown by!
We have 2 more months together and it will “take teamwork” to be sure that each and every day is productive and that all of our events are supported. When spring time comes, everyone tends to shift to
the “downhill from here” mentality but we still have lots to accomplish in order to have a successful
conclusion to the school year.
I want to take this issue to stress an important shift in our communication between home and
school. Effective next year, our first line of communication will be our website. The district has
conducted numerous workshops to help each school get the new websites up and running. We have
already begun to try our best to put more information in our calendar, in the Announcement column,
and the Upcoming events column. The expectation and hope is that the website is THE source that
parents use to seek information rather than a school newsletter. Basically it was discussed in the trainings that all section of the newsletter can (or will be) found on the website. Both sources are somewhat
of an overload (we send it now electronically) and we need to “train” our parents that going to the website is THE place to go. A handful of schools have already stopped sending monthly newsletter and
just enter the information that would be going into it on their website. I plan to still do a “back to
school” newsletter filled with all the important start of the year items as well as on-going year long
items. I encourage you to begin this “shift” and bookmark the following website into your favorites so
you can go check it out regularly. http://www.rockwood.k12.mo.us/kellison/Pages/default.aspx
The election is here… TUESDAY, APRIL 6TH and PROP 5 IS ON THE BALLOT! Thanks to
all our parent leaders for your help in contacting parents. All of the information including the Kellison
project list is on the district web site. Please be sure to vote!
As we do each year, the staff works collaboratively each spring to begin creating new class lists
for the next school year. I invite you to think about the needs of your child/ren and the learning environment that best supports his/her style. Included in this issue (as an attachment) is the form (optional of
course) that I will accept for parental input. Please complete the form and return it to school by Friday,
April 23. Your information is one of numerous factors that are taken into consideration in the development of class placement. Please do NOT request a specific teacher by name. Teacher assignments will
be shared in the summer via a newsletter as in year’s past (mailed out mid to end of July).
I end with a reminder to one of my favorite events of the year… our VOLUNTEER APPRECIACTION BREAKFAST. Invitations will be coming home soon to honor and recognize our awesome
parents for ALL their time and hard work to help make Kellison successful. The event is on Friday,
April 23rd at 9:00 am.
Looking forward to our next 2 busy months together! Happy Spring!
Elementary
UPCOMING DATES
APRIL
1
2/5
6
6
7
15
16
21
23
23
24/25
28
Early Release/Grandparents Day
No School
Restaurant Night at Culvers
Remember to Vote!
Librarian/Para Prof/Support Staff Day
Power of Purple Day (wear purple)
Movie Night 6:30pm
Secretary Day
Volunteer Appreciation Day
Future Falcon Fun Night for 5th grade
District Art Show
Spring String Concert
INSIDE THIS ISSUE








Staff Development/Early Release
Kindergarten Registration
Notes from the Nurse
2010 ROSE Award Ceremony
Special Thanks
Accelerated Reading
Mountain Gorillas
Strategies for Changing Bullying Behaviors
Dr. Tracy Edwards, Principal edwardstracy@rockwood.k12.mo.us
Suzanne DuPree, Assistant Principal dupreesuzanne@rockwood.k12.mo.us
1626 Hawkins Road Fenton, MO 63026 Phone (636) 861-7760 Fax (636) 861-7761
STAFF DEVELOPMENT/EARLY RELEASE
CHARACTER TRAIT OF THE MONTH (April)
Please note the remaining 09-10 Early Dismissal
Days: April 1, and May 6. Lunch will be provided
for students before dismissal at 12:08.
DID YOU KNOW…..?
A student who is 10 minutes late to school everyday
will miss a total of 30 hours of instruction during the
school year!
Patience—Waiting Calmly.
KINDERGARTEN REGISTRATION
Children MUST be 5 years old as of July
31st per Missouri’s guideline for entrance
to Kindergarten. There are no “early entrant” exceptions. Parents will have the
two options for their child’s first elementary school
experience. A fee-based full-day kindergarten program along with the half-day program will be offered. For more information about the fee-based
kindergarten program, please visit the Rockwood
Web site at: www.rockwood.k12.mo.us. If you
missed our Kindergarten registration in February,
please call the school to make an appointment.
ADVENTURE CLUB
ALUMINUM TABS—Adventure club is asking all
parents to donate aluminum tabs (from soda cans,
fruit cups, etc.) to the school. The collected tabs
will be turned in to help and little boy in Eureka who
is on dialysis.
SPECIAL THANKS

Thank you to PSO and all the parents for the
awesome dinners you provided for us during
conferences. They were so good and we enjoyed
them! Thank you also for the free book during
the book fair. You take very good care of us and
we really appreciate it! Kellison Teachers and
Staff

Thank you to the parents who were able to help
us out on our Powder Valley field trip...and an
extra thank you to those of you who where brave
enough to play the “Predator-Prey” games with
us. The Fifth Grade Team
NOTES FROM THE NURSE
To 5th grade parents: Just a reminder that a physical
is required upon entering 6th grade. Forms have
been sent home already or you can see the nurse.
2010 ROSE AWARD CEREMONY
Sunday, May 2, 2010 4:00 p.m. at the Doubletree
Hotel St. Louis at Westport. Cost is $25 a guest
(payable to Rockwood Communications).
Celebrating Kellison Staff...hope you can celebrate
on this date!
 Thank you for allowing your child to lead our
 Retirees—Terrill Morrow
conferences and share with you an honest and
 Kellison Teacher of the Year for 2010-11
reflective view of his/her progress. Miss
Mrs. Anne Reed!
Winkler
The complete list is on the district website. Reservations are being accepted at this time. In keeping
 Thank you to Melissa Findley and Nancy
with tradition so that all Kellison tables can be
Findley for their organization and dedication to
placed together, please drop reservation off with
Club HOPE and for making the club so special
Diana Ippolito in the office. Our reservations will
for the kids each month. Mrs. DuPree
be mailed in on time and together by April 9th.
ACCELERATED READING
Congratulations to the many students who were recognized at our Third Quarter Rally for reaching their
AR Goals. Keep up the good work and keep reading!
The following students achieved at least 50% of their AR goal during the Third Quarter:
Muna Haji
Aaron Ford
Carsen Terrell
Morgan Oberkramer
Raegan Calvert
Amber Nguyen
Lucky Asker
Jessica Dempsey
Mikayla Shy
Jessi Castile
Bryce Edwards
Makaila Passanise
Katie Winters
Dylan Jewell
Zach Amrtin
Brandon Richard
Alec Jensen
Alexia Scheel
Mitchel Eversman
Deanna Simon
Alex Davidson
Jakia Hooten
Lexi Tracy
Hayley McCready
Demetri Lomnick
An Phan
Connor Brickler
Olivia Loeffler
Madison Lindsey
Ethan Groves
Ciya Watson
Cedric Johnson
Amber Turner
Jenna Roach
Daniel McDonald
Jarrone Weston
Julian McDonald
Conor Moran
Luke Streeter
Colin Cotter
Cory Campbell
Isabelle Moses
Camaron Palmer-Benson
Adam Schnetgoecke
Fatema Khwaja Frootan
Olivia Holgate
Justin Chern
Delilah Sayer
Kevin Winston
Kody Barks
Olivia Moses
Jake Thomas
Kelli Fink
The following students achieved at least 100% of their AR goal during the Third Quarter:
FIRST GRADE:
Ethan Brazzle
Gauge Cardenas
Ashley Chung
Colleen Crawford
Jimmy Davidson
Zack Dodd
Meghan Hubbard
Mackenzie Jensen
Joshua Keil
Adam Kneer
Noah Marquitz
Lydia Martin
Abbey McCready
Brad Patrick
Madison Willard
Zane Cisco
Alexia Collins
Sophie Droppelmann D.J. Glandt
Joshua Kundere
Emma Lutzenberger Julia Maret
Jacob Marre’
Madison Mayo
Jaden Miller
Justin Mosley
Isaac Opoku
Hailee Patton
Dillon Prater
Lenore Sayer
Laura Schnettgoecke Conner Winkle
Kylie Woodard
Michael Fanz
Declan Coady
Ashley Glick
Ashley Grothaus
Jackson Hoekstra
Keyon Johnson
Maggie Knox
Paige McGrady
Cayce Rose
Justin Stange
Madison Sutton
Kennedy Thuet
Kyle Whitlow
James Wiley
Cameryn Wolf
Calvin Yan
Drew Findley
Paige Kelley
Colin Kirkendall
Lydia Peters
Mikayla Wallach
Joel Prange
Reece Rounsefel
Tyler Strong
Michael Tracy
Kyle Trombly
SECOND GRADE:
Robert Stellmach
Martrell Cates
Amanda Cunningham Grace Evans
Maddie Hendrickson Rishi Inja
Seth McDuffie
Khadro Mohamed
Casey Taylor
Christina Valentino
Sam Gianino
Gabrielle Graham
Christopher Collier
Lydia Harris
Michael Lane
Jordyn Rice
Caleb Watson
Lukas Hummel
McKenna Cowie
Britton Hatch
Cameron McBride
Jack Schiffhauer
Rhythm Garg
Cory Iannazzo
SECOND GRADE continued
Trisha Kandadi
Donovan Owens
Amina Osman
Ethan Other
Alexis Rotter
Olivia Sander
Laurel Scott
Megan Wiley
Julianna Cotter
Nolan Fulsom
Lucas Ladousier
Sarah Martin
Alyssa Fanz
Desean Preyer
Noah Roberts
Tessa Schneider
Nathan Beaton
Neil Cerrato
Sabrina Gregory
Erin Griffin
Andrew Kientzel
Lily Koppel
Matthew O’Hara
Will Pollman
Taylor Strong
Cameron Owens
Andrew Klump
Andrew Koutsogianni
Sam Booher
Ryan Roach
Amber Schade
Gabriel Schoenberger
Justin Barozinsky
Troy Bushur
Matt Garnatz
Lexi Hamburg
Mark Moser
Caden O’Bannon
Toby Richards
Erin Richardson
Jonathan Thomas
Hannah Zoll
Noah Diffley
Joseph Freeman
Charles Jackson
Eddie Jensen
Madelyn Mayer
Logan Messenger
Mackenzie Richars Jake Ryan
Olivia Staples-Sissom
THIRD GRADE:
Alayna Barthelmass
Jaden Froeckmann
Grace Joiner
Bobby Lowe
Trevor Schlueter
Susanna Ennenbach
Justin Hemphill
Mallory Kuepfert
Imani Peterkin
Cora Spray
Kylee Digar
Ashley Kelley
Luke Stange
Jaylen Cotton
Catherine Glick
Jennifer Jones
Ben Prange
Hannah Wahle
Isabella Eslick
Tessa Holgate
Julia Lutzenberger
Shelbie Prater
Maxwell Yu
Tyler Harris
Amaya Mercado
Robby Weber
Alli Davis
Evan Groninger
Sarah Laaker
Abby Rios
Drew Abfall
Jack Greco
Alec Kneer
Nathan Ohlau
Jared Rueter
Sarah Allender
Kacy Hobart
Connor Pepin
Sarah Dubois
Snigdha Jilakara
Somark Lenka
Alyssa Schweiger
Yasmin Adam
Jack Hale
Lindsey Kuebler
Emma Opoku
David Scherrer
Andrew Berry
Sathvika Jang
Kali Schiffhauer
FOURTH GRADE
Caroline Bundschuh
Nathan Ganley
Madelaine Orth
Tommy Weber
Brianna Eller
Matt Koenig
Amanda Miller
Zoe Richard
Rachel Trokey
Aidan Driggs
Troy Johnson
Kaitlyn Ningen
Erika Wallach
Hennen Scott
Allie Watson
Nathan Cowie
Corey Goede
Nicole Schade
Jack Widiger
Nathan Fanz
Daphne LaPlante
India Moore
Alec Stefanowicz
Kendall Barozinsky
Nick Hampton
Dustin Jones
Joey Nordman-Ray
Kenny Collier
Juliana Sherman
Amelia Wood
Rachel Ely
Javion Golden
Amy Tang
Danny Bright
Billy Hency
Patrick McDonald
Amanda Ohlau
Ben Tallin
Serenity Cardenas
Ava Stueber
Noah Juelfs
Stephen Paley
Connor Martin
Taylor Thurby
Sarah Faust
Kelly Harmon
Ashley Taylor
Preston Davis
Hannah Juelfs
Nathan Mecey
Khiem Phan
Taylor Thuet
Ashley Davis
Brittany Johnson
Steven Mitchell
Alexandria Park
Grace McGuirk
Jimmy Walker
FIFTH GRADE
Tanner Fokkens
Kyle McGrady
Emma Prange
Ben Siems
India Cooper
Margaret Manning
Jenna Szczeblewski
Traci Bushur
Lauren Davis
Kim Koutsogiannis
Sophia Stickland
Matthew Cline
Brock Hamburg
Marissa Richars
Connor Griffin
Mackenzie Pepin
Abby Richardson
Bonnie Stefanowicz
Brittany Cotton
John Massara
Rebecca Vanmeter
Sophia Carter
Abby Faust
Gabrielle Marchetto
Ethan Wahle
Katlyn Day
Jacob Laaker
Franklin Ruzicka
Tiffany Johnson
Kylie Lee
Meghan Perry
Mitchell Peters
Jessica Ryan
Allie Seymour
Jordan Taylor
Blake Barthelmass
Bennett Diffley
Adam Froeckman
Rachel Sneed
Nicholas Schoenberger
Matthew Witzofsky Joe Brooks
Jessica Cunningham Kevin Davis
Kenny Kleiman
Jessie Kuebler
Shane McDuffie
Brad Scherrer
Madison Bruce
Jecay Chan
Sydney Droppelmann Bennett Fulsom
Sarah McGinnis
Gabi Pacino
Ross Toombs
MOUNTAIN GORILLAS
For the 6th year in a row the 5th grade Reading Intervention Students of Kellison Elementary in Fenton will
be raising money to help mountain gorillas in Rwanda. In 2005, after reading the book, Mountain Gorillas
in Danger by Rita Ritchie, the students wanted to do something to help mountain gorillas who are in danger of becoming extinct. The students sold multi-color bracelets and raised money to adopt a mother and
her baby. This is made possible through the Dian Fossey Gorilla Fund. The money provides care and
medical treatment, if needed, for gorillas in the wild. Once again our students would like to help keep this
species alive. The students will be selling the bracelets again for this special cause This year we would love
to donate our money in memory of our 5th grader, Jessie Kuebler. Jessie was looking forward to this special
event and we thought it would be fitting to adopt our gorilla (s) in her memory! In a couple of weeks a note
will be coming home with the exact dates. Their teachers, Mrs. Emma Cradock, Mrs. Lisa Lennon, and
Mrs. Marilyn Jones are very proud of these students.
DISTRICT SCIENCE OLYMPICS & EXPO
Congratulations to our Kellison kids for a really great job in being good sports and having fun with the
Olympic Events. Students are bringing home a ribbon for their participation in events. Thank you parents,
for your encouragement! We enjoyed helping our Kellison kids have fun with science! Thank you for volunteering at events, Mr. Moran, Mr. Griffin, Conor Griffin, Mrs. Fulsom and Mrs. Davis. Kellison always
comes through with sending event volunteers each year. The Rockwood Science Department knows how
big of a support Kellison is in the area of science curriculum. We appreciate the help on this big day for
the kids! Mrs. Pace & Mrs. DuPree
Quiz Bowl Stats:
First Place school was Ellisville.
Second Place school was Eureka.
Third Place school was Babler.
Kellison, Quiz Bowl Team #1
Connor Brickler
Ethan Wahle
Mary Valentino
Kelli Fink
Alternate: Tiffany Johnson
This team won their first round game!
Kellison, Quiz Bowl Team #2
Sonja Spurling
Jenna Szczeblewski
Shane McDuffie
Cole Beck
Alternate: Kameron Cockrell
Roller Coaster Event
Alex Kneer
Connor Pepin
Luke Stange-1st Place (TOP 10)
Justin Stange-1st Place (TOP 10)
Bottle Rocket Event
Adam Froekmann
Barge Building Event
Adam Froekmann
Somark Lenka
Ashley Davis
Conor Moran
Can Race Event
Gabrielle Marchetto
Zachary Bodmer
Egg Drop Event
Jessica Ryan
Hayley McCready
Gabrielle Marchetto
Ashley Davis
Luke Stange
Shane McDuffie
Take Flight Event
Ashley Davis
Adam Froeckmann
Conor Moran
Somark Lenka-2nd Place!
STRATEGIES FOR CHANGING BULLYING BEHAVIORS
Kansas Bullying Prevention—Randy J. Wiler, Director
Stages of Change
Denial-“I didn’t do anything.”
Externalizing-“I did something but it wasn’t my
fault.”
Minimizing-“I did a little something.”
Accepting consequences-“I got punished because I broke a rule, called names, hit someone, or started a rumor.”
Accepting the negative effects of behavior on
Follow-Up…
others-“I hurt Joe when I called him xyz.”
Talk separately with the children who bully and
the victim
Begin by talking with the victim, then with the Meetings with children who Bully
Ask another adult to be present, if necessary
children who bully
Talk with the children who bully separately in
Impose consequences
rapid sequence
Report the incident to colleagues
Begin with the “followers” if more than one
Talk with the students’ parents
child is bullying
Follow-up with parties later
Plan a follow-up meeting
Meetings with Victims of bullying
Try to put the child at ease
Follow-Up
Talk separately with the children who bully and
Collect information about the incident
the victim
Encourage the child to express his or her emoBegin by talking with the victim, then with the
tions
children who bully
Provide support & encouragement
Impose consequences for the bullying behavior
Discuss a safety plan
Report the incident to colleagues
Inform the child of your intended actions with
Talk with the students’ parents
the children who bully
Follow-up with parties later
Have the child agree to report future bullying
Gauge the child’s distress and refer to a counselor if necessary
Effective Questioning
Externalizing-“His stomach hit my foot.”
Plan a follow-up meeting
Minimizing-“She wasn’t hurt…she didn’t go to
the doctor.”
Common defenses from children who bully
Have them be more specific about what they did.
Denial
Accepting Responsibility-“I didn’t do anything
Minimizing one’s involvement
wrong.”
Blaming the victim
Say: “Did someone get hurt?”
“What was wrong with what you did?”
“How do you know what you did was wrong?”
Investigation, Assignment of consequences, and
Reflection equals lower rates of repeated aggression.
The “Teachable Moment”
Stop the bullying
Support the victim
Name the behavior as “bullying”
Refer to the school rules
Empower the bystander
Impose immediate consequences
2010-2011 Student Profile for
Teacher Placement Assistance
This form is meant to assist the administration when dividing this year’s classes into new groups for the
2010-11 school year. This is an OPTIONAL form for you to complete. Please do NOT put any specific
teacher’s name.
If you choose to complete this form, please return it to Dr. Edwards by April 23, 2010. These profile
sheets will then be distributed to each grade level team as they make placement decisions. Please note that
your letter is but one factor in determining class placement.
Child’s Name__________________________________________________________________________
Present teacher/Grade____________________________________________________________________
Please describe:
Your child’s learning styles, special needs, etc.:
Characteristics of a “good match” teacher for your child:
Special concerns/health considerations:
Parent/Guardian Signature:_______________________________________ Date:___________________
?? Leaving Kellison Elementary??
If you know that your child(ren) will NOT be attending Kellison in the fall, please
take a moment to complete the bottom portion of this flyer and return it to the
school office by Friday, April 23rd.
By providing us with this information early, you help us in our efforts to plan for
next year. Many decisions are contingent on enrolling (ordering materials and
supplies, student placement) so your help in this matter is greatly appreciated.
My child(ren) will NOT be returning to Kellison in the fall.
Child’s Name
Current Grade
We will be moving to:
Parent Signature
Date
District News
April 2010
Rockwood District Art Show
You are invited to the Rockwood Art Show:
Date: April 24-25
Time: Noon to 3:30 p.m.
Location: Wildwood Middle School located at
17401 Manchester Road
A $55 million, no-tax increase bond issue is on the April 6
ballot. The Board of Education voted unanimously to seek voter
approval for the proposition.
The decision followed months of study and recommendations
from the Bond Issue Committee, a 50-member group comprised
of a parent representative from each school, along with
community members and staff. The committee reviewed school
building needs throughout the 150 square miles of the district.
At the exhibit, more than 6,900 student artists
will demonstrate their skills. While exploring the
artwork on display, children are encouraged to get
their face painted, participate in chalk painting
and enjoy the fun!
When is the election?
Tuesday, April 6, 2010. Polls are open 6 a.m. to 7 p.m.
Where can I vote?
Registered voters will receive postcards from the Election Office
designating the polling place for the voter. In addition, you can
find your polling place at www.stlouisco.com/scripts/elections.
How many “Yes” votes are required for the passage of the
bond issue?
The Constitution of the State of Missouri requires a
four-sevenths (57.14 percent) majority for passage.
Where can I find Prop 5 information?
Visit the Rockwood Web site or your school Web site:
www.rockwood.k12.mo.us/prop5.
How will Prop 5 appear on the ballot?
Shall the Rockwood R-6 School District, St. Louis County, Missouri, issue its general obligation bonds in the amount
of Fifty-five Million Dollars ($55,000,000) for the purpose of acquiring, constructing, renovating, repairing,
improving, furnishing and equipping school sites, buildings and related facilities in the District, including
(1) safety measures and infrastructure, (2) maintenance of current facilities by continuing to fund major capital
repairs and improvements, (3) additions for classrooms, (4) renovations for instructional areas,
and (5) technology infrastructure and classroom technology, resulting in no estimated increase
in the debt service property tax levy? If this proposition is approved, the adjusted debt service
levy of the school district is estimated to remain unchanged at sixty-eight cents ($0.68) per
one hundred dollars assessed valuation of real and personal property.
Child Nutrition Services/Warehouse
Carmen Fischer, MS, RD, LD
17146 Manchester RD
Director
Wildwood, MO 63040-1001
(636) 733-3250
Growing Together,
Learning for Life
(636) 458-7282 Fax
TO:
Elementary School Principals
FROM:
Carmen Fischer, R.D., L.D.
DATE:
March 23, 2010
RE:
End of Year Procedures for Meal Accounts
PLEASE INCLUDE THE FOLLOWING INFORMATION IN YOUR NEWSLETTER FOR STUDENTS,
PARENTS AND STAFF:
As the end of the school year approaches, Child Nutrition Services is implementing procedures for negative meal
account balances. Students and staff will not be allowed to charge a meal after
Friday, April 30, 2010. Beginning Monday, May 3, if a student does not have adequate funds or has a negative
meal account balance, an alternative entrée of a cheese or tuna sandwich will be offered to the student.
All balances left at the end of the school year will automatically be carried forward for students continuing in any
Rockwood School. If a student moves out of the school district, a refund can be requested. The parent/guardian
may request a refund by phone call or a written note to the cafeteria managers. If the parent/guardian chooses to
have a student pick up a cash refund for an amount less that $10.00, a signed note must be sent to the cafeteria
manager giving the student permission to receive the refund. Refunds over $10.00 will be issued by check from
the Rockwood School District.
Thank you for your assistance.
Reebok Jr. Falcons Feeder Basketball Club
Who are the Jr. Falcons?
We are the feeder basketball team for players planning to attend Rockwood Summit
High School offering players a more competitive environment than any recreational
league to enhance their skills.
Who
can
play?
th
th
4 – 8 grade boys
We are developing teams now for the spring.
Open Practices: Thursday March 25th
AT
Rockwood Summit High.
For more information regarding the Cavs,
call or email Mark McGinty
sportsimpact@yahoo.com
314-458-6322
FENTON JR. FALCONS BASKETBALL CLUB IS THE FEEDER PROGRAM FOR SUMMIT HIGH SCHOOL
Reebok Jr. Falcons Basketball Club
101 W. Argonne Rd, # 146, Kirkwood MO 63122
phone: 314-458-6322 email: sportsimpact@yahoo.com website: www.fentoncavaliers.com
Camp Date: Monday July 5 - Thursday July 8 2010
Time: 4 PM to 6:30 PM
Who: All boys entering 3rd-9th Grade (suggested)
9TH Grade Practice to be held separate
Where: Rockwood Summit High School Wrestling Room
Fees: $40 by June 1st and $45 after or at door
What to Bring:
Required: Work out gear (gym shirt, shorts, wrestling or tennis shoes)
Positive attitude ready to learn, work and have fun
Optional: Wrestling headgear, thermos for water or sports drink
Tear off and send bottom portion w/ payment to address listed below
I hereby authorize the director of Future Falcon Camp of Champions to act for me according to
their best judgment in an emergency requiring medical attention. I know of no mental or physical
problems which may affect my child’s ability to safely participate in this camp. I have adequate
medical/accidental insurance to cover my child(ren).
PARENT NAME:_________________________ ATHLETE NAME_______________
ADDRESS:______________________________ SCHOOL ATTENDING:__________
PHONE (H)__________________
(W)______________
(Cell)____________
This wrestling camp is a non-contact camp by definition. However, it is impossible for all
contact to be avoided. Therefore, you as parents and participants are being notified of the fact
that the possibility of injury does exist. Please be assured we will take all necessary precautions
to reduce the risk of injury to the athletes. In order for your athlete to participate, you must
acknowledge your understanding of the risk factor.
_______________________
Signature of Parent
_______________________
Signature of Athlete
_____________
Date
*Please fill in all family members attending the Future Falcon Camp of Champions
*Multiple family members camp fee is ½ price!!!! ($20)
Name (first & last)
Upcoming
Grade
Weight -Estimate
SORRY NO REFUNDS WILL BE GIVEN
No. of kids attending:_______ X $40=_______
Siblings
Total:__________
Wrestling
Experience (yrs)
T-shirt size (Mens)
Checks payable to Summit Wrestling
Mail check and form to:
_______ X $20=________
Rockwood Summit Wrestling
1780 Hawkins Rd.
Fenton, Mo 63026 Attn: Brent Batcheller
FRIENDS OF SUMMIT WRESTLING
TRIVIA NIGHT
AT ANDRE’S WEST – FENTON
Hosted by the
FALCON WRESTLING BOOSTERS
Directions:
Old Town Fenton
211 Old South Hwy 141
½ mile from Gravois Rd
And Highway 141
Come Support Your Suburban
South Conference Champion
Falcons! This event will sell out
fast! Get your table now!
WHEN:
FRIDAY AUGUST 6, 2010
7:00PM TO 10:30PM
DOORS OPEN 6:30PM!
WHAT:
TABLES OF 8
FOUR HOURS OF OPEN BAR
Chicken Marsala, Salad, Bread, Pasta
COST:
ONLY $25 PER PERSON OR $200 PER TABLE!
WHY:
WORTH THE PRICE OF ADMISSION ALONE, PLUS YOU
ARE HELPING THE FALCONS ACHIEVE THEIR GOALS
MUST BE 21 TO PLAY OR WITH RESPONSIBLE ADULT
TRIVIA ROUND SPONSORS AND RAFFLE/AUCTION ITEMS ARE ALSO
WELCOME! Please denote below.
------------------------------------------------------------------------------------------------------------------REGISTRATION FORM – TEAR OFF ABOVE AND SEND BY JULY 24 WITH PAYMENT
Names:
1._____________________
5._______________________
Contact Person Phone #
2._____________________
6._______________________
________________________
3._____________________
7. _______________________
4._____________________
8. _______________________
Contact Person E-mail
_______________________
Round Sponsor ($25) ____________________________ (Business name and attach card/coupons, etc.)
Raffle/Auction Items (please list) ______________________________________________________________
______________________________________________________________________
Send with check made payable to Falcon Wrestling Boosters; mail to:
Suzanne Baer/1835 Alvarado Dr/Fenton/MO/63026/phone#636.349.9043
Questions? batchellerbrent@rockwood.k12.mo.us or 314.520.2712
Partial Tables will be
combined with others.
Office Use Only:
Check # ____________
Amount Paid: ________