No School!
“What do I do With My Children?”
During various times of the school year, the Deerfield School District will not be open for school. Many of you are wondering what to do with your children while you are at work. To help your family out the Deerfield Community Center will be holding a mini School’s Out Club. This program will provide a safe, structured and supervised environment for children in Kindergarten through 6th grade. If you have any further questions regarding the program contact DCC Staff at 764-5935.
When: The club will meet on the following dates:
Sept. 21, Oct. 25 & 26, Nov. 21, Jan. 25, Feb. 22, and April 11.
Times: On days that there is no school the club will be open
from 8:00-3:00pm.
When there is an 11:00am early dismissal camp will run from
11:00-3:00pm. Center staff will meet students at the doors
near the playgrounds and escort them back to the center.
Where: Deerfield Community Center
Grades: Kindergarten – 6th Grade
Cost: $12.00 per child per day - Maximum $24.00 per family per day
Meals: Children will need to have breakfast before attending the
program, each child will need to bring their own sack lunch,
the center will provide an afternoon snack.
Registration: Please fill out the registration form on the back and
return it to the Deerfield Community Center by
Thursday, September 13, 2007.
*** All fees must accompany the registration sheet. ***
School’s Out Club
One form per child
Participants Name: _________________________________________ Age: _____ Grade: _____
Mailing Address: ____________________________ City: _____________________ Zip: _____
Parent/Guardian(s) Name: _________________________________________________________
Home Phone: _______________ Work Phone: _______________ Cell Phone: ______________
Medical Concerns/Allergies: _______________________________________________________
Emergency Contact: __________________________________ Phone: _____________________
(In case the parent/guardian cannot be reached)
Check only the dates your child will be attending:
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Sept. 21 11-3pm |
Oct. 25 8-3pm |
Oct. 26 8-3pm |
Nov. 21 8-3pm |
Jan. 25 11-3pm |
Feb. 22 8-3pm |
April 11 11-3pm |
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Discipline Policy: All students attending the School’s Out Club must act in an appropriate manor; follow the direction of the adult leader and student volunteers. The following are the consequences for breaking the School’s Out Club rules and the DCC rules:
1st offense: Student(s) will be reminded of the rules when they are broken.
2nd offense: Student(s) will be given a time-out. The time will depend on the
severity of the crime.
3rd offense: Parents will be notified of the child’s behavior and appropriate
action will be discussed.
I understand the discipline policy and agree to follow the rules of the School’s Out Club.
Student Signature: ________________________________ Date: ____________________
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IMPORTANT Waiver of Participation - Please read and sign the following I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Deerfield Community Center (the "DCC"), its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with youth programs (the "Programs") and in consideration for the DCC accepting the registrant for its Programs and activities, I hereby release, discharge and/or otherwise indemnify the DCC, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. As the parent or legal guardian of the above-named player, I hereby give consent for emergency medical care given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
Print Name of Parent/Legal Guardian Signature Date |
Return form to the Deerfield Community Center, 3 West Deerfield Street, Deerfield, WI 53531