Student Application for Hawaiian Style Summer Fun

Parent Authorization Form

This summer program is primarily designed for students to attend full day, Monday-Friday, from Monday, June 3, 2013 through Wednesday, August 14, 2013. If your child wants to attend random classes here and there, list those above. Drop-ins aren't accepted because it doesn't work with our type of program. We accept new registrations each week, for the following week. Yes, your child may attend a single class, you still pre-register, ASAP. This is a cooperative learning experience. The age restrictions are only a guide. If your child wants to be in a class, they are welcome to attend the class, as long as they're 5-12. The ages are listed to assist with class selection, not to prevent students from learning what they want to learn. We're flexible. The mandatory age range to attend Summer Fun is 5-12. This program is designed to work both sides of the brain, use both fine motor and gross motor skills, and to teach compassion and patience through modelling and cooperative learning. The skills are practiced with our varied curriculum and activity selections. At the end of Summer Fun, (Sessions 1 & 2), the students will put-on a short simple performance Hawaiian Style. Filming Class students will create a documentary style film of Summer Fun and upload it to Youtube. Summer Fun (age appropriate) Classes include but are not limited to the following choices: If new classes are added during Summer Fun, you will be alerted before your child participates. PARENTS - Please circle classes that you allow your child to participate in, provided they want to:
Art Stage-Set Painting Hula (boys, too.) Film Production Editing Skit Writing Set-Design Improv Acting Any and All Offered Only Those Listed Here Drawing

Crafts

Reiki

Meditation

Gardening

Costume Design

NOTE TO PARENTS:

VIDEO RELEASE FOR YOUR STUDENT - Some students will be filming during classes.
Please fill-in your name, circle your answer below, and sign and date this section. I,______________________ the parent/guardian of _____________________________ DO allow or do NOT allow Ohana Health to include my child in video footage or to participate in the documentary filming project. I understand the final video will be uploaded to Youtube, as part of 'Ohana Health's Hawaiian Style Summer Fun Video Production class.
Signature of Parent: X

Date:

STUDENT CELL PHONE USAGE: Students only have access to their personal cell phones in between classes and a few during lunch. Only urgent calls from parents/guardians/family members will be returned by students at school.
Signature of Student: X ______________________________________________________ Date: ___________________

Parent's Initial:__________

Form 201304F