Park After School Program — Chesapeake Arts Center

Park Elementary After School Application Form:

Session 1: Dance & Theatre - February 15 - March 21, 2024

Session 2: Painting & Drawing - April 11th - May 16th, 2024

Student Name

First Name

Last Name

Student Date of Birth

YYYY

AACPS Student ID Number

School

If you chose "other," please type your school's name here

Grade

Any medical issues or things we should be aware of?

Parent Name

First Name

Last Name

Parent Email

Phone

(###)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

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Please list the name of adults besides yourself that are permitted to pick up your child:

ID will be required

Please choose the program(s) you are interested in:

Session 1: Theater & Dance

Session 2: Painting & Drawing

If you have checked off more than one box, please indicate your first choices here:

Please read and acknowledge the following policies:

Student Behavior Policy – CAC reserves the right to cancel or refuse the registration of a student in a class or workshop if participation by the student is deemed disruptive or interferes with the learning atmosphere and enjoyment of the class/workshop. Photograph Release – I (the undersigned) hereby grant CAC the right to photograph me or my child during classes and performances, and to use my or their image, photograph, silhouette and other reproductions of their physical likeness in connection with ongoing CAC publicity. I agree that I will not assert or maintain against CAC their successors, assigns and licensees, any claim, action, suit or demand of any kind or nature whatsoever, including but not limited to those grounded upon invasion of privacy, rights of publicity or other civil rights, or for any reason in connection with CAC’s authorized use of my child’s physical likeness for CAC publicity purposes. By my signature here I understand that I agree to the above mentioned guidelines and completely turn over all rights to the still photographs to the CAC. Release, Waiver of Liability, and Indemnity Agreement – I (the undersigned) hereby agree with the Chesapeake Arts Center, Inc. (CAC) to the following by affixing my signature below on this date. In connection with my participation in the CAC program, I understand and acknowledge the nature and extent of the activities that will be involved in the Program and assume the risk inherent in such activities on behalf of myself and any minor children. I voluntarily waive any and all claims, costs, liabilities, expenses (including attorney’s fees), and judgments against CAC, its directors, officers, employees, servants, subcontractors, and agents and hereby release, excuse and discharge CAC, its directors, officers, employees, servants, subcontractors, and agents from all claims, costs, liabilities, expenses (including attorney’s fee), and judgments which may arise out of my participation in the Program and all aspects attendant thereto. The undersigned further agrees to indemnify and hold CAC, its directors, officers, employees, servants, subcontractors, and agents harmless from any and all claims, damages, actions, liabilities, expenses (including attorney’s fees) and judgments that may arise out of my participation with the Program. Covid-19/Illness Policy - Please do NOT come to class if you, or anyone in your household, are experiencing any covid symptoms (includes any of the following: chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea. Please visit chesapeakearts.org/cares for our complete Covid-19 safety policy. Closings/Cancellations - CAC follows the AACPS school system. If AACPS is closed for a holiday, or weather, the CAC after school program is cancelled for that day and evening. If classes are closed due to weather, instructors are required to verify closure with CAC and then notify students via the email provided on this application. BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ THESE POLICIES:

This after school program at CAC is available to students in grades K-2 at Park Elementary School. You must have an AACPS Student ID Number. Virtual students are not eligible.

The 1st session of the Spring After School program runs from 4:15-5:15pm at the Chesapeake Arts Center. Transportation is not provided.

Students can choose from Theater & Dance or Painting & Drawing. There is no fee to attend, and students will be admitted on a first-come, first-serve basis. Unless enrollment allows, students will only be admitted to one session

To apply, please fill out the form here and CAC staff will be in touch with next steps.

Session 1: Dance and Theater: Thursdays, Feb 15 - March 21, 2024 from 4:15-5:15pm

Let's get moving! Students will learn fundamental skills from styles of dance such as hip hop, jazz, creative movement, ballet. Students will also be introduced to theater skills such as choreography, theater vocabulary, voice, and stage presence to unleash their inner performer! (Students can wear comfortable clothing and do not need any special dance attire or shoes).

Session 2: Painting & Drawing: Thursdays, April 11 - May 16, 2024 from 4:15-5:15pm:

Have a blast diving into exciting activities and projects in CAC’s art studios! Students will get to experiment with a variety of media, such as acrylic painting, watercolor, printmaking, scupture, collage, and more!

Park Elementary After School Application Form:

Session 1: Dance & Theatre - February 15 - March 21, 2024

Session 2: Painting & Drawing - April 11th - May 16th, 2024

Session 1: Dance and Theater: Thursdays, Feb 15 - March 21, 2024 from 4:15-5:15pm

Session 2: Painting & Drawing: Thursdays, April 11 - May 16, 2024 from 4:15-5:15pm:

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