Camp Expression Full of Fine-Arts Activities! Sponsored by SchoolsPlus Grades 6 Graduates from: Brookland Elementary Cusack Elementary Membertou Elementary Mira Road Elementary Shipyard Elemntary Date: July 2 nd – July 5th Location: 500 Terrace St. (SPEC) Time: 9am - 2:00pm Cost: FREE!!! Come enjoy an awesome line up of fun artistic activities. Explore your “Inner Artist” through Art, Drama, Cooking and Story- Telling while making YOUR mark at SPEC!! To register your child, please call Lindsay Latham at Children need to bring their own lunch and drink daily. - Snacks and drinks will be provided daily. -Children are to dress appropriate for physical activities. -Camp is limited to 20 students. First Come First Served! -To register, please call and reserve a spot! Registration form must be received on or before the first day of camp for your child to attend.

REGISTRATION/PERMISSION FORM Child’s Name: _______________________Gender: M/F Grade: ______ Parent Name: ____________________ Daytime phone#: _____________ Cell #:___________________ Emergency Contact : ____________________ Phone #:______________ Health Card #: ________________________ Medical Conditions/Allergies: _________________________________________________________________ _________________________________________________________________ By signing below, parents release the SchoolsPlus program from liability due to injuries, etc that may occur as a result of my child's attendance and/or participation in the Summer Camp called “Camp Expression”. I am giving permission to the instructors to make arrangement for medical attention for my child in the event of an emergency. I understand that I will be notified as soon as possible if this authority is exercised. Name of Parent:_______________________________________ Signature of Parent: __________________________________ Date: ________________________ Camp Expression Full of Fine-Arts Activities! Sponsored by SchoolsPlus

PERMISSION RELEASE FORM FOR STUDENT WORK AND IMAGIES SchoolsPlus...is proud of its students and their work and we take many opportunities to publicize student accomplishments. Artwork/Written Work/Digital Work for Display: Throughout the school year your child will be producing a variety of creative assignments (art work, stories, poetry, digital project, etc.). On occasion, the need may arise to display or publish these assignments in the classroom or in various school and board locations and publications including Department of Education, board and school websites. Photographs/Media Interviews: The school may, from time to time, be contracted by the media (newspaper, radio, television) for student quotes, interviews and pictures. Occasionally, the school, the Board, or the Department may record audio or video images of students for teacher professional development or curriculum support projects. All this information may be published or aired. As well, our School Board’s Communication Office may contact students for quotes, interviews or photographs for board communications, websites or publications. You permission is required for the above to take place. Please check off the following items to indicate your willingness for your child to participate. Students and Parents: Please sign below. Check: ____ Artwork for display/publication (including the Department of Education, board, school and teacher websites). ____ Written work for display/publication (including the Department of Education, board, school and teacher websites). ____ Digital work for display/publication (including the Department of Education, board, school and teacher websites). ____ Involvement in media reports/interviews. ____ Non-identifying photographs of student on school and board websites. ______________________________________________________________________________________________ Student Name (Print Please): _________________________________ Grade:_____________________ Student Signature: _____________________________________________________________________ Parent/Guardian Signature (s): ___________________________________________________________ Date: _______________________________________________________________________________ *Note: Besides the student, only persons having lawful custody of the student may sign this consent form as parent or legal guardian. If both parents have lawful custody, one or both may sign.