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Lafayette

Community Center

A public/ private partnership between the City of Los Angeles and

Program Brochure 625 S. Lafayette Park Place, Los Angeles, CA 90057 Phone 213-389-1148 ext. 222


Lafayette

Community Center Recently, the City of Los Angeles and Heart of Los Angeles (HOLA), have forged a precedent setting partnership to renovate and expand Lafayette Park. When the expansion and renovations are completed in December of 2010, the community will benefit from a field turf soccer field, stateof-the-art gymnasium, wireless computer lab, classrooms and community meeting rooms, as well as HOLA’s existing art studios, fine arts library, dance studio, digital media center and education learning center. The partnership will provide supplemental recreation and enrichment programming to develop the physical, social, and emotional well being of the entire community.

Our

Community

L.A.U.S.D Schools Hoover Elementary Charles White Elementary Commonwealth Elementary Young Oak Kim Elementary Gabriella Charter School Camino Nuevo Charter School Virgil Middle School Berendo Middle School Belmont High School

MacArthur Community Center 2230 W. 6th Street Los Angeles, CA 90057 213.368.0520 Shatto Recreation Center 3191 W. 4th Street Los Angeles, CA 90020 213.386.8877

Police Stations Rampart Police Station 2710 W. Temple Street Los Angeles, CA 90026 Dial 911 in case of emergency Olympic Division Police Station 1130 S. Vermont Los Angeles, CA 90006 (213) 382-9102


Our Community Partners In Spring 2010, HOLA was chosen by the LA Philharmonic to partner with them in launching a Youth Orchestra program here at HOLA for the community’s underserved youth. This new program, launching in Fall 2010, is modeled after Venezuela’s El Sistema initiative, one of the world’s most prestigious music education programs for youth. In the first year alone, 120 youth will engage in intensive orchestral music education and academic tutoring.

For over 2 years now, our collaboration with LACC, one of the nation’s leading children’s choirs, has expanded and enhanced HOLA’s choral offerings, create exchange, performance and cross educational opportunities including the addition of a new LACC “First Experiences” choral class for our youngest participants. This level of choral instruction and collaboration with LACC has created pathways and open doors for choristers at the higher levels of music education.

HOLA has the unique privilege of sending graduating HOLA art students to the prestigious Penland School of Crafts in North Carolina for their summer art study. As a premiere studio art institution, Penland boasts art instructors whose works are on display in the Smithsonian and popular crafts and trade magazines. Students and faculty come from all around the world to teach and learn from each other.

For over 10 years HOLA has been affiliated with LAHP, a non-profit organization that provides quality low-income housing and other essential resources for disadvantaged families living in the same community as HOLA. In 2003, HOLA was given the opportunity to move into the basement of one of LAHP’s buildings. This partnership offers HOLA the space for only $1 a month and a 25-year contract with an option to renew.

HOLA has recently established a strong and vivacious partnership with the UT’s College of Education. This summer, UT sent a Master’s in Public Health graduate student to create a project/study of HOLA’s efforts to combat obesity and promote nutrition. Next summer, UT will be sending interns to HOLA to conduct assessments and to provide extensive evaluation of our programs. HOLA will also be sending one high school student to attend UT’s Summer Bridge Internship Program. UT will also send underserved youth from the UT community to HOLA for leadership programs.

HOLA has been in partnership with LMU since 2008 initially through a formal partnership with their School of Film and Television and their intensive Summer Film Creative Workshop for inner-city youth. HOLA’s participants have become part of a limited pool to be considered for admissions with a needs-based full scholarship into LMU’s Film School. In addition, HOLA partners with the College of Communications and Fine Arts and several other departments to organize shared exhibits and provide opportunities for HOLA students to have access to quality training and education in film, visual arts and dance.


Programs Elementary - SmartStart

SmartStart is an elementary education program for youth in grades first through fifth that provides individualized academic support and daily enrichment opportunitues. SmartStart’s academic support consists of homework assistance, 1:1 tutoring, weekly learning centers and additional in-school support for students and their families. Enrichment opportunities include experiences with the arts, music, choir, cooking, sports, technology and science. Ages/ Edades: 1st-5th Grade Days/Dias: Monday- Friday, September. 13 - December 10 Time/Tiempo: 3:00pm- 4:00pm Price/Precio: Free Program Director: Darlene Garcia, ext. 231

Middle School - Bridges

The HOLA Bridges After-School Program offers middle school youth individualized and group tutoring sessions that are designed to prepare students for academic success. In addition to educational opportunities, participants choose from a variety of enrichment activities, including media arts, sports, and visual and performing arts. On Fridays, participants engage in educational and recreational field trips, including visits to local colleges and universities. Ages/ Edades: 6th-8th Grade Days/Dias: Monday- Friday, September. 13 - December 10 Time/Tiempo: 3:00pm- 6:00pm Price/Precio: Free Program Director: Silvia Velazquez, ext 248

High School- Rope

Heart of Los Angeles Rites of Passage Encounter (ROPE) is a high school program that focuses on assisting students to acquire key life skills and preparing students to become healthy, responsible, and socially conscious adults. Ages/ Edades: 9th-12th Grade Days/Dias: Monday- Friday, September. 13 - December 10 Time/Tiempo: 3:00pm- 7:30pm Price/Precio: Free Program Director: Jose Acosta, ext. 230


Elementary Physical Education

History’s Mysteries

This club will provide students with a given historical mystery (event) and call for the students to ask the five interrogative questions; who, when, where, why, and how, thereby solving and piecing together all aspects of the proposed adventure. This club will be a collaborative effort in that the students will employ the time allotted for computer use to solve (investigate) these mysteries, in so doing providing the students with research and navigational web training. Ages/Edades: 4th-5th Grade Days/Dias: Mondays, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Darlene Garcia

Ballet Basics

Students will understand ballet as a dance form, and history. Students will learn to warm-up, movement and vocabulary in ballet. Students will discuss the importance of physical activity as a part of a daily routine. Also students will learn how to travel across space with locomotor movements such as skipping , hopping, and gallop. Ages/Edades: 1st-5th Grade Days/Dias: Mondays, Sept. 13- Dec. 10 Time/Tiempo:5:00pm-6:00pm Price/Precio: Free Instructor: Miss Kelly

Art

Students will learn about shapes, colors, and mixing colors together. Also, students will explore art by using different materials, such as, tempera paint, pencils, and clay. In addition, students would be able learn about individualizing their creativity. Ages/Edades: 1st-5th Grade Days/Dias:Tues/Thurs, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Patricia Yossen

Students will be involved with many different movement concept activities using both their upper and lower body muscles, helping to develop gross motor skills. Ages/Edades: 1st-5th Grade Days/Dias:Mon/Thurs, Sept. 13-Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Bruce Hooks

Schoolhouse Rocking

Schoolhouse Rocking will be based around the “Schoolhouse Rock” educational learning series. Every session will begin and end with a different episode from the “Schoolhouse Rock” collection. The series covers a variety of subjects including, Mathematics, English Grammar, Science, American History, currency, and environmental awareness. Upon completion of Schoolhouse Rock episode, the students will engage in an activity incorporating a given subject; such as nouns, verbs, etc. Ages/Edades: 1st-3rd Grade Days/Dias: Wednesdays, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Nicole Patsen

Travelling

with Brittany Students will experience a trip around the world that provides a hands-on way of learning about different countries as well as developing an appreciation and respect for different cultures. Multicultural projects will be inspired and created by a country’s geography, history, or culture. Social Studies and Geography state standards will be implemented to help guide students in the process of learning and understanding different nationalities. Ages/Edades: 2nd-3rd Grade Days/Dias: Mondays, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Brittany Mejia

Summer Camp


Computers

During the technology experience, students’ in grades 1-3 are introduced to beginning typing and 4-5 graders are on intermediate typing. Also, students explore the computer by using logic puzzles, animation, journal entries, and using Microsoft Word programming. Ages/Edades: 2nd-5th Grade Days/Dias: Mon/Wed, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Abraham Orozco

Science

Students will learn about the different parts of science, such as, life, earth, and physical. The lessons will focus on understanding the different concepts of science through hands-on investigations and experimentations. Ages/Edades: 1st-3rd Grade Days/Dias: Thursdays, Sept. 13- Dec. 10 Time/Tiempo:5:00pm-6:00pm Price/Precio: Free Instructor: Andrea Cova

Growing

up Latin in LA In this class, students will discuss what it is like to live in a very diverse city where almost every Latin culture is represented. Students will explore what it means to be Latino/a in the USA. They will become familiar with famous Latino/a heroes and music. They will also learn how to identify themselves within a culture and history. Throughout the class, each student will interview his/her family members to learn about their ancestors, traditions, and customs. Each student will be responsible for creating their own identity poster by the end of the class that will be shared with our HOLA community. Ages/Edades: 4th-5th Grade Days/Dias: Wed., Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Andrea Cova

Ceramics

Students will be involved with many different movement concept activities using both their upper and lower body muscles, helping to develop gross motor skills. Ages/Edades: 3rd-5th Grade Days/Dias: Tuesdays, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Mike Russo

Into

to Music This club would introduce students to music theory, for example, rhythm, scale, and notes. Also, students would have access to instruments, such as, drums, piano, and drums. In addition, students would be encouraged to participate in the choir program. Ages/Edades: 3rd-5th Grade Days/Dias: Tuesdays, Sept. 13- Dec. 10 Time/Tiempo:5:00pm-6:00pm Price/Precio: Free Instructor: Mani Baker

Go Girl Go!

This club offers girls from third to fifth grade to get active, stay active for their life; it encourages a wholesome lifestyle, a happy outlook and healthy self-image. Also, it helps promote self-esteem, self respect, and self-confidence. In addition, this club offers an open environment for sharing and listening. Ages/Edades: 3rd-4th Grade Days/Dias: Thursdays, Sept. 13- Dec. 10 Time/Tiempo:5:00pm-6:00pm Price/Precio: Free Instructor: Brittany Mejia

Healthy Cooking

Students will learn how to cook their favorite dishes using healthy ingredients. Ages/Edades: 2nd-5th Grade Days/Dias: Tuesdays, Sept. 13- Dec. 10 Time/Tiempo: 5:00pm-6:00pm Price/Precio: Free Instructor: Alex Nataren


Middle School Career & College Club 8

Sponsored by All Management Corporation, 15 middle school students will become mentors to each other. Students will discuss responsibility and learn the importance of knowing how to plan for their future. Students will cover topics such as leadership, how to be a role model, college and careers. Ages/Edades: 6th-8th Grade Days/Dias: Tuesdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Silvia Velazquez

Guys Read

Guys Read will be structured as a club in which members share their reading adventure and critique the reading the y do within the group. The emphasis will be on reading for pleasure, and reading material may stay from traditional sources and formats to include graphic novels, comic books, and some on-line reading. Ages/Edades: 6th-8th Grade Days/Dias: Tuesdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Loren Rubin

Career & College Club 7

Sponsored by All Management Corporation, 15 middle school students will become mentors to each other. Students will discuss responsibility and learn the importance of knowing how to plan for their future. Students will cover topics such as leadership, how to be a role model, college and careers. Ages/Edades: 6th-8th Grade Days/Dias: Wednesdays, Sept. 13- Dec. 17 Time/Tiempo: 4:30pm - 5:30pm Price/Precio: Free Instructor: Silvia Velazquez

Loving Me, Loving Ourselves

The purpose of this class is to allow the girls to appreciate their body and feel comfortable in their own shoes. As they navigate through high school they will be faced with issues about body image, through the media and with peers. In this class girls will express themselves through art, writing, and exercise. They will share their personal experiences and learn from each other. Ages/Edades: 6th-8th Grade Days/Dias: Wednesdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor:Sonia Salazar

Creative Drama Workshop

Students will dramatize using the concepts of textual and non-textual improvisation. At the end of the session, the students will perform a short fifteen minutes stage play with music, poetry, dance and more. Ages/Edades: 6th-8th Grade Days/Dias: Thursdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Earl Anthony

Youth Prevention Program

Didi Hirsch Mental Health Services Substance abuse Prevention and Control Program aims to educate young adolescents about the risks, short and long-term consequences, and overall detrimental impact that using both legal and illegal substances has on their physical, psychological, and social well-being. Ages/Edades: 6th-8th Grade Days/Dias: Wed. & Thurs, Sept. 13- Dec. 17 Time/Tiempo: 4:30pm - 5:30pm Price/Precio: Free Instructor: Sidney Martinez & Matian

Courses


High School Communications I

An Introduction to a variety of effective communication strategies through discussion and role plays. Develop communication styles that help students achieve goals. Ages/Edades: 9th Grade Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 5:00pm - 6:00pm Price/Precio: Free Instructor: Catherine Schuster

Communications II

Exploring Relationships

This class is designed to help students at the most stressful time of their lives. The class will provide well directed mind exercises, develop healthy patters of behavior and incorporate elements of conflict resolution. Ages/Edades: 9th-12th Grade Days/Dias: Tuesdays Sept. 13- Dec. 17 Time/Tiempo: 6:30pm - 7:30pm Price/Precio: Free Instructor: Nancy Dodge

An Introduction to a variety of effective communication strategies through discussion and role plays. Develop communication styles that help students achieve goals.

Conditioning

Ages/Edades: 12th Grade Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 6:30pm - 7:30pm Price/Precio: Free Instructor: Catherine Schuster

Ages/Edades: 9th-12th Grade Days/Dias: Thursdays, Sept. 13- Dec. 17 Time/Tiempo: 4:30pm - 5:30pm Price/Precio: Free Instructor: Isaac Lopez

Know Your Rights

Cooking

Community education and youth organizing regarding immigration law as it intersects with criminal, constitutional, and human rights law. To encourage active engagement and information-seeking and -sharing regarding the rights of the undocumented, especially minors and victims of violence and/or crime. Ages/Edades: 9th-12th Grade Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 4:30pm - 5:30pm Price/Precio: Free Instructor: Valmiki Reyes

Leadership

This course is designed to help high school students be prepared to take the lead in a variety of real life situations. Through exercises, games, discussions, and other activities students will explore their own ideas about leadership, see themselves as leaders, develop skills and explore ways in which groups can organize themselves to make a difference in their community and their world. Concepts/skills to be covered include Authority/Influence, Communication Skills (Active Listening, Conflict Resolution, Public Speaking, Persuasive Writing), Values/Ethics, Group Decision Making, Appropriate Risk Taking, and Creative Problem Solving. Ages/Edades: 9th-12th Grade Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 6:30pm - 7:30pm Price/Precio: Free Instructor: Loren Rubin

Strength flexibility and endurance exercises designed with the teenage body and physical abilities in mind.

This cooking class will engage youth in wanting to take charge in the kitchen. They will be able to navigate their way around a kitchen offering recipes from breakfast to dinner. The recipes will give youth a variety of meals to prepare for themselves in the mornings and when they come home from school. These meals will be quick, easy, and affordable. Ages/Edades: 9th-12th Grade Days/Dias: Wednesdays, Sept. 13- Dec. 17 Time/Tiempo: 6:30pm - 7:30pm Price/Precio: Free Instructor: Davia Shubbe

Film Appreciation

Students are introduced to film theory and the filming process. This session will have students focusing on Documentaries. Students engage in conversation over film motifs, character development and technical aspects. After completion of the class, students are eligible to apply for the LMU summer film program. Ages/Edades: 9th-12th Grade Days/Dias: Thursdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Abraham Orozco


Yoga

Come experience the art of relaxation by focusing on your mind, body, and spirit. This class is geared towards beginners and works on breathing techniques that will get your body in tune and in shape. Ages/Edades: 9th -12th Grade Days/Dias: Wednesdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Blaine Mallory

Ceramics

This class explores two dimensional and three dimensional forms of both functional and nonfunctional pieces. Students will learn the basics of hand building through various projects, and the wheel is taught on a one to one basis. Ages/Edades: 9th - 12th Grade Days/Dias: Thursdays, Sept. 13- Dec. 17 Time/Tiempo:6:30pm - 7:30pm Price/Precio: Free Instructor: Mike Russo

College Application Workshops

This class will center on paring high school seniors with a mentor who will assist them with the college application process. This class will particularly help students navigate through the personal statement portion of admissions. Ages/Edades: 12th Grade Days/Dias: Wednesdays, Sept. 13- Dec. 17 Time/Tiempo: 6:30pm - 7:30pm Price/Precio: Free Instructor: Mentors

Typing

Step-by-step instruction of proper typing technique. Ages/Edades: 9th - 12th Grade Days/Dias: Thursdays, Sept. 13- Dec. 17 Time/Tiempo: 4:30pm - 5:30pm Price/Precio: Free Instructor: Isaac Lopez

SAT Preparation

Students are exposed to the material they will encounter on the SAT and develop disciplined strategies for approaching each section. Weekly meetings, homework assignments, and practice tests help students develop a deeper understanding of concepts and refine their problem-solving techniques. Students will cover reading comprehension and vocabulary, arithmetic, algebra I and II, functions, planar and coordinate geometry, and probability (calculators permitted), essay composition, grammar and usage, critical reading, math, or writing multiple-choice questions. Ages/Edades: 11th Grade Days/Dias: Tues/Thurs, Sept. 13- Dec. 17 Time/Tiempo: 6:00pm - 8:00pm Price/Precio: Free Instructor: Variety


athletics Central City Boys Basketball Association

This league provides instruction in a semi competitive environment with other non-profit and L.A. Recreation & Park teams. League coaches provide high school / college style coaching and training to prepare our athletes for success in sports and in life. Age Division: High School Boys, Ages 13-18 Games played Friday nights at 6:00, 7:00, 8:00pm League play begins Jan 21, 2011 Kick-off Classic play begins Jan. 14, 2011 Fees: Individual, Free Teams, $300 Deposit

Lakers Youth Basketball Clinic

This youth clinic is introduction to the game of basketball for boys and girls. This program will emphasize the fundamentals of dribbling, passing, shooting, defense, and court positioning. Ages/Edades: 7-17 years old Days/Dias: First Saturday of Every Month Time/Tiempo: 1:00-3:00 pm Price/Precio: Free

Tennis Clinics

An introduction to the sport of tennis for boys and girls ages 8-15. This program will emphasize the fundamentals of serving, volleying and court positioning. This class will include a t-shirt, certificate of participation, and racquet if needed. Ages/Edades: 7-12 years old Days/Dias: Tuesday & Wednesday Time/Tiempo: 5:00-6:30 pm Price/Precio: Free

FSC Youth Soccer League

FSC youth soccer is a instructional & competitive league that gives pee – wee through minors foundation blocks to succeed in more of a competitive soccer environment. Majors and High school girls soccer provides the more advanced student with a more competitive arena as they continue you to hone their skills. In this program each student has the opportunity to play soccer while receiving tutoring to help improve their grades and develop their soccer skills. Age Divisions Pee-Wee: 7-8 Minor: 8-9 Major: 10-11 Jr. Varsity: 11-13 H.S. Boys Varsity: 14-18 Games played: (Boys) Wed & Fri nights at 5:00 & 6:00 Pee-Wee / Minor / Major Saturday between 8 am – 5pm League play begins September 18, 2010 Tournament play begins November 30, 2010 Fees: Individual, Free


Art Watercolor

Sponsored by All Management Corporation, 15 middle school students will become mentors to each other. Students will discuss responsibility and learn the importance of knowing how to plan for their future. Students will cover topics such as leadership, how to be a role model, college and careers. Ages/Edades: 1st-12th Grades Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 4:00pm - 5:00pm Price/Precio: Free Instructor: Erika Hoyle Zuta

Drawing

Students explore the fundamentals of drawing. They draw from observation, copies of master drawings and from their imaginations. The class is geared towards the individual needs and levels of the student. Ages/Edades: 1st-12th Grades Days/Dias: Tuesdays, Sept. 13- Dec. 17 Time/Tiempo: 5:30pm - 6:30pm Price/Precio: Free Instructor: Javier Carrillo

Sculture

and

Instrument Making

This class will focus on using problem solving skills to build three-dimensional art and instruments. By combining creativity and logic in the construction of the works, the students will develop greater sensory faculties as well as rational knowledge. The students will be motivated by their personal experiences and will use sculpture as an inspiration. Ages/Edades: 1st-12th Grades Days/Dias: Tuesdays, Sept. 13- Dec. 17 Time/Tiempo: 4:00pm - 5:00pm Price/Precio: Free Instructor: Patricia Yossen

Taller

de

Madres

The HOLA mother’s meet every week and work on a particular craft. The workshops have included ceramics, paper mache, and quilting. The workshop serves as a social gathering for the mothers and their older daughters. Small children are also welcome. The work that they create is for sale and the proceeds go to funding future projects. Ages/Edades: All Ages Days/Dias: Mondays, Sept. 13- Dec. 17 Time/Tiempo: 4:00pm - 5:00pm Price/Precio: Free Instructor: Erika Hoyle Zuta

Open Studio

Using a variety of art mediums and techniques the students will explore the creative process. Each class meeting they will be introduced to new art forms and artists. Throughout the course they will complete several art projects related to fun themes like portraiture and music Ages/Edades: 1st-12th Grades Days/Dias: Fidays, Sept. 13- Dec. 17 Time/Tiempo: 3:30pm - 5:30pm Price/Precio: Free Instructor: Patricia Yossen


HOLAFayette Enrollment Information Enrollment Information

Name of Member: ___________________________ Date of Birth: _____________

School Level of Member (check one) — Preschool — Elementary — Middle School — High School Program Time (check as many as apply) — Daytime — After School Areas of Interest (check as many as apply) — Athletics — Art/Music/Dance — Academic Assistance Specific Interests: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________


Enrollment Form Date of Enrollment: ____________________ Member’s Name: _________________________________ Gender: ________ Date of Birth: ________ Mother’s Name: __________________________________

Date of Birth: ___________

Father’s Name: ___________________________________

Date of Birth: ___________

Home Address: ________________________________________________________________ City: _______________________________ State: __________

Zip Code: ______________

Home Phone_________________________ Daytime/Work Phone___________________________ Cell Phone: ______________________________ Email:____________________________________________ Emergency Contact: ___________________________________ Phone: _____________________ Emergency Contact: ___________________________________ Phone: _____________________ Other Person(s) authorized to pick up youth: _____________________________________________________ Person(s) NOT authorized to pick up youth: ______________________________________________________ Member’s Grade_______ Track (circle one): A B C Trad.

School__________________________

Ethnicity (circle one): Latino/a African American Caucasian Asian Native American Filipino Other:______________________________________________________________________________________ Medical Problems/Allegies/Medications_________________________________________________

_____________________________________________________________________________ Names of Brothers/Sisters

Age

______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Annual Family Income:

_________ _________ _________ _________ _________

School

_______________________________ _______________________________ _______________________________ _______________________________ _______________________________

$

Source of Income (circle many apply) (circleasall thatasapply) Work

SSDI

SSI

AFDC

Food Stamps

General Assistance

Veterans Benefits

School Lunch

Unemployment Insurance

Long Term Housing Assistance requestthat thatmy my son/daughter be admitted membership in HOLAFayette. I release HOLAFayette from any and liability due to any accidents may II request son/daughter be admitted into into membership into HOLA/ Lafayette Community Center. I release HOLA or the City of Los Angeles which from any occur while the premises, or while engaged of its activities away from inthe I give my consent for center. photographs or consent video infor which my liability due toonany accidents which may occur whileinonany the premises, or while engaged anycenter. of its activities away from the I give my son/daughter to be in any way may in wish useHOLA them. or Lafayette Community Center may wish to use them. photographs ormay videoappear in which myused son/daughter mayHOLAFayette appear to be used anytoway understandthat thatthis thisintake intakeform formis is a legal document certify information on this is true to best the best my knowledge. I acknowledge that II understand a legal document andand certify thatthat the the information on this formform is true to the of myofknowledge. I acknowledge that such such information is subject to verification and that falsification of any information be grounds for termination the program. such information will information is subject to verification and that falsification of any information shall beshall grounds for termination from thefrom program. All suchAll information will be kept be kept confidential. confidential. In case caseofofsickness sickness accident, HOLAFayette has myCenter authorization secure such medical attention as is necessary to communicate In oror anan accident, thethe HOLA/ Lafayette staff Community Staff hastomy authorization to secure such medical attentionifasunable is necessary if unable to with me directly.

Signature of Member________________________________________________ Date___________ Signature of Parent _________________________________________________ Date___________ Signature of Staff Member____________________________________________ Date___________


HOLAFayette Information Matriculation Informaciónde de Matriculación Nombre de Miembro: ___________________________ Fecha de nacimiento: _____________

Nivel de escuela del miembro (marque uno) — Prescolar — Primaria — Escuela Intermediaria — Preparatoria Tiempo de Programa (marque todos que apliquen) — Durante el día — Después de escuela Áreas del Interés (marque todos que apliquen) — Deportes/Atletismo — Arte/Música/Baile — Ayuda Academica Interés Específico: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________


HOLAFayet t e

Forma de Membrecia Fo r m a d e Mem b r ecia Fecha de matriculación ____________________ Nombre de la Miembro/a_________________________ Genero (M/F)_____ Fecha de Nacimiento______ Nombre de la Madre__________________________________ Fecha de Nacimiento ___________ Nombre de la Padre___________________________________ Fecha de Nacimiento ___________ Domicilio_________________________________________________________________ Ciudad_______________________________ Estado__________ Zona Postal______________ Telefono_________________________ Telefono de día/Empleo___________________________ Telefono Celular:_________________________Correo Electrónico:_____________________________________ Contacto de Emergencia__________________________________Telefono___________________ Contacto de Emergencia__________________________________Telefono___________________ Otra persona(s) autorizadas para recoger al menor:_______________________________________________ Persona(s) que NO tiene permiso de recoger al menor:___________________________________________ Grado_______ Grupo (circule uno): A B C Trad.

Escuela__________________________

Antecedente Etnico (circule uno): Latino/a African American Caucasian Asian Native American Filipino u Otro:______________________________________________________________________________ Proplemas Medicales/Alergias/Medicinales________________________________________________

_____________________________________________________________________________ Nombres de los Hermanos/as

Edad

______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Ingreso anual de la familia:

_________ _________ _________ _________ _________

Escuela

_______________________________ _______________________________ _______________________________ _______________________________ _______________________________

$

Ingreso (circule uno o los que apliquen) Empleo

SSDI

SSI

AFDC

Estampas Para La Comida

Asistencia General

Beneficios Veterano

Comida Gratis de la Escuela

Aseguradora de Desempleo

Asistencia del Hogar por una larga duracion He leido y completado esta aplicacion, entiendo l as reglas de HOLA/ Lafayette Community Cent er y pido que mi hijo(a) sea aceptado (a) para He leido y completado esta aplicacion, entiendo lasLibero reglasa de HOLAFayette y pido que mi hijo(a) sea aceptado(a) membrecia de accidente HOLAFayette. membrecia de HOLA/ Lafayette Community Center. HOLA Lafayette Community Center de cualquier obligaci ónpara debido a cualquier que Libero a HOLAFayette de cualquier obligación debido a cualquier accidente que puede occurrir mientras en elIncluso, local o doy afuera, tambien mientras puede occurrir mientras en el local o afuera, tambien mientras tome acabo en cualqu ier actividad lejos del centro. mi consentimiento paratome que acabo en pose cualquier lejos mientras del centro. Incluso,endoy mi consentimiento para quepueda mi hijo(a) pose parafotos fotospara y video mientrasdel participa en actividades, mi hijo(a) paraactividad fotos y video participa actividades, y la organizacion utilizar dichas promocion Club y otras formas y la organizacion utilizar dichas fotos para promocion del Club y otras formas siempre y cuando sea apropiado. siempre y cuandopueda sea apropiado. Yo Yo entendio entendio que que esta esta forma forma es es una una documento documento legal legal yydeclare declareque quetoda todala lainformacion informaciones esverdad. verdad.Yo Yoentendio entendioque quetoda todalalainformacion informacionvavaaaser serverificada verificada y que si algo es falso requiere nuestra terminacion terminacion del del programa. programa. Toda Todalalainformacion informaciones esconfidencial confidencial.. Encaso / Lafayette Community Center tiene mi permiso para darle a mi hijo/hija si no se Encaso de de emergencia emergencia oo accidente, accidente, el el adulto adulto de de HOLA HOLAFayette tiene mi permiso para darle atencion medical a mi atencion hijo/hija simedical no se pueden comunicar pueden comunicar conmigo. conmigo.

Firma del Miembro________________________________________________ Fecha___________ Firma del Padre o Guardian___________________________________________ Fecha___________ Firma de Personal__________________________________________________ Fecha___________


2009

Lafayette Park


DATE

_____________

BE A GOOD SPORT

Good Sportsmanship

FACILITY

I Will Demonstrate

Lafayette Seoul Int’l Park Park

___________________________

PARENT’S/GUARDIAN SIGNATURE

I understand that the penalties for not adhering to this Code of Conduct may range form a verbal warning to expulsion from the activity.

10. I will discuss the significance of this code with my family members.

9. I will remember that I am a youth sports parent, and that game is for children and not adults. Accordingly, I will encourage my child to play sports by providing a supportive atmosphere, but not pressure.

8. I will strive to create a positive recreational experience for everyone involved in the activity.

7. I will remember to not take the game or myself too seriously.

6. I will make only positive and encouraging comments to players on both teams. I will not interfere or coach from the stands.

5. I will help maintain a sports environment for all participants that is free of drugs, tobacco, and alcohol, I will refrain from their use at all youth sports events.

4. I will lead by example in demonstrating fair play and sportsmanship to all participants. I will treat participants, coaches, recreation administrators, and the public with respect.

3. I will do my best to make sure that the game is fun for all participants.

2. I will be a role model of good sportsmanship and character. I will help my child meet his/her responsibilities to the coach and the team.

1. I will place the emotional and physical well-being of the children above any personal desire to win. I will help my child understand the valuable lessons sports can teach.

I hereby pledge to live up to my responsibilities as a Parent of a child participating in the Department of Recreation and Parks Sports Program by following the Parent’s Code of Conduct.

PARENT’S CODE OF CONDUCT

I Will Demonstrate

PLAYER’S SIGNATURE

___________________________

DATE

_____________

Good Sportsmanship BE A GOOD SPORT

FACILITY

Lafayette Seoul Int’l Park Park

I understand that the penalties for not adhering to this Code of Conduct may range from a verbal warning to expulsion from the activity.

10. I will demonstrate good sportsmanship.

9. I will remember that I am a youth sports player, and that the game is for my enjoyment and my skill improvement.

8. I will work equally hard for the team as for myself, and will always give my best effort.

7. I will remember that the goals of the game are to have fun, improve skills and feel good about playing. I will not take the game or myself too seriously. I will control my temper.

6. I will make only positive and encouraging comments to players on both teams. I will be a good sport by cooperating with my coaches, teammates, opponents and officials.

5. I will refrain from the use of alcohol, drugs, or tobacco at all youth sports events.

4. I will demonstrate fair play and sportsmanship. I will treat participants, coaches, recreation administrators, and the public with respect, as I would like to be treated.

3. I will play for the fun of it, and do my best to make sure that the game is fun for all participants.

2. I will be a role model of good sportsmanship and character. I will meet my responsibilities to the coach and the team.

1. I will play by the rules and never argue or complain about the official’s decisions.

I hereby pledge to live up to my responsibilities as a Player participating in the Department of Recreation and Parks Sports Program by following the Player’s Code of Conduct.

PLAYER’S CODE OF CONDUCT

BE A GOOD SPORT

GOOD SPORTMANSHIP IS EVERYONE’S RESPONSIBILITY:

GOOD SPORTSMANSHIP IS EVERYONE’S RESPONSIBILITY:

BE A GOOD SPORT

CITY OF LOS ANGELES DEPARTM ENT OF RECREATION AND PARKS

CITY OF LOS ANGELES DEPARTM ENT OF RECREATION AND PARKS


City of Los Angeles Department of Recreation and Parks El espiritu deportivo es la Responsabilidad de todos… Sea un buen Deportista.

REGISTRACION DE DEPORTES 2010

DEPORTE: Liga de Fútbol HOLA/Fox Sports en Español ~ Lafayette Park

JUGADOR(A)

Apellido:__________________________

DIVISION:

TALLA DE UNIFORME:

Primer Nombre:___________________

H:___ M:___

Fecha de nacimiento:___/___/___ Edad:___ Grado:___ Peso:___ Pulgadas:____ School:___________________ Ha jugado anteriormente en nuestro programa? __Si __No Si si, Equipo:____________ División:_____________ Tiene usted un hermano ó hermana que juega en esta misma division de edad? ____Si Si si, Nombre:___________________________________

____No

Edad:_________

Los privileglos de estar en el mismo equipo solo aplicarán a los hermanos

GENERAL

Dirección:________________________ Ciudad:___________________ Padre/Guardian:________________________________

Codigo Postal:___________

Teléfono de casa:_____________________

Teléfono del trabajo:____________ Teléfono de celular:______________ Pager:_______________ En caso de Emergencia: Nombre________________________ Teléfono de casa:___________________ Teléfono del trabajo:____________ Teléfono de celular:______________ Pager:_______________ Por favor verifique abajo si usted está interesado(a) en ayudar con uno de lo siguiente: ____Entrenador ____Ayudante ____Voluntario _________________de Equipo

Cómo oyó de este programa? __Correo __Periodico __Amigo(a)/Familia __Escuela __Teléfono __Otra Manera_____________

Forma de Consentimiento para Padres de Familia Yo, el que firmo, doy permiso a mi niño/a cuyo nombre aparece arriba, a que participe en el programa deportivo de Lafayette Park y HOLA. Yo entiendo la naturaleza del deporte y conozco la capacidad y experiencia del menor de edad, y esta calificado, en buena salud y en forma física apropiada para participar en tal actividad. Yo estoy de acuerdo en dejar libre al departamento de recreación y parques, sus agentes oficiales y empleados de cualquier cargo legal en conexión a alguna lesión sufrida durante la participación de mi niño/a en esta liga. Yo entiendo de que las instalaciones recreativas NO TIENE SEGURO. Yo, el pariente de _________________________ un menor de edad, autorizo a La Ciudad de Los Angeles como agentes del participante para poder autorizar examen de Rayos X, anestésicos, diagnostico medico o de operación o tratamiento y cuidado de hospital cual es aconsejable por, y debe ser otorgado bajo la supervisión general o especialidad de un medico con licencia, bajo las provisiones del acto de practica del personal de un hospital con licencia, sea que el diagnostico o tratamiento sean otorgados en la oficina de algún Doctor u Hospital. Se entiende que esta autorización es dada en anticipo de cualquier diagnostico, tratamiento o cuidado de hospital con la afirmación de que el medico usara su juicio en cualquier acción que piense aconsejable y necesaria. Esta autorización se mantendrá efectiva mientras dure el programa, al menos que sea revocada antes en escrito y entregada al dicho agente o representante. Firma:_____________________________________

Fecha:_____________________________

JURAMENTO DEL PADRE A LOS NIÑOS Yo prometo demostrar una actitud positiva y ser un ejemplo positivo; y te animaré a jugar por diversión y apoyare a tu equipo en victoria y en derrota. La Firma de Padre/Madre:__________________________________________Fecha:_________________________________

NUMERO DE RECIBO

CANTIDAD

RECIBIDO POR (INICIAL)

VERIFICACION DE EDAD


Yo me comprometo en cumplir mis responsabilidades como jugador(a) al participar en el Programa de Deportes del Departamento de Parques y Recreaciones y seguiré el Código de Conducta para jugadores

Yo prometo solemnemente cumplir mis responsabilidades como padre de mi niño(a) participante en el Programa de Deporte del Departamento de Parques y Recreaciones siguiendo el Código de Conducta para los Padres.

Lafayette C. C.

Fecha

_____________

Ser un buen aficionado

Centro De Recreación

Se un buen deportista

Voy a demonstrar

Firma De Los Padres

___________________________

Yo entiendo que la sanción por no seguir este código de conducta puede alcanzar desde una amonestación verbal hasta la expulsión de la actividad.

8. Yo recordare que soy el padre/madre de un joven deportista y que el juego es para los niños(as) no para los adultos. Yo motivare a mi niño(a) a que juegue deportes al crear un ambiente de apoyo, y no de presión.

7. Yo recordare en no tomar el juego o mi persona muy en serio.

6. Yo solamente hare comentarios alentadores y positivos a los jugadores de los dos equipos. Yo no interferiré o dirigiré desde las bancas.

5. Yo ayudare a todos los participantes a mantener un ambiente deportivo, libre de drogas, tabaco y alcohol. Y me abstendré de usarlos en todo evento deportivos de los jóvenes.

4. Yo seré un ejemplo para todos, seré justo y demostrare ser un buen aficionado al deporte. Yo tratare a los participantes, entrenadores, administradores de recreación y al público con respeto.

3. Yo pondré lo mejor de mi parte para asegurar de que el juego sea divertido para todos los participantes.

2. Yo será un aficionado ejemplar en el deporte y con una actitud positiva. Yo ayudare a mi niño(a) a cumplir con sus responsabilidades con el entrenador y con el equipo.

Voy a demonstrar

Firma Del Jugador

___________________________

Fecha

_____________

Se un buen deportista

Ser un buen aficionado

Centro De Recreación

Lafayette C. C.

10. Yo demostrare que soy un(a) deportista justo.

9. Recordare que soy un(a) joven deportista y que el juego es para mi diversion y para desarrollar mis habilidades.

8. Trabajare duro al igual que mis compañeros. Para mi equipo y para mi persona y siempre dare todo mi esfuerzo.

7. Yo recordare con que el objetivo del juego será de divertirnos, de mejorar nuestras habilidades y de sentirnos bien sobre el juego. Yo no tomare el juego muy en serio. Yo controlare mi temperamento.

6. Yo solamente haré comentarios alentadores y positivos a los jugadores de los dos equipos. Yo seré buen deportista, animare y aplaudiré todas las buenas jugadas, cooperare con mis entrenadores, compañeros, oponentes y oficiales.

5. Yo me abstendré de usar alcohol, drogas o tabaco en todos los eventos deportivos de los jóvenes.

4. Yo demostrare ser justo en el deporte. Yo tratare a los participantes, entrenadores, administradores de recreación y publico con el mismo respeto que yo quiero ser tratado.

3. Yo jugare para divertirme y pondré todo de mi parte para asegurarme de que el juego sea divertido para todos los participantes.

2. Yo seré un ejemplo del buen deporte y actitud positiva. yo cumpliré con mis responsabilidades con el entrenador y con mi equipo.

1. Yo jugare bajo las reglas y nunca discutiré o me quejare sobre las decisiones de los oficiales.

CODIGO DE CONDUCTA PARA LOS JUGADORES

CODIGO DE CONDUCTA PARA LOS PADRES

1. Yo pondré el bienestar físico y emocional de mi niño(a) sobre cualquier deseo de ganar. Yo ayudare a mi niño(a) a entender y valorar las lecciones que el deporte enseña.

SE UN BUEN DEPORTISTA

SE UN BUEN DEPORTISTA

CITY OF LOS ANGELES DEPARTMENT OF RECREATION AND PARKS SER UN BUEN AFICIONADO AL DEPORTE ES RESPONSABILIDAD DE TODOS:

CITY OF LOS ANGELES DEPARTMENT OF RECREATION AND PARKS

SER UN BUEN AFICIONADO AL DEPORTE ES RESPONSABILIDAD DE TODOS:


Central City Girls Basketball Association 2007 CCGBA Registration Form

Name Age Address City and State Division

______________________ Telephone Number___________________ ______________________ Birthday ___________________ ___________________________________________________________ ____________________________________ Zip Code__________ _______________________

Code of Conduct:

I understand that any participant who does not abide by the rules and regulations set fourth by the league and host site is subject to dismissal at the sole discretion of the league organizers and staff without reimbursement of recourse.

Insurance Waiver:

I herby authorize the Director (s) of the CCGBA Central City Girls Basketball Association, to act for me according to his/her best interest in an emergency regarding medical attention. I hereby release and discharge the CCGBA, Heart of Los Angeles Youth, the Los Angeles Lakers Youth Foundation, the city of Los Angeles, The Amateur Athletic Foundation, league staff, employees, facilities and affiliated entities from all claim, damages, losses, personal injuries and expenses whether in contract, tort or otherwise, actual or alleged, arising out of or in connection with application to and participation in the league.

Participant Signature

_____________________ Date

________________________

Parent/ Guardian Signature

_____________________ Date

_________________________

Print Parent/Guardian Name

_____________________ Tel. Number

__________________

2nd Emergency Contact

_____________________ Tel. Number

__________________

Medical Insurance

______________________________________________________

Medical Information

Please list any medical conditions, allergies, medications, devices worn, (Hearing aids, glasses, contacts, etc.) _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________


Nombre del Participante

________________________________________________

Nombre del Equipo:

________________________________________________

Nombre del Entrenador:

__________________________Tel. ( ) _______________

Cual de estas combinaciones ha entregado? Marque Una 9 (Por favor de solo entregar copias)

Combinación N. 1

Tarjeta de Identificación Escolar con la fecha de Nacimiento (ID) y el Reporte Escolar (Report card) y

Combinación N. 2

Tarjeta de Identificación Escolar (ID) sin Fecha de Nacimiento, Reporte Escolar (Report Card),

Combinación N. 3

Partida de Nacimiento, Reporte Escolar (Report Card), 2 fotos.

Combinación N. 4

Record de inmunización (Vacunas), Reporte Escolar, 2 fotos.

Otra combinación?

________________________________________________ ________________________________________________ ________________________________________________

(Por favor marque uno) Division

Edad

Fechas elegibles de nacimiento____

Pee Wee

(6 - 7 años)

Junio 1, 2004 o después de esta fecha ___

Minors

(8 - 9 años)

Junio 1, 2002 o después de esta fecha ___

Majors

(10 - 11 años)

Junio 1, 2000o después de esta fecha ___

Girls Varsity

(12- 18 años)

Junio 1-1998-1992 o después de esta fecha


City of Los Angeles

Heart of Los Angeles

Antonio R. Villaraigosa

Board of Directors

Mayor

Herb J. Wesson Jr.

Councilmember, District 10

Department of Recreation & Parks Board of Recreation & Parks Commissioners Barry A. Sanders Luis A. Sanchez Candy Spelling Maria Casillas Johnathan Williams

President Vice President Member Member Member

Department of Recreation & Parks

Jon Kirk Mukri General Manager Regina Adams Executive Officer Vicki Israel Assistant General Manager- East Kevin Reagan Assistant General Manager- West Debby Rolland Metro Region Superintendent Gary Baer Principal Recreation Supervisor II Veronica Rodriguez Central District Recreation Supervisor

Lafayetter Community Center

Celina Daniels

Recreation Facility Director

Recreation Assistants

Cesar Castro Mark Chambers Harlan Felix Delfino Rodriguez

Javier Tzoc Amelita Velasco Jhazpher De Leon Beatrice Lara

Mitchel D. Moore Stuart Koenig Jeff Le Sage Howard Grobstein Eduardo Nochez Anthony M. Brown

Alan Adelman Andrew Bernstein J. Ben Bourgeois Rod Carter David Dalton Stephen Espinoza Michael Gallagher Glenn D. Gritzner Tim McNeal

Chairman President Vice President Treasurer Secretary Executive Director Debra Gentz Steven Hauser Kurt Hocker Lidia Martinez Lawrence Moore Raul de Quesada Warren Rissier Chris Robichaud Peter Schube

Program Directors

Rebecca Clark Alex Nataren Anna Phillips Darlene Garcia Loren Rubin Silvia Velazquez Jose Acosta Christine Witkowski Nara Hernandez Bruce Hooks Veronica Matos

Administrative Director Operations Director Grants Administrator SmartStart Director Leadership Director Bridges After School Director ROPE Director Performing Arts Director Visual Arts Director Athletics Director Resource Director

Program Coordinators Andrea Cova Haymen Gebru Jessica Fernandez Sonia Salazar Maria Galacia Zorayda Mejia

Alumni Coordinator Athletics Coordinator Soccer Coordinator Bridges Coordinator Fine Arts Coordinator Volunteer Coordinator

Program Teachers & Assistants Andrea Cova Brittany Mejia Nicole Pasten

SmartStart Teacher SmartStart Teaching Assistant SmartStart Teaching Assistant


HOLA Fall 2010