Juanita Sanchez Afterschool Program Winter/Spring 2012
Hello Juanita Sanchez Students! This session, Winter/Spring, of SOAR (Student Opportunities Afterschool Resources) for the Juanita Sanchez Educational Complex, is the very first to go ONLINE....thanks to Mr. Bellisle! That's right! No more paper registrations. Carefully look at every single page so you don't miss anything. Talk to your friends about it. Show your parents and see what they think. There's something for everyone! Registration is open to any student from JSEC. All classes are FREE! This session runs from March 12th to May 31st. This afterschool program is funded by a 21st Century Community Learning Center grant and Title 1 from the Providence Public School Department. Seven of the classes offered have Community Service Hours attached to them. Every student has community service hours as a graduation requirement. The afterschool office is next to the principal's suite in the east wing. Always check out the area around it since new classes and opportunities are often offered and posted there. Also drop in and give us suggestions and ideas. R To register click the REGISTER RE EG GIISST TE ER R button and complete the form! But check out everything in the brochure before you do that. Don't miss out! The sooner the better...some classes have limited space.
"Adolescents who participate regularly in after school programs have better academic and social outcomes - as well as higher education and career aspirations than other teens." - Professor Milbrey McLaughlin, Stanford University
Lydia MacManus Director, SOAR Juanita Sanchez Complex
Janelle Clarke-Holley, Principal Nathan Biah, Dean of Student Affairs and Operations Rodolfo Vargas, Dean of Discipline
21st Century Community Learning Center
Dr. Raymond Sickinger Providence College SOAR Community Partner/Fiscal Agent
Juanita Sanchez Afterschool Program Winter/Spring 20123
SPORTS/TECH Instructor: Mr. Moreau Mondays and Fridays 4:00 - 6:00 This is definitely one of the most popular afterschool classes! It combines both sports and technology. Students will have access to a computer lab to work on projects, homework, create fitness/athletic charts, etc. They get to vote each class on what activity, sport, or game to play. It could be football, basketball, volleyball, floor hockey, bocce, ultimate Frisbee, pickleball and even board games! It's always a productive afternoon of getting work done while having fun with friends. Come and participate! R RE EG GIISST TE ER R
TURNING A SPACE INTO A PLACE Instructors: Mr. Gormley and Steve Weldon Mondays 4:00 - 6:00 JSEC is undergoing a lot of changes this year! We're working on another project to improve our world even more, but we need your help. Take this class and we'll figure out the best way to use the land on the west side of the building. Should it be a garden? An outdoor classroom? An open space to meditate? All of the above? Come help us decide and then create a space that everyone can enjoy. Maybe we can even install the peace pole, we just created, there. We'll need you to be construction managers, grant writers, web designers, landscape designers, agriculture specialists and many more roles! This is a collaborative effort that will have a positive impact on JSEC and all its future students. (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
21st Century Community Learning Center
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NEW URBAN ARTS Instructor: Varies Day and Time: Varies Schedule with offerings is posted outside the after school office. New Urban Arts, 705 Westminster Street, Providence provides studio, exhibition space, and mentoring for young artists who explore the visual, performing, and literacy arts through year-long FREE out of school programs. So if you are interested in the arts check it out! They have opportunities in the following: Painting, Photography, Graphic Design, Drawing, Fashion Design, Comics, Sculpture, Poetry/Writing, Film/Animation, Silk Screening, Digital Media, and Portfolio. R RE EG GIISST TE ER R
For more information and a registration form to explore the possibilities: www.newurbanarts.org. Or drop in the afterschool office with any questions you have. Transportation, if needed, will be provided from school to NUA. Being associated with the artists and staff at New Urban Arts is an experience you will treasure!
SAT PREP! COLLEGE PREP! Instructor: Joseph Maurer Tuesdays & Thursdays 2:30 - 4:00 This course will familiarize students with the SAT, one of the primary standardized tests used for college admissions. Students will be introduced to the test and they will learn how to perform their best on each section of the exam. Besides help with the SAT, you'll also get help with choosing a college, financial aid, your college essay, etc. Open to all students, but Juniors are especially encouraged to take advantage of this opportunity to prepare for college! The instructor is a College Guide, from the College Advising Corps at Brown University. He is located in the Guidance Office in the East Wing. He is trained to help you and he wants to! So sign-up NOW! You need his help! R RE EG GIISST TE ER R
21st Century Community Learning Center
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YUGA ~ Youth United for Global Action Instructor: Ms. Lallo Wednesdays 4:00 - 5:30 We, at the Juanita Sanchez Complex, actually work with the International Institute of RI to support refugees arriving in Providence from all over the globe. In addition we spread awareness of global issues that affect youth around the world, we host community dinners and school-wide events that help out our community and the worldwide community. Join us! (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
PROVIDANCE COMPANY Instructor: Mrs. Sprague Wednesdays 4:00 - 5:30 Love to dance? Whether it be on stage or just when you think no one is looking? Come be a part of the ProviDance Company! Performers are drawn from the entire Juanita Sanchez community. All are welcome and no previous experience is necessary. We'll perform at special functions and events around the state. And we'd love new members! You'll be introduced to World Dances (ie: Latin dances, African, Southeast Asia, Hip Hop), jazz and modern dance.
JSEC DEBATE TEAM
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Instructors: Kurt Ostrow, Alex Kleiman & Thaya Uthayophas Mondays 4:00 - 5:30 & Thursdays 2:30 - 4:00 Like to argue? Considering becoming a lawyer? Looking to boost your grades and college resume? Then join the Juanita Sanchez Debate Team! Sharpen up your debate skills at practice, and use them to win at monthly tournaments. Last year we swept the JV-division and this year we're looking to take home even more trophies. No experience necessary! We're always looking for more debaters. Talk to Genesis Sanchez, a JSEC junior, if you have any questions at all. R RE EG GIISST TE ER R
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MISSION GREEN Instructors: Ms. Hellewell, Jesus Holguin Mondays 4:00 - 5:30 Mission Green returns with an expanded purpose and a JSEC graduate as a co-instructor. This year we will be partnering with ACE (Alliance for Climate Education) to establish paper and plastic recycling at JSEC. We'll also work on ways to reduce our electricity consumption at school and at home. We will also continue last year's mission of creating beauty from trash, also known as 'upcycling'. Upcycling means repurposing/recycling something(s) into a new item that's value is GREATER than it was before. Examples include turning disposable plastic bags into reusable shopping bags or notebook cases, or turning a few moth-eaten cashmere sweaters into a great scarf. In extreme cases it means turning disposable plastic bags and soda can tabs into a prom dress! FUN! We will approach this with an international focus, gaining our inspiration from "Garbage City" in Cairo, Egypt (senior topic, anyone?). We'll focus on conservation, recycling, upcycling or any combination, wherever your interests lie. Join us and help make the world a cleaner, more beautiful place, starting with JSEC! (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
GUITAR WORKSHOP Instructor: Mr. Cross Wednesdays 4:00 - 5:30 Have you ever dreamed of being a rock star? Well this is your chance. Guitar Workshop is an exploration of the vast and exciting world of guitar. Students in Guitar Workshop will listen, read, and play rock, jazz, blues, and Spanish styles of guitar music. We will learn the building blocks of how to play guitar: scales, chord progressions, and music theory. With a focus on performance, students will learn how to play the fundamentals of guitar and be ready to continue their studies in guitar after the course ends. This class will set you on the course of being a guitar virtuoso. Looking forward to weeks of guitar jamming! R RE EG GIISST TE ER R
21st Century Community Learning Center
Juanita Sanchez Afterschool Program Winter/Spring 2012
JSEC CHORUS Instructor: Ms. Hopkins Mondays 4:00 - 5:30 This, of course, is for students who love to sing! As a member of the chorus you'll learn how to sing together as a group, working on a variety of songs. You'll even learn some singing techniques. And you'll have a say about what songs we work on. Singers of all abilities are welcome. Don't just use your voice in the shower. Share it with us. Let's make some great music together! R RE EG GIISST TE ER R
MURAL PAINTING Instructor: Lauren Yattaw Saturdays 10:00 - 1:00 Ms. Clarke-Holley, our principal, has requested a mural to brighten the new main office of the Juanita Sanchez Educational Complex. It's in the west wing. She wants parents and other visitors to feel welcome there. The students in this class will make this happen! Working with a professional artist they will learn all phases of painting murals from original design concepts through to completion. And you don't have to be a great artist...with the right tools and the right direction anyone can learn to paint a mural. Be part of this exciting project! Your efforts will be on display for many years to come. (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) REGISTER REGISTER
FRENCH CLUB Instructor: Mr. Boudreault Wednesdays 4:00 - 5:30 This club will promote the French language and culture. It'll help students succeed in their French classes by exploring French films, musique, literature and even making and tasting French cuisine. The group will also organize and promote field trips to French museum exhibits. You may even work on creating an exchange trip with French families and students in France! R RE EG GIISST TE ER R
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OPEN LIBRARY Instructors: Mr. Quesnel, Ms. Jenner and Ms. Liu Mondays & Wednesdays 4:00 - 5:30 The JSEC library will extend its hours on these days to allow students the chance to use computers and get assistance from Mr. Quesnel , Ms. Jenner and Ms. Liu with research projects, homework, papers, and anything else related to your school courses. It's not necessary to register for this class ahead. It will be run like a drop-in. Use it when you need it. Take advantage of this great opportunity to improve your grades. You'll have a quiet place to get a lot of work accomplished. What a good feeling to leave school with all your homework done and done well! RREEG GIISST TE ER R
ROBOTICS Instructors: Samibelk Betancourt and Mr. Taiwo Mondays & Wednesdays 4:00 - 5:00 A JSEC graduate and a JSEC faculty member will colead this class. Students will design and then create functioning robots for a state robotic competition this spring. Robotics is definitely a hands-on, fun, challenging activity that uses your critical thinking skills. The competition manual from New England Tech states, "Our mission is to inspire young people to be science and technology leaders, by engaging them in exciting mentor-based programs that build science, engineering and technology skills, that inspire innovation, and that foster well-rounded life capabilities including self-confidence, communication, and leadership". Imagine getting all that from an afterschool course? Join ROBOTICS! R RE EG GIISST TE ER R
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P90X-The Ultimate Workout Instructor: Mrs. Gormley Mondays & Wednesdays 4:00 - 5:00 Come join Mrs. Gormley in an ultimate workout experience. Get fit, get healthy, and have fun! The workouts will include cardio, strength training, weight lifting, and plyometrics. We will work together building and toning muscle while getting healthy. This is the ultimate eXtreme workout...get ready to BRING IT! Staff and faculty welcome! REGISTER
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E.C.O. YOUTH (Environmental Community Organizers) ECO Youth is a ground-breaking new youth group on the cutting edge of the movement for social change, healthy lifestyles, justice, and a safe environment. If you're interested there are two projects you may participate in: Healthy Corner Store Initiative: Tuesdays, 3:30 - 5:30, Providence YMCA, 371 Pine Street (working with corner stores for healthy options, educating about food, social media marketing, events) Green D(RI)VE Bus Project: Wednesdays, 3:30 - 5:30, At the HUB, 140 Broadway (creating a movie, engineering, entrepreneurial business skills, workshop design and public speaking) Transportation to either of these sites will be provided from JSEC. For more information see Mrs. MacManus in the Afterschool Office, or contact Julian at Julian@EJLRI.org, or contact Jesus Holguin, JSEC graduate. You may apply online at: tinyurl.com/ECOYouthApplication (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
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PRINCIPAL LEADERSHIP PROGRAM Instructors: Peter Chung, Co-Director, Young Voices Ms. Clarke-Holley, Principal, Juanita Sanchez Complex Tuesdays 2:30 - 4:00 Want to make a difference in your school? Do you want someone to listen to your great ideas? You may be exactly what the Principal Leadership Program (PLP) is looking for. The group is open to guys and girls in their freshman, sophomore or junior years that are able to make a two year commitment. PLP will be featuring Young Voices! Young Voices is a national youth advocacy group that is based right here in Providence. They will help us determine the issues, collect data and make presentations to create positive changes in the school while having fun and building relationships. Ms. Clarke-Holley, Principal, will also meet with members of the group to further help develop your leadership skills! These meetings may occur at off-school sites. You'd be smart to join PLP! (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
ANIMATION and MOVIE-MAKING Instructor: Anthony Bailey Thursdays 2:30 - 4:00 Do you like movies or comics? Ever think you'd be able to make your own? Well in this class you can! We'll explore animation and visual thinking through a series of projects. And you'll get to animate your work on electronic Flip Pads. You will be able to direct and make a short, hand or computer animated film using your favorite props. Fabricate your own unique mask by taking a basic mask and manipulating its color, texture and shape. Create your very own electronic comic book. Take this class and see all the amazing things you can create!
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AUTHORS WANTED! Instructor: Sam Rippey Mondays 4:00 - 6:00 What's YOUR story? This weekly group explores the art of imaginative writing, with an emphasis on popular modern forms— flash fiction, "hint" fiction, and short stories. Group time involves fun exercises in composition and creativity, critiques, editing, and unique approaches to the written word. Individual work includes a writing project of the student's choice—a story, poem, memoir, blog, collection, or even a novel! Writers of all levels, abilities, and motivations are encouraged to attend. REGISTER REGISTER
FASHION DESIGN Instructor: Solange Rafael, Raising Hope Tuesdays & Thursday 2:30 - 4:30 Are you into fashion? Do you like creating new looks with your clothing every day? You could get paid to do it someday! This class introduces students to a career in fashion and apparel designs. You'll learn a wide variety of hands-on skills such as pattern making, cutting and sewing knitwear, sweater design, threading and sewing with a machine, etc. You'll even learn to use technology in your fashion design. Develop critical and analytical thinking skills while exploring your creative talents. Join us and become a designer! R RE EG GIISST TE ER R
KNITTING CIRCLE Instructor: Gail Johnson Mondays 4:00 - 5:00 Learn how to make yourself (or someone else) a scarf or a hat! Yarn and needles are supplied. We'll knit and socialize. It'll be a perfect relaxing way to end a long day! Everyone is welcome and no experience is necessary. R RE EG GIISST TE ER R
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TEE-SHIRT DESIGN and GRAPHIC DESIGN Instructor: Carlos Villalona Thursdays 2:30 - 4:30 This is a unique group which will be run by JSEC grads where you will learn to design and make unique limited edition tees. You will work on and design JSEC logos as well as create artistic and self-expressive designs. You will become familiar with screen-printing with a focus on graphic design. R RE EG GIISST TE ER R
STUDY HALL Instructors: Mr. Shwartz, Alicia MacManus and Alex Luedtke Tuesdays & Thursdays 2:30 - 3:30 Here's the opportunity to get help in all your classes! There'll be computers available and tutoring available. Get help with homework, projects, papers, test preparation.... whatever you need. Take advantage of this study hall. It will help you to stay on the team and to stay in school. It's MANDATORY for athletes and optional for the rest of the student body. Everyone is welcome! REGISTER
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IMPROV COMEDY Instructor: Mr. Broschart Wednesdays 4:00 - 5:30 You feeling funny? Come out and try some improv comedy with the ImProv Comedy Group! We'll teach you some exercises and games that will help you become a true comedian. So if you like to laugh, and if you love to make people laugh, come join us for this absolutely hilarious after school program. R RE EG GIISST TE ER R
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CONNECT! Instructor: Anthony Bailey Tuesdays 2:30 - 4:00 Make yourself and the world better! Learn Dr. Martin Luther King's Principles of Non-Violence. Be a role model in your school, in your family and in your community. Learn to understand and respect each other's differences and then spread the word! No matter how different some people may seem from you there are always ways to connect to them. This class will show you those ways. Join us and make a difference! (COMMUNITY SERVICE HOURS ARE AVAILABLE FOR THIS COURSE.) R RE EG GIISST TE ER R
WORK OUT! Instructors: Carlos Bryant & Shawndell Burney Tuesdays and Thursdays 2:30 - 4:00 Want to get fit? You need to learn how first! This class, in our well-equipped fitness room, will show you the importance of keeping up with a healthy lifestyle for the rest of your lives. We'll also help you develop and maintain a regular fitness program. You'll increase your flexibility, muscular strength, endurance, and cardiovascular fitness. You'll be amazed at what you'll accomplish! Come and check us out! You'll be glad you did. REGISTER
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PICTURE PERFECT! Instructor: Ms. Rowen Wednesdays 4:00 - 5:30 Capture the beauty that surrounds you every day with a photograph. Come explore with us as we take pictures of our beautiful city and learn to see it in a new way. Perhaps you'll discover a hidden talent you didn't know you had! No experience is necessary. Just bring your camera (disposable is okay) or your cell phone camera. Let's shoot! REGISTER
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EXPLORATORY ART Instructor: Lauren Yattaw Tuesdays 2:30 - 4:30 Art is for everyone! Whether you're an experienced artist looking to improve or someone who would just like to dabble, this course is for you. We'll begin by hand-binding our own sketchbooks to be used as sketch journals. We'll learn to use techniques such as shading, line quality, texture and color as we build our art portfolios. We'll discuss your individual projects and aspirations and then make artworks that build upon each students' style and skills! Come find out what it means to be an artist! REGISTER REGISTER
ANIME/MANGA Instructors: Ms.Cloud & Georlee Freeman Wednesdays 4:00 - 5:30 Are you interested in anime or manga? Come hang out with us! In this class we will watch and discuss the cultural significance of several forms of anime, as well as read and discuss manga. You can bring in new forms to show us or even create your own! We'd love for you to join and express your artistic ways while having fun! R RE EG GIISST TE ER R
DRAMA 101 Instructor: Ms. Cloud Mondays 4:00 - 5:30 High school is definitely full of drama. Come put that aside and learn about REAL drama. In this class we'll learn the basics of acting: improv, stage presence, drama, comedy, physical techniques, creating characters, set, costumes, etc. We'll read some short pieces of theatre and perform them for our group and possibly for the whole school. Come see if you have what it takes to take the stage! REGISTER
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OPEN MIC/KARAOKE Instructor: Steve Weldon Tuesdays and Thursdays 2:30 - 4:00 It's karaoke!!! Or whatever else you would like to perform at the mic. Here's the chance for you to sing your favorite songs and meet new friends. You don't have to be the greatest singer and if you are that works. And if you aren't it's all the better! This club will allow you to learn how to be comfortable in front of an audience and just have fun. Come perform with Steve, the mastermind of JSEC's Got TALENT, from last session! REGISTER REGISTER
FORTUNATE COOKIES GIRLS GROUP Instructor: Shawndell Burney and Amanda Johnson Wednesday 4:00 - 5:30 Calling all Girls! Calling all Girls! If you want to join a group, join us! This is more than a group it's a movement! As you can see these images have No Faces, the face I want you to see is Your Own. Join us for an opportunity to be a part of an interactive girls group in a safe and confidential setting. Here you will be able to hang out with your peers, and get help on how to cope with the pressures of being a teen in today's world. REGISTER REGISTER
SATURDAY OPEN LIBRARY Instructors: Carolyn Steward & Mr. Cross Saturday 11:30 - 1:30 Make good use of your weekend time! The library is open for you. There are teachers there to help you. There are computers for you to work on. Work independently. Work with a group of friends. Or get the help you need. Catch up on what is due. Get explanations where you are confused. Feel free to go just to have a quiet place to read or think or plan. Stay as little or as long as you like. R RE EG GIISST TE ER R
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The AWESOME TOUR BUS Tour guides: Mr. Quesnel & Ms. Jenner The Awesome Tour Bus rides again this winter with two fabulous trips: Saturday, March 17th, Monster Mini-Golf Sunday, April 1st, special screening of a new movie about the Holocaust, May Your Memory Be Love See Mr. Q and Ms. Jenner for your permission slip. There's a limit on all trips. So sign up as soon as you can so you'll be ready to board the Awesome Tour Bus! R RE EG GIISST TE ER R
ZUMBA! Instructor: Ms. Boothman Mondays 4:00 - 5:00 Come join the latest rage! In this fifty minute exercise session students will learn the basic moves of Zumba including merengue rhythms and steps, cumbia and other moves combine to make an exercise program that is vigorous and fun. You'll probably start learning in the back of the room but by the end you may be leading the class in a dance of your own! This aerobics program is made up of intervals which means that we rotate using high and low energy steps to ensure a good workout for all. Staff and faculty are welcome! You don't need to be a dancer. Just come and have fun while you burn calories! REGISTER REGISTER
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Coming Attractions More information about these courses will be available by listening to school announcements and checking postings on the wall outside the afterschool office and going to our afterschool website often.
www.JSECafterschool.com A great big SHOUT OUT to Mr. Peter Bellisle for getting us online!!!
WALL STREET SMARTS (How Wall Street Works) Instructor: Ms. Lemos Financial independence is the name of the game. Knowing your options and how to take advantage of them is what makes you financially stable. We have taught you the main subjects in school, but we fail to prepare you to become smart with your money. Are you good with money? Probably not! Even most adults struggle with handling their finances. This course is for students who want to get a head start on becoming financial experts. The instructor will teach you how banks can actually help you save and invest your money. In our global society, you need to know your options. Saving your money is not just in bank accounts at your local bank. Explore your options with knowing the Stock Market and how it works. Students will even get to buy stocks using an online game. Bring your own calculators/notebook and a desire to become financially smart. Seniors and juniors will be given preference for this class. 21st Century Community Learning Center
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SWIMMING AT THE YMCA Instructor: YMCA Staff Want to have more fun this summer? Learn to SWIM! Take this course and by the end of school this year you'll have it mastered. You'll take lessons with the highly qualified staff at the East Side/Mt. Hope YMCA on Hope Street, Providence. The first 45 minutes will be swim lessons and then the last 15 minutes you will have free swim. The space is limited...only 20 spots available...so attendance is VERY important. SO don't register unless you are serious about going each week and really learning to swim. Transportation will be provided. Swimming is a life-long skill. Take advantage of this wonderful FREE opportunity!
LET'S GO SAILING! Location: Community Boating Center, India Point Park Let's Go Sailing! It's almost spring and the sun will be out more. It'll be time to get on the water. With some instruction you'll be able to sail the sailboat yourself. Picture it. You and some friends, the wind in your hair, the sun shining down, and you in control of the boat charting the open water. You'll be learning a skill you can use the rest of your life. Don't miss the opportunity. This course will start in May.
21st Century Community Learning Center
Juanita Sanchez Afterschool Program Winter/Spring 201219 Afterschool Program ~ Courses At-A-Glance Times
MONDAY
4:005:00
ZUMBA ROBOTICS P90X WORKOUT KNITTING
ROBOTICS P90X WORKOUT
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MISSION GREEN DEBATE CHORUS OPEN LIBRARY DRAMA 101
YUGA PROVIDANCE GUITAR OPEN LIBRARY IMPROV COMEDY ANIME/MANGA PICTURE PERFECT FORTUNATE COOKIES FRENCH CLUB
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4:005:30
4:006:00
Times
SPORTS/TECH SPACE TO PLACE AUTHORS WANTED
WEDNESDAY
SPORTS/TECH
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TUESDAY
THURSDAY
2:30-3:30
STUDY HALL
STUDY HALL
2:30-4:00
SAT PREP PRINCIPAL LEADERSHIP CONNECT! OPEN MIC/KARAOKE
DEBATE SAT PREP OPEN MIC/KARAOKE ANIMATION & MOVIE-MAKING WORK-OUT!
2:30-4:30
FASHION DESIGN EXPLORATORY ART WORK-OUT!
Times
TEE-SHIRT DESIGN FASHION DESIGN
SATURDAY
10:00-1:00
MURAL PAINTING
11:30-1:30
SATURDAY OPEN LIBRARY
FRIDAY
21st Century Community Learning Center
ALSO CHECK OUT: NEW URBAN ARTS Variable Times/Days See Page 4 AWESOME BUS TOUR See Page 16 for details! E.C.O. Youth See Page 9 for more information about this youth group and the projects you can get involved in!!
Juanita Sanchez Afterschool Program Winter/Spring 201220 REGISTRATION FORM WINTER SESSION 2012 Middle Name (First) ____________________ (Initial) ______ (Last) ______________________ Birth date: ____________________ Age: __________
Gender:
□ Female
□ Male
Address: __________________________________________ Zip Code: _____________ Cultural Background: Check all that apply American Indian/Alaskan Native Asian American Black/African American
C U T
Hispanic/Latino Native Hawaiian/Other Pacific Islander White
Home Phone: _____________________ Student Cell Phone: ___________________________ H E R E
School: _________________________________ Grade: ______________________________ Parent or Guardian's Name: _____________________________ Relationship: _____________________ Emergency Phone Numbers: ______________________________________________________ Do you have any limitations or restrictions that would affect your participation in the Afterschool Program? _______________________________________________________________________ Do you have any allergies? _________________________________________________
Monday
Tuesday
COURSE SELECTIONS: Wednesday Thursday
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Friday