Montgomery County students in Grades 1 through 12

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1 Academic tutoring and instruction with certified teachers in a nurturing and supportive environment Curriculum is aligned with that of Montgomery County Public Schools Grades Kindergarten through 8 focus on reading, language arts and math. Kindergarten at Paint Branch and Wheaton HS@Loiderman MS. Grades 9 through 12 focus on core subjects (English and Math); support for High School Montgomery County students in Grades 1 through 12 SATURDAY MORNINGS 8:30 A.M. TO 11:00 A.M. BREAKFAST PROVIDED AT 8:00 A.M. AT ALL CENTERS except Sherwood SEE CALENDAR ONLINE AT A registration fee of $40 for FARMS /$70 for non-farms. A payment plan is available and can be completed at registration. (FARMS = Free and Reduced-price Meals System) Parents may register online at or in person at the center their student will attend. For online registration, available July 15th, please bring the report card to your student s first tutoring session. PayPal, Visa and MasterCard are accepted. For registering at the centers, please bring the report card to the center. Cash, checks or money orders (made payable to GBTLA or The George B. Thomas, Sr. Learning Academy, Inc.) are accepted. OCTOBER 3: OPENING DAY/REGISTRATION FOR PARENTS & STUDENTS HELD AT ALL LEARNING ACADEMY CENTERS 8:30 a.m. to 11:00 a.m. You may register your student any Saturday that Saturday School is in session. 12 LOCATIONS BLAIR HS EINSTEIN HS GAITHERSBURG HS KENNEDY HS MAGRUDER HS NORTHWEST HS PAINT BRANCH HS ROCKVILLE HS SHERWOOD HS SPRINGBROOK HS WATKINS MILLS HS WHEATON LOIDERMAN MS Transportation provided at Blair, Kennedy and Wheaton High Schools. Call The Learning Academy Office at The GBTLA Saturday School is an independent non-profit 501(c)(3) organization. Contributions gladly accepted.

2 Un programa a bajo costo de tutoria para estudiantes con maestros certificados Currículo alineado con el de las escuelas publicas del Condado de Montgomery Grados Kindergarten al 8 se enfocan en lectura, artes del lenguaje, y matemáticas. Kindergarten en Paint Branch y Wheaton Loiderman MS. Grados 9 al 12 se enfocan en las materias básicas (Ingles y Matemáticas) y apoyo para los Estudiantes del Condado de Montgomery en grados 1 a 12 SÁBADOS POR LA MAÑANA DE 8:30 A.M. HASTA 11:00 A.M. HABRÁ DESAYUNO A LAS 8:00 A.M. EN CADA CENTRO menos en Sherwood VEA NUESTRO CALENDARIO EN Registracion es $40 para FARMS /$70 para no-farms. Hay planes de pago disponibles al momento de registracion (FARMS = si su hijos reciben comidas escolares a precio reducido o gratis) Padres pueden registrar sus hijos en persona en el centro que van a asistir o en nuestra página web Registracion por internet, disponibles Julio 15, por favor llevar una copia de las calificaciones mas recientes a la primera clase. Se acepta PayPal, Visa and MasterCard. Registracion en persona, por favor llevar una copia de las calificaciones mas recientes a la primera centro. Se acepta efectivo, cheque, o money order. (Escritos a GBTLA o The George B. Thomas, Sr. Learning Academy, Inc.) OCTOBRE 3: DIA DE APERTURA/MATRICULACION PARA PADRES Y HIJOS EN TODOS LOS CENTROS 8:30 a.m. to 11:00 a.m. Puede registrar su hijo cualquier Sábado que haya clase. 12 LOCALES BLAIR HS EINSTEIN HS GAITHERSBURG HS KENNEDY HS MAGRUDER HS NORTHWEST HS PAINT BRANCH HS ROCKVILLE HS SHERWOOD HS SPRINGBROOK HS WATKINS MILL HS WHEATON MS Proveemos transporte a las escuelas Blair, Kennedy y Wheaton. Llame a la oficina central al Se aceptan donaciones. La Escuela de los Sábados es una organización independiente sin fines de lucro 501 (c)(3).

3 The George B. Thomas, Sr. Learning Academy, Inc STUDENT REGISTRATION FORM Parents may register online at or in person at the Center their student will attend. A registration fee of $40 for students receiving Free and Reduced-price Meal Services (FARMS) and $70 for non-farms is required in order to register. A payment plan is available at all Saturday School sites and can be completed at registration. For registering at the centers, cash, checks or money orders are accepted. Please bring the student s report card to registration. For online registration, PayPal, Visa and MasterCard are accepted. Please bring the student s report card to the first session. I WOULD LIKE TO ENROLL MY CHILD IN THE SATURDAY SCHOOL CENTER AT: MONTGOMERY BLAIR HS ALBERT EINSTEIN HS GAITHERSBURG HS JOHN F. KENNEDY HS NORTHWEST HS MAGRUDER HS PAINT BRANCH HS ROCKVILLE HS SHERWOOD HS SPRINGBROOK HS WATKINS MILL HS WHEATON MS STUDENT NAME: HOME PHONE: LAST FIRST MIDDLE INITIAL HOME SCHOOL: MCPS STUDENT ID NUMBER (REQUIRED): MALE FEMALE GRADE: DATE OF BIRTH: ENROLLMENT DATE: HOMEROOM TEACHER/COUNSELOR NAME: STUDENT RACE: (PLEASE CIRCLE) AMERICAN INDIAN OR ALASKAN NATIVE ASIAN BLACK OR AFRICAN AMERICAN HISPANIC/LATINO NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER WHITE TWO OR MORE RACES HAS THIS CHILD ATTENDED THE SATURDAY SCHOOL BEFORE? YES NO IF YES, FOR HOW MANY YEARS? PARENT NAME: PARENT S CELL PHONE: LAST FIRST MIDDLE INITIAL PARENT S ADDRESS: PARENT S WORK PHONE: EMERGENCY CONTACT PHONE NUMBER (IF DIFFERENT): STREET ADDRESS: CITY: STATE & ZIP: Please notify the Center Director if you would like our staff to know about any learning needs, medical conditions, food allergies, or 504 accommodations that are needed for your child. AUTHORIZATION TO REQUEST / RELEASE PUPIL RECORDS AND PHOTOS I HEREBY GIVE MY PERMISSION TO THE GEORGE B. THOMAS, SR. LEARNING ACADEMY TO REQUEST ACADEMIC RECORDS/ INFORMATION FOR THE ABOVE STUDENT AND FOR MONTGOMERY COUNTY PUBLIC SCHOOLS (OR THE SCHOOL WHERE YOUR CHILD IS CURRENTLY ENROLLED) TO RELEASE THOSE RECORDS. I ALSO GIVE MY PERMISSION FOR MY CHILD S PHOTO(S) TO BE USED IN LEARNING ACADEMY MARKETING MATERIALS. SIGNATURE OF PARENT/GUARDIAN DATE Is your family eligible for Free and Reduced-price Meals System (FARMS)? YES NO Do you need a payment plan to assist with registration fees? YES NO Can you help pay the registration fee for a child who cannot afford it? YES NO AMOUNT $ TOTAL PAID BY: CASH CHECK / MONEY ORDER / Amount Check Number/Amount MO Number/Amount

4 The George B. Thomas, Sr. Learning Academy, Inc FORMULARIO DE MATRÍCULA ESTUDIANTIL Los padres tienen que presentarse en persona al centro de aprendizaje al cual su hijo/a va a asistir para matricularlo/la. Al matricular a su hijo/a los padres tienen que proveer la cuota de matrícula ($40 para familias que reciben FARMS* /$70 para los que no reciben FARMS*) y el reporte de notas más reciente. *Si su familia recibe FARMS (el programa de las escuelas para recibir las comidas a precio reducido o gratis) ustedes califican para el precio de matricula reducido. Quiero Matricular A Mi Hijo/A En El: MONTGOMERY BLAIR HS MAGRUDER HS SHERWOOD HS ALBERT EINSTEIN HS NORTHWEST HS SPRINGBROOK HS GAITHERSBURG HS PAINT BRANCH HS WATKINS MILL HS JOHN F. KENNEDY HS ROCKVILLE HS WHEATON@LOIDERMAN MS NOMBRE DEL ESTUDIANTE: STUDENT NAME: APELLIDO/LAST NOMBRE/FIRST TELÉFONO DE LA CASA: HOME PHONE: ESCUELA LOCAL: HOME SCHOOL: NÚMERO ESTUDIANTIL DE MCPS (SE REQUIERE): MCPS STUDENT ID NUMBER (REQUIRED): HOMBRE MALE MUJER FEMALE FECHA DE NACIMIENTO: DATE OF BIRTH: GRADO: GRADE: FECHA DE MATRICULA: DATE OF ENROLLMENT: NOMBRE DEL MAESTRO O CONSEJERO: TEACHER/COUNSELOR NAME: RAZA/ETNICIDAD (POR FAVOR, SELECCIONE UNA): RACE/ETHNICITY: INDIO AMERICANO O NATIVO DE ALASKA ASIÁTICO AFRO-AMERICANO BLANCO WHITE AMERICAN INDIAN OR ALASKAN NATIVE ASIAN BLACK OR AFRICAN AMERICAN HISPANO/LATINO HISPANIC/LATINO NOMBRE DE PADRE/MADRE: PARENT NAME: NATIVO DE HAWÁI/O ISLAS DEL PACIFICO NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER DOS O MAS RAZAS TWO OR MORE RACES SU HIJO/A HA ASISTIDO A LA ESCUELA DE LOS SÁBADOS ANTERIORMENTE? SI NO HAS THIS CHILD ATTENDED THE SATURDAY SCHOOL BEFORE? EN CASO POSITIVO, CUÁNTOS AÑOS TIENE EL / ELLA ASISTIENDO AL PROGRAMA? IF YES, FOR HOW MANY YEARS? CELULAR DE PADRE/MADRE: PARENT S CELL PHONE: APELLIDO (LAST ) NOMBRE(FIRST) TELÉFONO DEL TRABAJO DE PADRE/MADRE: PARENT S WORK PHONE: CORREO ELECTRÓNICO DE PADRE/MADRE: PARENT S ADDRESS: TELÉFONO DE EMERGENCIA: (SI ES DISTINTA A LOS OTROS YA ANOTADOS): EMERGENCY CONTACT PHONE NUMBER (IF DIFFERENT FROM OTHERS LISTED): DIRECCIÓN/ADDRESS: CIUDAD/CITY: CALLE/STREET: ESTADO Y CÓDIGO POSTAL/STATE & ZIP: Por favor notifique al director del centro si usted desea que nuestro personal conozca las necesidades de aprendizaje, condiciones médicas, alergias a los alimentos, o plan 504 que su hijo. AUTORIZACIÓN PARA PEDIR Y OBTENER LA DOCUMENTACIÓN DEL ESTUDIANTE POR MEDIO DE MI FIRMA DOY PERMISO AL GEORGE B. THOMAS, SR. LEARNING ACADEMY PARA PEDIR DOCUMENTACIÓN ACADÉMICA E INFORMACIÓN RELACIONADA CON EL ESTUDIANTE IDENTIFICADO ARRIBA Y PERMISO A MONTGOMERY COUNTY PUBLIC SCHOOLS (O LA ESCUELA DONDE SU HIJO/A ESTE ACTUALMENTE MATRICULADO) PARA DIVULGAR ESTA DOCUMENTACIÓN. TAMBIEN DOY PERMISO QUE UTILISEN FOTO(S) DE MI HIJO/A PARA MATERIALES DE MARKETING. FIRMA DEL PADRE/MADRE/GUARDIÁN /SIGNATURE OF PARENT/GUARDIAN FECHA/DATE Su familia es elegible para comidas a precio reducido o gratis? SI NO Is your family eligible for free and reduced-price meals? Usted necesita plan de pago para ayudar con el costo de matricula? SI NO Do you need a payment plan to assist you with registration fees? Puedes ayudar a pagar la cuota de inscripción para un niño que no puede pagarla? SI NO Cantidad $ Can you help pay the registration fee for a child who cannot afford it? FEE PAID BY: CASH CHECK / MONEY ORDER / Amount Check Number/Amount MO Number/Amount

5 Starting in October 2015, Saturday School will offer support for Kindergarten students at the Paint Branch High School and Loiederman Middle School sites. Kindergarten classes will be taught by MCPS early childhood educators. Saturday School provides more time for more practice of the reading and math concepts taught during the week. The welcoming environment helps build self esteem and promotes a lifelong love of learning. Register NOW Space is Limited! Online at or on Opening Day, October 3, at the center your student will attend (Paint Branch or Loiederman). A registration fee of $40 for FARMS /$70 for non-farms. A payment plan is available and can be completed at registration. Registration is ongoing throughout the year. You may register your child any Saturday that Saturday School is in session. Questions? For Paint Branch, contact Center Director Christina Putman Phone: Christina_D_Putman@mcpsmd.org For Loiederman, contact Center Director, Jeannette Blackwood Phone: Jeannette_A_Blackwood@mcpsmd.org

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