CSI SUMMER PROGRAM. Dear Parent or Guardian of,in grade -'

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1 CSI SUMMER PROGRAM Dear Parent or Guardian of,in grade -' Your child has been nominated by his/her teacher to be considered to attend our July program titled: Comprehension and Science Investigation (CSI). CSI is a reading enrichment programwith exciting science literature, reader's theater, and centers withhands-on science experiments on topics such as water, weather, matter, measurement, simple machines, and scientific tools. Here is the specific information you will need to know as you are planning your family's summer activities: If selected, your child will be attending CSI at Elementary. (A bus will be provided to transport your child to this site) CSI dates: Tuesday, July 5 Thursday, July 28,2016 (No Fridays) Please see attached calendar for actual dates CSI times: 8:35 a.m. - 2:05 p.m. Transportation: Information will be sent home in May. Breakfast and lunch will be provided at no cost. (Please arrive by 8:20 a.m.) Return the Emergency Contact/Parent permission form attached immediately and you will receive an acceptance letter or waiting list letter. All students completing the CSI Summer Program will receive an exciting assortment of books to add to their own home library. (check) I have read this offer for a summer program and I do not wish for my child to attend. Parent Signature: _ PLEASE return this letter signed to your child's teacher so another child may be offered this exciting science enrichment program. CSI Summer Program 2016 will be the highlight of your child's summer! (funded by Title I)

2 EL PROGRAMA DE LECTURA CSI DE VERANO Estimado Padre 0 Tutor Legal de en Grado -' Su hijo(a) ha sido nominado/a por su maestro/a para ser considerado/a para asistir al programa de julio titulado Integracion de la Comprension y la Ciencia (CSI por sus siglas en ingles). EI CSI se enfocara en la lectura del contenido cientifico y en la experiencia practica haciendo experimentos. Si su hijo(a) es seleccionado, asistira al Programa CSI en la Escuela Elemental'-. (Un autobus sera proveido para transportar a su hijo(a) aeste lugar.) Fechas del CSI- 5 de martes hasta el 28 de julio del 2016 "de lunes a jueves" Favor de ver el calendario adjunto para las fechas Horas del CSI- desde las 8:35 a.m. hasta las 2:05 p.m. Transportacion - La informacion liegara a su escuela. Por favor liame. EI desayuno y almuerzo seran proveidos gratis. (No pueden liegar mas tarde de las 8:20) Por favor devuelva la carta de permiso y informacion de emergencia inmediatamente y recibira su carta de aceptacion 0 carta de lista de espera. Todos los estudiantes que terminen el programa de Lectura CSI de Verano recibiran una coleccion estimulante y variada de libros para anadira sus propias bibliotecas en sus hogares. (Marque) Yo he leido esta oferta para el programa de verano y no deseo que mi hijo(a) asista. Firma de padre: Por favor regrese esta carta firmada a el maestro(a) de su hijo(a) para que asi otro estudiante pueda tener la oportunidad. \!mijll J!j) EI Programa de Lectura CSI de Verano del 2016 Subvencionado por Titulo I, jsera el evento mas importante que su hijo(a) tendra este verano!

3 VOL USIA COUNTY SCHOOLS SUMMER PROGRAMS Emergency Contact/Parent Permission Form Directions: Please fill out this form as completely as p(}ssible. Write N/A f(}r any item that calln(}t be c(}mpleted. This box to be completed by teacher. 3,d Gr Reading Camp ESE 3,d Gr Reading Camp ESOl o ESV 0 WAmNG LIST o Migrant o Title I, CSI Summer School Site _ Alpha Code o 5 th Grade STEM Student'sName'- Current Grade (Last) (First) (MI) Date of Birth Circle one: Male / Female School Teacher's Name Will student attend a different school next ye.ar? _ Yes _ No IF YES, what school? Parent/Guardian Name(s) Driver License # StrretAddre~ City State<- Zip Code, Home Phone ( ) Daytime Phone (~ Cell Phone ('--.J)-- Mother/Guardian Driver License # Father/Guardian Driver License # Names ofpeople who can pick up your child in case ofan emergency other than your primary emergency contact person: Emergency Contact Person. EmergencyContactAddres~ Emergency Phone ( --J) Driver License # Allergies or Health Conditions Medication(s) Needed at School Time Nreded Doctor's Name. Phone Number Insurance Policy Number Please Read & Check the appropriate box below concerning tran."portation: My child will need bus transportation to and from the summer program I will transport my child to and from the summer program My child will walk or ride their bike to and from the summer program * I understand there will be no crossing guards during the summer The information above must be filled out completely for your child Please return the form to your child's teacher by Parent/Guardian Signature Oate

4 PROGRAMAS DE VERANO DE LAS ESCUELAS DEL CONDADO DE VOLUSIA CONTACTO DE EMERGENC/AiFORMULAR/O DE PERM/SO DEL PADRE Instrucciones: Por favor Ilene este formulario de laforma mas completa posible. Escriba NIA en las partes que no pueda llenar. Summer School Site Nombre del alumno EI maestro llenara esta casilla o 3,d Gr Reading Camp o ESE 3,d Gr Reading Camp o ESOL OESY o Migrant o Title I, CSI o Title I, 5 th Grade STEM o L1STA DE ESPERA Grado actual Fecha de nacimiento Circula uno: Masculino I Femenino Cooigo alfa Escuela Nombre del maestro ;,Asistira el estudiante a una escuela diferente el proximo aiio escolar? -- Si -- No Si su respuesta es afirmativa, ;,a cual escuela? Nombre del padre/tutor N de licencia de conducir Direccion Ciudad Estado Codigo postal Telefono de casa L-J Nombre de la Madreltutora Nombre del Padre/tutor Telefono de contacto durante el dia L-> Celular ( ), N de licencia de conducir N de licencia de conduci Haga una lista de los nombres de las personas que pueden recoger a su niiio(a) en caso de emergencia (aparte de la persona de contacto principal en caso de emergencia). Persona de contacto en emergencias Direccion de contacto en emergencias Telefono de emergencia N de licencia de conducir Alergias 0 condiciones mooicas Medicamentos necesrios en la escuela "ora Nombre del medico N de teh~fono (-> Seguro Numero de poliza Por favor lea 10 siguiente y marque La casilla apropiada referente al transporte: Mi hijo nccesila el transporlc de aulobus pam cl programa de VeraJlO. Transporlare a mi hijo de ida y vuclla al programa de verano Mi hijo caminani 0 monlara su biciclcla al programa de verano. Entiendo que lro habra guardia de cruce peatonal durante el verano. La informacion de arriba debe llenarse completamente para su hijo. Porfavor entregue elformulario al maestro de su hijola flo mas tardar del Firma del padre 0 tutor Fecha

5 July 2016 Please use this calendar for the following Elementary Summer Programs: 3 rd grade Reading Camp, ESE 3 rd grade Reading Camp, ESOL, Title I CSI, 5 th Grade STEM, Elementary ESY & Migrant Sunday Monday Tuesday Wednesday Thursday Friday Saturday 3 4 Holiday :35am 14 2:05 pm No School Noescuels 22 No School No escuels Final Day Ultimo Dra No School No escuels

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