[Mdabs] Short Course for Middle School Students
melissa at riccobono.us
melissa at riccobono.us
Wed Jan 13 17:05:30 UTC 2016
Hello everyone,
I received the following flier from the Maryland School for the Blind about
a short course they will be offering for middle school students on Saturday,
January 23. Please see below, and contact Victoria Watt at the School for
the Blind if you have any questions, or to register.
Thank you,
Melissa
MSB_emailLogo365x86
A Short Course Program for Middle and High School Students
http://bronxhouse.org/wp-content/uploads/2015/12/52191-New-Year-New-You.png
Saturday, January 23, 2016
Location: The Maryland School for the Blind
10 AM to 3 PM
Course Description: This is a great time of year to think about developing
some new and healthier habits! Students will participate in activities that
can help improve focus, sleep, balance, flexibility and fitness as well as
increase body and spatial awareness. Instruction will include basic dance
routines, exercise and fitness routines, and adapted yoga techniques that,
In addition to physical health benefits, can also help students to better
manage feelings and improve coping skills. Students will prepare a
nutritious lunch and dessert while learning about healthy food choices
through fun games and discussion. All activities will be taught by highly
qualified and/or certified staff including: Susan Vanderhoff, LCSW-C and
Certified Yoga Instructor, Heather Browne, Experienced Dancer, Matt Mescall,
Adaptive PE Teacher, and Genelle Hughes, Low Vision Rehabilitation
Specialist.
If you have any questions about the registration process, please contact
Vicky Watt at 410-444-5000, ext. 1249. Fax: 410-319-5708 COST:
$10.00 per Student
Ruth Ann Hynson, Director of Statewide Outreach Services
The Maryland School for the Blind ~ Outreach Dept.
3501 Taylor Avenue, Baltimore, MD 21236
Baltimore, MD 21236
Facebook-Icon_very small <http://www.marylandschoolfortheblind.org>
www.marylandschoolfortheblind.org
Short Course Program - A New Year and New You!
Registration
PARTICIPANT INFORMATION:
Student: ________________________________________ DOB:
___________________________
Grade: ___________ School:
____________________________________________________
Parent(s):
_________________________________________________________________________
Address:_______________________________ City:_________________ State:____
Zip:__________
County: _____________________________ Vision Teacher:
________________________________
Home Phone: _________________________ Cell Phone:
______________________________
Email: ___________________________________ Siblings:
____________________________
VISUAL INFORMATION (Students are required to bring portable low vision or
Braille devices and canes):
Eye Condition:_________________________________
Level of Vision: ___ Totally Blind ___ Partially Sighted ___ Legally Blind
___ Wears Glasses
Field Loss: ___ Yes ___ No
Child uses the following for learning: ___ Regular Print ___ Large Print
____ Braille ___ Auditory Skills
Travel Skills: ___Independent ___Needs Supervision ___Uses Cane
___Prefers Sighted Guide
ADDITIONAL INFORMATION:
Other Disabilities:
____________________________________________________________________________
_______
Medications your child currently takes:
____________________________________________________________________________
_________
____________________________________________________________________________
_________
Allergies:
Medication (describe)
__________________________________________________________________
Food (describe)
______________________________________________________________________
Environmental
(describe)________________________________________________________________
RELEASE STATEMENTS:
Photo Release: Many pictures are taken during the programs of various
activities. These pictures are sometimes used, along with press releases,
to provide public relations information to television stations, newspapers
and other publications. I grant permission for my family to be photographed
for the above purposes.
___ Yes ___ No
Please note: Wear comfortable clothing and tennis shoes, this program
requires physical activity.
Please fax or mail registration to:
The Maryland School for the Blind
Outreach Department
3501 Taylor Avenue
Baltimore, MD 21236
ATTN: Victoria Watt
Phone: 410-444-5000 ext. 1249 FAX: 410-319-5708
Email: victoriag at mdschblind.org
The Maryland School for the Blind
PHYSICAL ACTIVITY FORM
School Year 2015-2016
*If you completed this form during the summer program you will not need to
duplicate.
Student Name:
Date of Birth:
Adapted Physical Education - All students have Adapted Physical Education as
part of their curriculum. Please indicate below if there are any medical
reasons for exception.
Adapted Physical Education
(Example: Age appropriate skill development, fitness & activities)
o No exception
Exception:
Adapted Aquatics: goggles required for students with M.D. orders
o No exception
Exception:
Adapted Recreation (Example: Skiing, Bowling, Horseback Riding) o No
exception
Exception:
Physician's Signature
Date Physician Phone Number
Parent/Guardian Signature
Date
CD/LB/cic:4/1/14
---
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