[Mdabs] Short Course for Middle School Students

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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