Cabpes Membership Application for Jets

2010 BEST CAMP CABPES presents OBAP, Shades of Blue, Inc. and Math

for (Boosting Engineering Science & Technology) PARTICIPANT REGISTRATION FORM 2010 BEST Camp must obtain, for every child who enrolls in the summer programs, a signed and dated statement of the child’s current information. Please complete the following information, providing us with as much information as possible. Please SEND all Participant Registration Forms to the following: John Whiteside - [email protected] Phone/Fax: 303.329.3929 (Please call before faxing) Jenna Lin - [email protected] Phone: 303.349.3149 MAIL: P.O. Box 200508, Denver CO 80220

SECTION A – Student Information First Middle Last Age

Current Date Student’s birth date Male {_} Female {_}

School Grade Race/Ethnicity

Parent Name Relationship to Student

Address

City State Zip Code

Home Phone # Parent’s contact #

E-mail Address Employer’s Name (Optional) Do you check your email daily? ______Yes ______No Emergency contact name Emergency Phone #

Note: Enrollment Applications for participants must be completed during one of the MANDATORY Parent Orientations on May 14th and 21st from 6:00pm to 8:00 pm onsite at STEDMAN ELEMENTARY located at 2940 Dexter Street, Denver, CO 80207 or by the first day that the participant will attend 2010 BEST Camp. Put a check next to the Parent orientation you plan to attend: _____ May 14th, 2010 _____ May 21st, 2010 _____ Other

SECTION B – Student Health Information Please provide the following information: Do you qualify Colorado Childcare Assistance Program? ___Yes ___No Medical Information List all the special needs of your student (Ex. Allergies, Type of Reactions, Medications/Frequency, Special Diet, Comments or Concerns: ______Chronic Health Problems Describe any health problems such as asthma, seizures, ear infections, diabetes, and/or concerns with development, etc.? ______Describe any physical conditions requiring special attention: ______

Current Immunization? ______YES ______NO Physician: ______Phone:______Address: ______Hospital Preferred for Emergency Treatment: ______Health Insurance Company: ______Policy Number: ______

SECTION C – 2010 BEST CAMP Sessions

Please indicate the need(s) for each program you are registering:

Before Care (7:00 am – 9:00am) ______After Care (4:00pm – 6:00pm) Monday - Friday

BEST CAMP (9:00am – 4:00pm) Monday - Friday

Indicate the week(s) your student will attend 2010 BEST Camp (You may choose one or more weeks).

______June 7-11 - City Building ______June 14-18 - Rocket Science ______June 21-25 - Examining Earth (Old & New) ______June 28-July 2 - Robotics ______July 5- 9 - Eye C U ______July 12-16 - Sky Watch ______July 19-23 - Flight Aviation ______July 26-30 - Energy

Daily Release Procedures Participants will be released ONLY to an adult who has permission to transport the child home. A valid photo ID and a signature are required from that adult during sign-out on a daily basis. The safety of every child is the top priority to 2010 BEST Camp and this allows us to monitor the group more closely.

Name(s) of person(s) INCLUDING PARENT/GUARDIAN to whom the child may be released:

1. ______Phone: ______2. ______Phone: ______3. ______Phone: ______4. ______Phone: ______

NOTE: The people listed above will be the ONLY people to whom your child will be released, unless the proper authorization form is completed and submitted to the 2010 BEST Camp registrar prior to pick-up. WALKING HOME: In order for your child to be released from our premises to walk home, an additional form must be filled out each day the participant is to walk. This form authorizes that once his/her Team Advisor has released your child he/she is no longer under BEST Camp supervision. Signature of Parent/Guardian:______

SECTION–D Aviation Continuing Education (ACE) Camps

Please select which ACE Day Camp session. (NOTE: Eligible Students are 10 – 18 years old & THERE IS ADDITIONAL $135 CHARGE)

______June 14 -19, 2010 Session _____ July 12 – 17, 2010 Session _____ July 19 – 24, 2010 Session (ALL ACE Camps have a Saturday Classes)

Have you previously attended ACE camps? ____ Yes ____ No - If yes, please provide date ______

SECTION–E Payment (Complete for each Participant/Member)

Registration Fee: ______@ $125 one-time fee per family = $

2010 BEST Camp # of Students @ $135 each per week = $

_____ Before Care (7:00 am – 9:00am) & After Care (4:00pm – 6:00pm)

# of Students @ $50 each per week = $

ACE Day Camp session ______June 14 -19, 2010 Session _____ July 12 – 17, 2010 Session _____ July 19 – 24, 2010 Session

# of Students @ $135 each weekly session = $

TOTAL PAYMENT DUE $

Office Use Payment Amount/Type (Cash, Check, CC, etc.) Payment Date Special Arrangements Made

Card #: Exp. Date: Security Code:

Cardholders Signature: Print Cardholder’s name: 2010 BEST Camp Representative: 2010 BEST CAMP

GUIDELINES

Tuition: 2010 BEST Camps are week-long programs with Before and After Care at $185 per week without Before and After Care the cost is $135, both options include a t-shirt, Hot Breakfast & Hot Lunch, transportation, cost of materials/equipment, and Friday Fun Day Field Trip expenses. A minimum of 3-days of attendance is mandatory from Monday through Thursday in order to attend Friday Fun Day Field Trips.

Location: Programs are based and held at STEDMAN ELEMENTARY located at 2940 Dexter Street in Denver, CO 80207. To register please contact John Whiteside at 303.329.3929 via email at [email protected] or Jenna Lin at 303.349.3149 via email at [email protected]

Times: The week-long programs run Monday – Friday 9:00am – 4:00pm, and ACE Camps run Monday - Saturday 9:00am - 4:00pm. Supervised drop-off & pick-up are required. Before Care begins 7:00am to 9:00am, After Care begins at 4:00pm – 6:00pm. 2010 BEST Camp has a strict tardy policy, penalties for late pick-up are $15 for one minute up to 15 minutes, thereafter a $30 fine and review for expulsion by the 2010 BEST Judicial Committee.

Attendance: Daily program activities build upon each other, so attendance every day is strongly encouraged. Attendance for 3 out of the 4 days Monday through Thursday is required to attend Friday Field Trips.

Age of Participants: Each program is age-specific. Age categories are as follows Team/Group 5-6, Team/Group 7-8, Team/Group 9-10, Team/Group 11-14 years old. We strongly recommend that 2010 BEST Camp participants attend one or more of the ACE Camp sessions where ages 10 - 18 year olds are eligible to participate.

Operations: Parents/Guardians are required to attend a mandatory parent orientation to complete the Enrollment Application that must be on file. Participants will be assigned to a 2010 BEST Team Advisor/Group by age and will meet at the beginning and end of each day in the assigned location within STEDMAN.

Financial Assistance: Limited financial assistance is available. Contact Program Supervisor for information.

Cancellation/Refund Policy: No REFUND will be issued by the 2010 BEST Camp and/or ACE Camp. If 2010 BEST Camp expels a participant for behavioral, emotional, and/or social issues you will NOT receive a refund.

Confirmation: Confirmation and final Enrollment Applications must be verified and on file with the 2010 BEST program before participating in 2010 BEST Camps.

Questions: call the Program Registrars at 303.349.3149 or 303.329.3929

Week 1 City Building & Geometric Art/Sculpture June 7-11 Students will learn about: architecture, civil engineering, and fractal geometry. They will study the physics behind structures as they construct bridges and design and build their own unique city structure. Meanwhile, they will learn about geometry, specifically polygons (especially trigons), polyhedra, graph theory (Lusona drawings), and fractal geometry and learn who fractal geometry plays a large part in African architecture.

Week 2 Rocket Science June 14 - 18 Students (water bottle rockets, CO2 rockets, egg drop, trigonometry, Dr. Layfield with COSROCS – 17-18th)

Week 3 Examining Earth (Old & New) June 21-25 Students will explore geology and archaeology as they examine the most unique celestial body in our universe, our miraculous Earth. They will learn about rocks, volcanoes, stalactites, stalagmites, fossils, and geysers. They will also learn about the special history of math and astronomy of the Mayan culture by examining their astronomical tables, calendars, base 20 number etc.

Week 4 Robotics June 28 – July 2 Students will enjoy building and programming with robotics this week with the Rocky Mountain BEST group. They will also learn about electronics/electricity, basics about computer programming, base number system – particularly base 2, and combinatorics (permutations and combinations).

Week 5 Eye C U! July 5 – 9 Biology is the focus of this week! Students will study the human anatomy with models, cell extraction & observation, dissection, and dissection, and 3-D modeling of human anatomy. They will also learn much about insects, animal wildlife, and plants. They will see how mathematics, particularly the Golden Rectangle and fractal geometry can be seen in nature.

Week 6 Sky Watch July 12 – 17 This week focuses on astronomy and meteorology. They will model tornadoes with the tornado chamber, explore lightning and static electricity with the VanDerGraaf generator. They will enjoy participating in missions with the Challenger Center and traveling to see meteorologist and space meteorologists in action. They will also study the electromagnetic spectrum and how it relates to astronomy.

Week 7 Flight/Aviation July 19-23 The Science Man (Dr. Baynes, aviator & former science educator for NASA) returns to Denver for his Science Spectacular and RISE presentations and helps students learn about the principles of flight. Students will perform many hands-on activities including helping the Science Man create explosions galore as the he helps students understand physics and chemistry as it relate to aviation.

Week 8 Energy July 26-30 During this week, students will learn much about energy (renewable and non-renewable) and the electromagnetic spectrum. They will perform light labs, sound labs and many other activities as they explore renewable energy sources such as solar energy

TBD All weeks - Computer programming using Matlab software at UCD for 2 days a week whole summer?

Daily Schedule At the beginning of each morning students will:  be given a Logic problem to solve for a prize.  be given a Math Challenge for a prize.  work on the Ultimate Puzzle for a prize.  participate in an Estimation Contest – "How Many Beans/M&M’s/Jelly Beans/Marshmallows?"- for a prize.

Each week students will:  participate in chess club one afternoon  participate in a dance class – with a possible performance at end of week/summer  participate in an exercise class  work in a community garden  be exposed to the application of math/science in related topic via a presentation given by a professional guest speaker &/or field trip to an appropriate place of business  participate in Celebration Day on Friday