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Oakwood Techniques 2023-2024
Oakwood Techniques Fall session will meet during the following dates:
Tuesday October 17th thru Thursday December 21st
There will be a Family Night on Tuesday December 19th
*PLEASE NOTE that Oakwood Techniques is currently not ADA accessible.
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Student Full Name
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Your answer
Student Full Home Address
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Your answer
Student's Age
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Your answer
Student's Grade
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3rd
4th
5th
TEACHER
Please list the name of student's teacher.
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Your answer
IEP/504 PLAN
Does student have an IEP, 504 plan, or any personalized education plan?
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Yes
No
IEP/504 PLAN
If student has an IEP, 504 plan, or any personalized education plan, please describe the students needs and the plan that has been put in place.
Please note that this information will help staff at Oakwood in continuing to implement student's educational plan in order to maintain consistency throughout their day.
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Your answer
AREAS OF INTEREST
Please select student's area(s) of interest.
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Acting
Dance
Theatre
DJ/Music Production
Songwriting
Other:
MEDICAL CONSENT
I give permission to the staff at the Oakwood Community Center to consent to medical treatment/healthcare services without limitation, on behalf of my child in my stead as may be deemed necessary and prudent in the discretion of the Oakwood Community Center staff. Please note that the staff will always attempt to contact the parents/legal guardians prior to the execution of a decision that has been made concerning your child. By signing your child up for this program you are consenting to allowing the Oakwood Community Center staff to do what they deem is necessary and prudent in the event that our attempt to contact you, the parent/legal guardian, has been unsuccessful.
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Yes
SPECIAL NEEDS
Does your child have any special needs that our staff should be aware of? If yes, please list and describe.
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Your answer
ALLERGIES/RESTRICTIONS
Please list any food allergies, medical allergies, or dietary restrictions your child may have.
If your child has allergies, do they have an Epi Pen?
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Your answer
MEDIA RELEASE
I give permission for the Oakwood Community Center and all programs contracted with the Oakwood Techniques Program, permission to take pictures & video recordings of my child’s participation during the program and use them as advertisement/promotion for the program on social media/website/newsletters and all other promotional materials.
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Yes
No
FIELD TRIPS
I give permission for the Oakwood Community Center staff to take my child on any and all field trips directly correlated with the Oakwood Techniques Fall/Spring Program 2023-2024. Students will be transported to field trips via school bus and/or the Oakwood Community Center Van.
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Yes
No
Other:
Parent/Legal Guardian Full Name
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Your answer
Parent/Legal Guardian Phone Number
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Your answer
Parent/Legal Guardian Email Address
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Your answer
PICK UP
Please list the full names, phone numbers, and relationship to your child of the persons who will be picking up your child from the program. We will only release your child to the people listed unless otherwise noted by you.
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Your answer
EMERGENCY CONTACT
Please list 2 emergency contacts in case parent/legal guardian cannot be reached.
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Your answer
PARENT/LEGAL GUARDIAN ORIENTATION
Parent/legal guardian is able to attend our 30-minute parent orientation on Tuesday October 17th at 5:30PM.
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Yes
No
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