4th-8th Grade Girls Club Registration - 1st Semester (Oct. 2014 - Jan. 2015)
Please complete the form below for each child you would like to register for clubs. If you have multiple children participating in clubs, after you click "SEND FORM", you will be taken to a screen with a link that says "SUBMIT ANOTHER RESPONSE". Click that link for a new form. You will need to do this for each of your children.
By clicking "submit form":
1. You are committing that your child(ren) will be at the club for the entire semester (unless you notify the office before noon of that day)
2. You are committing to pay in full by the time of registration - fees listed below
3. You are committing to all other extracurricular polices detailed in the Hillel Academy handbook, which can be viewed at http://bit.ly/Hillel_Handbook13_14
Please note: There is a reduced rate for all clubs for students already enrolled in extended day on that day.

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Child's First and Last Name *
Please note: you must fill out multiple forms  if you have multiple children attending clubs
Daughter's grade *
Parent's cell *
Parent's email *
Child's email *
Club Descriptions & Additional Information
1. Chabura for 4-6 grades girls will continue with Mrs. Lisa Cook. Lisa will continue with 48 Ways to Wisdom, Pirkei Avos 6:6. It will be based on the teachings of Rav Noach Weinberg, zt"l.
2. Intramural basketball – Led by Coach Jazz, will be a Hillel basketball league (we will not play other schools). There will be a draft and after a few weeks of skill building, games will be played in a round-robin format. Coach Butler will assist with this league and help the rookie players.  
3. 7/8 Chabura - Led by Mrs. Rebecca Pollack, will focus on both text based lessons and in depth thought provoking discussion.
4. Arts and Crafts - Led by Mrs. Yael Henteleff, will make various projects throughout the semester.  This semester Yael hopes to teach more skills relating to using an exacto knife and creating cut-outs. She will introduce the use of pastels (chalky substance). Additionally, she will focus on graphic design techniques using textures and patterns versus free hand art.
5. Assemble - Do you love to make things? Inventions? Fashion? Video Games? Join ASSEMBLE for an after school program focused on making things! We will be exploring science, technology and art. You will get to create your own video game, make bouncy balls, and learn about hacking! See more by going to http://assemble.server283.com/.
6. Drama Club - Hillel Academy Drama Club - led by Ms. Stephanie Wontrop, will offer girls in grades 5-8 an opportunity to participate in supervised creative dramatic activities, and ultimately will prepare students to perform in the GHS Production this spring.  Drama Club will offer training in drama, choir, and theater, and will work on creative thinking skills, encourage teamwork, and provide students with enriched learning experiences in the area of performing arts.
7. Swimming Club (lessons and open swim) - With Keren Leads at Greenfield Pool. See below for printable registration form.
Parent email address that you check often *
Clubs are for girls in grades 4th - 8th and from 4pm-5pm (unless otherwise noted) *
FYI: Clubs have a student limit and fill quickly. Please make sure your child has a snack to eat before clubs.  There will be no Clubs scheduled over Chanukah - Dec 16-24 or Nov. 4 or Dec. 9
Required
Please list below the total amount you owe for clubs. Payments should be sent to the main Hillel Academy office. *
Checks should be made out to "Hillel Academy of Pittsburgh".  Please write "clubs" in memo line. There is an additional fee for credit cards.
Swim Club Registration Form - Please print and send to school (it might be easier to copy and paste and then print).
HILLEL ACADEMY FALL SWIM CLUBS: Oct – Dec
Name of Swimmer  ______________________ age ____  
Grade __________________  Boy/Girl  
Swimming Level  ________________________________
Name of Parent/Guardian _________________________
Address _______________________________________
Home phone __________________cell Phone ________
Email_________________________________________
I am registering for (Please check)
Monday Clubs:  
Kindergarten through 3rd grade Boys Swim Lesson Club and boys ages 7 and up open swim:  
Oct 20, October 27, Nov 3, Nov 10, Nov 17, Nov 24, Dec 1, Dec 8, Dec 15
(CHECK ONE Please)
__4:30 – 5:30 p.m.   Boys Swim Lesson   9 weeks   $72 prepaid
__5:30 – 6:30 p.m.  Boys Open Swim 9 Weeks $45 prepaid*

*$8 per swim if not prepaid
Wednesday Clubs:  
Swim Lesson Club.   Oct 22, Oct 29, Nov 5, Nov 12, Nov 19, Nov 26, Dec 3, Dec 10
1/2hour group lesson 8 sessions
4:30 – 5:30 p.m Girls    Kindergarten – 3rd Grade      $64
5:30 – 6:00 p.m.   Girls    4th Grade -7th Grade           $64
If you are registering more than one swimmer, please submit an enrolment form for each person, stapled together and calculate the total owed for all swimmers on top form.
Payment below is for # ______ swimmers:
I am enclosing a check for $______ made out to Keren Leeds OR
call Keren to pay with a credit card.

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