Student & Parent

Handbook

ABOUT

Mini Maven is a weekly after-school club for 4th & 5th graders that identify as girls. It is a visual, creative way to learn Science, Technology, Engineering, Art & Math. Members (Mini Mavens) will learn to use computer science to impact their community & join a sisterhood of supportive peers and role models in computer science by learning to code a Scratch game or application that will be launched for family & friends. Mini Maven is a privately funded project of Jennifer Oswalt Kneese, owner of Marketing Maven. It is based on several existing projects, including Girls Who Code and Google’s Made with Code. It uses visual block programming curriculum developed by MIT for early learners. Learn more about the Mini Maven after-school club here: bit.do/MiniMavens To sponsor a child or support this program, please contact Jehnny at hi@jehnnyok.com.

CODE

ON

In the US, 74% of girls express interest in

Science, Technology, Engineering & Math in

elementary school

By high school, only 0.3% girls plan to major in Computer Science

Computer Science jobs will be the highest

paying sectors over the next decade, paying almost 15K more than

average

Encouragement from adults and peers is the

#1 contributor to a girl’s decision to pursue

Computer Science

The Organizer

Jehnny was born on the Gulf Coast of Texas & raised all her life in San Marcos, she graduated from SMHS in the top 10% of her class with a purple and white drum majorette skirt. After attending Texas Tech in Lubbock for digital communication design, she lived in the heart of Austin, Texas before moving back to her hometown of San Marcos. Her interest in computer science began in the days of dial up modems and the popularity of AOL. As a kid she’d hang out with her dad, who liked to take apart computers when he wasn’t putting out literal fires as an Austin Fire Fighter. Her Mom, a retired SMCISD Special Education administrator, was instrumental in making her believe she could do anything. Between the two of them—they unknowingly instilled the passion and skills needed to be successful as technology, and especially, the internet exploded in popularity. Unfortunately, like so many girls still today, she believed for most of her formative years that she was terrible as math and computer science wasn’t her thing. She preferred to call herself an artist, focusing on designing web sites for local businesses, artists, bands and her friends, completely discrediting her aptitude for coding in doing so. In 2010 she was offered role working for the Hays Caldwell Women’s Center that changed her life. As their Technology & Data Coordinator she became more comfortable with her technical side, and even empowered. She went on to work for Dell in Round Rock for 4 years as a senior analyst for their global marketing operations team. In this position she saw how perfect creativity and technology go hand and hand. In between it all, she owned a 1971 Airstream Pizza Trailer at the Hitch—a dream that taught her that failure is ok, because at least she tried. She has since left her role at Dell and opened her own digital marketing agency that uses her personal experiences, professional experiences to provide budget friendly consulting, training and services to local businesses in the community. She is certified in age appropriate computer science education for K-5 students.

Mission Statement The Mini Maven after-school club aims to increase the presence of women in STEM (science, technology, engineering and math) fields. We do this by providing customized curriculum for elementary students that identify as girls. This customization allows creativity, expression, story-telling and focuses on visual teaching, social groups, and strengthening confidence and improving attitudes toward STEM topics, equipping them with key skills and resources needed for success in STEM fields, and encouraging the pursuit of STEM-centric careers and studies as they leave elementary school.

SCHEDULE The Mini Maven after school coding club meets once a week on Thursdays from 3pm – 5:30 pm from October 6th – December 15th. We follow the SMCISD district calendar, holidays and any bad weather days.

Semester Calendar

10/6/16 - Getting Started 10/13/16 – Exploring

Due to district testing, we will not meet on the 20th

10/27/16 – Animation 11/3/16 – Stories 11/10/16 – Games 11/17/16 – Diving Deeper

We will not meet on the 24th because of the Holiday

12/1/16 – Personal Project Workday 12/8/16 – Personal Project Workday 12/15/16 – Launch Party!

Daily Schedule 3:00 – 3:30pm | Snack & Homework Time 3:30 – 5:00pm | Units, Work, Activities & Critiques 5:00 – 5:30pm | Clean up/Meditation

CURRICUUM

Projects Animation An animation project is a project that is an animation, short movie (often humorous), or music video. Animation can involve programming sprites to talk and interact. Sometimes, programmers may use animations as tutorials to show others how to do something. Others animations may be humorous, silly, etc. You can create animations in the Project Editor on Scratch. 3D Animation

This is a special kind of Stop Motion Animation, made by importing many frames of a 3D object made with a 3D creation application like Blender or Google Sketchup, and running them in quick succession in Scratch to give a 3D rotation effect.

AMV

A music video's title screen. Main article: Music Projects#AMV

AMV stands for "Animated Music Video." Usually these are projects that features a main sprite singing or interacting in a song uploaded from your device. AMVs also can contain features as sprites moving their mouth with the song and animations.

Barrier Grid Animation

An example image from a barrier grid animation.

This type of animation is uncommon. They usually consist of two sprites, a frame and an image. The frame is a black rectangle with single-pixel strips every 5 pixels along its width. The image is actually a composition of many frames of a simple animation, made by extracting single-pixel strips and laying them in order. When the frame is dragged over the image, only the strips of one frame are visible (through the holes in the frame) at a time; thus the image appears to move.

Claymation Animation

These are created by repeatedly taking pictures of a clay sculpture, changing it minimally each time, so that when the pictures are played in quick succession, the sculpture appears to move. These are hard to make and thus not very popular. They also usually have very large file sizes.

Stop Motion

Stop motion animation is less common on Scratch than animation programming, but also widely used. In a stop motion animation, pictures are taken or scenes are drawn, and then put together using scripts like these. This style requires uploading photos from your picture-taking device and putting them into frames. These do not often get famous, though they require much more work to create (as each frame needs to be drawn individually in the case of a drawn stop motion).

Speedpaint

This involves an animation of a piece of art being drawn over time. To do this, the artist will draw the very small part of the art, duplicate the costume, continue but draw a little bit, and repeat until the art is done. Speedpaints are often time-consuming and require hundreds of costumes to be reproduced.

Sprite animation

These animations are like normal animations, except they use pre-existing sprites from video games, usually 8-bit ones. Popular sprites include characters from Mario, Sonic the

Hedgehog, and Pokemon. Despite being popular in the 1.4 days, they have declined since the release of Scratch 2.0.

Examples General animations

• Complications of Synchronized Diving by PrincessPandaLover • Bricks by Hobson-TV • BE THE PIRATE Spoof #4 by Silvershimmer43

Sprite animations

• Beautiful Girl! by FuzzFerretTM (uses Sonic the Hedgehog sprites)

Games Scroller

Scrollers are a kind of project where the background and objects "scroll", or move along the screen, when being scrolled up, or down. Usually, the player will stay on the same X coordinate, but often a "jumping feature" will allow the player to change their Y coordinate, upon a keyboard interaction. These projects commonly have an opposing AI, often called "enemies", and platforms, in which allows the player to travel upwards, or downwards depending on the elevation of the platform.

• Game - Undercover Sabotage by LS97 • Bug Game by Bsteward • Cube World 3 : Scroller Demo by Tanner-FBI • CRGG v2.2 Scrolling! by Dibbo222 • Sea Urchin Launcher by RHY3756547 • 4 ScrollingDemo by SampleProjectsTeam

Platformer

A more commonly used type of game, platformers are games where you "jump" along the Y coordinate, or travel upwards on platforms to achieve a particular goal, often sending the user to the next "level" of gameplay. Some platformers also take on the aspect of scrollers.

• Chilean Miner's Escape 2 by glitchfinder • Egg -refer to notes- by chanmanpartyman • 1s1s1c Perfect Platformer D by Infinitas • Google Chrome Platformer V2.0.0 by swonz

RPG RPG Projects are games where the user is sent to fight pieces of opposing AI, or "enemies", with preset actions to take, or "attacks" as they are commonly put. Often, one will have "companions" that will help during one of the stages of attacks.

Tycoon The goal of tycoon games is to get as much "money" or whatever currency is described in that particular game as possible. You are usually required to buy upgrades, to advance as to get more money.

• Investment_Chart_Game_2.0.2 by 30bla30 • Lemonade Stand by johnhole • McDonald's Tycoon by dasbloekendeschaf • Mini city builder by colorfusion

Maze

Mazes are a common form of game type projects, as they tend to be particularly easy to program. A common form of maze creation involves barriers in which if come in contact with another sprite, will send that particular sprite being controlled by the user, to the beginning of that stage of game-play. Other variations simply do not let the user go through the walls.

• Adventures in Mapa by legolover8888 • mirrored maze by m44 • Random Maze Generator by Canthiar • The New Adventures of Bluey 2 by tort23 •

Music & Dance

A music project is a project that is based or centered upon music. They can involve music generated by the Scratch program, music files that are imported into the project or music recorded with the Scratch program.

Projects that have a song or piece of music playing in the background of a game are not considered as music projects. Popular forms of music projects are interactive instruments, music videos, and games where you have to strike, hit, or play notes in a sequence to play a song (known as a rhythm game). Other forms of music project may involve videos or recordings of Scratchers performing a piece of music, or a video or recording of another musician or artist. Some significantly less common types of music project involve music theory or tuning.

Interactive Instruments

There are many different instruments that Scratchers choose to make a project on. They range from the piano to the drums to the trumpet. Sounds can be generated by the

Scratch program, which allows the user to change the instrument. Currently, there are 21 different instrument timbres that can be used. Alternatively, for a more realistic sound, Scratchers can record themselves with the microphone in the Scratch program.

• Radioactive AMV by kittymitty6868 • Paralyzed AMV by forever- • What a Wonderful World by Awesomator8859

AMV

AMV stands for "Animated Music Video." These are animations that play music, and animate accordingly with somewhat relation to the lyrics and tune of the song played. They are very popular across the site and often reach the front page.

Recordings

Recordings vary in style and genre: they can be vocal, instrumental, pop or classical. These are also called "covers".[1][2]

• Proof Recording (on violin) by Wolfshadow11 • On my Own Cover by ZaharaMar • ~ You're Gonna Miss Me ~ by 4LeafClovR

Music from Games, Movies, or TV shows

Some projects recreate music from games, movies, or TV shows. This can be done by using sound blocks, or by using a recording or video. This type of music project is not to be confused with game projects that simply have music playing in the background.

• FF1 battle music by death eater • Sonic Colors Soundtrack by PrincessPandaLover • Super Mario 64: The Soundtrack by PikmanDude

Reverse Music

Some projects play existing songs in reverse, often made for amusement and humor. This is made with the Sound Editor.

• Phineas and Ferb theme song...backwards! by mathfreak231

• Spongebob theme song BACKWORDS?! by Wolffeather • Labyrinth Zone - Sonic 1 Reversed by gumcraft8

Self-Composed Music

Chords can be created by playing two or more of these scripts at the same time!

Some Scratchers compose their own music and release it on Scratch. Music can be created in a digital program, or can even be a recording.

• Bad Music #2 - SYNTHS! by P110 • Some Music I Composed by Superdoggy • Death Waltz by HaimingRMX • PPL Single: Step On It! by PrincessPandaLover

Scratchblock-made music

Some users prefer to make music in Scratch by taking advantage of its sound blocks. Users can build scripts with music blocks and have it play in sequence, or have two sets of these scripts play at the same time to create chords.

• A random song made by only music blocks by KrIsMa • Music List API by Dylan5797 • Scratch Block Music by PreoKid

:

Stories A story project is a project in which a story is told. These can range from interactive stories, where users make their own story, to talk shows, where animated characters talk to each other. They are rare as they often fall into the animation category Interactive Stories

These are projects where a user is presented with a variety of options. When they choose one, the story will progress. This gives the user the ability to 'make their own story.' Interactive projects are also called "Choose Your Adventure" projects. These projects tend to take a little more time than other story projects because a dialogue tree has to be constructed and every possible scenario needs to be programmed. To do that, these blocks are commonly used:

An interactive story made in the Collab Camp

The Collab Camp did a section on interactive stories that you can view here.

Sometimes, an interactive story will suggest users to comment suggestions for what will happen next. They're also known as "collaborative story projects".

• Choose Your Own Adventure by pokemongardevoir • That's Good, That's Bad...CLOSED by MoreBetter • The Adventure of the Golden Block by lilacfuzz101

Talk Shows In these projects, two or more sprites talk to each other using text or programmed speech bubbles with the Say block. These story projects are common because they are easy for a new Scratcher to program.

A very common block used in these projects is the Broadcast block. It is used to let each 'character' know when it's their turn to 'talk'.

Books/Short Stories

These are projects where the creator types up their own story/short story for other user's to read. These can be super long, or super short. They can have music or sound effects, but

they don't need them. Generally, the story is typed up in backdrop(s) or sprite(s). A common script used to change the pages with the arrow keys is:

A Short Story cover example.

• Pause (A Sort Story by Elephants4Ever • Abnormal- a short story by cbear112 • The Broken Protection by Blackswift

Written text in Notes and Credits

Some story projects base the story as written text in the Notes and Credits. This is the simplest type of a story project as it only uses typed text to tell a story. Most projects of this type use a piece of art that goes along with the story.

• Attack on Cinderella-AOT Strange FanFiction by Dogwhisperer11 • Pokemon Topaz part 7 by Dogwhisperer11 • Family Forever: Generations by SilverAndKaylee15

Interactive Art An art project is a project that has the primary purpose of displaying artwork, either interactive or not; they are sometimes called "Art Dumps".[1] If the project is very interactive or a series of frames, it is usually referred to as an animation. Art projects are never discouraged by the Scratch Team, as Scratch is not only about programming but also expressing creativity in any way, even artistically. Art projects will often have less programming, will only play music besides showing and switching artwork, and are sometimes a still image with no scripts at all. Galleries https://scratch.mit.edu/studios/21720/ https://scratch.mit.edu/studios/923100/

Course Outline Unit 0 | Getting Started 10/6/2016 Background & Getting Started

Unit 1 | Exploring 10/13/2016 Getting Comfy & Exploring

Unit 2 | Animation 10/27/2016 Visual & Audio elements in animations

Unit 3 | Stories 11/3/2016 Interactive story telling

Unit 4 | Games 11/10/2016 Learning fundamental game mechanics

Unit 5 | Diving Deeper 11/17/2016 Calm before the storm

Unit 6 | Personal Project 12/1/2016 Students begin on their personal projects

Unit 8 | Personal Project Workday 12/8/16 Students finish their personal projects & do a test run.

Family & Friends Launch Party! 12/15/15 Students will present their projects for their family & friends. Pizza & Ice Cream will be served for guests.

COST Registration: $50 Tuition: $100 Registration is paid once per child per year in the fall. Tuition is paid every semester (spring, summer & fall) In case you were wondering, the cost per child per semester to run Mini Maven breaks down as follows:

Materials (supplies, workbooks, etc): $47.86 Teacher Salary: $38.83 T-shirts: $10.00 Snacks: $12.25 Rental Space: $41.66

SUPPLIES All materials, including computers, art supplies, snacks & re-sealable water, are provided for the students.

DROP-OFF/PICK-UP For the safety of your child, please have your Crockett window hanger or pink pickup slip available to show when you arrive to pick up. You can come in to the Computer Lab OR wait in the carpool line. Pickup is promptly at 5:30p. Any students picked up after 5:45 will be assessed a late pickup fee of an additional $25.

FAQs

DOES MY KID HAVE TO BE A CROCKETT ELEMENTARY STUDENT? Yes, and no. We are only advertising this to Crockett Elementary students because Jehnny’s girls go to school there. However, in the event this does not sell out or is not full & there are spots still available, you can register & enroll your student regardless of what elementary school they are at as long as they are in 4th or 5th grade.

IS THIS FOR GIRLS ONLY? This is another yes & no answer. Yes, this program is specifically designed with students that identify as girls. Women in the workforce are disproportionately represented in technology fields despite being incredibly interested in math & science as children. The goal of this club is to keep girls interested in science, math & learning by showing them how it relates to their current interests. This does not mean boys are excluded. Boys that love story based learning and creative collaboration are more than welcome as long as they are respectful & encouraging to girls that code.

WHAT PROGRAM ARE YOU USING AND WHAT LANGUAGE ARE YOU TEACHING? We are using MIT’s online based learning lab Scratch. Scratch teaches a visual block language (drop & drag, what you see is what you get) to not intimidate

with typing and syntax for elementary & just teach the elements & logic of programming to early learners. This lays the foundation for girls to leave elementary school ready to learn JavaScript & Python.

CAN I VOLUNTEER DURING THE CLASSES? You are more than welcome to join us as a parent observer if you are already in Crockett Elementary’s approved database of guests. We ask that parents allow their kids to work autonomously in their group of peers & keep questions/interruptions to a minimum. Enrollment is limited to 12 max so each student is given individual instructor attention.

WHERE/HOW DO I PICK UP MY KID? Students will be lined up on the sidewalk outside the entrance of Crockett at 5:30p sharp for pickup & released to parents with pick up passes (your car hanger or pink slip that you use to pick up your child regularly is sufficient). For the safety of students, this pick up pass must be presented before your child will be released to you. If you have lost this pass please contact hi@jehnnyok.com immediately. If you arrive after 5:45p you will be charged a late pickup fee of $25.

WHAT DOES MY STUDENT NEED TO PROVIDE? Nothing! We have full access to the Crockett Computer Lab and workbooks & materials will be provided for them!

WHAT DO YOU PROVIDE? We provide 30 minutes of healthy snack & homework time between 3:00 – 3:30p. Club T-shirt, workbooks, materials, software & Wi-Fi access are also provided.

WHERE CAN I CONTACT THE ORGANIZER WITH ANY QUESTIONS? You can contact Jehnny by email: hi@jehnnyok.com OR on her cell phone: (512) 270-0902 Tip: Send a text rather than leaving a voicemail for fastest response! :)

DO I HAVE TO PAY THE FULL TUITION BY THE FIRST CLASS? No, but you do need to pay your registration fee to reserve a spot. If you have not paid registration & show up on October 6th, we cannot guarantee your child has a seat. Registration MUST be paid annually. Tuition can be paid in full at the beginning of the semester, or arrangements for a per class payment plan can be made with approval in writing to fit your budget. Contact hi@jehnnyok.com for more information on payment arrangements, plans, scholarships or any questions about the process.

DO I HAVE TO BRING CONFIRMATION OF REGISTRATION & TUITION PAYMENT TO THE FIRST CLASS? No, we have your information & your student’s name will be added to a list with the front desk at Crockett so they will go directly to the club after school. Please keep your email confirmation for your records though.

IN THE EVENT MY STUDENT IS SICK OR MISSES A CLASS, DO YOU OFFER MAKE-UP DATES? No, we are unable to offer make-up dates so it is up to the student to make up what they missed on their own time before the next class. Please get with another Mini Maven student or parent to get your child up to speed on what was missed and reference your parent handbook for the lesson plan from that class. In the event your child is going to be absent, please email hi@jehnnyok.com as soon as you can.

WHAT IS THE REFUND POLICY? Tuition refunds will be prorated for voluntary withdrawal. In the event the class is canceled, rescheduled or otherwise moved due to enrollment or availability issues– you will be offered a full refund minus registration fee. Registration fees are non-refundable regardless of voluntary or involuntary withdrawal.

DO YOU OFFER OTHER CLASSES FOR CONTINUING TO LEARN HOW TO CODE? Mini Maven will offer a spring semester class for your student to join as well & hopes to offer an official Girls Who Code club beginning next year at the zoned middle school for Crockett, this will allow Mini Maven inaugural grads to

continue learning the next level of coding as they move through SMCISD, and cement this model for future students as well. We are also planning on expanding the Mini Maven club to the other elementary schools in the area, pending interest, to follow the same model of growing with the inaugural class.

FORMS

Consent to Participate/Hold Harmless Agreement _______ I hereby authorize my child to participate in the Marketing Maven after-school coding program that is being held at Crockett Elementary School October 6th – December 15th from 3pm – 5:30pm in the school’s Computer Lab. _______ I understand that Marketing Maven and the Mini Maven coding club is not affiliated with Crockett Elementary or San Marcos Consolidated Independent School District and only using their facilities. _______ I release Marketing Maven, SMCISD and Crockett Elementary, its trustees, officers, employees and agents from any and all liability for any injuries or damages suffered while participating, preparing to participate or otherwise engaged in activities connected with this program. _______ I have read and understand the Parent Handbook that was provided to me on October 6th and is located online at www.jehnnyok.com/ParentHandbook and understand the nature of my child’s participation in this activity. _______ I agree to the student pick up procedures and to let staff know immediately if I have lost or need another pick up pass. _______ I give my consent for my child to participate in this activity and consent to this hold harmless agreement. _______________________________________________________________________ Participating Child’s Name _______________________________________________________________________ Parent/Guardian Name _______________________________________________________________________ Parent/Guardian Signature

_______________________________________________________________________ Date

Code of Conduct Please review the following with your child and have them sign below. Purpose A primary goal of the Mini Maven After-School club is to create an inclusive community for all those who participate. As such, we are committed to providing a friendly, safe and welcoming environment for all, regardless of gender, sexual orientation, ability, ethnicity, socioeconomic status, and religion (or lack thereof). This code of conduct outlines our expectations for all those who participate in our community, as well as the consequences for unacceptable behavior. We invite all those who participate in the Mini Maven After-School Club to help us create safe and positive experiences for everyone. Welcoming environment A supplemental goal of this Code of Conduct is to increase an open and welcoming environment by encouraging participants to recognize and strengthen their confidence in their Science, Technology, Engineering, Art & Math (STEAM) abilities and to grow friendships with others who share similar interests. Expected Behavior

• Participate in a supporting and active way. In doing so, you contribute to the health and longevity of this community.

• Exercise consideration and respect in your speech and actions.

• Attempt collaboration before conflict.

• Refrain from demeaning, discriminatory, or harassing behavior and

speech.

• Be mindful of your surroundings and of your fellow participants. Alert the organizer if you notice a dangerous situation, someone in distress, or violations of this Code of Conduct, even if they seem inconsequential.

Unacceptable Behavior Unacceptable behaviors include: intimidating, harassing, abusive, discriminatory, derogatory or demeaning speech or actions by any participant in our club online, at all related events and in one-on-one communications carried out in the context of team work. Club event venues are public spaces, shared with members of the public; please be respectful to all patrons of these locations. Harassment includes: harmful or prejudicial verbal or written comments related to gender, sexual orientation, race, religion, disability; inappropriate use of nudity and/or sexual images in public spaces (including presentation slides); deliberate intimidation, stalking or following; harassing photography or recording; sustained disruption of talks or other events; inappropriate physical contact, and unwelcome sexual attention. Consequences of Unacceptable Behavior Unacceptable behavior from any member, including sponsors and those with decision-making authority, will not be tolerated. Anyone asked to stop unacceptable behavior is expected to comply immediately. If a club member engages in unacceptable behavior, the club organizers may take reasonable action, up to and including a temporary ban or permanent expulsion from the club. If unacceptable behavior is reported, the organizers will take action and send out a first and last warning to the person who showed unacceptable behavior. If any other breaches of our Code of Conduct are reported, the person will be removed from the program immediately, without any other warning necessary. If You Witness or Are Subject to Unacceptable Behavior If you are subject to or witness unacceptable behavior, or have any other concerns, please notify the organizer as soon as possible. Scope We expect all club members, contributors, paid or otherwise; sponsors; and other guests to abide by this Code of Conduct in all venues—online and in-person—as well as in all one-on-one communications during all things and activities related to the Mini Maven After School Club.

Contact and Trust You can contact the organizer at hi@jehnnyok.com or 1 (512) 270-0902 if you need to talk about any issue. Your request will be left anonymous (unless this is not an issue for you) and time will be devoted to fixing any issue you might have. This covers everything from feeling uncomfortable with somebody, having personal issues in your life you need help with, feeling bullied, misunderstood, discriminated against, disrespected, etc.. _______________________________________________________________________ Member Name _______________________________________________________________________ Member Signature _______________________________________________________________________ Date _______________________________________________________________________ Parent/Guardian Name _______________________________________________________________________ Parent/Guardian Signature _______________________________________________________________________ Date

Emergency & Medical The following forms and requests for information are for the safety of your child. Please provide as much information as you can. _______ I agree to have an updated emergency notification form on file with Marketing Maven through the duration of this after-school program. _______ I understand that the request for medical information is on a voluntary basis and I assume all risks on behalf of my enrolled child.

_______ I recognize that Marketing Maven has made all reasonable safety precautions and requests for information. _______ Though unlikely, if an emergency arises, I authorize emergency treatment or hospitalization when deemed necessary by personnel. _______________________________________________________________________ Parent/Guardian Name _______________________________________________________________________ Parent/Guardian Signature _______________________________________________________________________ Date

Emergency Notification In case of an emergency please contact:

1. Primary contact name: _________________________________________________

Address: _______________________________________________________________

Work: __________________________________________________________________

Home: _________________________________________________________________

Cell: ___________________________________________________________________

___ SMS Enabled?

Email: __________________________________________________________________

Relation to Child: _______________________________________________________

2. Secondary contact name: _____________________________________________

Address: _______________________________________________________________

Work: __________________________________________________________________

Home: _________________________________________________________________

Cell: ___________________________________________________________________

___ SMS Enabled?

Email: __________________________________________________________________

Relation to Child: _______________________________________________________

ADDITIONAL INFORMATION THAT MAY BE HELPFUL IN THE EVENT OF AN EMERGENCY:

_____________________________________________________________________________________

Medical Information/Allergies Form The following is voluntary and will only be used in the event of an emergency. The information will otherwise be kept confidential.

Hospital / Clinic Preference: ___________________________________________________ Insurance Company: _________________________________________________________

Primary Insured: ______________________________________________________________ Policy Number: _______________________________________________________________ Physician's Name: ____________________________________________________________ Phone Number: ______________________________________________________________ Allergies / Special Health Considerations: ______________________________________________________________________________

Self-Administration of Medication Form If your child takes medication regularly and will be doing so during the hours of this program, the child must know how to self-administer any medication they require while under our supervision.

______ My child will self-administer medication while at the Mini Maven after-school coding program.

_______________________________________________________________________ Child’s Name that will be self-administering medication

______ I agree that my child is prescribed, responsible and capable of self-administration of the following medications at school (please check those that apply)

_____ Rapid-acting bronchial inhaler Name, dose, and frequency of the medication: ______________________________________________________________________ _____ Auto-injectable epinephrine please include name, dose, and frequency of the medication: ______________________________________________________________________ _____ Other please include name, dose, and frequency of the medication:

______________________________________________________________________

______ I agree that my child is responsible and capable of self-administration of the above medication(s). I accept full responsibility and liability for my child carrying and self-administering this medication(s).

Media Release Form I hereby authorize Marketing Maven to show and reproduce the name, photograph or photographs, pictures and film taken of the student mentioned above for the purpose of promoting Marketing Maven, the Mini Maven after-school coding club, future material, its curriculum and any additional programs associated. _______________________________________________________________________ Parent/Guardian Name _______________________________________________________________________ Parent/Guardian Signature _______________________________________________________________________ Date

Student Pick-Up/Release Authorization Form Child: _________________________________________________________________________________ Mother/Guardian Name: ______________________________________________________________ Father/Guardian Name: _______________________________________________________________ Custody: _____ Both Parents/Guardians _____ Mother/Guardian _____ Father/Guardian _____ Other

Authorized to Pick-Up Student Please list below all persons, besides parents/guardians, who are authorized to pick up your child from the after-school program. Note: For your child’s safety, all authorized persons will be asked for photo identification on first pick up and given a pass to use in the future. Please inform the person on the list in advance on this precautionary measure. Persons may be added to the list or removed at any time, just inform us of any changes to this form.

Name Relation Minor Phone #

Not Authorized to Pick- Up Student

Name Do they know they cannot pick

up your child?

Comments

Please initial below if applicable: ______ I may occasionally send a friend or relative to pick up my child. If so, I will notify by phone or in writing (email) on the day of the change _______________________________________________________________________ Parent/Guardian Name

NOTE: Your child WILL NOT be released to anyone who is not authorized. Authorization will be determined based on this form submitted by the parent. It is the parent’s responsibility to keep this information current.

_______________________________________________________________________ Parent/Guardian Signature _______________________________________________________________________ Parent/Guardian Relationship to Student _______________________________________________________________________ Date

Disabilities Persons with disabilities who desire support services or accommodations may contact Marketing Maven at 512-469-3521 or hi@jehnnyok.com