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LOS PASEOS GATE CLUBSpring 2010 Student ApplicationApplications are due on Friday, January 15. Please do not send any money at this time.Please turn in all forms to the GATE Club box in the school’s front office.STUDENT INFOStudent Name:Teacher / Grade:Parent Name(s):Phone Number:Emergency Contact:*E-mail Address:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________*Note: We do most of our GATE Club communications via e-mail, so it is very important to have your current e-mail address. Wewill not share your information with anyone. Even if you are not signing up for any activities at this time, please complete thissection of the form so we can contact you in the future.PARENT OR GUARDIAN RELEASE OF LIABILITYI hereby give my permission for my child(ren) to participate in Los Paseos GATE Club activities. Iunderstand that travel to and from various facilities may be necessary. I hereby agree to indemnify andhold harmless Los Paseos School, the Morgan Hill Unified School District, the Los Paseos Home andSchool Club, and teachers, parent volunteers, drivers, and outside professionals from and against anyloss, liability, or damage arising from or because of or in connection with participation of child(ren) insaid activities.Parent or Guardian Signature: _______________________________________ Date: _______________PARENT VOLUNTEERSThe GATE Club is a volunteer-driven cooperative effort, and we need everyone’s help to continueoffering such a wide range of classes and activities. We especially need more parent volunteers to stayafter school and assist during classes – no special experience or expertise required! It’s a fun way tosupport the GATE Club and get to know other kids and parents.For impacted classes, priority will be given to students whose parents can help during class.Please indicate below the way(s) you are able to help: I can sometimes assist during after-school classes. I can donate snacks and drinks. I can chaperone and/or drive for field trips. I am interested in leading a new class or activity (please fill out attached form).

LOS PASEOS GATE CLUBSpring 2010 Class RequestsStudents, please review the Spring 2010 class schedule and decide which classes and activities are mostinteresting to you. As long as your parents approve the dates and the cost, you may sign up for as manyclasses as you like. List the classes you’d like to take in priority order on the following pages. Include abrief paragraph explaining why you want to take each class. For impacted classes, priority will be givento students whose parents can help during class.Applications are due on Friday, January 15. Please do not send any payment at this time.Please turn in all forms to the GATE Club box in the school’s front office.These classes tend to fill up quickly, so be sure to turn in your forms on time!SPECIAL GATE CLUB EVENTSMore information about Game Day, Paper Airplane Day, and the Great America field trip will beavailable in the coming weeks via e-mail. Please check the boxes below if you plan to participate. Yes, I plan to attend Game Day on Tuesday, January 26. Yes, I plan to attend Paper Airplane Day on Thursday, April 1. Yes, I plan to attend the GATE Club field trip to “Physics Day” at Great America on Friday, May 7.CLASS REQUESTS1st choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------2nd choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------

3rd choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------4th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------5th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------6th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------7th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------

8th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------9th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------10th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------11th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------12th choiceClass name: _____________________________________________________________I’d like to take this class because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ My parent can assist during this class------------------------------------------------------------------------------------------------------------------------------------------