Austin Community Education Summer Classes

Austin Community Education is pleased to offer several learning
opportunities for students during the summer. We have
partnered with other community organizations to provide a
broad range of classes and activities.
Our goal is to provide fun, educational opportunities for
students to enrich their summer leisure time. If you have
questions about any of these classes or activities, contact the
Austin Community Office at 460-1706.
Table of Contents
More Than Pink 3
Arts & Crafts 4-5
Sports, Fitness & Food 6-7
Learn & Explore 8-9
Hormel Historic Home Events 9-10
MacPhail Musical Summer Camps 10
Lunch Program & Activities 11
Emergency Contacts & Registration Form 12-13
Austin Community Education:
SUMMER 2019 YOUTH CLASSES

Registration Information
 You may register in person 7:30 am - 3:00 pm, Monday through Friday at the Community
Education Office in the Community Learning Center, 912 1st Avenue NE, Austin, MN
 You may register with a credit card by calling 460-1706 or 460-1700 or on the web at
http://austin.revtrak.net.
 Fees must accompany all registrations. Make checks payable to Austin Public Schools.
Register early, all registrations are accepted on a first-come, first-serve basis.
 Registration required unless otherwise noted.
Financial Assistance
Financial assistance is available to families who qualify. Applications are available at the
Community Education Office at 912 1st Avenue NE or call 460-1706. Not all classes have
scholarships available.
Confirmation & Refunds
No confirmations will be sent; you will be considered registered for a course unless you are
notified. If there is insufficient enrollment for a course, or if the class is filled, you will be
notified as soon as possible and will receive a refund by mail or if credit card was used, a
credit will be issued. Participants may withdraw from classes up to 5 business days prior to
the class and will receive a refund of class price minus a $3 processing fee. Participants
withdrawing from classes less than 5 business days prior to the class will not receive a refund.
Locations, Time, and Age
 Location and time for each class/activity is listed in the course description. Signs will be
posted in the building where the class is held indicating the specific room for the class.
 Parents are responsible for dropping off and picking up their child on time. Students who
are not picked up on time repeatedly will be dropped from the class. Class instructors are
not responsible for supervising your student before and after class.
 Some classes are targeted for specific ages, gender, or have other requirements. Those
details are listed in the class description.
Behavior
Summer Enrichment is a privilege for students. Students are
expected to conduct themselves in a manner that facilitates
instruction and the learning process. Disruptive students will be
dismissed from the program without a refund.
Like us on Facebook http://www.facebook.com/AustinCommunityEducation

More Than Pink
More Than Pink Summer Program
More Than Pink is a program to inspire third (must have
completed 3rd grade) through completed sixth grade girls to stay
true to themselves and live free from societal stereotypes. This 7-
week program innovatively weaves training for a 5K run with
lessons that empower girls to celebrate their bodies, honor their
voices and embrace their gifts. All athletic types are welcome.
Space is limited so please register early. More Than Pink works
around summer schedules, camps and vacations. Even if girls are
going to be gone for a day or for a week they are still able to
participate in the program. Information that is missed on certain
topics will be handed out to the girls so they will still get the
information. A More Than Pink day consists of 60 minutes of a fun
fitness activity & 90 minutes of a life lesson. Topics include: self-
worth, body image, nutrition, healthy relationships, cyber safety
and more. Community partners will speak with girls on a Topic
Talk lesson in their field of expertise.
Ages: Completed 3rd-Completed 6th Grade
Date: Tuesdays-Thursdays, Jun. 10-Aug. 1
Time: 9:00am-12:00pm
Location: Austin High School, Rooms 220 & 222
Price: $85 (full & partial scholarships available)
More Than Pink Goals:
1. To help girls grow and develop physically, mentally, and socially with local community support.
2. To empower girls to be true to themselves-at home, school, self-image, friends, and activities. Provide
resources and tools to help them not succumb to peer pressure, live with less stress, and become who they
want to be.
3. To measure fitness goals throughout the 7-week program. Each girl will see their ability to improve fitness
levels and increase knowledge and awareness of how important fitness is to one's health.
The program builds throughout the summer and culminates in the girls, along with community partners and
supporters, running a celebratory More Than Pink 5K (included in More Than Pink registration) on Thursday,
August 1. This is not a competitive race but a celebration of empowerment and inspiration! No classes will be held
July 2-4. Registration deadline is Friday, May 17.
More Than Pink 5K
More Than Pink is a program designed to inspire girls to stay true to
themselves and live free from societal stereotypes through lessons that
empower girls to celebrate their bodies, honor their voices and embrace
their personalities WHILE also training to run a 5K! This run is a celebration
of the girls’ successful completion of the program and recognition of all the
women that assisted them along the way.
Date: Thursday, Aug. 1
Time: 6:00pm
Location: Todd Park Large Pavilion
Price: $25
3rd & 4th Grade 5th & 6th Grade

Arts & Crafts
Mother’s Day Gift: Unicorn Planter- Teri Wermager
Mother's Day is coming up quick and what does
mom, grandma or a special female love more
than a handmade gift? Nothing! Handmade gifts
are the best to give and receive. We will help
your student create a very cute unicorn planter
and then fill it with a colorful flowering plant.
Students can then decorate a gift bag for their
planter. Mother's Day gift done! Students should
wear clothing that can get messy.
Deadline to register is May 1st.
Ages: K-4th Grades (preschool
with adult helper)
Date: Monday, May 6th
Time: 6-7pm
Location: Southgate Elementary
School, Art Room
Price: $12
Color Me Mine: Father's Day Platter- Color Me Mine
This is the perfect Father's Day gift (that mom will love tooStudents will
be able to paint their own underwater scene however they imagine it,
seaweed, starfish, sharks, dolphins, maybe even a treasure chest. The
kids will be able to do a variety of techniques on this project as well as
use their own creative touches. But, the part that the kids are going to
love most and that makes this piece unique is the bubble technique. The
kids will actually blow bubbles on their piece, when popped it makes a
super cool pattern/design. And of course the Color Me Mine
professionals can help with writing a special message on the project for
Dad. The project is on a piece called an "organic ware platter"
12.75"x11.25", it is perfect for serving and a fun shape for the
underwater theme. Registration deadline is Monday, May 6th.
Ages: Kindergarten+
Date: Monday, May 20
Time: 4:00-5:30pm
Location: Banfield Elementary Art Room
Price: $36
Dream Catcher- Spirit Bear Academy
Dreamcatchers have been helping people get a calm nights rest for
centuries. Create your very own dreamcatcher that will catch the bad
dreams and allow good dreams to pass through. All materials are
provided.
Ages: Ages 10+
Date: Monday, Jul. 8
Time: 1:00-2:00pm
Location: Austin High School 160
Price: $16
Necklace Bag- Spirit Bear Academy
In this class you will learn to make your own Necklace Bag.
Participants will sew a soft suede leather bag. No prior sewing
experience needed, all materials provided.
Ages: Ages 10+
Time: 3:00-4:00pm
Price: $16
Pixie Bag- Spirit Bear Academy
In this fun class you will learn to make your own Pixie
Bag. Participants will sew a soft suede leather bag. No
prior sewing experience needed. All materials are
provided.
Ages: Ages 10+
Time: 1:00-2:30pm
Price: $16

Adventures in Leather Crafting- Spirit Bear Academy
Leather crafting is very popular and easier than you
think! Join in and learn a very old craft used by our
ancestors. You will learn how to stamp and tool
leather. All materials provided.
Ages: Ages 10+
Time: 1:00-2:30pm
Price: $16
Friendship Bracelet- Spirit Bear Academy
What's better than wearing a piece of jewelry you created yourself or
giving to a friend? Join us and learn how to create a friendship bracelet
that you have personally made by you out of yarn or floss. Keep it for
yourself or give it to someone special. All materials are provided.
Ages: Ages 10+
Time: 2:30-3:30pm
Location: Austin High School, 160
Price: $16
Hand Lettering Art for Teens- Amanda Gafkjen
Students will learn the art of creative hand lettering. Students can
bring in quotes, phrases, lyrics they would like turn into beautiful
letter art. All materials are provided.
Ages: Ages 10+
Date: Thursday, July 18
Time: 1:00-4:00pm
Price: $17
Youth Paint & Make Studio- Krystal Lennie
Youth Paint & Make Studio will make painting fun and easy. You
will be guided step-by-step through recreating an acrylic painting
that you will be able to take home at the end of class and hang on
the wall. Parents can stay and paint their own canvas if they
want, just make sure to register for two. Canvases can be pre-
drawn for younger children, just specify when you register.
Students may want to bring a paint shirt or apron from home.
Registration deadline is 1 week prior to class.
Ages: Ages 3+
Price: $18 per painting
Date: Time: Painting:
Monday, Jun. 10 10:30-11:30am Unicorn
Monday, Jun. 10 12:30-1:30pm Flower
Monday, Jun. 17 10:30-11:30am You Are My Sunshine (double painting)
Monday, Jun. 17 12:30-1:30pm Monkey
Monday, Jun. 24 10:30-11:30am Camper
Monday, Jun. 24 12:30-1:30pm Owl Always Love You (double painting)
Monday, Jul. 8 10:30-11:30am Butterfly
Monday, Jul. 15 10:30-11:30am Turtles
Monday, Aug. 12 10:30-11:30am Puppy
Monday, Aug. 12 12:30-1:30pm Unicorn
Monday, Aug. 19 10:30-11:30am Dragon
Monday, Aug. 19 12:30-1:30pm Fox

Sports, Fitness & Food
Kids CrossFit-Full Force CrossFit
Together we want what is best for kids and teens.
Today’s youth are caught between increasingly
sedentary lifestyles and earlier and intensive single-
sport specialization. CrossFit Kid’s is a strength-and-
conditioning program specifically designed for kids. We
help grow confidence, protect kids and teens against
sports injury, boost their sports performance, and fight
the forces behind obesity. The 10 class will be taught by
Garrett Jenkins, CrossFit Level 2 Trainer and Certified
Kids CrossFit Coach. Wear comfortable clothes and
clean tennis shoes.
Ages: K-4th Grade
Date: Tuesdays & Thursdays,
May 7-June 20
Time: 5:10-5:50pm
Location: Full Force CrossFit, 803
18th Ave NW
Price: $110
Intro to Traditional Tae Kwon Do
Intro to martial arts/self defense with emphasis on self
improvement and self control.
Ages: Ages 5 & Up
Date: Tuesdays, Jun. 4-25
Tuesdays, Jul. 2-30
Tuesdays, Aug. 6-27
Tuesdays, Sept. 3-24
Time: 5:00-6:00pm
Location: Martial Art Fitness Center, 424 N Main St,
Austin, MN
Price: $30
Austin Packer Summer Swim
Austin Packer Summer Swim is for competitive swimmers of all ages and
abilities. Austin High School swim coaches will lead this technique-focused
program. Athletes will be grouped by swimming ability to ensure the
appropriate level of challenge for all participants. All four competitive
strokes, as well as starts and turns, will be worked on over the course of the
summer. THIS IS NOT SWIMMING LESSONS FOR NON-SWIMMERS.
Participants must be able to swim 50 yards, or two lengths of the pool,
without stopping and without assistance.
Ages: Elementary-High School
Date: Monday-Friday, Jun. 10-Jul. 31
Time: 8:00-10:00am
Location: Ellis Middle School Pool
Price: $115
Packer Volley Prep Camp-Lauren Cost
Join Austin High School head
volleyball coach Lauren Cost for
Junior Volley Prep this summer!
This fun camp will introduce skills
and develop the basics of
volleyball. Campers will be divided
up based on age, not skill level.
Ages: Entering K-5th Grades
Date: Monday-Wednesday,
Jun. 10-12
Time: 6:00-7:30pm
Location: Austin High School, Packer Gym
Price: $45
Register online: https://austin.revtrak.net

Packer Junior High Volleyball Camp-Lauren Cost
Learn new things and improve your skills at the Packer Junior High Camp. AHS
Head Coach Lauren Cost will challenge all the athletes to work towards
reaching their full potential whether they are new or experienced players.
This camp is designed to prepare athletes to compete for their middle school
teams. Lauren Cost was a middle blocker for Kansas State University, selected
Big 12 Player of the Year ('03) and AVCA First Team All-American ('03).
Ages: Entering 6-8th Grades
Date: Monday-Wednesday, Jun. 10-12
Time: 1:00-4:00pm
Location: Austin High School, Packer Gym
Price: $75
Packer All-Skills Volleyball Camp
The coaching professionals from Gold Medal Squared are
returning to Austin again this summer! This 4 day camp is
full of the best training experiences and will be led by a
Division 1 level volleyball coach, assisting will be AHS
head coach Lauren Cost, Kansas State Athletic Hall of
Fame, 2013 First Team All-American and Big 12 Player of
the Year. During camp athletes will improve individually
and as a team working to maximize their potential. Gold
Medal Squared camp is an amazing opportunity to have
the best coaches from across the country come to Austin!
Ages: Entering 8-12th Grades
Date: Monday-Thursday, Jun.
17-20
Time: 8:30am-5:30pm
Location: Austin High School,
Packer Gym
Price: $205
Register @
goldmedalsquared.com
For questions content AHS Head Coach Lauren Cost at lauren.cost@austin.k12.mn.us. This camp is designed for
players entering 9th-12th grades. Deadline to register is June 7th.
Dance Team Kids Clinic- Kayla Sellers
Come dance with the Austin Packer Dance Team.
We will work on different skills and combinations.
Dancers will learn a routine to share with parents
at the end of camp. Registration includes a t-shirt.
Ages: Completed 2nd-6th Grades
Date: Tuesday-Thursday, July 9-11
Time: 4:00-5:30pm
Location: Austin High School, Packer
Gym
Price: $30
Need 4 Speed: Sports Speed- Roman Cress
Roman Cress, 2008 Olympic Sprinter, instructs this
fundamental program designed to help educate and enhance
a student's sprint speed. Focus will be on range of motion,
flexibility, sprinting drills and modules. Participants will need
to bring their own water bottle, proper running shoes and
sun block. Deadline to register July 8th.
Ages: Ages 8-18
Date: Friday, July 12
Time: 10:00am-12:00pm
Location: Austin Wescott
Sports Complex
Price: $39
Summer Treats- Megan Groh
Start of summer snacking with this fun and nutritious
activity for kids. This class is an excellent way to teach
your kids about healthy food that tastes great and how to
prepare it. During class kids will make chocolate dipped
banana pops, mini blueberry hand pies, and fruit salsa.
Ages: Ages 5-10
Date: Thursday, Jun. 13
Time: 10:00-11:00am
Location: Hy-Vee
Price: $24

Learn & Explore
CABS: Child and Baby-Sitting Certification- Lori Hameister
Learn the responsibilities of being a babysitter. Topics include starting
your own babysitting business, child development, proper feeding and
diapering techniques, personal safety, medical emergencies, basic first
aid care and fire safety. The CABS book (yours to keep) and the course
were developed by the American Safety and Health Institute and
approved by the American Pediatrics Association.
Ages: 4th-8th Grade
Date: Wednesday, May 8
Time: 1:00-4:00pm
Location: Neveln Elementary, Room 105
Price: $42
Date: Monday, July 22
Location: Austin High School
Home Alone- Lori Hameister
Just mention the words Home Alone, and children think of the excitement depicted in
the movies of the same name. The reality of being home alone can evoke fear and
anxiety in many children. This workshop for children will address several topics to
relating to being Home Alone. Topics include personal safety tips, stranger danger,
basic first aid, fire safety, handling the unexpected, internet safety, dealing with
loneliness and boredom, storm safety, dealing with siblings as well as trust and
honesty.
Ages: 3rd Grade & Up
Date: Monday, July 22
Time: 12:30-2:30pm
Location: Austin High School
Price: $24
Book Club: Comparing Books to Movies- Amanda Gafkjen
{YEL} Varsity Builders Camp
For engineers and builders ready for a challenge using LEGO® bricks! We’ve
saved our most challenging engineering projects for this summer camp.
Students build a robotic DogBot, a motorized BugBot, geared up Racer and a
scary Bat...all challenging for any connoisseur of LEGO® bricks. Students then
use these projects (and more) to investigate engineering concepts. We keep it
fun too with open ended, creative projects for the students. Unshackle the
ball and chain of summer brain drain.
Ages: 1-5 Grades
Date: Monday-Thursday, July 8-11
Location: Austin High School IMC
Price: $98
{YEL} Chess Camp
Youth Enrichment League’s {YEL!} summer chess camp works with all levels of
students. Beginners learn Piece Movement, Capturing, Check, Checkmate,
Castling and more; returning students study intermediate lessons (Pins, Forks,
Back Rank Mates, as examples); advanced students will study Elimination of
Defense, Opening Theory and other advanced concepts. Our summer camps
are fun, fast-paced and packed with information. Battle summer brain drain
and procure the necessary tools to beat your dad at chess!
Ages: 1-5th Grades
Date: Monday-Thursday, July 22-25
Price: $104
Enjoy a summer book club! This class will meet weekly to read novels, do
academic comprehension and discussion
activities. Then students will compare
the novel to the big screen version.
Ages: 3rd-6th Grade
Date: Mondays, June 17-July 8 (no class 7/1)
Mondays, July 15-29
Time: 4:30-5:30pm
Price: $9 per session

{YEL} Coding Camp
STEM Video Game Enrichment for the 21st Century learner. {YEL!} Coding camp
follows four basic components: Teach It!…Students learn different video game and
storytelling design techniques (movement blocks, control blocks, basic animation,
adding scores, etc.) Code It!… Students use Scratch® to code their own story and
video games. Explore It!…Students can write their own story and video game code,
experiment with it and test new options. Keep It!…Students keep their stories and
video games online with Scratch® and can access it and expand upon it at anytime.
Ages: 2-5th Grade
Date: Monday-Thursday,
July 29-Aug. 1
Price: $115
Switched On Kids- Austin Utilities
you can't see, touch or smell electricity, but without it your life would be pretty dark.
Students will start the day in the classroom learning basics about how electricity is
delivered to homes. We'll also talk about conservation. Then we'll venture to our
electric garage where students will have a chance to try out lineworker clothing and
equipment, experience electric bucket trucks up close and see a real lineworker
demonstrate pole climbing techniques. Using an electric safety demonstration board
we will show students how to play and stay safe around electric lines.
Ages: Entering Grades 4-6th
Date: Thursday, July 25
Time: 9:00-11:00am
Location: Austin Utilities
Service and Operations Center,
1908 14th St NE
Price: FREE
STEM Comes Alive Boot Camp
STEM Comes Alive Boot Camp is a free, fun and fast-moving boot
camp that makes science, technology, engineering, and math
come alive for students. Space is limited. Apply now at
http://www.riverland.edu/stemcamp.
Ages: Entering 9-12 Grades
Date: Monday-Friday, June 17-21
Time: 8:00am-4:00pm
Location: Riverland Community College
Price: Free ($20 deposit required)
2019 Mower County Progressive Ag Safety Day
A fun-filled day of learning for area youth! Topics included are:
ATV/bicycle safety, tractor safety, fire protraction, first aid,
electricity safety and so much more. Registration is free but
limited. Register at the Mower County Extension Office by June
1st.
Ages: Completed 3-6th Grades
Date: Wednesday, June 26
Time: 8:00am-1:30pm
Location: Mower County Fairgrounds
Price: FREE
Hormel Historic Home Events
Special Kids Concert featuring Dennis Warner
Entertainer and author Dennis Warner has traveled though all 50 states and
beyond performing for all ages, singing songs from his 10 CD's and reading from his
popular children's book, "Beads on One String". A highlight from his career is
performing in concert at the Kennedy Center for the Performing Arts in
Washington, D.C. Come join us for a magical afternoon of singing, laughter and
storytelling!
Ages:
Date: Tuesday, Jun. 11
Time: 2:00-3:00pm
Location: Hormel Historic Home,
208 4th Ave NW
Price: Free
Circle of Friends Day Camp
For youth, grades 1-5, on the Autism Spectrum. Registration for all
camps can be done through the Hormel Historic Home website
www.hormelhistorichome.org/autism-programming. For more
information contact autism@hormelhistorichome.org or 507-433-4243.
Ages: Grades 1-5
Date: Monday-Friday, Jun. 24-28
Location: Hormel Historic Home, 208 4th Ave
NW
Price: $125

All Access Community Explorations
For youth, grades 6-12 (up to age 17), on the Autism Spectrum. Registration
for all camps can be done through the Hormel Historic Home website
www.hormelhistorichome.org/autism-programming. For more information
contact autism@hormelhistorichome.org or 507-433-4243.
Ages: Grades 6-12 (up to age 17)
Date: Jul. 8-11, 15-18, 22-23
Location: Hormel Historic Home, 208 4th
Ave NW
Price: $150
Camp Just for Me
For youth, ages 7-17,on the Autism Spectrum who require individual
attention. Registration for all camps can be done through the Hormel
Historic Home website www.hormelhistorichome.org/autism-programming.
For more information contact autism@hormelhistorichome.org or 507-433-
4243.
Ages: Ages 7-17
Date: Monday-Friday, Jul. 22-26
Time: Austin High School
Location: Hormel Historic Home, 208 4th
Ave NW
Price: $100
MacPhail Musical Summer Camps
Register for MacPhail camps at https://www.macphail.org/for-youth/summer-camps/
or call 507-396-6730
Strings & Sticks
Strings and Sticks camp is an exciting opportunity for string and percussion
students between the ages of 4-17 with one or more years of playing
experience to come together for four days to sharpen their skills and
explore new areas of learning. Included with the camp will be sectionals,
orchestra participation, small ensemble and daily lectures on this year's
theme-20th Century Music. Lunch and outdoor activities included each day.
All participants will perform a concert beginning at 5:00pm on Thursday
August 1.
Ages:
Date: Monday-Thursday, July 29-Aug. 1
Time: Orchestra 9:00am-3:00pm
Suzuki 11:15am-2:00pm
Location: MacPhail Center for Music
Price: Orchestra $163.20
Suzuki Based Strings $76.50
New this year, we will have 3 orchestras in addition to our percussion ensemble:
 Suzuki-based strings for students 4-9 years of age.
 Entry Level Orchestra for students with 1-2 years orchestra experience.
 Advanced Orchestra for students with 3+ years of orchestra experience.
Singing on Stage
Summer singing is lively and fun with this camp focusing on performing! Take
your vocal skills to the next level learning techniques to help you shine. A wide
variety of music will be used during the camp and local Austin performers will
visit to share their advice on performing. If it's on the stage or in the shower,
every song tells a story! Attend Summerset Theatre's Production of The Little
Mermaid Thursday evening with campers and directors for Free!
Ages: Incoming 4-6th Grades
Date: Monday-Friday, June 17-21
Time: 1:30-4:00pm
Price: $85
Summer Blues
Got the Summer Blues? Change things up this summer by playing in
a jazz band. You will learn how to play I the jazz style and the basics
of improvisation. We will meet each day as a full ensemble and in
smaller groups with instrumental specialists. Open to all band
instruments, piano, bass, and guitar players.
Ages: Incoming 7-9 Grades
Date: Monday-Friday, July 15-19
Price: $105

Kids Korner School-Age Child Care
Kids Korner is an affordable, quality childcare program designed to meet the needs of working
parents. The goal of this program is to provide an environment in which the child is encouraged to
learn & grow with minimum formal instruction. We provide a structured recreational environment
where learning is emphasized through experience. Kids Korner is a program designed for families
that need child care on a regular basis. Kids Connection is a program designed to meet the needs
of families that only need child care on an occasional basis, non-school days, early release days, or
on weather emergency days. Both programs are available during the summer months, are housed
at Austin High School (Completed 1-6th Grade) and Community Learning Center (Preschool-
entering 1st Grade), and incorporate theme-based camp programs. Hours of operation are from
6:15 a.m. to 6:00 p.m., Monday through Friday. Each program
has a separate fee schedule. Closed Thursday, July 4th, Friday,
August 30 and Monday September 2.
If you would like more information, please call the Kids Korner
Main Office at 460-1704 or email Teri Wermager at
teri.wermager@austin.k12.mn.us. All forms and additional
information can be found at
www.austin.k12.mn.us/clc/kidskorner
Austin Public Schools Free Meal Program
** Free Breakfast and Lunch Available for Children Ages 1 – 18 **
Breakfast is served from 7:30-9:00am & Lunch is served from 11:00am-1:00pm, Monday – Friday
IJ Holton Intermediate School Cafeteria, 1800 4th Avenue SE + June 10-August 23 (Closed July 4)
Austin High School Cafeteria, 301 3rd Street NW + June 10-August 23 (Closed July 4)
Neveln Elementary School, 1918 East Oakland Avenue + June 18-August 15 (Tues, Wed, & Thurs ONLY, Closed 7/1-7/5)
Reader's Café
Reader’s Café is a mini-library, book check out program located in the cafeteria at I. J. Holton Intermediate
School.
Come eat lunch, stay to play and create. Then check out something delicious to read!
This FREE service is intended for ages Pre-K through middle school.
Monday-Thursday, starting June 10, 11:00 am-1:00 pm

Austin Community Education
Emergency Contact Information
Non-Parent/Guardian Emergency Contact and/or Pick-up Persons
I authorize the following adults (must be at least 18 years old) to be contacted in case of emergency and/or to pick up my
child(ren). Persons indicated must be reached locally.
Parent/guardian must supply two (2) contacts to register. Please fill in all spaces.
Adult Emergency Contact Name____________________________ Relationship________________________________
Local Home Phone_____________ Local Work Phone_____________ Cell Phone______________
Adult Emergency Contact Name____________________________ Relationship________________________________
Local Home Phone_____________ Local Work Phone_____________ Cell Phone______________
Child’s Doctor __________________________ Address ___________________________ Phone _________________
Child’s Dentist __________________________ Address ___________________________ Phone _________________
Are there legal custody, restraining orders, or school disciplinary (suspension) issues that we should be aware of? YES
NO If yes, please list and/or describe: __________________________________________________________________
_________________________________________________________________________________________________
Is your child receiving Special Education services? YES NO
Does your child have any special needs or have a medical history that would impact his/her ability to participate? YES
NO If yes, please list and/or describe: _________________________________________________________________
_________________________________________________________________________________________________
Is there anything significant about your family situation you would like us to know? YES NO
If yes, please explain ________________________________________________________________________________
RELEASES: By signing my name below, I agree to the following:
1. In the case of an emergency involving the registered child, I authorize Austin Community Education to use the Mayo
Clinic Health Systems Emergency Room for emergency medical treatment, if I or the child’s doctor cannot be
reached. I authorize Austin Community Education staff to call 911 to seek emergency care if deemed necessary and
I will pay the charges.
2. I give my consent to have pictures taken of my child(ren) by the news media and/or the staff and used in future
publications. Yes _____ No _____
SIGNATURE: _________________________________ ________________ _____________
Name Relationship to Child Date

Ways To Register:
In Person at the Austin Community Education Office, 912 1st Ave NE, Austin
By Phone: Call 460-1706 with registration information and credit card number
By Mail: Send completed registration form with payment for classes to:
Austin Community Education, 912 1st Ave NE, Austin, MN 55912
On the web at: http://austin.revtrak.net
Payment Options:
  Cash/Check (payable to Austin Public Schools) Check # _________

  Credit Card—Visa, Master Card or Discover Expiration Date ____/____
__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Austin Community Education
SUMMER ENRICHMENT REGISTRATION FORM
Participant Name _______________________________________ Home Phone _____________
Birth Date __________________Gender ___________________Grade in Fall 2019 _________
Parent Name________________________ Work Phone__________ Cell Phone ____________
Address & City __________________________________________________________________
Email Address _________________________________________________________________
Class # _______Class Title ______________________________________Class Fee $ ________
Total Amount $ ____________

Austin Community Education Summer Classes

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