C E N T R A L
S C H O O L
D I S T R I C T
www.hhh.k12.ny.us
FALL 2009
Continuing Education Guide FREQUENTLY ASKED QUESTIONS
Who may attend continuing education classes? Adults over the age of 18 years may register for these classes.
What about senior citizens?
How do I contact the office? The phone number for the Continuing Education Office is 592-3125.
How do I register? Register by mail immediately. Using a separate registration card for each course in which you wish to enroll. Enclose a separate check for each course, made payable to Half Hollow Hills CSD, unless otherwise noted. Cash cannot be accepted. Mail registration card with any required fee to: Office of Continuing Education, Half Hollow Hills Schools, 50 Vanderbilt Parkway, Dix Hills, NY 11746.
What if I cannot attend a class that I am registered for? Please notify the office as soon as possible. Many classes have waiting lists and someone else may attend the class in your place.
No, but you can view the current brochure at the District website, www.hhh.k12.ny.us.
What is the refund policy? No refunds will be made unless the class is canceled. Once classes have begun, only a credit slip can be issued. If it is necessary to cancel a class, your check will be returned.
How do I know my registration has been accepted? No letters of confirmation are sent. Registrants will be notified if a class is cancelled for any reason.
What if a class is not held on a particular night?
Dr. Sheldon Karnilow, Superintendent of Schools
Jay Marcucci, Acting President Jeanine Bottenus Carole Catapano Frank Grimaldi James Ptucha Anne Marie Sorkin
Non-profit Org. US Postage PA I D Permit No. 12 Huntington Station, NY 525 Half Hollow Road Dix Hills, NY 11746
Where are the classes held? All classes are in the High School East building, unless noted otherwise. A daily list of classes and map is displayed at the Continuing Education Office. Maps of the school are available upon request.
MEDICAL ADVISEMENT:
Can I register online?
Half Hollow Hills Central School District
Citizens who are over 60 and reside in Half Hollow Hills Central School District No. 5 are invited to register for our courses at no fee, with the exception of outside agencies that charge a “per-person fee.” These are designated as no senior discount courses. A copy of your District Gold Card need only be submitted once in order to attend classes at no charge, and will be kept on file. Gold Cards may be obtained at the Manasquan building. Call Mrs. Marini at 592-3013 for more information. Material fees MUST be paid by each student. Please note that non-resident seniors may pay the lower “resident fee.”
W h e n e v e r inclement weather causes the closing of District schools, there will be no classes held that evening. Listen to WBAB-FM or for WALK-AM closings or call the office and listen to the recorded message. In the an that event instructor has to cancel a session, he/she will notify the students. No classes will be held on legal holidays or during school holidays.
We strongly advise that you consult your physician before undertaking any program involving strenuous physical activity. Participation in any class and/or activity is at your own risk. For each of our “Sports and Movement” classes, you or your physician must first sign the form enclosed in the bulletin to verify your general good health and ability to participate in the activity without risk.
CONTINUING EDUCATION CLASS CALENDAR FALL 2009 Please use this calendar as a reference throughout the session. Oct
Nov
MON 5* 12 19 29 2 9 16 23 30
Dec 7 14
TUES 6* 13 20 27 3 10 17 24
WED 7* 14 21 28 4 11 18 25
THURS 8* 15 22 29 5 12 19 26
1 8 15
2 9 16
3 10 17
KEY: * first night of classes, unless noted otherwise. The gray area indicates that there will be no classes held on these nights.
Attention Half Hollow Hills Seniors! (those 60 and over) Apply now for a District Gold Card and obtain free admission to Districtsponsored athletic events, concerts, plays and most Continuing Education classes! Apply for your Gold Card at the District Clerk’s Office at the Manasquan building, Monday through Friday from 10 am to 1 pm.
Wednesday
Fall 2009 Classes by Night
Boating Skills and Seamanship Fitness First How to Manage your 401k or 403b in Today’s Market How to Sell on eBay Intermediate Acrylic or Watercolor Painting
Monday Ballroom and Latin Dancing Complete Financial Management Workshop Fitness First Indian Cooking
Thursday
Open-Gym Basketball Rhythm Dancing Yoga
Aerobics/Power Walk Debt-Free Lifestyle Defensive Driving Exploring the Fall Skies Exploring the Winter Skies How to Pay for College Without Going Broke
Tuesday Aerobics/Power Walk Beginners Acrylic or Watercolor Painting Boating Skills and Seamanship Crochet for Beginners Defensive Driving Exploring the Power of the Mind Introduction to Exchange-Traded Funds
Knitting Notary Signing Agent Course NYS Young Boaters’ Course Weathering the Market Volatility Yoga Yuanji Energy Music Therapeutic Dance
NYS Young Boaters’ Course Tai Chi/Health Guidance What Should an Investor Do in a Post-Bailout Economy?
Introduction to Stocks & Bonds Notary Public Training Course Preserving your Wealth in Retirement Spanish I Spanish II
Saturday Defensive Driving
Continuing Education Guide another three to four years, saving thousands of dollars in interest along the way? You can do this with your current income. LEARN SPECIFIC, POWERFUL AND TIME-PROVEN STRATEGIES THAT WORK – EVERY SINGLE TIME. This workshop will help you eliminate all your debt and then operate 100 percent on cash never needing credit again. Bring a list of your debt (for your viewing only) with balances and monthly payments (principal and interest only for mortgage). During the class you will begin to develop your own debt elimination plan that can be implemented into your lifestyle. Please bring a pocket calculator to class. Thursday 1 session November 12 7:00-10:00 pm Instructor: Robert Zambito Room 101 Fees: Regular: $14
Financial Planning Complete Financial Management Workshop This in-depth course, which has been taught nationally at universities, as well as Fortune 500 companies, will help you establish a written financial plan for your retirement. Topics include stock, bonds, mutual funds, asset allocation, Social Security, Medicare, long-term care, estate planning strategies, pension plans, IRA’s, insurance and more. A comprehensive workbook, which will be a valuable resource for the rest of your life, is also included. An optional personal financial analysis plan is also included. This plan may help you reduce taxes, establish retirement income, and enhance investment returns. You may bring a guest with you at no extra cost. Mondays 4 sessions 7:00-9:30 pm Begins October 19 Instructors: Alex DiMartini, Jr., Financial Advisor James M. Rosica, Financial Advisor Gerald DeMeo, Financial Advisor Room 101 Fees: Regular: $45 Out of district: $50 A $25 material fee made payable to Emerald Publishing will be collected at the first class. There is no senior discount for this class.
Out of district
$17
How to Manage your 401k or 403b Money in Today’s Market Your company has provided you with a retirement plan into which you can contribute your hard-earned money so that you will be able to someday retire comfortably. But your company does very little when it comes to helping you invest that money in the mutual funds available in your retirement plan. This two-session course will show you some simple yet effective techniques that anyone can use to make sure their money is being invested properly in their 401k or 403b plans. All class participants are asked to bring to session one a complete list of the mutual fund choices available in their company’s retirement plan. You will receive a detailed report on which mutual funds you should be investing in at the end of session two. Wednesdays 2 sessions October 7 and October 14 7:00-8:30 pm Instructor: Paul Pitsironis Room 105 Fees: Regular: $22 Out of district: $27
How to Pay for College without Going Broke Discover how you can literally save yourself thousands of dollars when sending your child off to college! This workshop teaches parents the best-kept secrets of getting the most money possible, providing guaranteed secrets that most others would prefer you never found out! The truth about college funding and financial assistance programs will provide you with the right knowledge when you are ready to fill out applications. Avoid the costly mistakes so many others make. Discover how to help your child choose the right college and actually pay for your child’s education without going broke. Thursday 1 session October 8 7:30-9:30 pm Instructors: Jan & Tony Esposito Room 111 Fees: Regular: $14 Out of district: $17
New…Debt-Free Lifestyle Get completely out of debt, including your mortgage! Owe nothing to anyone! This workshop is designed for MIDDLE CLASS families and individuals who want to live a stress-free, debt-free lifestyle. How would you like to pay off all your consumer debt, credit cards, car payments, etc., in one to three years? Then pay off your 30-year mortgage in 2
Introduction to Exchange-Traded Funds
own. This investment workshop will help analyze various investments that are designed to meet the challenges of the world today. We will discuss asset allocation and sub-allocation, as well as other strategies designed to help potentially maximize returns while minimizing risk. Tuesday 1 session October 27 7:00-9:00 pm Instructor: David Savetz Room 109 Fees: Regular: $14 Out of district: $17
Television and radio talk about them daily and financial publications write about them constantly. Find out why Exchange-Traded Funds (ETFs) are not just for institutional investors. Learn how you can use ETFs in your personal investment portfolios to manage risk and add diversification. This two-session course will help you understand the innerworkings of ETFs and teach you several strategies that are available through the use of ETFs. Tuesdays 2 sessions October 6 and October 13 Instructor: Paul Pitsironis Room 109 Fees: Regular: $22 Out of district: $27
7:00-8:30 pm
Fine Arts and Crafts Beginners Acrylic or Watercolor Painting This course will give you all you need to produce beautiful watercolor and acrylic paintings. We will explore color mixing, drawing perspectives and creative seeing. On the first night of class, bring a pencil, paper and your imagination. 8 sessions Tuesdays Begins October 6 Instructor: Anna Horehlad Room 556 Fees: Regular: $55 Out of district: $60
7:00-10:00 pm
New…Crochet for Beginners In this beginner crochet class you will learn how to chain and make single and double crochet stitches. Make new friends and have fun creating our own beautiful blanket. On the first night of class bring a “J” crochet hook and one skein of medium weight yarn. Tuesdays 6 sessions Begins October 6 7:00-9:00 pm Instructor: Debbie Polidora Room: HSE Library Fees: Regular: $47
Introduction to Stocks & Bonds
Out of district:
To have complete knowledge and awareness of how the market works, people need a great deal of information. We will discuss stocks and bonds in clear, concise language; what investments are; and issues of how supply and demand affects you and the market. Learn how to analyze Standard & Poor’s reports, and the risk/reward tradeoff. Thursdays 6 sessions Begins October 29 7:30-9:30 pm Instructor: David Gustin, AAMS Room 201 Fees: Regular: $55 Out of district: $60
$53
Intermediate Acrylic and Watercolor Painting This course is for those who have taken acrylic and watercolor for beginners. It will continue with color theory and painting exercises. Some abstract painting is included along with traditional paintings. You must have attended beginning watercolor and acrylic or talk to the teacher about taking this course. Bring all paints and other equipment from previous classes to the first night of this class. Those who have taken intermediate painting before are welcomed back. 8 sessions Wednesdays Begins October 7 7:00-10:00 pm Instructor: Anna Horehlad Room 556 Fees: Regular: $55 Out of district: $60
Preserving Your Wealth in Retirement Asset allocation and diversification need to be constantly monitored, and assets need to be protected and preserved. This one-session course will deal with this topic as well as other financial issues in a clear, concise way. Thursday 1 session October 8 7:30-9:30 pm Instructor: David Gustin, AAMS Room 201 $14 Fees: Regular: Out of district: $17
New…“Weathering the Market Volatility” Has the bear market taken a bite out of your portfolio? In times like this, it is increasingly important to re-evaluate your risk to tolerance as well as your return expectations in the future. This presentation will provide tips for investors just like you who are concerned about which way to turn in order to rebuild your portfolio as well as preserving your capital. 2 sessions Wednesdays October 21 and October 28 7:00-8:00 pm Instructor: Michael R. Schwenk Jr. Room 101 Fees: Regular: $22 Out of district: $27
New…“What Should an Investor Do in a Post-Bailout Economy?”
Knitting This is a class for beginners. You will be introduced to the basics of knitting as well as how to read instructions for projects. Students should bring #8 or #10 long knitting needles and light-colored yarn to the first class. Wednesdays 6 sessions Begins October 7 7:00-9:00 pm Instructor: Sukla Mukerji HSE Library Fees: Regular: $47 Out of district: $53
The credit markets have been in a crisis, the domestic stock market has been shaky and overseas markets haven’t been much better. What should an investor do? Will the bailout grease the locked wheels of the financial system and get credit moving again? Will the spending on the bailout programs increase the chances of inflation and higher interest rates? How do I invest when I am completely uncertain about the direction of the stock market? What are some alternatives to traditional stock and bond investments: How do I fund my retirement so I don’t outlive my assets? These are questions almost everyone is asking in this very difficult environment. To handle today’s challenges investors need a rescue plan of their 3
Exploring the Winter Skies
Personal Enrichment
“With the realization that I miss the show, while snug within my cave, it is only when I venture into the cold that I experience this gift.” -Chris McClure Perhaps there is no night sky more beckoning than that of winter. That great ancient hunter Orion leads his entourage onto the cold stage of the winter sky. One of his winter companions, Canis Major – the large dog – contains the brightest of all stars, Sirius. We also see the prominent zodiacal stars of Taurus and Gemini flanking the great hunter. The early evening sky features the planets Jupiter and Venus close together in a celestial dance low in the southwest. The entire family is encouraged to attend. Thursday 1 session 7:30-9:30 pm December 17 HSE Planetarium Instructor: Tom Affatigato Fees: Regular: $11 per person or $13 per family Out of District: $13 per person or $15 per family
How to Sell on eBay Turn your household items into cash by selling them on eBay, one of the nation’s largest online auction houses. This class is designed to teach you all the steps required to list and sell items on eBay, including authorization number set-up, uploading photographs, information to include in your item’s description, settling your auction, handling correspondence and shipping arrangements, pricing, choosing your item’s category and leaving feedback.
Exploring the Fall Skies As the nighttime hours grow long, we are left with the brisk coolness of fall. The sky fills with the wonderful constellations of Pegasus, Andromeda and Cassiopeia, all part of the great Myth of Medusa. The Big Dipper slowly sinks into the western glow of sunset as do the stars of Sagittarius. As Venus begins to enter the early evening sky in the southwest, it draws closer to the planet Jupiter. Both are seen in the early evening hours. Why not spend an evening beneath the stars of Half Hollow Hills planetarium, and witness the beauty of the Fall Skies? The entire family is encouraged to attend. Thursday 1 session October 8 7:30-9:30 pm Instructor: Tom Affatigato HSE Planetarium Fees: Regular: $11 per person or $13 per family Out of district: $13 per person or $15 per family
Course includes a take-home, step-by-step guide covering pertinent class topics and a sample auction from beginning to end. Items virtually sell themselves. Sit back and enjoy the income. Wednesday 1 session 7:00-10:00 pm November 4 Instructor: Dina Elardo, MBA Room 707 Fees: Regular: $55 Out of district: $57 There is no senior discount for this course.
Exploring the Power of the Mind Imagine/Visualize/Believe! Our minds possess an unlimited potential that, for many of us, remains just that…unlimited potential. The Power of Visualization, POV, is a program designed to develop the Champion’s mentality and help you understand the keys to unlocking the great capacity of your mind. Visualize for success. Learn the thinking skills, attitudes and strategies that will help you plan and achieve your goals, enhancing all areas of you life. Each session will include numerous strategies and exercises that can empower anyone to become more successful in life, regardless of age, gender, or present situation. Tuesdays 4 sessions 7:30-9:00 pm Begins October 6 Instructor: Glenn Poveromo Room 201 Fees: Regular: $33 Out of district:
$43
Indian Cooking Indian cooking is fun and easy to learn. The foods prepared do not have to be very spicy. In this class we will make mouth-watering appetizers, savory kebabs, delectable chicken or meat korma, Saag paneer, fresh vegetable dishes and dal (lentils). Mondays 4 sessions Begins October 5 6:30-9:00 pm Instructor: Sukla Mukerji Room 204 Fees: Regular: $33 Out of district: $38 The instructor will collect $25 on the first night to cover food expenses.
Notary Public Training Course Stand out among the competition! Add prestige to your resume and be an asset to your company by enhancing your credentials! The objective of the notary public training course is designed to educate individuals with the legal terminology, concepts and clauses contained in the framework of the NYS notary booklet. The fee includes a supplemental study guide, notary fact sheet, practical exam, national notary organization 4
pamphlets and brochures, sample forms, notary public application, NYS exam schedule and booklet, one-year free subscription to Notary Public Central and LEGAL UPDATES. Students are required to bring pen and highlighter. Sign up now for this unique training course. Commissioned notaries are always welcome to enroll. Thursday 1 session October 8 7:00-10:00 pm Instructor: Dina Elardo, MBA Room 305 Fees: Regular: $55 Out of district: $57 There is no senior discount for this course.
Sports and Movement Aerobics/Power Walk This class provides a cardiovascular workout with a 20-25 minute power walk and body toning. Instructor is A.F.A.A. certified. 16 sessions Tuesdays and Thursdays 6:30-7:30pm Begins October 6 Instructor: Joanne Eisenberg Cafeteria B/C Fees: Regular: $70 Out of district: $75
Notary Signing Agent Course Discover a rewarding career as a notary signing agent in the lending industry! Be your own boss either part time or full time. This course is designed to equip you with the essential skills you will need to properly perform loan document signings. Topics covered include document preparation, identifying documents in a loan packet and the various loan types, proper execution of documents, what is expected of the signing agent (your responsibilities and limitations thereof), lender lingo, identifying individuals, current industry trends, and where and how to find work. (Signing Companies will be provided as possible leads.) *Fee includes a full-year placement on our website’s signing agent section and a full take-home packet. Prerequisite: Be a commissioned New York State notary public or have at least attended or completed a notary public training course prior to taking this course. Wednesday 1 session October 14 7:00-9:00 pm Instructor: Dina Elardo, MBA Room 305 $60 Fees: Regular: Out of district: $62 There is no senior discount for this course.
Spanish I
Ballroom and Latin Dancing
This beginner’s course is designed to give students a solid foundation in the language by learning the basic grammatical structure, speaking with emphasis on correct pronunciation, and reading and writing, which students will be able to build on in future levels. All are the essential keys to successfully learn the Spanish language. Thursdays 8 sessions Begins October 8 6:00-7:30 pm Instructor: Elizabeth Mazzei Room 203 Fees: Regular: $75 $80 Out of district Instructor will collect a $19 workbook fee at the first class.
Ballroom and Latin Dance is a rewarding experience that promotes both physical and mental health. Whether you are a beginner or have some dance experience, you will enjoy learning basic dance concepts and skills while engaging your body in aerobic activity and building self-confidence. With continued practice, you will soon be comfortable in any dance venue. All classes will work on developing posture, dance frame, technique, movement and basic dance steps. The curriculum includes the Waltz, Foxtrot, Tango, Rumba, the Cha Cha and the Salsa/Mambo. Couples and singles of all ages are welcome. Mondays 8 sessions 7:00-9:00 pm Begins October 6 Instructors: Phyllis Hintze Cafeteria A $75 per couple, $37 single Fees: Regular: Out of district: $80 per couple, $40 single
Spanish II Completion of Spanish I is required. This course is for students who wish to fine-tune language skills. Students will continue to learn more essential grammatical structures of Spanish and increase their vocabulary while practicing their speaking skills and improving their pronunciation. Reading and writing skills will also be incorporated. Thursdays 8 sessions Begins October 8 7:30-9:00 pm Instructor: Elizabeth Mazzei Room 203 Fees: Regular: $75 Out of district $80 Instructor will collect a $5 material fee at the first class.
Fitness First This is an entry-level exercise class for individuals of any age who have never exercised or have not exercised in a long time. The class consists of low-impact cardio, stretching, strength training, balance and flexibility. Exercises can be done from a standing or seated position. Wear comfortable clothing, and bring a water bottle, light weights (2 to 5 lbs.) and a 6- to 9-inch ball. 16 sessions Mondays & Wednesdays 7:00 - 8:00pm Begins October 5 Instructor: Malinda Dobrins - Cert. Health Fitness Instructor Cafeteria B/C $70 Fees: Regular: Out of district: $75 5
Tai Chi/Health Guidance
Sports and Movement
Learn the art of Tai Chi, which combines meditation with a series of slow body movements that are designed to reduce stress. Coupled with the Tai Chi are discussions and assistance toward implementing a healthier lifestyle. Come have fun; learn at your own pace, and allow Tai Chi to reveal its various benefits. 8 sessions Tuesdays Begins October 6 7:00-9:00 pm Instructor: M.J. Kalischewski Student Center $50 Fees: Regular: Out of district: $55
Yoga-Monday
Maximum of 30 Learn the yoga poses and basic stretching. Start from where you are and learn to practice the postures with steadiness and comfort. No prior yoga experience is required. Wear comfortable loose clothing. Bring a mat. Mondays 8 sessions Begins October 5 7:00-8:30 pm Instructor: Susan Camean Student Center $60 Fees: Regular: Out of district: $65
Yoga-Wednesday
Maximum of 30 Learn the yoga poses and basic stretching. Start from where you are and learn to practice the postures with steadiness and comfort. No prior yoga experience is required. Wear comfortable loose clothing. Bring a mat. 8 sessions Mondays Begins October 7 7:00-8:30 pm Instructor: Susan Camean Student Center Fees: Regular: $60
Open-Gym Basketball Full-court and/or half-court basketball games will be played. Open-gym and pick-up games encouraged. Class size is limited to 30 registrants. Mondays 8 sessions Begins October 5 8:00-10:00 pm Instructor: Deborah Sorg HSE - West Gym Fees: Regular: $50 Out of district: $55
Out of district:
$65
Rhythm Dancing Rhythm dancing is a rewarding experience that promotes both physical and mental health. Whether you are a beginner or have some dance experience, you will enjoy learning basic dance concepts and skills while engaging your body in aerobic activity and building selfconfidence. With continued practice, you will soon be comfortable in any dance venue. All classes will work on developing posture, dance frame, technique, movement and basic dance steps. The curriculum includes the East and West Coast Swing and Hustle. Couples and singles of all ages are welcome. 8 sessions Mondays 9:00-10:00 pm Begins October 5 Instructors: Phyllis Hintze Cafeteria A $40 Fees: Regular: Out of district: $45
Yuanji Energy Music Therapeutic Dance A special Yuanji Energy Music is designed for each of the five Yuanji therapeutic dances. This kind of music harmonizes and energizes one’s mind, heart, body and energy systems and uplifts one’s spirit. The graceful movement along with the peaceful music helps to strengthen the immune system. The movement balances the body’s organ systems (yinyang.) The steps are easy, lively and are fun to do. They can also be adjusted according to the individual’s physical and/or health conditions. One can choose which dance or which sections of a particular dance to do at a time. The dances can be practiced by a group and individually. Now including the Fan Dance (Tai Chi Fan.) Wednesdays 8 sessions Begins October 7 7:30-9:30 pm Instructor: Lucille Chang Cafeteria A $60 Fees: Regular: Out of district: $65
6
Boating
The following courses are presented in cooperation with the U.S. Coast Guard Auxiliary Flotilla 22-01. There is no senior citizen discount.
Defensive Driving
Boating Skills and Seamanship This class is designated for those over the age of 18 who are either interested in brushing up on their existing skills, or who have not previously taken a boating course. The areas to be covered include: seamanship techniques, personal safety for crew and passengers, boat handling, rules of the road, the latest federal boating regulations and general legal requirements, weather, radio/telephone use, knot tying and other subjects. Most insurance companies recognize this course and will provide a 10 percent discount on boat insurance upon completion of the class.
Empire Safety Council’s Defensive Driving Course
New York State has enacted legislation that requires all operators of Personal Watercraft (PWC) to have completed a course such as our adult Boating Skills and Seamanship or else they will be in violation of the law. Persons who have not completed the course will not be allowed to operate a PWC until they have successfully completed the course and have been issued a certificate. Tuesdays and/or Wednesdays 6 sessions Begins October 20 7:30-9:30 pm Room: 703 Fees: $59 payable to USCGA Please call to register directly with the USCGA at 631-586-1456.
Choose from eight different dates.
This six-hour course is open to all drivers, including high school students, 16 and older. Upon completion of this course, you will be eligible for a discount on your collision and liability insurance premiums for three years. This is in addition to the discount received for completing a certified Driver Education program. Upon completion, a certificate will be mailed to you, which can be presented to your insurance company.
NYS Young Boaters’ Course This course is mandatory throughout the state for young persons, 18 years and under, who desire to operate any type of propelled boat in the waters of New York State. Upon completion of the course, students will be given a certificate of completion as well as a wallet-sized card, which must be in the young boater’s possession when operating a vessel. 6 sessions Tuesdays and/or Wednesdays Begins October 20 7:30-9:30 pm Room 701 Fees: None Please call to register directly with the USCGA at 631-586-1456.
Class #1 Thursday, September 24
3:30-9:30 pm HS West Room 150b
Class #2 Saturday, October 10
8:00 am-2:00 pm Room 705
Class #3 Tuesday, October 13
3:30-9:30 pm Room 705
Class #4 Thursday, November 12
3:30-9:30 pm Room 705
Class #5 Saturday, November 14
8:00 am-2:00 pm Lecture Hall
Class #6 Thursday, December 10
3:30-9:30 pm Room 705
Class #7 Thursday, January 7
3:30-9:30 pm Room 705
Class #8 Saturday, January 9
8:00 am-2:00 pm Lecture Hall
Instructor: Bob D’Agostino Fees: $40 Please make checks payable to “Empire Safety Council” There is no senior citizen discount for this class.
7
Registration and Medical Liability Forms for Continuing Education Enrollment Fall 2009 Continuing Education Registration Form
Fall 2009 Office of Continuing Education
(Please Print)
Medical Liability Release Form Required for All Sports and Movement Classes
Course
Night
(Please print information and sign below)
Name Telephone
Course
Address
Name
Town
Zip Code
Check #
Night
Telephone Address
Are you a resident of HHH? Are you a senior citizen? Do you have a HHH Gold Card?
Yes Yes Yes
No No No
Please send a separate check for each course (payable to Half Hollow Hills CSD) with this completed card to:
Town
Zip Code
I understand that I am enrolling in a class that involves strenuous physical activity and that I am participating at my own risk. Signature Date
Office of Continuing Education High School East 50 Vanderbilt Parkway Dix Hills, New York 11746
Physician’s signature (optional) Date
Fall 2009 Continuing Education Registration Form
Fall 2009 Office of Continuing Education
(Please Print)
Medical Liability Release Form Required for All Sports and Movement Classes
Course
Night
(Please print information and sign below)
Name Telephone
Course
Address
Name
Town
Zip Code
Check #
Night
Telephone Address
Are you a resident of HHH? Are you a senior citizen? Do you have a HHH Gold Card?
Yes Yes Yes
No No No
Please send a separate check for each course (payable to Half Hollow Hills CSD) with this completed card to:
Zip Code
Town
I understand that I am enrolling in a class that involves strenuous physical activity and that I am participating at my own risk. Signature Date
Office of Continuing Education High School East 50 Vanderbilt Parkway Dix Hills, New York 11746
Physician’s signature (optional) Date
Fall 2009 Continuing Education Registration Form
Fall 2009 Office of Continuing Education
(Please Print)
Medical Liability Release Form Required for All Sports and Movement Classes
Course
Night
(Please print information and sign below)
Name Telephone
Course
Address
Name
Town
Zip Code
Check # Are you a resident of HHH? Are you a senior citizen? Do you have a HHH Gold Card?
Telephone Address
Yes Yes Yes
No No No
Please send a separate check for each course (payable to Half Hollow Hills CSD) with this completed card to: Office of Continuing Education High School East 50 Vanderbilt Parkway Dix Hills, New York 11746
Night
Town
Zip Code
I understand that I am enrolling in a class that involves strenuous physical activity and that I am participating at my own risk. Signature Date Physician’s signature (optional) Date