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NB Safety Village Registration

North Baltimore Safety Village Program

The N. B. Safety Village Program Committee is proud to announce the 2015 North Baltimore Safety Village program for the North Baltimore and surrounding area children.  Children ages 4-7 will be exposed to various safety topics and taught proper procedures on how to handle these events.

The topics to be discussed are as follows:

Bicycle Safety

School Bus Safety & Playground Safety

Fire Safety/EMS/Ambulance

Police – Stranger Danger & Traffic Safety

DARE Program

Recycling

The previous programs will be instructed by area professional organizations.  Classes will be instructed and supervised by 2 or 3 teachers.  Our goal is to teach the rules of public safety through hands-on learning and other fun activities.

Classes will be held at the Powell Elementary from June 1-5.  The children will meet in 2 to 3 groups from 9:00-12:00.  They will meet with the speaker of the day, visit the “Safety Village” on the school parking lot, and practice phone number/address information on a daily basis.  We are requesting that parents arrive at 11:45 to share in the wrap up of the day’s events as well as for the orientation and graduation ceremony.

Parents are encouraged to volunteer and help with snacks.  Financial assistance will be available for those in financial need.  

If you have any questions concerning this exciting, educational program, please contact Kara Cikotte at Powell Elementary, 500 North Main Street, North Baltimore, OH 45872, (419-257-2124).

Thank you for your participation and help with this program,

Carrie Sonnenberg, Safety Village Program Director

Kara Cikotte – Instructor

Brigitte Teyner – Instructor

The 2015 North Baltimore Safety Village

Who:                Children currently the ages of 4-7 years old.  Child must be potty-trained.

Where:             Powell Elementary

When:              June 1-5, 2015 from 9:00 am to 12:00 Noon

Cost:                Registration fee $35.00 (fee includes t-shirt,helmet and DVD slide show of week’s events)

****** Fees must accompany registration forms.  All registration forms and payments must be received on or before May 15, 2015 and can be sent to:

Powell Elementary School

500 N. Main St.

North Baltimore, OH 45872

Make check or money order payable to NORTH BALTIMORE SAFETY VILLAGE

Child’s Name ____________________________________  Date of Birth ___________________Boy/Girl______

Child’s Address ________________________________________________________________________________________

Parent/Guardian’s Name _______________________________________________________________________________________

# you want your child to learn

Home Phone or cell ________________________________________ Work Phone ____________________

Please indicate child’s T-shirt size:  S _______ (6-8)    M________(10-12)  L________ (14-16)

Does the child have any allergies or conditions that we should be aware of Yes________  NO_____________

If yes, Please explain  ________________________________________________________________________________________

*EMERGENCY INFORMATION:  Person to be contacted if parent cannot be reached:

Name  __________________________________________________________________________________

Address _________________________________________________________________________________

Name  __________________________________________________________________________________

Address ___________________________________________________  Phone ________________________

I hereby permit my child to participate in the N. Baltimore safety Village program.  On behalf of my child, myself, and our heirs, executors, administrators, and assignees, I hereby release and discharge NB Safety Village Board and assignees form all claims, present and future, known and unknown, in any manner arising out of the use of NB Safety Village facilities and equipment furnished through and by the North Baltimore Safety Village Board, the North Baltimore Local School Board of Education, and other assignees, in the joint N. Baltimore Safety Village Program.  I also give permission for my child to be photographed during his/her attendance at the NB safety Village.  The photographs will be used solely in presentation/promotions to benefit the NB Safety Village program.

Parents Signature _________________________________________________________Date _____________________

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