EXPLORE Registration

NORTHEAST / TOPPING LOCATION PROGRAMS
Spring 2021

Please review the classes below and make your selection.
Please know, due to safety and new re-opening protocols – registrations are
limited. Acceptance is on a first-come / first-serve basis for all Mattie Rhodes Center programs and locations.

CULTURAL JOURNEYS
Grades 2nd – 5th
CULTURAL JOURNEYS is an arts-based and project-based after school program designed to develop each student’s creativity through artmaking and exploration. Students learn new art skills and materials from drawing, printmaking, comic books, and more to create projects that reflect on their personal experiences. Register today and join us for an exciting after school program this Fall!

Select the session/s you are interested in
Session #1: Wednesday / 4:00pm – 6:00pm Session #2: Thursday / 4:00pm – 6:00pm
For more information contact, Anthony Marcos Rea - Youth Development Coordinator at: [email protected]

SOCCER FOR SUCCESS
Grades: K – 8th
Soccer for Success is a FREE out-of-school program that integrates physical activity, nutrition, mentorship and community engagement in a safe and non-competitive environment. This program is offered at various locations across the city.

Spring 2021 Locations
Police Athletic League, Mon & Wed 5:30pm - 7:00pm / All Grade Levels
James Elementary, Tues & Thurs / 6:00pm - 7:30pm / All Grade Levels
Budd Park, Tues & Thurs / 4:00pm - 5:30pm / All Grade Levels
Observation Park, Wed & Fri / 3:30-5:00pm / All Grade Levels

For more information contact Diego Barrios – Youth Development Coordinator at: [email protected]

VISUAL VOYAGES
Grades: 6th – 8th
Visual Voyages serves middle school students interested in building intermediate art-making skills. Students continue developing their ability to plan and create artworks with individual and small group projects. Students will learn how about local and contemporary artists and create artworks that respond to community and youth-related subjects. Students learn mediums like drawing, mixed media, illustration, and graphic arts.

Session #1: Wednesday / 4:00pm – 6:00pm Session #2: Thursday / 4:00pm – 6:00pm
For more information contact, Anthony Marcos Rea - Youth Development Coordinator at: [email protected]

EXPEDITIONS Digital Media Lab
Grades: 9th – 12th
The EXPEDITIONS Digital Media Lab introduces high school youth to digital media through photography, video, and audio projects. Students will also explore the role of social media and its impact on broader social issues. High school students can join us on Tuesdays to learn how to transform and impact their community’s past, present & future with media.

Tuesday / 4:00pm – 6:00pm
For more information contact, Anthony Marcos Rea - Youth Development Coordinator at: [email protected]

FRIDAY OPEN STUDIO
Grades: 6th – 12th
Friday Open Studio is a new option for middle & high school students. Structured around an open studio concept, registered students can use the MRC classroom space to study, work on school-related art assignments or learn from our staff of Teaching Artists. MRC offers WiFi for youth participants, homework help, and supportive space to create and learn.

Fridays / 4:00pm – 6:00pm
For more information contact, Anthony Marcos Rea - Youth Development Coordinator at: [email protected]

YOUNG MEN’S WORK / YOUNG WOMEN’S LIVES
Grades: 6th – 12th
This activity is intended for youth participants residing or attending area schools in the Northeast community. These groups are focused on developing safe spaces for conversations around topics of violence prevention, identity, self-worth, substance abuse, community, and environment issues, and much more.

If you are interested, please select the appropriate box below.
Tuesdays & Thursdays / 3:00pm – 4:00 pm @ Police Athletic League
For more information contact, Molly Manske – Bilingual Community Resource Coordinator at: [email protected]

EATING FROM THE GARDEN

Eating from the Garden is a free in-school and after-school program being held at participating schools in the Northeast area. Students will learn about nutrition, wellness, and environmental care through gardening, growing experiments, mentorship, cooking demonstrations, and more.

Programs will be held at the participating school. Dates and times are subject to change, and depend on each school's schedule.

For more information, contact Cori Persinger -- Community Wellness Specialist at: [email protected]

* Required Fields

Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Child Information

Please select the program you are interested in:

Child's First Name

Child's Last Name

Child's Birth Date

Gender

Race

Are you Latino/a or Hispanic?

If no, what is your ethnicity?

What is your country of origin?

Disability

If yes, what accomodations are needed?

Language Preferred

School

Grade

What other programs are you involved in at Mattie Rhodes Center?

Emergency Contact Info

Emergency Contact

Emergency Contact Relationship to Child

Authorized Pick Up Phone

Household Demographics

Relationship Status

Religion

Household Gross Income

Female Head of Household

Number in Household

Do your children qualify for?

How long has your family lived in Kansas City, MO?

How did you hear about this program?

If other, please explain

Are you in the Military?

Consent and Waiver for MRC Participants

CONSENT FORM By checking the boxes below, you acknowledge and consent to the following:

I release Mattie Rhodes Center (MRC) from liability for any injury that may occur on MRC premises, during transportation, or during program participation.

I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of myself or my child/dependent.

I give MRC and my permission to use photographs of my child/dependent or myself taken during programming for MRC marketing use.

I give my permission for my child to be escorted by MRC staff to the programming site (MRC-Northeast or the Jubilee Garden) Fieldtrips will require a separate form to be signed by the parent/guardian.

I give MRC my permission for staff to have access to my child’s attendance, grades and discipline records through their schools to track academic achievement for grant funding purposes.

Doctor to notify: Name

Phone

Allergy Info

After programming, my child/dependend will...

Participants of all ages are expected to exhibit appropriate behavior. A participant, who displays ongoing inappropriate or unmanageable behavior, including harassment, may be asked to leave the premises or be removed from the group. Police assistance will be requested when the participant is dangerous to self or others or has the potential to be dangerous to self or others.

Please list any behavior or safety issues we should be aware of:

SOCCER FOR SUCCESS ONLY! I give permission to Mattie Rhodes Center and the U.S. Soccer Foundation to collect and record data, including Body Mass Index (BMI) weight and height and waist/neck circumference, about my child with the understanding that all information obtained will remain private, and that any responses publicly reported will be grouped together with other participants of this program and that my child will not be individually linked to his/her response. Only the staff approved by the U.S. Soccer Foundation will be able to view his/her responses.

IMPORTANT! EXPEDITIONS ONLY! I understand that if my child is enrolled in the Expeditions program they will attend presentations, receive information on and participate in discussions on risky behaviors affecting teens today. These topics include, but are not limited to: drug/alcohol abuse, domestic violence/unhealthy relationships, bullying, teen pregnancy, gang activity, teen suicide, etc. IF YOU CHOOSE NOT TO INITIAL THIS REQUIREMENT, YOUR CHILD CANNOT PARTICIPATE IN THE EXPEDITIONS PROGRAM.

I confirm the truthfulness of the information provided in this form. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to MRC's Terms of Acceptance. I acknowledge my understanding and receipt of and/or directions how to access the following information on MRC Programming (www.mattierhodes.org), the Letter of Understanding (which includes Behavior Support and Interventions), the Grievance Procedure, the Parent Handbook (if applicable) and the Notice of Privacy Practices (if applicable.)

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