Microsoft word - dot the i info+ entry+consent+indemnity form.doc

“A realization that we all differ in opinion, desires and preferences creates a better understanding and empathy for others. Self-knowledge improves self-confidence, as it brings a realization that each person has unique strengths and attributes. When we know our strengths, weaknesses, preferences and abilities, we can filter criticism more effectively. A strong sense of self gives us the confidence to express our opinions respectfully and forms a basis for communicating feelings and emotions more effectively.” WHY a social-emotional programme? Worldwide people are becoming more aware of the need for self-knowledge, emotional insight and communication skills. Research suggests that this contributes significantly to the “success” people experience in their everyday lives, and that emotional and social intelligence can give people an undeniable edge in their day-to-day interactions and personal growth. WHAT will the programme be about? “d I is an eight-week programme that is aimed at providing children with a safe space where they self-awareness and a realistic self-knowledge an awareness of others’ emotions (empathy) a basic emotional vocabulary for the expression of emotions an awareness of verbal- and non-verbal communication skills a basic awareness of social norms and expectations WHEN and WHERE? Children can enroll for an eight-week programme that will be repeated each term. Groups will be held once a week on a Wednesday afternoon at Reddam House – Atlantic Seaboard. In WHAT FORMAT will the programme be presented? Each group session will be one hour long and will consist out of an ice-breaker, a lesson and a physical, craft or interactive activity. Groups will be presented in a fun and lively fashion and session notes and one homework activity will be sent home for parents to reinforce the learned material during the week. WHO CAN ATTEND the programme? Grade 1, 2, 3 and 4 children from Reddam House and surrounding schools can attend the programme. A maximum of 8 participants can enroll each term. Reddam children will receive preference. WHO WILL PRESENT the programme? The groups will be facilitated by Marilize Kruger and Nancy Raubenheimer (paediatric occupational therapists) who are passionate about empowering children with functional life-skills for joyous living. What is the COST? The cost is R600 per term, which includes all materials, session notes and verbal feedback to parents at the end of the programme. Payments can be made in cash, cheque or via EFT. Banking details are: Nancy Raubenheimer | ABSA Current Account: 4058869600 | Branch Code: 63-20-05 Reference: Dot the I – Your’s child’s name HOW do I BOOK? Booking is essential and will close on the Monday before the programme starts. After you have completed a registration form, we will let you know whether your child got placement, after which you can do the payment before the first Wednesday of the group. Should you have any further queries, please contact Marilize (084 829 5560) or Nancy (0834 616 516). Registration form: First Term 2010 (3 February – 24 March) I would like to enroll my child in the 8-week Social-Emotional Enrichment Programme, “d I understand the importance of consistent attendance I will ensure that my child prepares for each group and attends each session, as far as possible In case of illness, I will notify the group leader promptly. I will pay the R600 in full: I understand that no refunds will be given in the event of missed sessions. I have completed and attached the Strengths and Difficulties Questionnaire I, the undersigned, __________________________ parent and/or legal guardian of the minor child __________________________ hereby agree that my child attends the 8-week Social-Emotional Enrichment Programme, “d I , under the guidance of Marilize Kruger and Nancy Raubenheimer. I confirm that my child’s participation in the programme and the related activities is entirely voluntary and I accept all risks involved therein. Accordingly, the group leaders shall not be liable for any loss, damage, injury or illness of whatsoever nature and howsoever caused suffered by my child as a result, directly or indirectly, of attending the programme. Signed: __________________________ | __________________________

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