USC CARES FqR KIDS an initiative of the Youth Steering Committee of Upper St. Clair qALL VoVtH gnst 2012 Saturday - October 13, 20t2 Starting at 6:30 pm - Ending at 9:00 pm Communify & Recreation Center Boyce Mayview Park Open to ALL USC Kids - Grades 5 to I (School year 2012-13; including private school students) ACTIVITIES (PLEASE WEARGYM SHOES) GYM: Dodge Ball Tournament *:k*S?rGIyr UP THROUGH GYM CZlSrSr*** MEETING ROOM: Bingo & .,Tatoos,' LOBBY: Live DJ & Food MAKE A RESERVATION! Please return the completed registration - one form for each student - by October 100 2012 Walk-Ins accepted based on availabilify Fee: $5.00 (non-refundable) Check payable to: .'USC School District" Resistration afte{ 10/10/2012 is $8.00 TO: Youth Steering Committee of USC c/o Geralyn Austin 1504 Valley Court, Upper St. Clair PA 15241 OR Return to the Community & Recreation Center Boyce Mayview Park YOUTH STEERING COMMITTEE of [Ipper St. Clair Who are we? The Youth Steering Committee of Upper St. Clair (YSC) is a community action group whose members are jointly appointed by the Upper St. Clair Township Board of Commissioners and the Board of School Directors. YSC members include: O Adult residents I High School Students O Parents, and O Representatives from both appointing Boards YSC works to link members of the community in a comprehensive effort to increase community awareness about various issues faced by our youth. What do we do? YSC maintains as its focus: I the promotion of positive behavior and activities for the community's youth I a supportive nurturing environment t fostering of community awareness and social benevolence How do we do this? t YSC strives to maintain a pulse on issues and Concerns O YSC holds a monthly meeting forum to identifu and discern these issues I YSC sponsors community presentations, workshops and forums O YSC educates the community-at-large USC CARES FWR KIDS is an initiative of the Youth Steering Committee whose mission is engaging community members, resources, and assets; nurturing children and youth; developing competent, contributing, responsible, and compassionate individuals. REGISTRATION FORM F{ULES-TALL VOVIH gUSI ZO|Z The Management of the C&RC, USC School District Employees, YSC members, andlor the Chaperones reserve the right to expel anyone possessing illegal substances or creating a disturbance - parents and/or the police will be called. Signature below does hereby waive, release, save and hold harmless and indemni$' the Township of Upper St. Clair and Upper St. Clair School District, their employees, agents and independent contractors for any and all claims for damage or personal injury or loss ofproperty caused by any act or failure to act on the part ofthe Township of Upper St. Clair and Upper St. Clair School District, their employees, agents and independent contractors. To the best of my knowledge the listed participant is of normal health, having no allergies, physical defects, or illness that would require him/her to abstain from a normal program of physical activity. Photo/Video Release: Signature below is agreement to allow publication or distribution of any image(s) taken at this event at the Community and Recreation Center. Name: (Print) Address: Home Phone: Grade: School: My signature means that I have read and accept the RULES f"' tf,[ L VOVIH gmflf Z|n Student Signature Parent Signature Emergency cell: I cau, ME,I wout,D LIKE To voLUNTEER