Spring Rally Portland Application

Spring Rally Portland Application

Rally Portland is Portland Community Squash's after school program for 6-12th graders (including what was previously called Junior Squash League or JSL). Practice will be split between middle school and high school teams, will include wellness, academic, and squash instruction, and the opportunity for additional court time on Wednesdays and Saturdays. PCS will also provide trips, tournaments, and enrichment experiences throughout the season. Spring Season runs from March 6th to May 19th.
2022-2023 Weekly Rally Portland Schedule

Monday and Thursdays, 3:30-5:30pm: Middle School Team

Tuesday and Fridays, 3:30-5:30pm: High School Team

Wednesday, 2:00-4:00pm: Open Courts reserved for all PCS Youth and classrooms are open for homework! 4-5pm is for our Farm Team program

Saturday 12-2pm: Open Courts and Matches

2022-2023 Spring Season Application
Please note: This is an application and not an automatic sign up. You will receive notification at the before Thanksgiving Break about whether or not your student have been accepted.

PCS follows a Selection policy that balances financial and transportation need, balance amongst our partner schools, student's past behavior and attendance, amongst other factors. Finally, if your student is not chosen for this winter season, we highly encourage you to apply again in the spring! Similarly, if you are accepted into winter season, you will not be guaranteed a spot in our spring season. If you would like more information about our Selection Policy, please feel free to contact our staff for more information.
Student Name

First NameLast Name
Has your student participated in prior seasons of middle or high school afterschool programs at PCS? Elementary school and summer camp not included.

Yes, my student has been in PCS after school programming before.No, I am signing up a new after school studentNot sure
Student ID (PPS students only)
*This helps school track extracurricular participation

New After School Student Sign Up
New Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
High School Graduation Year
School
Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Student Cell Phone
Leave Blank if student does not have their own phone!
Student Race/Ethnicity
Gender
Country of Origin
Languages
Did you one of your parents graduate from college/university in US?

YesNoI don't know
Are you eligible for CCS program (see chart for details)?

YesNoI don't know

New Student Medical Information
Do you give permission for PCS staff to administer ibuprofen, acetaminophen and common OTC medications from our First Aid Cabinet to your student in the case of minor aches, pain, and cramps?*

YesNo
Does your child have an inhaler or epipen?

InhalerEpipenBothNeither
What is your students Primary Care Doctor's name and phone number?
What is your students Primary Care Doctor address?
Insurance Name and Number
Please list below any prescription medications your child is currently taking, the dosage, the reason for the prescription, and whether or not your child will be bringing this medication to Portland Community Squash.
Does your child have any allergies, health/medical, or behavioral concerns that PCS staff should be aware of?
Has your student been vaccinated for COVID-19?

YesNo

Which Program are you applying for
Do you have another extracurricular activity that will conflict with Rally Portland? If so, please explain here.
A Note of Attendance:

Rally Portland is a guided program in our Theory of Change. This means that students in this program will get specialized squash instruction, high quality wellness and enrichment programming and opportunities for trips and competition. Rally Portland is not for students who want to be self-guided and use the facility in a flexible way. To that end please make sure your student is ready to show a high level of Respect, Effort and Positivity in their attendance, behavior and attitude towards this program.

If your student is playing another sport this season or has a job that conflicts with practice, we highly encourage you to wait and sign up for another season. Students who try to balance two sports/extracurriculars and fail to make it to 80 percent of practice (this means missing a maximum of 4-5 practices throughout 10 weeks) have a lower chance of being accepted into future seasons.

We welcome our students who want more flexibility to become members of PCS. We have a lot of youth members who use the gym, courts and classrooms on their own time successfully without drifting away from the community.

Transportation (Middle School Only)

PCS is able to provide transportation to Middle School Students from school to PCS and from PCS to their homes if they live in Portland. Please know that transportation spots are limited. PCS reserves the right to take away transportation privileges if a student acts inappropriately or unsafely in the vans.
How will your student get to Portland Community Squash?

My student will walk, take the metro or find their own way to PCS for practice.My student will take the PCS van from school to practice.I will find transportation for my student to get to practice.
How will your student get home after practice?

My student will walk, bike, take the metro or find their own way home.My student will take the PCS van home.I will pick up my student from practice.

Tuition

Please select the payment level that works for your family and supports our community center. Costs are lower this season because we now require families to become members after completing one introductory season.
Please choose a tuition option:

$500 per season$250 per season$0
Please note that if your child is not a member by the end of their first season, we cannot guarantee them a place in following seasons. If you have any questions about program tuition or membership, please contact our Finance Director, Elise Malongi - elise@pcsquash.com
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2022-2023 Spring Season Application