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DaVerse Lounge



2019-2020 DaVerse Works Enrollment Packet

2019-2020 DaVerse Works Enrollment Packet

Dear Parent or Guardian,

 

Big Thought provides a DaVerse Works After School club at your child’s school. DaVerse Works is a spoken word and poetry club program that will be held between September 2019 and May 2020. The specific weekly schedule will be determined by each campus. Participating youth will also have the opportunity to participate in up to three DaVerse Lounge events where DaVerse Works clubs from across the city come together to share and celebrate their work.


DaVerse Works Club Site and Sponsor/Club Champion Information:

Eduardo Mata Montessori - Dallas ISD
7420 La Vista Dr, Dallas, TX 75214
Sponsor:  Angela Macias
Email: anmacias@dallasisd.org
Emmet J. Conrad High School  - Dallas ISD
7502 Fair Oaks Ave, Dallas, TX 75231
Sponsor: Karen Isbell
Email: kisbell@dallasisd.org
Harry Stone Montessori - Dallas ISD
4747 Veterans Dr, Dallas, TX 75216
Sponsor: Barbara “Ruth” Hale
Email: bahale@dallasisd.org
Sponsor: Nekeya Webster
Email: nwebster@dallasisd.org
Ignite Middle School - Dallas ISD
2211 Caddo St, Dallas, TX 75204
Sponsor: Shartajeye Wright
Email: shartwright@dallasisd.org
James Madison High School - Dallas ISD
3000 Martin Luther King Jr Blvd, Dallas, TX 75215 
Sponsor: Krystle Jones
Email: Krjones2@dallasisd.org
Justin F. Kimball High School - Dallas ISD
3606 S Westmoreland Rd, Dallas, TX 75233
Sponsor: Frank Jackson
Email: frjackson@dallasisd.org
Sponsor: Lydia Echols
Moises E. Molina High School  - Dallas ISD
2355 Duncanville Rd, Dallas, TX 75211
Sponsor: Shamarra Garmon
Email: tudi@tudilicious.com
Oliver W. Holmes Middle School - Dallas ISD
2001 E Kiest Blvd, Dallas, TX 75216
Sponsor: Charletta Gaines
Email: cgaines@dallasisd.org
Sponsor: Lawanda Mitchell
Email: lm7750@dallasisd.org
Raul Quintanilla Sr.  Middle School - Dallas ISD
2700 Redmond Dr, Dallas, TX 75211
Sponsor: Ruth “Lisa” Taylor
Email: dorotaylor@dallasisd.org
Sponsor: Donna Holston
Email: dholston@dallasisd.org
Robert T. Hill Middle School - Dallas ISD
505 Easton Rd, Dallas, TX 75218
Sponsor: Ellyn Stroud
Email: ellynstroud@gmail.com
Sam Tasby Middle School - Dallas ISD
(Vickery Meadow Eagle Scholars)
7001 Fair Oaks Ave, Dallas, TX 75231
Sponsor: Janet Morrison
Email: janet@vmydf@.com
Thomas Jefferson High School  - Dallas ISD
4001 Walnut Hill Ln, Dallas, TX 75229
Sponsor: Laura Hanel
Email: lhanel@dallasisd.org
Trini Garza High School - Dallas ISD
4849 W Illinois Ave, Dallas, TX 75211
Sponsor: Claudia Simpkins
Email: claudiasimpkins@gmail.com
Leadership Academy at Forest Oak - Fort Worth ISD
3221 Pecos St, Fort Worth, TX 76119
Sponsor: Chezelle Fiske
Email: chezelle.fiske@fwisd.org
Sponsor: Jana Walters
Email: jana.walters@fwisd.org
Charlie R. Lyles Middle School - Garland ISD
4655 S Country Club Rd, Garland, TX 75043
Sponsor: Christian Riley
Email: Christian.riley@bigthought.org
Austin Middle School - Irving ISD
825 E Union Bower Rd, Irving, TX 75061
Sponsor: Theresa Spencer
Email: tspencer@irvingisd.net
Lady Bird Johnson Middle School - Irving ISD
3601 W Pioneer Dr, Irving, TX 75061
Sponsor: Julia Brown
Email: jbrown@irvingisd.net
Elsie Robertson Middle School  - Lancaster ISD
822 W Pleasant Run Rd, Lancaster, TX 75146
Sponsor: Austin Martin Lyles
Email: austinlyles@lancasterisd.org
Lancaster High School - Lancaster ISD
200 E Wintergreen Rd, Lancaster, TX 75134
Sponsor: Camika Spencer
Email: camikaspencer@lancasterisd.org
Uplift Luna Preparatory – Secondary  - Uplift Education
2625 Elm St, Dallas, TX 75226
Sponsor: Andrew Robinson
Email: anrobinson@uplifteducation.org
Uplift Peak Preparatory – Secondary - Uplift Education
4600 Bryan St, Dallas, TX 75204
Sponsor: Fran Anderson
Email: fanderson@uplifteducation.org
Sponsor: Tim Cloward
Email: tcloward@uplifteducation.org
Uplift Williams Preparatory – Secondary - Uplift Education
1750 Viceroy Dr, Dallas, TX 75235
Sponsor: Talia Ulrich
Email: tulrich@uplifteducation.org
POETIC - Non-profit
1627 Pacific Ave, Dallas, TX 75201
Sponsor: Nina Kang
Email: nina.kang@iampoetic.org

DaVerse Lounge SiteLife in Deep Ellum, located at 2803 Taylor St., Dallas, TX 75226

During the program your student will have many opportunities to discover new and exciting ways to learn poetry, expand their current knowledge, and gain new skills through writing and performance experiences.  These skills include written literacy, emotional literacy, and public speaking.  


In this enrollment packet you will find the program Registration form as well as the Consent and Photo Release form. You must complete all forms and e-sign this document for the application to be considered complete and your child be allowed to attend DaVerse Works.

 

All activities for the DaVerse Works program are provided at no cost, thanks to generous community support. If you have any questions regarding DaVerse Works or Lounge, please contact your school’s Sponsor/Club Champion, or you can contact Big Thought by phone at

214-520-0023 or by e-mail: ysamarteurel@bigthought.org.

 

To help ensure the success and safety of all participants, DaVerse Works complies with Dallas ISD policies and procedures while on the school campus. Please visit the district’s website at www.dallasisd.org/domain/11 to review the Student Handbook and Student Code of Conduct.

 

We are excited to have your child join us this school year. DaVerse Works will engage your child in learning and be a memorable experience.

 

Sincerely,

 

Ysamar Teurel                                                                        

Big Thought, Creative Voices Manager

Registration Form


Please complete all pages.  When you have finished you will submit your e-signature and then receive an email asking you to verify your email address.  Please click the link in the email to confirm it and then you have completed the application process.
Student Information



STUDENT ID IS REQUIRED.  Do not complete application without entering a VALID Student ID.  The Student ID number is available at the school's main office.

Attendance Commitment Pledge
Attendance in the program is incredibly important. For your student to fully benefit from the exciting programming being offered, it is important for them to attend consistently.

Emergency Contact Information


Please list two emergency contacts for your student.
EMERGENCY CONTACT #1 (Required)
Note: This is the person filling out the application.










EMERGENCY CONTACT #2 (Required)










DaVerse Parent/Guardian Letter of Understanding


1.     My child will have ONE written warning about behavior and then the next time he/she will be dismissed from the program.

2.     Once a student is dismissed, reinstatement will be on a case-by-case basis.

3.     Fighting is not allowed in our program at all. Children may be dismissed because of this depending on the circumstances.

4.     If a child leaves the program without permission from the staff or another adult, he or she will be dismissed immediately. He or she must always ask permission to leave a room or a playground, etc., unless an emergency is taking place. This is for his/her safety.

5.     We encourage all children to stay to the end of the program to receive full benefits of the program activities.

6.     I understand that Big Thought conducts an annual assessment of DaVerse programming and as part of that assessment may administer surveys to my child, administer academic and/or social and emotional learning assessments to my child, and may access student records in compliance with FERPA regulations. I understand that Big Thought will:

·        Keep all individual information confidential to the extent allowed by law.

·        Never report on a child by name or identifying information, and will only share it in the aggregate (meaning overall results), such that there will be no identifying information released about your child from Big Thought. 

Informed Consent and Publicity Release


I, the undersigned, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, hereby (1) authorize Big Thought, A Learning Partnership (“Big Thought”) and its Board of Directors, officers, employees, agents, representatives and associates of their respective staff and anyone authorized by them (collectively, “Big Thought”) the unrestricted and irrevocable right to photograph, video and record me in connection with Big Thought program(s) in which I am participating, have participated or will participate (“Programs”) and (2) grant to Big Thought the unrestricted and irrevocable right to use, publish, reproduce, edit, adapt, modify, exhibit, project, distribute, and display such photographs, videos and recordings, and my name, image and likeness, voice and statements and story (collectively, the
“Content”), in any form of media now known or later developed (including without limitation print, digital, electronic, visual, broadcast, Internet and social media, or otherwise), individually and in conjunction with other content, throughout the world and beyond into perpetuity.

Big Thought will own all of the Content and any other results generated by myself as part of my participation in Big Thought Programs, and any physical material to which such Content is affixed, including but not limited to any videotapes, photographs, print materials, canvas, poster boards or digital media. I release and waive any claims whatsoever in connection with the use of the Content as expressly authorized above, including, without limitation, any claim of rights of privacy, publicity, copyright infringement, defamation, so-called “moral rights,” or credit. I also release and waive any right I may have to inspect or approve the Content or any use thereof as expressly authorized above. Additionally, I waive the right to any royalties or other compensation relating to the use of the Content.

I hereby hold harmless and release and forever discharge Big Thought and all persons, corporations or legal entities acting with its permission or upon its authority, from any and all claims, demands, and causes of action which I, my heirs, representatives, executors, administrator’s, or any other person acting on my behalf or on the behalf of my estate have or may have by reason of this agreement or the use of the Content as expressly authorized hereunder.

I acknowledge that Big Thought is conducting its activities in express reliance upon the foregoing, and I represent and warrant that I am not a party to any other existing agreement which would prevent me from entering into this agreement or granting the above rights to Big Thought or which would cause the terms of this agreement not to have full force and effect.

I understand that by participating in DaVerse Works and DaVerse Lounge, my child may also participate in Dallas City of Learning, a city-wide out-of-school time (after school and summer) learning initiative managed by Big Thought. I hereby release the below information to Big Thought to enable my child’s participation in Dallas City of Learning.
FOR MINOR CHILD OR WARD: I, the signer of this document, represent that I am the parent and/or guardian of the minor named below. I represent that I have the legal authority to, and hereby do, execute the preceding consent and release on behalf of such minor.
permission for Big Thought to use my child's photo or likeness as described above.
permission for my child to participate in Dallas City of Learning.

e-Signature

This form uses e-Signature to accept your approval of, and agreement to, the forms in detail on the preceding pages, in relation to the student named.  Please click "e-Signature" to go to the final page and sign the document.

PLEASE NOTE: After you sign the document, you will be sent a VERIFICATION email.  You MUST click the link in that email to complete the e-Signature process!