Griffin Afterschool: Hornsby Middle School Application

Thank you for your interest in Griffin Afterschool (formerly known as Project Phoenix)! Through a partnership between William & Mary's Office of Community Engagement and Williamsburg-James City County Schools, trained W&M tutors offer academic support and lead group activities two afternoons each week at all three middle schools. Snack is also provided. 

Griffin Afterschool will be offered at Hornsby Middle School Tuesdays and Thursdays, 3:05 - 5 p.m. Participants are expected to attend both days.

In addition, Griffin Afterschool brings middle school students to W&M's campus three Saturdays each semester for enrichment programming. Students who attend afterschool tutoring regularly are eligible to attend enrichment programs. Lunch and transportation in WJCC school buses are provided.

Fall 2017 Enrichment Program Schedule

  • October 7, noon - 3 p.m.: Enrichment program
  • October 28, noon - 3 p.m.: Enrichment program
  • November 11, full-day: College Day

Space is limited. Applications received by Thursday, September 14 will receive priority consideration. Students who apply after the program is full will be placed on a wait-list.

Questions? Please feel free to contact the Office of Community Engagement at  757.221.2996.  We look forward to working with your child!

Student Information

*2017-18 Grade

4500 characters maximum
4500 characters maximum
4500 characters maximum
4500 characters maximum
Parent/Guardian #1
Parent/Guardian #2
Participant Agreement

In consideration of my acceptance to engage in Griffin Afterschool programming from September 2017 to May 2018 at the College of William & Mary, I do hereby release The College of William & Mary, its officers, directors, employees, and agents (“the College”) and Griffin Afterschool and all programs of the Office of Community Engagement and its members (“the organization”) from responsibility for:

  1. Any and all injuries caused by the negligence, recklessness, or intentional acts of myself and/or any third parties.
  2. Any and all property damage that may occur while I participate in Griffin Afterschool. My property damage waiver includes all property damage, including that caused by the negligence, recklessness, or intentional acts of myself, third parties, the College, and/or the organization.

I hereby acknowledge that my (or my child’s) participation is strictly voluntary, and that by signing this document I knowingly assume all risks associated with my (or my child’s) participation in Griffin Afterschool. I agree to stop and request assistance if I (or my child) experience any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain, or any other conditions which would make it difficult or unsafe to continue. I (or my child) further agree to obey all federal, state, and local laws; use proper safety equipment when applicable, including seatbelts in moving vehicles; and follow the instructions of the Griffin Afterschool coordinators while participating in this event.

Assumption of Risk: I fully appreciate the nature and extent of the risks involved in Griffin Afterschool. Participation in a Griffin Afterschool event carries with it certain inherent risks that cannot be eliminated regardless of the care taken. These risks include, but are not limited to: 

  • Accidents related to transportation, including collisions with motor vehicles and careless drivers or vehicle failure, and injuries including death resulting therefrom.  
  • Cuts, scrapes, bruises, concussions, and musculoskeletal injuries resulting from horseplay, participation in games, or tripping or falling on uneven surfaces.
  • Injuries and illness resulting from the effects of weather, including high heat or cold temperatures, high winds, humidity, and precipitation
  • Food poisoning or choking

Representations Concerning Health: With full knowledge of the risks inherent to Griffin Afterschool, I represent that I (or my child) am in good health and do not have any condition which will interfere with my (or my child’s) ability to participate in Griffin Afterschool or endanger my (or my child’s) health in connection with Griffin Afterschool. I acknowledge valid and current insurance to cover any injury or damage I (or my child) may cause or suffer while participating in the Griffin Afterschool or otherwise agree to personally bear the costs of such injury or damage. I authorize, but do not obligate, an Office of Community Engagement representative to seek emergency medical treatment for me (or my child) in the event of an accident or illness that occurs during my (or my child’s) participation in the Griffin Afterschool, even in the event that I (or my child) am unconscious or otherwise cannot consent. I attest that if I (or my child) have recently suffered an illness, injury, or impairment, or have any concerns about my (or my child’s) ability to participate in the Griffin Afterschool, I should have or did consult a physician prior to my participation. I further take full responsibility for consulting a physician if I experience any doubt as to my (or my child’s) ability to successfully and safely complete the Griffin Afterschool event once it has begun.

*Photo Release: (Please check one)

Emergency Contact(s)
Enrichment Programs

Griffin Afterschool enrichment programs are held on Saturdays, typically noon - 3 p.m. College Day includes a full day of workshops for students and families. Transportation in WJCC school buses and lunch are provided for all enrichment programs. Please mark your calendar now for the fall 2017 enrichment programs:

  • Saturday, October 7: Enrichment program
  • Saturday, October 28: Enrichment program
  • Saturday, November 11: College Day (includes workshops for parents/guardians, as well)
*Will your child attend the first enrichment program on Saturday, October 7? 

Please type the following word (no spaces) into the box provided.

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