WILSON HALL AFTER SCHOOL CARE PROGRAM

Similar documents
If there is any home custody issues (i.e. divorce, restraining orders, etc.), it is imperative that we are made aware.

Registration Guidelines

Pottstown Parks & Recreation Summer Adventure Registration

Parent & Guardian Handbook

HTSACC Registration Materials

2017 Perry Hall High School Marching Band Camp Counselor Registration

Fultondale Elementary After School Care & Summer Program

4-H Countywide Youth Lock-In Friend Registration Form

YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES

Extended Day Registration Packet

Welcome to the YMCA Great Escape Before & After School Program

Summer Camp Registration

November 17-19, 2017

Good Afternoon Parents,

Home Address City State Zip. ( ) Parent/Guardian First Name Last Name Home Phone Number. Home Address City State Zip ( ) Cell ( )

2018 CAMP Registration Packet. Roxborough YMCA PHILADELPHIA FREEDOM VALLEY YMCA. Important Registration Information:

Family Support Team Packet. If you have questions about the enclosed packet, please contact: MHS Social Work Services

Adventure Club. Before and After School Care Enrollment Packet. Before and After School Care Mission:

The City of Yucaipa S.T.A.R.S. BEFORE/AFTER SCHOOL 2017/2018 PARENT HANDBOOK

Chico State Intelligent Systems Lab Summer Robotics Camp General Information

ADMISSION INFORMATION

Summer Camp Parent Handbook

August, GA 13. June 10-15


2016 Old Sacramento History Camp Registration Guide

Kairos Retreat Policies & Permission Forms Bring home to Parents TODAY!

Introduction to Day Hospital

STEP SUMMER ENRICHMENT CAMP 2018

ENROLMENT FORM. for VACATION CARE. You must answer all questions please print & use a black or blue biro

The City of Yucaipa S.T.A.R.S. BEFORE/AFTER SCHOOL 2018/2019 PARENT HANDBOOK

City of Green River City Council Meeting Agenda Documentation

CAMP CO-OP 2018 Registration Packet

2018 TCDN SUMMER CLUB CAMP REGISTRATION FORM

2. The two persons trained shall be regular members of the school staff, which ensures at least one of the two being present during school hours.

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook

YMCA PRIMETIME PARENT/GUARDIAN:

YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES

City of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC)

BANGOR REGION YMCA CHILDCARE REGISTRATION FORM

Community Life Center

MILLBURY POLICE DEPARTMENT Youth Police Academy

ROCK PAPERWORK CHECKLIST

Registration for School Year

2018 CAMP Registration Packet. Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA

YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES

SIGN-UP PAGE FOR HOLIDAY STEP CHILD CARE

Kennedy King College-Minority Science and Engineering Improvement Program 2013

Timbuktu Academy-Summer Programs Southern University and A&M College Baton Rouge, LA

After School Program ABBOT DOWNING SCHOOL BEAVER MEADOW SCHOOL

RETURN COMPLETED FORMS AND FEE TO YOUR CHILD S SCIENCE TEACHER by Wednesday, March 4, Camp Parent Meeting, March 3rd, 6:30 pm, Cafeteria

2018 RA Camp Discount Application

Adult Education Program

Kids for a Cure Club Day Camp June 18-21, 2018

(8-12 years old) Sponsored by Perry Hall Baptist Church

2018 SUMMER CAMP NANSEMA REGISTRATION NORTH SUBURBAN YMCA

Registration Form. School Name: Start Date: Grade:

EASTERN MIDDLE SCHOOL POLICIES AND PROCEDURES

Applicant must have taken the ACT/SAT Test at least once and submit their scores.

Roosevelt Care Center. Volunteer Service Application

Town of Madison Beach and Recreation Department After/Before School Program 8 Campus Drive Madison, CT Phone: (203) /Fax: (203)

201 Chief Michael Feeney

2016 Child Enrolment Form

REGISTRATION REQUEST FORM

Bright Horizons Back-up Child Care Registration Materials

July Loyalist Week. July Military Week. Child's Name: Male/Female/Other: Date of Birth: Medicare #: Expiry: Home Address:

Frank Augustus Miller Middle School. Color Guard Team

NBE News September 2017

Hospital Name. Medical Record Number: Hours/Days of Operation: Clinic: Physician: Contact Person / Title: Phone: Fax: Hours/Days of Operation:

2017 Summer Camp Registration

Information Packet: Never the Same Camp

U.S. Martial Arts Academy SUMMER CAMP 2015

Frozen Ropes Summer Program Information Packet

RETURNING STUDENT INFORMATION UPDATE

FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION

Junior Volunteer 2018 Summer Program Application (This is a 9 week program starting June 11 th and ending August 10 th )

Trinity Christian School

Home Address City State Zip. Name of School: School District #:

2.. The two persons trained shall be regular members of the school staff, which ensures at least one of the two being present during school hours.

Junior Volunteer Program

Thank you for choosing Centacare for your child care needs.

RVUSD EXTENDED CARE REGISTRATION FORM

CAMPER REGISTRATION FORM INSTRUCTIONS

It is very important for you to ensure that your contact information is listed correctly on the registration form.

SOUTHERN UNIVERSITY 2014 HIGH SCHOOL SUMMER BAND AND DANCE TEAM CAMP JUNE 22-27, 2014

2018 East Texas Rural Electric Youth Seminar

Student T-shirt size is: Small Medium Large XLarge 2XLarge 3XLarge (Circle one)

Medical Conditions at Schools Policy

We look forward to meeting and learning more about you! ~ St. Luke s Volunteer Leadership Team

YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES

Glastonbury YMCA 29 Welles Street, Glastonbury CT Dear YMCA Family,

VOLUNTEER APPLICATION

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth: Parent/Guardian s

BRIDGES 21 st Century Community Learning Center

New Morning Registration and Emergency Information

Personnel -- Certified/Non-Certified

Thank you for your interest in helping to bring smiles to children with a life threatening illness and their families.

2018 ZooTeen! Application - First Year

Monday, December 29 - Games Galore. Gaga Ball, Large Board Games, Pockey, Monkey Soccer, Predator/Prey Games

Perry Meridian High School Marching Falcons

Camp TOV Medical Form

Transcription:

WILSON HALL AFTER SCHOOL CARE PROGRAM Welcome! Welcome to Wilson Hall After School Care Program! We are so excited to enjoy our new Randle Learning Center! It is a wonderful, comfortable place to relax and have fun with friends. After snacks are offered and time for homework is provided, the children may enjoy games, puzzles, play sets, arts and crafts and free time. Registration in the program is open throughout the school year; however, families are encouraged to register their children by Friday, August 18, 2017. If you have any questions or concerns, please do not hesitate to contact me during After School Care hours (12:00pm- 6pm). Caring for your children is a blessing and honor for me and our staff. We thank you for the opportunity to spend time with them each day. It brings us great joy and is a privilege to serve you and your family. Have a great year! Warmest Regards, Melanie Hancock Director of After School Care melaniejacksonhancock@gmail.com 803-316-6407 cell 803-795-2188 ASC cell

AFTER SCHOOL CARE POLICIES Three-year-old through Kindergarten: 2:00 PM 6:00 PM 1 st through 5 th grade: 2:10 PM 6:00 PM Early Dismissal Days (all grades): Time of dismissal 6:00 PM Late fee of $5 per minute after 6 pm Wilson Hall After School Care Program is licensed by the South Carolina Department of Social Services. Snacks provided each day Students bring lunch from home on all early dismissal days. Enrollment Procedures The following documents are required for registration and must be submitted annually as required by the Department of Social Services regulations and/or the administration After School Care Policies Agreement 2017-2018 After School Care Registration From DSS Regulation No.114-503.F(2) Release of Children DSS Form 2900 General Record and Statement of Health DSS Form for CDCC & GDCH A copy of child s immunization record A copy of child s birth certificate It is required that all children in attendance be fully registered and have all documentation completed in full prior to admission to the program. Any incomplete documents will be returned. Students may not participate in the After School Care Program for any reason without all required documents. Change in Student s After School Care Schedule Please note that if your child s After School Care schedule changes you must contact the director. In addition, if your child is registered to attend the After School Care Program and needs to stay on a day that they are not scheduled to attend, please contact Melanie Hancock by telephone at 803-316-4607 during ASC hours, (12:00-6:00pm), or email at melaniejacksonhancock@gmail.com

Billing/Payments Monthly payments are due by the 1 st of each month. If payment is not made by this date, a late fee of $20.00 will be added to your account. Payments may be made in person, on RenWeb, or sent to: Wilson Hall ASC, 520 Wilson Hall Road, Sumter, SC 29150. If paying by check, write ASC on the memo line. Completed registration forms, registration fee and payment for the month of August will be due Friday, August 18, 2017. Payments for September through May will be due promptly on the 1 st day of the month. Fees are based on an average number of days per month; therefore, each month s bills will be the same. There is no reduction in fees for students who arrive late or leave early or for those enrolled in the programs that are absent. The number of vacation days was considered when setting the fee for the program. Parents with children enrolled in our program may add an additional day to their plan with a 24 hour request and confirmation from the director. The fee for the added day is $17.00 for the first child and $10 for the 2 nd child. Fees are due with the next month s payment. No more than 4 days may be added per month. Hours and days If a child stays less than five days a week, these days must be the same every week. These days are indicated by the parent on the registration form. The program begins when school dismisses, including early dismissals, and ends at 6:00 PM. The program is not available during weather related or other types of emergencies when school is dismissed early. Because Wilson Hall closes for these situations, parents must pick up their child from school if an emergency occurs. After School Care does not operate on school holidays or teacher workdays. Unused days which have been paid for in advance may not be rolled over to a future date. Non-Attendance Please notify the Lower School office or the ASC Director if your child will not be attending on a day he or she is scheduled to attend. Do not send notes or verbal instruction through your child s teacher. The office or director must be contacted directly by the parent. This will avoid unnecessary concern, searching and locating of your child by staff and school administration.

Discipline Disciplinary Procedures are followed as stated in the Wilson Hall handbook. We will not tolerate bullying, profanity or aggressive acts towards other children or disrespect to the teachers. The school reserves the right to refuse After School Care service to any student who is not willing to cooperate fully with the director, staff, and other participants in the program. Homework ASC staff is not responsible for accuracy or completion of homework. The students will be given until 3:30 to work on homework. It is suggested that parents check their child s homework agenda every evening. Staff will assist during homework time. Homework passes will only be honored when presented to an ASC staff member on the day it is being used. If a parent does not want their child to use homework passes, they must make their position known in writing. Medicines Written, signed, and dated parental consent is required prior to the administration of any prescription or over the counter medications or administration of special medical procedures. (a) Prescribed special medical procedures ordered for a specific child shall be written signed, and dated by a physician or other legally authorized healthcare provider. (b) All medications shall be stored in a separate locked container under proper conditions of sanitation, temperature, light, and moisture. Emergency medications such as an EpiPen or inhaler will be stored in a First Aid Kit that is readily accessible. Dismissal A walkie-talkie will be available at the double doors of the Randle Center for parents to use when picking up their child(ren). Children will not be released to unauthorized persons. No child will be released to anyone whose name is not on file in the child s records. No phone calls or notes will release a child to someone not on the authorized list. Additional names can be added to a child s list, only if done in person by a parent/or legal guardian. ASC TUITION SEPT 2017 MAY 2018 2 nd CHILD Monday-Friday $240 (per month) Monday-Friday $170 (per month) 4 days per week $192 (per month) 4 days per week $139 (per month) 3 days per week $144 (per month) 3 days per week $110 (per month) 2 days per week $96 (per month) 2 days per week $77 (per month) 1 day per week $50 (per month) 1 day per week $40 (per month) If you use the program less than five days a week, these days MUST BE THE SAME DAYS EACH WEEK. **Unused days which have been paid for in advance may not be rolled over to a future date. ** KEEP THESE POLICIES/TUITION SCHEDULE FOR FUTURE REFERENCE

WILSON HALL AFTER SCHOOL CARE POLICIES AGREEMENT I have read, understand and agree to follow all policies and billing information for the Wilson Hall After School Care Program. I understand it is my responsibility to become familiar with these policies and procedures and to abide by them. I authorize Wilson Hall ASC to use pictures taken of my child for publicity and news purposes. I also understand that my child will be participating in a structured program that includes homework assistance and a full range of recreational play. I fully understand that various activities, as well as other types of school and play activities, are always susceptible to a certain amount of risk and, therefore, I agree not to hold Wilson Hall After School Care Program, Staff, Wilson Hall, or other children liable for accidents and injuries to my child during their participation. I agree to compensate the school for any damages caused by my child. I understand that my child s continued enrollment in this program is dependent upon my continued support of the mission, policies and procedures of the After School Program as documented in the policies. Please sign and return this page only. Name of child or children Parent/Guardian Parent/Guardian Director Staff Staff

WILSON HALL AFTER SCHOOL CARE 2017-2018 REGISTRATION FORM Student s Full Name Student s Nickname Student s of Birth of Enrollment Gender Grade Level for the 2017-18 School Year Parent # 1 Full Name Parent #2 Full Name Email Address Cell Phone Email Address Cell Phone After School Care Tuition A registration fee of $50 per family is required. AUGUST TUITION is prorated to $50 per child and due by Friday, August 18 th. Please check all of the spaces that apply: ASC TUITION SEPT 2017 MAY 2018 Monday-Friday $240 (per month) Monday-Friday $170 (per month) 4 days per week $192 (per month) 4 days per week $139 (per month) 3 days per week $144 (per month) 3 days per week $110 (per month) 2 days per week $96 (per month) 2 days per week $77 (per month) 1 day per week $50 (per month) 1 day per week $40 (per month) 2 nd CHILD If you use the program less than five days a week, these days MUST BE THE SAME DAYS EACH WEEK. **Unused days which have been paid for in advance may not be rolled over to a future date. ** Please circle appropriate days: M T W TH F I have read and fully understand the above agreement.

PARENT S AUTHORIZATION FORM FOR CDCC & GDCH Day Care Name Child s Name A. DISCIPLINE: Do you understand the discipline policy of the day care? YES NO Does this day care use corporal punishment as discipline? YES NO If so, do you give your permission for the staff to spank your child? YES NO NA B. MEDICINE: I give permission for prescription and non-prescription medicine to be given to my child. C. EMERGENCY MEDICAL TREATMENT I give permission to to obtain emergency medical treatment. Name of Day Care D. PERSONS AUTHORIZED TO TAKE MY CHILD FROM THE DAY CARE: E. I give permission for my child to be transported to and from the day care. I give permission for my child to be transported on field trips. F. I give permission for my child to participate in swimming activities.

Release of Children In compliance with DSS Regulation No. 114-503.F (2), your child will be released only to those people listed on this form. Additional names can be added by putting the additional name in writing and delivering it to the caregiver in person. No phone calls or notes will release a child to someone not on this list. The following people have permission to pick up From Wilson Hall After School Care: Name Phone Number 1. 2. 3. 4. 5. 6. Please have your child picked up by 6 p.m. Parents will be charged $5 for every minute after 6 p.m. Staff will provide documentation of children picked up after 6 p.m. to the director on the following workday. Parents will be billed for additional charges stemming from tardy pick up. Late payment must be made with the next month s regular payment. Parent

South Carolina Department of Social Services Child Care Regulatory Services GENERAL RECORD AND STATEMENT OF CHILD S HEALTH FOR ADMISSION TO CHILD CARE FACILITY This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility. GENERAL INFORMATION: (to be completed by Parent or Guardian) Name of Facility: County Address: Street Address no Post Office Boxes City, State, Zip Child s Name: Last First Middle Initial Nick Name of Birth: Enrollment : Child s Current Home Address: Street Address City, State, Zip Parent/Guardian s Full Name: Home Phone: Work Phone: Other Phone: Parent/Guardian s Full Name: Home Phone: Work Phone: Other Phone: You must have two individuals who have the authority to obtain emergency medical treatment for the child. 1. Person responsible if parent/guardian unavailable for emergency medical services: Full Name Relationship Address: Street Address City, State, Zip Telephone Number(s): Family Code Word(s): Is Child currently enrolled in school? (K5 up to 6 years old) Yes No My Child will regularly attend this facility FROM am/pm TO am/pm If Child is a drop-in, indicate hours of care: FROM am/pm TO am/pm Check all days Child will regularly attend this facility: Mon Tues Wed Thurs Fri Sat Sun Check all meals Child will receive daily: Meals are not offered Breakfast Morning Snack Lunch Afternoon Snack Dinner Evening Snack DSS Form 2900 (MAR 10 ) Edition of OCT 07 is obsolete.

HEALTH INFORMATION: (to be completed by Parent or Guardian) Family Physician or Health Resource: Name Street Address City, State, Zip Telephone Emergency Care Provider: Emergency Facility Name Street Address City, State, Zip Telephone Dental Care Provider: Name Street Address City, State, Zip Telephone Health Insurance Provider: Name Certificate of Immunization: Yes NO N/A Please explain: My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis: Additional Comments: I certify that to the best of my knowledge Child s Name is in good mental and physical health and able to participate in the child care program at Name of Child Care Facility Parent or Guardian Director/Operator/Staff Designee DSS Form 2900 (Mar 10 ) PAGE 2

WILSON HALL AFTER SCHOOL CARE PARENT CHECKLIST Wilson Hall After School Care Program Policies Agreement 2017-2018 After School Care Registration From Parent s Authorization Form for CDCC & GDCH DSS Regulation No.114-503.F (2) Release of Children DSS Form 2900 General Record and Statement of Child s Health Copy of Immunization Record Copy of Birth Certificate Registration Fee of $50 per family. Tuition for August (Prorated @ $50 per child) All completed paperwork, registration fee of $50 and August s tuition must be turned in by Friday, August 18th before your child can be enrolled and attend After School Care.