• NORWALK HOUSING AUTHORITY LEARNING CENTER ENROLLMENT

  • Mission Statement

    The Norwalk Housing Authority Learning Centers are committed to providing our student residents with academic support and enrichment opportunities in a safe, comfortable environment that empowers children to reach their highest potential and launch successfully into adulthood.
  • STUDENT ENROLLMENT FORM

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  • Parent Information

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  • Weekly Care

  • Pick-up Procedures / Emergency Contacts

    In an emergency, adults to be contacted if parents cannot be reached and to whom the child can be released
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  • MEDICAL INFORMATION

  • EMERGENCY AUTHORIZATION

    I give my consent for the First Aid and CPR certified staff of the NHA Learning Centers to administer first aid and CPR to my child and to contact the above-named physician or dentist if my child has a medical emergency. I also give my consent for my child to be transported to the nearest hospital in the event of a medical emergency. I will be responsible for all medical fees.
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  • A copy of your child's health records and immunizations MUST accompany each Learning Center Enrollment Form 

    As Parent/legal/guardian/conservator of Program Participant and in His/Her own Right “I give my permission for chaperones, administrators, and personnel affiliated with the Norwalk Housing Authority to seek medical attention for my child/children should they become injured.  I hereby release coaches, volunteers, the Norwalk Housing Authority, and their agencies, commissioners, representatives, and employers from any and all claims with respect to any injury sustained by my child/children as a result of participation in any program sponsored by the NHA agencies.” 
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  • NHA WAIVER/PERMISSION FOR PROGRAM ENROLLMENT & RIDING ON TRANSPORTATION PROVIDED BY NHA FOR OUTSIDE FIELD TRIPS

    I willingly allow my child, the Program/Event/Participant, to participate as a volunteer in enrichment/academic programs and field trips offered through Norwalk Housing Authority. I give permission for my child, the Program/Event/Participant to be transported to and from NHA sponsored programs. On behalf of my child, the Program/Event/Participant, I understand and accept the inherent risk involved in transport to and from the programs.  
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  • PARENT HANDBOOK 

    I acknowledge that I have read the parent handbook and agree to abide by the policies contained in it.
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  • Behavior Management Policy

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  • PHOTOS & PRESS RELEASE FORM 

    I have the legal right to agree to allow the photographing of my child/ward with the understanding that the resulting photographs or videos may be used by Housing Authority and the Norwalk Housing Foundation, Inc., and reproduced for the Norwalk Housing Foundation, Inc., Scholarship Program and the Norwalk Housing Authority Annual report.  Ifurther release all rights to any claims to use of these photographs or videosto the Norwalk Housing Authority and the Norwalk Housing Foundation, Inc. I further give my permission the Norwalk Housing Authority and the Norwalk Housing Foundation, Inc., to use the photographs or videos taken of my child/ward with correct name or without name forany other promotional materials in print, video, Website, press release,poster, or any other media format that the Norwalk Housing Authority and/or Norwalk Housing Foundation, Inc., may decide to employ for information distribution, program promotion, fundraising, publicity, college scholarship campaigns,or other purposes. I also give permission for the press/media and Norwalk Housing Authority promotional representatives to interview my child/ward and use any and all material from such interviews with credit given by name to my child/ward as deemed needed in all articles or segments produced in relation to such interviews in all media, print, and broadcast formats including print news and promotional venues, television, radio, video, and web casts with regard to any and all programs sponsored by the Norwalk Housing Authority or Norwalk Housing Foundation, Inc. 
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