CAR RIDERS ONLY - I UNDERSTAND THAT I AM EXPECTED TO PICK UP MY CHILDEACH DAY AT (6:00PM PEEK'S) (6:15PM MEMORIAL) (6:15PM SALEM) Signature* I UNDERSTAND THAT MY CHILD MAY BE DISMISSED FROM THE AFTERSCHOOL PROGRAMIF THEY HAVE MORE THAN ONE UNEXCUSED ABSENCE DURING THE PROGRAM. Signature*I UNDERSTAND THAT I MAY BE CALLED TO PICK UP MY CHILD IF HE/SHE ISDISMISSED FROM CLASS FOR INAPPROPRIATE BEHAVIOR. Signature*I UNDERSTAND THAT MY CHILD MAY BE DISMISSED FROM THE AFTERSCHOOL PROGRAMIF THEY RECEIVE MORE THAN ONE DISCIPLINE REFERRAL DURING THE SCHOOL YEAR. Signature*I UNDERSTAND THAT MY CHILD WILL BE DISMISSED FROM THE AFTERSCHOOL PROGRAMIF THEY HAVE MORE THAN ONE UNEXCUSED ABSENCE DURING THE PROGRAM. Signature