I do hereby state that I First Name* Last Name* have legal custody of the aforementioned Minor Child's First Name Child's Last Name . I grant my authorization and consent for TEGA Kids to administer general first aid treatment for any minor injuries or illnesses experienced by the Minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the TEGA Kids to summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the TEGA Kids in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel.Date* today's dateSignature*
To ensure a cooperative, safe, and caring environment, as well as guarantee that ALL students enjoy their day, the following policies will be enforced by the staff of TEGA Kids. Please read, and with acknowledgement that you understand and agree to comply with all that is listed below, sign at the bottom of the page.
Appropriate Behavior:TEGA staff use a wide variety of rewards and privileges to recognize, acknowledge, and support the student’s use of “good behavior”.Inappropriate Behavior:Examples of inappropriate and unacceptable behaviors include, but are not limited to: leaving assigned areas without permission, use of foul language, threatening the health or safety of others, hitting/ kicking/ scratching/ biting/choking others, throwing rocks, dirt, sticks, etc. at others, stealing, damaging or destroying property, general disrespect or defiance, non-cooperation.
If a child is deemed to be out of control, the parent/guardian will be called to immediately come to pick up the child for the remainder of the day.
Children who have repeated difficulty behaving appropriately will be suspended for two weeks, at the parent’s expense. Upon return from suspension if the student continues to have disruptive, harmful or distracting behavior that student will be dismissed from the program permanently.
The following steps may be applied for inappropriate behavior:
Suspension or TerminationIn addition to the situations listed above, students may also be suspended or terminated based on parents/guardians:
I have read the Discipline Contract and agree to discuss the policies with my child. I agree to abide by this contract and to support the TEGA staff as it may pertain to these rules and expectations.Date* today's dateSignature*
I do do not* give my child First Name* Last Name* permission to be transported by the TEGA van and staff member while enrolled into TEGA's After School Care program. I do do not* give my child permission to be released to a sibling under the age of 18. sibling name(s)* Date* today's dateSignature*