Cleveland Afterschool Program Registration

Child Self Sign Out (For Children 5th grade & older only)

By signing this agreement, you are giving your child the authority to sign themselves out of the program at the end of each day. The After School Program ends at 6:00 PM. Younger children cannot sign themselves out at any time. An older sibling can be given the ability to sign themselves out and then be authorized to sign out a younger sibling.

Participation Agreement

I hereby give permission for my to participate in NBGC activities, including swimming and field trips. I fully assume all responsibility for injuries my child(ren) or I may receive or articles lost while participating in these activities or while in travel to or from said activities and field trips, and hereby release the Neighborhood Boys & Girls Club and its employees from liability for any injury my chid(ren) may incur. I hereby grant permission to the NBGC for the use of any and all photos in which my child(ren) may appear.

Medical Release

In the event of a medical emergency, I hereby authorize and give my concent to the Neighborhood Boys & Girls Club and its employees, coaches and/or volunteers to secure from any accredited hospital, clinic, and/or physician any treatment deemed necessary for my child(ren)'s immediate care. I agree that I shall remain responsible for any and all expenses incurred for such emergency medical care and treatment.

All single full days off must be registered for in advance. For any questions please contact: programs@nbgc.org

Pick-Up Information 

PERSONS AUTHORIZED TO CALL, PICK-UP, OR RECEIVE YOUR CHILD(REN) OTHER THAN PARENTS

• ANYONE PICKING UP YOUR CHILD MUST PRESENT A PICTURE ID.

License-Exempt Child Care Facility

The Neighborhood Boys & Girls Club is a license-exempt facility as outlined in the Illinois Childcare Act of 1969, (225 ILCS 10/). NBGC is a program that serves only school-age children and is organized to promote childhood learning, child and youth development, educational and recreational activities, and character building. NBGC is not licensed or regulated by the Department of Children and Family Services but it does comply with the standards of the Illinois Department of Public Health, the Illinois State Fire Marshal and in accordance with the Illinois Department of Human Services.

Firearms

Notice to all members, parents, family and affiliates of the Neighborhood Boys & Girls Club. In compliance with Illinois state law 430ILCS 66/65: A licensee under this Act shall not knowingly carry a firearm on or into: Any building, real property, and parking area under the control of a pre-school or child care facility, including any room or portion of a building under the control of a pre-school or childcare facility. We ask that all members, parents, family and affiliates adhere to the state law and in helping keep our youth and environment safe. Exception to this rule is if firearm is possessed by a peace officer.

Medical/Emergency Policies

Injury/Medical Emergency Procedures: The Neighborhood Boys & Girls Club will always try to provide a safe and healthy environment for your child(ren). In the event of an emergency, the staff will follow the following procedures:

1. We will call 911 for medical professionals to hande any serious accidents.

2. A call will be made to you to inform you of the situation. If you cannot be reached, we will call the emergency number(s) you have given us on the Emergency Information Form.

3. Your signed medical release on the Youth Registration form authorizes medical treatment as needed.

4. If your child needs to go to the emergency room, a staff member will accompany him/her/them in the ambulance to the nearest hospital and will remain with him/her/them until a parent or guardian arrives.

Medication

The Neighborhood Boys & Girls Club does not administer medication of any kind. Therefore, staff should not be asked to administer shots or oral medication. If a child is required by a doctor to take medication, the medication should be administered at home. If any medication is required during NBGC activities, a parent or guardian of the child may:

• Bring the medication, (oral or injection in the original container with the child's name on it) to NBGC for the child to administer to themselves under the supervision of the Senior Staff (all medication will be kept in the Senior Staff Office)
• Accompany or join the child at the program in order to administer the medication. The exception to this policy is if the parent provides a Physician Certified Medical Action Plan that the organization can accommodate.

NBGC Participant Rules & Expectations

• Be kind & respectful to everyone, equipment and the environment.
• Listen well.
• Always include others.
• Have FUN!
• Children must participate with their group throughout the day.
• Put away electronics during program hours unless needed for schoolwork.

Discipline

Discipline will be administered for one or more of the following:

• A child may not disturb or hurt others, verbally or physically.
• A child may not damage equipment or property.
• A child may not place themselves in a dangerous situation.

A child's misconduct will be handeld as follows:

1. First Occurrence: Persistent misbehavior will be discussed with the parent(s) or a written notice will be forwarded to the parent(s) to request a meeting with them to discuss the matter. Parental failure to respond will result in your child being terminated from the NBGC Alterschool Program.

2. Second Occurrence: If a second written notice or meeting is needed due to continual misconduct by the child, it will result in an immediate 3-5 day suspension from NBGC without a refund to the parents.

3. Third Occurrence: Your child will be dropped from the NBGC Afterschool Program when the third notice of inappropriate behavior is documented without a refund to the parents.

The exception to the above process will be if a child becomes physically or verbally abusive to a staff member or puts themselves or someone else in immediate danger. The child's parent(s) will be called immediately, and the child will be terminated from the NBGC Afterschool Program.

Consequences for misbehavior may include restrictions from the program and/or trips without a refund to the parents.

Supervision

NBGC provides daily supervision of youth afterschool at location by staff at a 25:1 ratio, plus additional middle school, high school and college youth leaders/staff as support. We are unable to provide a 1:1 ratio.

Authorized Pick-Up People

Only those persons authorized in writing on the Emergency Information Sheet may pick up a child. We will not release any child to an unauthorized person for any reason. If you plan to have your child picked up by someone other than an authorized person, it is necessary to notify a Senior Staff Member. If someone is prohibited from picking up your child, their name must be documented on the registration form. If a court order is applicable, a copy should be provided.

Sign-out Policy

When you pick up your child, you must sign the attendance sheet and write down the correct time. You will be required to show a picture ID. This is to ensure the safety of your child.

Late Pick Up Fee

All programming ends at 6:00 pm. All Children must be signed out by this time. A $1.00 per each minute late fee per child will be assessed. Calling us to nofity us of tardiness does not void the late pickup charge.

Attire

During the program, your child should wear comfortable clothing and shoes. Remember, your child will be involved in a sports and recreational program and should dress accordingly. All valuables should be left at home. We cannot be responsible for, or replace any item lost or taken. All items that your child will be bringing should be labeled clearly with the child's full name.

Walk/Drive Programs

The NBGC staff may walk youth to the Clubhouse as part of the program on a daily basis or if the youth are participating in an athletic program. Safety is very important, and youth must be aware and follow walking and passenger rules at all times. If a youth is not following saftey rules, they may be suspended or removed from the walking program for the remainder of the session/year. Group safety can never be placed at risk. If a child is removed from the walking program, the responsibility for transportation will be on the family. Refunds will not be issued if the child is removed from the walking program. We may use the NBGC 15 passenger van as transportation if available when needed.  

Field Trips for Spring Break & Winter Break

Included in the Emergency Information Sheet is a field trip permission slip. This signed release allows the Neighborhood Boys & Girls Club to include your child in field trips planned for your child's learning and enjoyment purposes. These field trips include, but are not limited to, trips where a bus may be used, walking trips to other parks and/or activities.

If your child does not wish to attend a field trip, the parent(s) must send a note prior to leaving on the trip. If your child does not attend the trip, we will try to provide alternative activities for their enjoyment or ask that you make other arrangements for the day. All trips must leave the Clubhouse on time. Children that are late and arrive after the bus has left will be offered the following options: (1) Depending on the field trip, parents might be allowed to drive them to the trip and hand them off to the staff. This must be approved by the Program Director. I understand that my child must wear an NBGC Camp Shirt for all trips and if they do not have a shirt will be charged $15.00 for a shirt.

Lunch for Days Off School, Spring Break and Winter Break

I understand that I must provide a lunch (or money to purchase a lunch, if available) for my child each day. If do not provide a lunch, then I understand that will be charged a $5.00-$10.00 lunch fee and my child will be provided with a lunch.

Contracted Services

When a child is registered for the NBGC Afterschool Program, please realize that plans are already set in motion to ensure that your child receives the best program care. We understand that plans change, and we have policies to handle these requests. After registration, you will be automatically enrolled and invoiced for the next session. If you are not planning on enrolling in the next session, you must notify NBGC in writing two weeks prior to the start of the next session that you will not be using.

All notifications of cancellation MUST be made In writing to finance@nbgc.org. Refunds will not be Issued after the start of a session.

Complete registration forms and first session payment are due one week prior to initial start of program each school year. All additional sessions will be automatically invoiced.

Days off School Not Included

All full CPS days off school are not included in the full sessions of the afterschool program. Families can purchase the days off package for all CPS days off or pay for these days individually as needed. This does not include Winter Break or Spring Break which are purchased separately. Package pricing is heavily discounted and will not be prorated.

Requests for Refunds for Prepaid Services

Requests for refunds can be made up to 2 weeks prior to the start of each session, see deadlines below. Families can choose to receive their refund as a program credit for full value or as a cash refund with a 15% service fee. All requests must be made in writing and submitted to finance@ngbc.org by the deadline dates. Requests made after the deadlines will not be honored.

NBGC does not prorate a session. Families can register per session or daily as needed.

Cancellation Deadlines:

• Monday, August 15, 2022 (Session 1 Deadline)
• Monday, October 10, 2022 (Session 2 Deadline)
• Monday, December 26, 2022 (Session 3 Deadline)
• Monday, March 6, 2023 (Session 4 Deadline)

To cancel please email finance@nbgc.org.

Payment Due Dates:

• Monday August 15, 2022 (Session 1 Deadline)
• Monday, October 17, 2022 (Session 2 Deadline)
• Monday, January 2, 2023 (Session 3 Deadline)
• Monday, March 13, 2023 (Session 4 Deadline)

A 15% late fee per month will be assessed for any open balances past the deadline dates.

A $35 Non-sufficient Funds Fee will be charged for any returned checks.

I have read and understand the "Parent Guidelines" and agree to abide by the policies stated herein.