A4OCA Students Registration

2024-2025

Before/ Aftercare Registration Form NEW&RETURNING STUDENTS
GSB Student(s)*

NewReturningReturning w/ New Sibling
1. Family Information
Registrant Type:*

Morning ProgramAfternoon ProgramMorning/Afternoon (both) Program
Grade (2024/2025)*
Name*
Age*
Birth Date*

MonthDayYear
Date
Things my child does well *
What my child likes and dislikes*
Things I am working on with my child*
Grade (2024/2025)
Name
Age
Birth Date

MonthDayYear
Date
Things my child does well
What my child likes and dislikes
Things I am working on with my child
Parent(s) Name*

First NameLast Name
Parent(s) Name

First NameLast Name
Mailing Address*
Phone Number*
Email*

Confirmation Email
(RETURNING FAMILIES) Has any information changed from last school year regarding your child or children? If so, please included in box below.

2. My child will be attending
Morning Program

All DaysMondayTuesdayWednesdayThursdayFriday*
Afternoon Program

All DaysMondayTuesdayWednesdayThursdayFriday*
Afternoon Pickup time

4:00pm (Fridays ONLY)5:00pm6:00pm
Does you child(ren) have allergies including asthma?
Please include in this field if your child(ren) are allergic to foods.
Is your child(ren) currently under any medications?
Please provide the details, the name(s) of the medications and period of intake.
Contact Information in case of an emergency:
First Name   Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number
Relationship to child(ren)
4. Signatures
After School Program Student Expectations Contract

I agree to do my BEST to do these things at all times:

Be Safe
✓ I will stay with my group at all times

✓ I will follow all Safety Guidelines for outside/inside of school

✓ I will make sure my instructors know where I am at ALL times

✓ I will stay in control of myself – not participating in any horseplay or fighting

✓ I will create a safe outdoor environment for others by not throwing rocks or woodchips and etc.

Be a Participant
✓ I will Listen to and follow Directions

✓ I will raise my hand if I have something to share with the group

✓ I will finish tasks in a timely manner

Be Positive
✓ I will participate in/ try ALL activities – even if I don’t like them all

✓ I will have a good attitude

✓ I will be a good sport

✓ I will be open to new things

✓ If I say I don’t like something, I will offer an idea to make it better

Be Respectful
✓ I will use words such as “Please”, “Thank You” and “Yes”

✓ I will not say “Shut Up”

✓ I will work cooperatively with all people

✓ I will keep my hands to myself!

✓ I will look at people when they are speaking

✓ I will give everyone a chance to speak and will not talk over them

If you agree to the above expectations, we as a team (teachers/students) will have a fun, entertaining, brain-enhancing, eye-popping and delightful program.
Students Sign Here:*

Clear
Date

MonthDayYear
Date
Parent/Legal guardian

I am the parent/legal guardian of the child named on this registration form. I verify that he/she has my permission to participate in the All 4 ONE program. I understand that All 4 ONE operates Monday – Friday from 7am-8:30am (mornings) and 3:25pm-6:00pm (Monday-Thursday) / 1:15pm-6:00pm (Friday) on scheduled school days. To remain in the All 4 ONE program, my child must abide by the rules of good conduct and the guidance of the program Director/Teacher. I understand that All 4 ONE has no legal obligation to provide accommodations to comply with an IEP. I am also aware that any serious acts of misbehavior on my child’s part may result in his/her dismissal from the Program. I will not be refunded the registration fee after the first week of program in the event of such a dismissal.

I hereby give permission for my son/daughter to participate in all activities and field trips associated with All 4 ONE and to travel by All 4 ONE sponsored transportation. In the event of any unforeseen medical emergency, I authorize All 4 ONE or a designated representative to obtain medical care for my child. Confidentiality of all student records, in compliance with federal and state laws, shall be maintained by All 4 ONE and the Baltimore City Public School System for the mutual disclosure of student educational, medical, and psychological records between their employees, agents, volunteers and contractors.

I also give my permission that All 4 ONE will be able to use photos or video of my child (without their name), for promotion, fundraising or on the All 4 ONE website/ Facebook/ Instagram page, without compensation.

As the parent/guardian, I hereby request that the Site Director administer the above medication to my child as described in the physician’s instructions. I give my written permission authorizing the administration of such medication while my child is enrolled in the All 4 ONE program. Staff is not permitted to administer prescription medication without the written consent of a parent or legal guardian. Therefore, if your child has such a need, you must complete this section and bring the appropriate medication to the program Director. Under no circumstance is the staff permitted to administer medication through needle injections.

I understand that the program fee, which includes a $40 (for 1st child and Siblings get $5 off… $35 for each sibling) non-refundable registration fee, must be submitted with this application. I am aware that failure to pay the program fee with this application may result in the cancellation of my child’s registration to allow for the registration of another eligible student. I am aware that I will not be refunded for any reason after the 1st week of school. I have read the above information and information included in the packet and understands the terms and conditions for my child’s participation in the All 4 ONE program.

Tuition Payments Information:

All 4 ONE, LLC - EFIN # 47-3171335 (for taxes)

All programs are paid by the 1st Friday of every month. Daily drop-ins are paid the day of. ($15.00 LATE FEE WILL BE APPLIED THAT MONDAY AFTER DUE DATE!)

Payments Accepted: Check, Cash, or Online Payment (Zelle, Cashapp)
Parents Sign Here:*

Clear
Date

MonthDayYear
Date
All registration payments can be submitted via online at www.all4onecreativearts.com/gsb-parents (lower part of that page).
Should be Empty:

2024-2025

1. Family Information

2. My child will be attending

4. Signatures