2023-2024

DASH INFORMATION

WHAT IS DASH? Dynamic After School Hours, funded by the Expanded Learning Opportunities Program (ELOP) offered by the South Bay Family YMCA in partnership with the Chula Vista Elementary School District. DASH is a free program that provides homework assistance, enrichment activities, cooperative play and a small snack. The program is offered FREE to students in TK-6th grade that meet program requirements.

*Please note that not all schools offer TK. Please contact your student’s school to learn if they offer TK.

How are students selected for the DASH program?

All DASH applications will be reviewed by DASH staff and Chula Vista Elementary School District personnel. Each DASH program has a maximum number of students that are able to be served. Students will be enrolled based on the rating system detailed below, up to the capacity for each school's program. Once the DASH program has reached its capacity, students not accepted for participation will be placed on a wait list and will be accepted as space becomes available.
First priority shall go to pupils who are identified by the program as homeless youth, as defined by the federal McKinney-Vento homeless Assistance Act (42 U.S.C. Sec. 11434a), at the time that they apply for enrollment or at any time during the school year, and to pupils who are identified by the program as being in Foster care, English Language Learners, and socioeconomically disadvantaged. Second priority for enrollment will be based on the application rating system.

If the program receives more applications than spaces available, first priority for participation will be given to applications with the most points. In cases where a determination must be made between two or more applications with the same points, selection for acceptance will be based on date of submission of the completed applications. For priority enrollment, the attendance policy will be strictly enforced.

DASH Hours of Operation

The DASH program operates immediately after school for 2.5 hours on regular school days and 3.5 hours on minimum days.

DASH YMCA STAFF Requirements

YMCA DASH staff are First Aid/CPR certified and have cleared fingerprint and background checks. They also must have one of the following: AA/AS degree, 48 college units or pass the districts Instructional aid test.

DASH Adult/Child Ratios

In accordance with our contract with the Chula Vista Elementary School District and Expanded Learning Opportunities Program (ELOP) requirements, DASH staff maintains the following grade level ratios TK-Kinder 1:10 and 1st-6th 1:20.

DASH Check in and Out Procedures

DASH students are required to "DASH-in” within 10 minutes of school dismissal with a YMCA DASH staff member. It is required that each child MUST be signed out of the program each day by an ADULT 18 years of age or older. Participants may not sign themselves out of the program or be signed out by siblings under the age of 18. Students will only be released to individuals authorized on the application. The custodial parent/legal guardian who is the registering parent on the application form is the only person who can authorize the site to release the child to another individual or make changes to the application.

DASH Attendance Policies and Procedures

Students who are enrolled in DASH must attend 5 days a week for the duration of program hours. Enrolled students who do not attend on a daily basis or for the duration of the program may be dis-enrolled to make room for a student who needs the program. If actual student attendance differs from what a family originally applied for, students may be subject to disenrollment. We understand DASH may not suit everyone’s needs; therefore, at many of the schools we also offer a Licensed Childcare Program called Character Builder’s. If you are interested in Character Builder’s, visit our website at www.ymcasd.org/character-builders.

*Please speak with the onsite YMCA Site Supervisor for more information.

DASH Application Process

for School Year 2023-2024

Due to the popularity of the YMCA DASH Program, we are expecting a high demand for the 2023-2024 school year. If you are interested in enrolling your child in the DASH Program, please read this carefully:

DASH Application Submission Period: MARCH 17 - APRIL 7

Please allow 1-2 weeks after April 8th for results to be posted. We will post the 23/24 DASH results at your student's school site and at the South Bay Family YMCA (1201 Paseo Magda, Chula Vista, CA 91910).

In the event your student gets selected to participate in DASH, you will be receiving an email of form(s) that need to be completed prior to receiving an official acceptance letter.

HOW APPLICATIONS WILL BE RANKED:

Enrollment Point System:

FIRST PRIORITY enrollment will go to students who are identified by CVESD as Unduplicated students at the time that they apply for enrollment or at any time during the school year. Unduplicated students are determined as either a Foster Youth, McKinney-Vento (Homeless) student, English Language Learner, or a socioeconomically disadvantaged student.

SECOND PRIORITY will be given to applications with the most points based on the DASH Application Rating System, please see below. In the event of a tie in points, the date and time the DASH application was submitted will be used as the tiebreaker.

DASH APPLICATION RATING SYSTEM
Unduplicated Student: Foster Youth, McKinney Vento (Homeless), English Language Learner, and Socioeconomically disadvantage	6 Points
Student has applied for DASH and will attend 5 days a week.	2 Points
Students with one parent/guardian currently active-duty or on military deployment.	2 Points
Student with at least one parent/guardian currently employed by the Chula Vista Elementary School District.	1 Point
Total Points Possible:	11 Points

For additional questions, contact your school's DASH Supervisor or email dash@ymcasd.org

2023-2024 DASH Application

Application must be completed and submitted by Parent or Legal Guardian. Please print; illegible or incomplete applications will be discarded. One form per participant. Applications are not transferrable to another school. La solicitud debe ser completada y presentada por el padre o tutor legal. Las solicitudes ilegibles o incompletas serán descartadas. Una forma por participante. Las solicitudes no son transferibles a otra escuela.

Please select the days your child will attend DASH / Mi estudiante asistirá:*

My family is currently receiving the free/reduced lunch program. / Mi familia está actualmente recibiendo el programa de almuerzo gratis/a precio reducido. Please select one.*

YESNO

Child's Name / Nombre del niño*

Child's First Name/Nombre del niñoLast Name/Apellido

Gender/Género*

MFNon-binary

Birth Date/Fecha de Nacimiento*

Date

Address*

Address/Domicilio

Street Address Line 2

City/CiudadState

Zip/Zona Postal

Primary Phone/Tel. Principal*

Grade in 2023-2024/grado en 2023-2024

School/Escuela*

School Child Attends

Is your child classified as a...: [Please mark one of the following (We will be verifying with the school district)] / ¿Su hijo está clasificado como...?: [Marque unode los siguientes (lo verificaremos con el distrito escolar)]*

Names of Siblings also applying for DASH/Nombres de Hermanos/as también aplicando por DASH (Must still complete a separate enrollment form/Deben completar unasolicitud separada):

Guardian 1 Name/Nombre del Guardián 1*

Registering Parent/Guardian DOB/ fecha de nacimiento del padre/guardián:*

Date

Relationship/relación*

E mail Address/Correo*

example@example.com

Home Phone/Cell/Tel. Casa*

Employer/Trabajo

Military/Servicio Militar*

YesNo

Authorized to pick-up? /*

YesNo

Work Phone/Tel. Trabajo:

Guardian 2 Name/Nombre del Guardián 2

Additional Parent/Guardian DOB/ fecha de nacimiento del padre/guardián adicional:

Date

Relationship/relación

E mail Address/Correo

example@example.com

Work Phone/Tel. Trabajo:

Cell Phone/Tel. Celular

Employer/Trabajo

Military/Servicio Militar

YesNo

Authorized to pick-up? /*

YesNo

Authorized Pick-Up List
Lista de recogida autorizada

Authorized Pick-Up 1
First & Last Name / Nombre Emergency Contact First & Last Name*
Day Phone/Mobil/Teléfono (###) ###-####*
Relationship to Child Relation to Child*
DOB/fecha de nacimiento: Date

1 Emergency Contact/lista de recogida autorizada?*

YesNo

Authorized Pick-Up 2
First & Last Name / Nombre Emergency Contact First & Last Name
Day Phone/Mobil/Teléfono (###) ###-####
Relationship to Child Relation to Child
DOB/fecha de nacimiento: Date

2 Emergency Contact/lista de recogida autorizada?

YesNo

Authorized Pick-Up 3
First & Last Name / Nombre Emergency Contact First & Last Name
Day Phone/Mobil/Teléfono (###) ###-####
Relationship to Child Relation to Child
DOB/fecha de nancimiento: Date

3 Emergency Contact/lista de recogida autorizada?

YesNo

Additional Participant Information /

Información Adicional sobre Participante

Does participant take any medication on a daily basis/El participante toma medicamento diario?*

IF YES, please explain what type of medication and the reason/Por favor explique el tipo de medicamento y la razón

Is participant allergic to any plants, food, etc./El participante tiene alguna alergia ha alguna planta, comida, etc.?*

Does participant have any physical restrictions or accommodations that may effect activity/Tiene el participante alguna restricción física o adapta ción necesaria que límite su actividad?*

Does participant have any chronic medical problems/Tiene el participante algún problema medico que sea crónico?*

Additional information you feel we may need to know about the participant/Alguna información adicional sobre el participante que crea usted que necesitemos saber?

YMCA RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FOR MINORS

Please read and check your understanding of the following and sign below:

Child's Name (L) Child Name LI*

I, the undersigned parent/person having legal custody/guardianship of the above said minor, give permission for the minor to participate in all YMCA programs whether at a YMCA location or virtually from wherever the minor may be. The minor is physically able and mentally prepared to participate in all activities as described in the announcement for the program. In consideration of said minor being permitted to enter any branch of the YMCA of San Diego County ("YMCA") for observation, use of facilities and/or equipment, or participation of the above in any program either in person or virtually, I, on behalf of myself (as parent, guardian, coach, aide, spectator or participant) hereby: 1. Acknowledge that (i) I have read this document, (ii) I have inspected the YMCA facilities and equipment, (iii) I accept them as being safe and reasonably suited for the purposes intended and (iv) I voluntarily sign this document. 2. Except for YMCA's gross negligence or willful misconduct I release the YMCA, its directors, officers, employees and volunteers (collectively "Releasees") from all liability to me or the above said minor, for any loss or damage to property or injury or death to person, whether said damage or injury results from conditions arising upon the YMCA facilities or arising out of or in connection with YMCA programs or activities. YMCA shall not be liable for any damages arising from any act or neglect of any other member, occupant or user of the YMCA premises or participant in YMCA programs or activities. I agree that the above said minor assumes full responsibility for, and risk of, bodily injury, death or property damage except caused or due to the gross negligence or willful misconduct of the YMCA. 3. I agree not to sue Releasees for any loss, damage, injury or death described above and except for YMCA's gross negligence or willful misconduct, I will indemnify, protect, defend and hold harmless the YMCA and its Releasees from and against any and all claims and/or damages, liens, judgments, penalties, attorneys' and consultants' fees, expenses and/or liabilities arising out of, involving, or in connection with, the YMCA membership, use of YMCA facilities and/or participation in YMCA programs by me, the above said minor or any other person. If any action or proceeding is brought against YMCA by reason of any of the foregoing matters, I shall upon notice defend the same at my expense by counsel reasonably satisfactory to YMCA and YMCA shall cooperate with me in such defense. YMCA need not have first paid any such claim in order to be defended or indemnified. 4. I do hereby authorize the YMCA as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under general or special supervision of, any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the YMCA is not responsible for costs incurred for medical care.

Signature Release and Waiver of Liability and Indemnity Agreement for Minors*

Clear

Date Signature Release and Waiver of Liability and Indemnity Agreement for Minors*

Date

COVID-19 ASSUMPTION OF RISK AND RELEASE AND WAIVER
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-toperson contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of any groups of people other than in your own household. YMCA of San Diego County (“YMCA”) has put in place preventative measures suggested by the Centers for Disease Control and Federal, State, and Local Government to reduce the spread of COVID-19; however, YMCA cannot guarantee that you or your child will not become infected with COVID-19. Further, attending YMCA facilities, programs or childcare could increase your family’s risk, your risk, and your child’s risk of contracting COVID-19. By signing this agreement, I acknowledge the highly contagious nature of COVID-19 and voluntarily assume the risk that my child and I along with my family may be exposed to or infected by COVID-19 by attending YMCA facilities, programs or childcare and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at a YMCA facility, program or childcare may result from the actions, omissions, or negligence of myself and others, including, but not limited to, YMCA employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child or my family may experience or incur in connection with my child’s attendance at YMCA or participation in YMCA programming (“Claims”). On my behalf, and on behalf of my family and children, I hereby release, covenant not to sue, discharge, and hold harmless YMCA, its employees, agents, and representatives, of and from any and all Claims, including all liabilities, claims, actions, suits, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of YMCA, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any YMCA program. I intend this document to be as broad and inclusive as is permitted by the laws of the State of California; if any portion hereof is held invalid, I agree the balance shall continue in full force and effect.

Signature COVID-19 Assumption of Risk and Release and Waiver

Clear

Date COVID-19 Assumption of Risk and Release and Waiver

Date

ADMISSIONS AGREEMENT

Please read and check your understanding of the following and sign below:

Child's Name Child's Name AA*
Child's Date of Birth Birthdate AA*

ADMISSIONS AGREEMENT: Please read and initial your understanding of the following and sign below*

	Agreement
I understand that as the registering parent, I’m the only one authorized to make changes to enrollment information.
I understand that enrollment each year is not guaranteed and that an application must be filled out for each child, each year.
I understand that my application is solely for the school indicated and that the enrollment status of my students is not transferable to other schools.
I understand that if my child is not enrolled, they will be placed on the waiting list. I also understand that the waiting list is not in the order of the applications received, but rather, by the enrollment criteria. This means my student's waitlist ranking is subject to increase or decrease.
I understand that if I don't respond to the offer before the deadline that's provided, my child will be removed from the waitlist and if I want to be placed back on the waitlist, I will need to contact dash@ymcasd.org.
I understand cancellations and withdrawals from the program are required in writing prior to my child's last day in the program.
YMCA program participation requires my child's account to be in good standing and non-payment of any outstanding fees will result in my child not being allowed to participate in any other YMCA programs.
I understand my child is not allowed to be on their cell phone or other electronics during program.
I understand that if my child is accepted, they are attending a district-sponsored, enrichment program and must have authorized pick-up 18+ y/o sign out my child. DASH i s not a licensed childcare program.
The YMCA, our staff, and volunteers are mandated by state law to report any suspected child abuse or neglect to the appropriate authorities for investigation.
Should a person arrive to pick up my child who appears to be under the influence of drugs or alcohol, for the safety of the child, staff may have no recourse but to contact the police.
The YMCA, our staff, and volunteers will not become involved in any custodial disputes between parents/guardians. Request for documents in relation to your child's participation in the program must be made in writing by the court.
The YMCA's main form of communication is by email to the registering parent/guardian of the child.
The YMCA may immediately remove my child's enrollment for any of the following reasons including but not limited to: > Parent/guardian is late picking up their child after the program closes on 3 or more occasions or a single excessive occasion. > Behavior that is continually disruptive or dangerous to others, themselves, or staff. > Behavior that is destructive to property. > Any single incident that is deemed by the Program Director to be dangerous, harmful or disruptive. > Failure to adhere to the Parent/Guardian code of conduct.

Parent/Guardian Signature Admissions Agreement*

Clear

Date Admissions Agreement*

Date

ATTENDANCE POLICY: Please read over the policies with your child and check/initial your understanding of the following and sign below

Child's Name First Name AP Last Name AP Child's DOB DOB AP

ATTENDANCE POLICY*

	Agreement
The YMCA requires my child to participate 5 days a week for at least half of the program's duration time (75 minutes on regular days, 105 minutes on minimum days).
I understand that my child’s time in DASH begins when they DASH-In.
I understand my child is expected to DASH-in within 10 minutes of school dismissal or directly after extracurricular activity ends as well as DASH-out by authorized pick-up 18+ y/o at the end of the day.
The YMCA requires my child to participate in the activities provided that day for as long as they choose to attend the program.
I understand that in the event my child has an extracurricular activity parallel to the DASH program, I will complete and submit an Extracurricular Activity form.
I understand that in the event my child has a valid or planned absence including family vacation, illness, quarantine, or doctor’s appointments that will prevent them from attending, I will complete & submit a Notice of Time Off form and that this form must be submitted no later than one week after absence(s) to excuse child from program.
I understand that the YMCA Staff is not responsible for my child unless they are DASHED-IN to program.
I understand that the YMCA will audit the attendance sheets throughout the school year to ensure that my child is meeting the attendance policy.
I understand that if my child does not follow the attendance policy, I will first receive a warning email. If my child proceeds to not follow the attendance policy, my child may be removed from program and I will receive a removal email.
I have acknowledged & understand the Attendance Policy and I am responsible for abiding by the Policies & Procedures.

Parent/Guardian Signature Attendance Policy*

Clear

Date Attendance Policy*

Date

2023-2024

DASH INFORMATION

How are students selected for the DASH program?

DASH Hours of Operation

DASH YMCA STAFF Requirements

DASH Adult/Child Ratios

DASH Check in and Out Procedures

DASH Attendance Policies and Procedures

Authorized Pick-Up ListLista de recogida autorizada

Additional Participant Information /

Información Adicional sobre Participante

YMCA RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FOR MINORS

ADMISSIONS AGREEMENT

Authorized Pick-Up List
Lista de recogida autorizada