As the legal guardian of the child(ren) named in this application:
I will allow staff members of the 29th Street Community Center to:
• give my child(ren) reading and math evaluations and assessments
• access school records, including test scores, attendance, behavior and suspension records, and applicable information concerning services my child(ren) receives such as IEP records, 504 plans, etc.
• conduct and have students complete program evaluations as pre-determined by program funders
• communicate with teachers or other school staff about academic performance and behavior
• provide on-site minor care for injury or illness
• provide immediate medical attention in an emergency by transporting my child(ren) to the nearest hospital or medical facility
I give permission for my child(ren) to do or complete the following:
• to be photographed or videotaped by the 29SCC or its partners (e.g. Johns Hopkins, Family League, etc.) for marketing, public relations, and educational purposes.
• to access the Internet in on 29SCC devices under 29SCC staff supervision.
• to accompany 29SCC staff and their class on walking field trips in the community surrounding the 29SCC. Students will not travel unsupervised in the community during program hours.
• to be escorted home by persons that I list on this application as authorized to give SAFE PASSAGE HOME.
Liability
I release the 29th Street Community Center, its partner organizations, and employees from any and all claims or liabilities for any damages or injuries that may be sustained in connection with this program or in transporting my child(ren) to and from or during the program. I understand that the program ends at 4:00 p.m. I will make sure someone picks up my child by 4:00 p.m. Monday through Friday.
29SCC are not responsible for items lost during program.
BEHAVIOR, ATTENDANCE, AND DROP OFF/DISMISSAL POLICIES
I understand that with my support, my child(ren) must maintain a good attendance record, actively participate in all activities, and exhibit good behavior in order to remain in the program.
Attendance and Lateness
We understand that there may be issues out of your control; however, it is imperative that you remain in constant contact with the 29SCC program staff so that we are aware of your situation. If a leave of absence is necessary for any reason, then please be sure to inform the Youth Program Manager.
Consistent absences will be immediately addressed. Children who do not attend the program regularly or who get picked up early may be dismissed so that their space can be given to a child on the waiting list.
I agree to support my child by following all policies and procedures as outlined in this application, during 29SCC Family Meet and Greet, and in the 29SCC Family Handbook. I hereby agree to follow all policies in this application, and I certify that all information in this application is true to the best of my knowledge.