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Before/After School Enrollment 2023/2024 School Year

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    Complete this form to enroll your student for the Before and After School Program with Bow Recreation Center.  This registration allows ONE student per submission.

    Read the policy booklet and attachments in the original email before committing to this program.  The policies outlined in the booklet are enforced, and by completing this registration, you agree to abide by those policies.  

    If you have any questions, email us at bowreccenter@bownh.gov or call 603 223 3984. 

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    POLICY AGREEMENT

    On behalf of myself, student, and family, we received, read, and understand the Before and After School Program Policies revised April 2023 as well as all other documents provided. 

    By continuing the enrollment process, we agree to abide by these policies.  

    If we have any questions or concerns about the policies, we will close this registration and email bowreccenter@bownh.gov  or call 603 223 3984 for assistance.   

     

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    This email is used for your confirmation and any future communication.
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    Bow residents are given priority.
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    This contact is someone the student lives with, full or part time, at the address provided.
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    If you would like a BRIEF text when registrations for school closures or summer camp opens, indicate your carrier here. Reminder: message or data rates apply. Skip this question if you do not want texts.
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    if applicable
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    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    If you would like a BRIEF text when registrations for school closures or summer camp opens, indicate your carrier here. Reminder: message or data rates apply. Skip this question if you do not want texts.
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    if applicable
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    /
    Pick a Date
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    Select YES if your student will need Before School as a drop in or regular days.
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    Check all that apply.
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    Select YES if your student needs After School as a drop in or regular days.
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    Check all that apply.
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    In the event of an emergency, we will reach out to the Primary and Secondary contacts. If we can not reach them, a third contact is required.
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    Contact must be 18 years old or older.
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    Additional Pickup and/or Emergency Contacts

    This next section allows up to three additional Pickup/Emergency contacts.  Do not repeat anyone entered previously in this registration.

    Also note, this record will replace any current record for your student.  If you do not list someone who was on last year's record, they will be removed.  These contacts do not carry over from a previous file.

    If you need to add more, email me at sdroney@bownh.gov .

      

     

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    Contact must be 18 years old or older.
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    Contact must be 18 years old or older.
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    Contact must be 18 years old or older.
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    Parent/Guardian Information Agreement

    The following items are highlights from the policy booklet and are not considered a substitute for reading the booklet.  Please take the time to read the policy booklet.

    Contact us at bowreccenter@bownh.gov or 603 223 3984, and we'll be happy to address any questions or concerns.

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    Schedule Commitment

    I understand the weekly schedule submitted involves a commitment for the school year and tution is due whether or not my student is in attendance (including school closures, holidays, vacation weeks, etc).

    I understand that a two week notice is required for schedule changes.

    If I withdraw my student, a two week notice is required with payment due whether my student attends or not.

    If I withdraw my student and later want to re-enroll them, the new schedule will be based on availability.

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    Drop-In Policy

    I understand I can contact the Bow Rec Center to schedule one-time Drop-Ins for days that are not part of my regular schedule; however, drop-Ins are approved if the schedule allows additional students for that day.

    If you pay tuition via manual check, payment for a Drop-In is due before or on the Drop-In day to avoid late fees.

    If you pay tuition via Tuition Express, payment will process when the Drop-In is scheduled.    

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    School Closures

    I understand I will have the opportunity to register for additional hours to accommodate teacher workshops, inclement weather, school vacation weeks, etc. 

    These are situations where school is closed, but the Bow Recreation Center is open.

    If the Bow Recreation Center is closed, there will be no additional hours offered.  Refer to the holiday schedule attached to the original email.

    Additional tuition is due for the additional hours upon registration.  Refer to the fee schedule attached to the original email for details.

    If you register your student for additional hours, but decide not to attend, the fees are not refundable.    

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    Reporting Absences

    In addition to contacting the school, I will contact Bow Recreation Center via phone or email by 11 am if my student will be absent from their regularly scheduled day.  There is no refund for absences.  

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    Holidays

    I understand that the Bow Recreation Center is closed for major holidays and that tuition is due if these days fall on my student's regularly scheduled days.

    Please refer to the holiday schedule attached in the original email. 

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    Licensing

    I understand that municipal recreation programs, including the Before and After School Programs and Summer Recreation Programs, are exempt from requiring licensure and that the Tow of Bow Parks and Recreation Before and After School Programs and Summer Recreation Programs are not licensed by the NH Department of Health and Human Services.  

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    Emergency Evacuation Plans

    In the event we need to evacuate Bow Recreation Center (BRC) due to a confined emergency, the staff and children will leave the building and gather in the immediate area at Bow Elementary School (BES), 22 Bow Center Rd, Bow, NH  03304.  The BES contact is Lori Krueger, Principal, 603-225-3049.

    In the event we need to evacuate BRC due to an emergency in the immediate area, the staff and children will walk or be transported by Bow School Bus to the Bow Community Center (BCC), 2 Knox Road, Bow, NH  03304.  The BCC contact is Malinda Blakey or Michele Myrdek at 603-223-3920.  

    If necessary, children will be transported to Concord Hospital, 250 Pleasant St, Concord, NH  03301.  Contact number for Concord Hospital is 603-225-2711.

    The Primary, Secondary, and Emergency contacts identified in this enrollment will be contacted in that order until someone is reached.  

     

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    Bow Rec Center (BRC) uses images and sounds of children and staff participating in the program as a way of documenting their enjoyable and educational experiences. BRC will identify my child/children only by first name and program, unless I give written permission to do otherwise. In consideration, of the above, I hereby give my permission and consent to BRC. 1.        Photographing, filming, and video/audio taping of my child/children. 2.       Using and displaying images and sounds of my child/children in BRC websites, social media, archives, and promotional or informational material, including but not limited to, newsletters, brochures, advertisements, and newspaper articles. I hereby waive and release on behalf of my child/children and myself any right to compensation for, or ownership of, such images and/or sounds of my child/children and the above uses of them by BRC. I have read the audio/visual image release and agree to its terms and conditions.
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    Tuition Express Payment Authorization

    The Bow Recreation Center/Town of Bow uses Tuition Express (TE), which is an automated payment processing system that allows on-time tuition and fee payments such as registration fees, snack/water fees, additional hours enrollment fees, etc. for the Before/After School Program. 

     

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    Tuition Express Late Fees and NSF

    Tuition Express (TE) -  program fees process every Monday.  Tuition is due for the enrolled schedule (including holidays, vacation weeks, and weather related closures) whether or not your student is in attendance.

    A $25 service fee will be charged for non-sufficient funds or failed ACH transactions.  

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    Your signature, in addition to submitting this enrollment, indicates you read, understand, and agree to all information provided to you for the Before and After School Program.
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    Click SUBMIT in order to transmit this enrollment.  

    If you do not get an email response from Jotform, check your spam folder.  If it's not in your spam folder, you may have typed your email incorrectly. 

    Please note, the automated response is NOT your final confirmation, but acknowledgement your submission was received. A member of the Bow Rec Center will review your submission and respond with a confirmation within seven calendar days.

    If you can not find our response, email me at sdroney@bownh.gov to confirm receipt.

    Thank you for taking the time to provide this important information and have a fantastic day.

     

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