2023 Spring After School Program

After School Program SPRING 2023

MONDAY, May 1st to - WEDNESDAY,JUNE 21st. Mondays & Wednesdays 3-5:30 pm with pick up from these schools: Bailey, Chamber, Miller, & George Washington, Edison. Limited capacity of 15. We are working on a 5 days a week, please email us if you are interested in other days at camp@seedsongfarm.org
Part 1: Basic Information & Contact Information
Childs Name *

First NameLast Name
Preferred Name of the the Child*

Preferred Name
Date of Birth of Child *

MonthDayYear
Date
Gender Child Identifies With: (check box that applies)*

MaleFemaleNonbianaryOther
School that your child attends: *
Parent/Guardian Contact Information
Name of Parent/Guardian*

First NameLast Name
Please indicate the best number to reach you at between 2:30-6PM
Phone Number *
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information: Please indicate an individual other than yourself who can act as an emergency contact between the hours of 3:00-6:00 PM
Emergency Contact *

First NameLast Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Part 2: Medical/Behavioral Information
Medical Information: (Including Allergies)
Dietary Information: (Including Food/Ingredient Allergies)
Behavioral Information
IEP or Treatment Plan Included with Submission:

YesNo
Upload IEP or Treatment Plan here

Cancelof
Tell us about your childs hobbies and interests:*
How will your child arrive to camp*

Myself or a relative will drop them offSchool Bus (Select Schools only)
Please proceed to the following two questions ONLY IF you would like to arrange a school bus pick up for your child and they attend a school in our route (Bailey, Edison, Chambers, Miller, George Washington)
Which school does your child attend?

BaileyChamberMillerGeorge WashingtonEdison
What time does your child finish school?

2:30 PM2:45 PM3 PM
Part 4: Dates of attendance

The Afterschool Program will run on Mondays and Wednesdays from 3-6 PM. Therecare 2 options: Bundle for less: 8 weeks( 16 sessions)$550 or each individual drop-in session is $40.
How would you like to register?*

8 week session( Monday & Wednesday)7 week session6 week sessionDrop In for a day
Date Picker*
Part 5: Covid-19 Policy, Cancellation/Refund Policy, Photo Release & Newsletter Information & Agreements
How did you hear about this program?*

FacebookInstagramSeed Song Farm NewsletterHudson Valley ParentChronogramChild Previously attendedWord of MouthGoogleLocal NewspaperKingston Radio
CANCELATION POLICY

For program enrollments cancelled up to 30 days prior to camp start date a full refund minus the non-refundable 3% Paypal or Venmo processing fee and a 10% Administrative Processing Fee will be issued.

For program enrollments cancelled up to 15 days prior to camp start date a full refund minus the non-refundable 3% Paypal or Venmo processing fee and a 20% Administrative Processing Fee will be issued.

For cancellations occurring less than 7 days prior ONLY a CREDIT will be issued.

COVID Related Cancellations or Closures: In the event that your child cannot attend the program due to a Positive test result or a quarantine due to exposure a refund will only be issued if we are able to fill your child's space at camp. In the event of a PROGRAM CLOSURE due to COVID outbreak or lack of adequate staffing NO REFUNDS will be issued.

I agree to the program cancellation and refund policy stated above: (signature required)
COVID-19 POLICY

*Please note: our program follows Ulster County Department of Health guidelines for Covid-19 safety. Based on the past two years and current projections, it seems likely that Covid restrictions will ease as the weather warms. Accordingly, our camp restrictions delineated below will ease. We will update you about any such changes prior to the start of camp. Our camp is almost entirely outdoors, and we are philosophically committed to allowing children to have as natural and traditional an experience with farm, nature, staff, and peers as permitted by county guidelines, current science, and common sense.

Ulster County COVID-19 Hotline: 845-443-8888

COVID SAFETY PARENTAL AGREEMENT: To ensure that every child has a safe, fun, and meaningful experience at Seed Song Center's Farm, we require every parent to read and sign the following COVID Agreement Form and submit it with registration. Upon arrival each day, depending on the current infection rate in ulster county, we may or may not return to the temperature precaution

By sending your child to the farm you are affirming that the child has not exhibited any of the symptoms below: Signs and symptoms of COVID-19: (compiled from WHO checklist)~Shortness of breath ~Loss of taste or smell~Chest tightness ~Dry cough~Temp over 100.0 - ~Aches and pains

In accordance with recent changes in New York State policy for school children, masks will not be required at this program.

Collective Agreement with Seed Song Center camp staff and families: "By sending my child to Seed Song Center's camp, I pledge that my family's habits outside of afterschool program will be transparent and safe on behalf of all families and staff. While my child attends the program and for one week prior, my family and/or housemates will keep as safe a distance as practicable from any source of potential contagion. If anyone in my home or my child's home experiences an above-listed symptom of COVID-19 or has had contact with a known positive case in the last 14 days, we will not send our child to camp until we have gotten a negative test. I am aware that my actions at home could seriously impact essential workers and other camper families.

I understand that in order to serve families, Seed Song Center has committed resources to the camp program and staff even knowing the risk that camps may be shut down by New York State due to any community health outbreak, or that one camp group may become infected and need to stay at home. I will share in this risk and am aware that camp fees can not be refunded in the case of a shut-down, as well as in the case of any child illness in which the child's space can not be filled from a waiting list.
Photo Release Policy: "I permit Seed Song Center to take photos, videos and sound clips of my child and my child's projects at camp and to use them at their discretion."

YesNo
Signing here attests that you agree to our COVID-19 Policy, Cancellation Policy, Photo Release Policy, and being subscribed to our semi-weekly Newsletter

Clear
If you are filling it this form for your second child, please use the code SIBLING for a 10% discount!

Payment

8 week Registration(15 sessions)- After SchoolNO Program Memorial Monday 5/29

$540.00 Quantity

7 weeks registration ( 13 sessions) After School program

$468.00 Quantity

Daily Drop in Registration- After School

$45.00 Quantity

6 weeks registration ( 11 sessions) Afterschool Program

$396.00 Quantity

Enter coupon

Total

$0.00

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If interested in school pickup, please wait to be redirected to the release form after clicking submit.

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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After School Program SPRING 2023

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