Transportation to the program is limited. Parents are responsible for picking up their child/ren from the program.
Parent/Guardian (2) Information
Verification Form - Arrival and Departure
If your child does use a medication in the event of an emergency exposure, please bring the LABELED medication with FULL WRITTEN INSTRUCTIONS FOR USE AND UNDER WHAT SPECIFIC CONDITIONS IT SHOULD BE ADMINISTRATED.
I certify the documentation of physical examination and immunization in accordance with public school health requirements and lead paint poisoning screening in accordance with public health requirements are on file at my child's school
MEDICAL CONSENT (Please complete and sign by Doctor)
Please sign and return to BBTMusic fax 781-780-3827
I parent/guardian named below, give permission to BBTMusic authorized staff members to administer medication to my child as indicated above.
I First Name Last Name , Parent of First Name Last Name . Give my authorization to Building Bridges through Music to transport my child as specified above
BUILDING BRIDGES THROUGH MUSIC AUTHORIZATION
PARENT HANDBOOK SIGN-OFF SHEET
I have read and understood all the policies in the Building Bridges Through Music Inc. After School Program Handbook.
I agree to follow the handbook policies accordingly. I do understand that all policies will be enforced, and failure to comply with the policies is a reason for immediate termination.
I give permission for images in print and electronic form and videos taken of my child during the program to be used for public relations purposes, in the newsletter, brochures, annual reports, and for publicity on our website, radio, television, and newspapers.
The following is used for grant writing purposes only. It will not be shared and your name will never appear next to the information.
Registration Form Checklist
Forms can be emailed back to firstname.lastname@example.org or faxed to 781-780-3827.