PROGRAM PARTICIPATION FORM

I/We do hereby release Edge Above Academy from all liability for any accident or injury that might be sustained through participation in any or all activities.  I authorize Edge Above Academy to use and publish any photographs it or its agents take of named participant for any publication, brochure, or other publicity material for the agency. This information will be limited to program achievements and events.  I also understand and agree to abide by all rules and regulations.  Failure to do so may result in the suspension or revocation of all afterschool activities. ANYONE REQUESTING A REFUND MUST DO SO IN WRITING PRIOR TO POSTED PROGRAM DEADLINE.

Thank you for registering your child in The Edge Above Academy Afterschool Program. Our intent is to provide a quality program for your child’s mental, physical, and social development. You can help by cooperating with the following rules:

All children must be at least 5 years of age by the start of the program.
Be prompt when you pick-up your child.
For outdoor facilities, on rainy or cold days, please call your park between 8:30 a.m. and 8:45 a.m. to inquire as to whether the program will be conducted.
Please advise Recreation EAA if there are any foods your child is not permitted to have.
Your child’s birthday may be celebrated at the facility. Please advise Staff what refreshments you will be bringing.
If your child is ill, please keep him/her home.
If your child is going to be out for any length of time, please notify EAA Staff.
EAA Staff must be informed if your child has any allergy, or any other medical condition.
Child must wear rubber soled, closed toe shoes (no sandals).
Each child should be able to take care of him/herself in the bathroom before enrolling in our afterschool program.
Any child who creates a discipline problem can be suspended (without refund) from the program.
Please discuss the following safety rules with your child. • No climbing trees or fences • No throwing sticks, rocks, sand, or playground equipment/toys • No pushing, fighting or wrestling
Please keep us informed of any changes to address, telephone numbers or authorized adults for pick-up. We must have at least two phone numbers on record.
Child(ren) will be released to person/persons indicated on the participant registration form. Any changes must be made in writing at least at least 24 hours in advance. Child will be allowed to leave only with authorized adults listed on participation form or Emergency Contact Card.
Person picking up child must come inside the facility to sign the child out; we will not allow children to wait outside or leave when parent beeps a car horn. For the safety of the children, it is necessary for staff to see who is picking up each child.
All participants must be picked up no later than program closing time (parent/legal guardian is responsible to check program hours of operation). We understand that unforeseen circumstances do arise which can cause a late pick up, however; this problem has increased to such an extent that a late pick up policy has been implemented. All participants picked up after program closing time will be billed accordingly:
Please note: In the event of the unavailability of staff to stay after program closing time, a police officer will take the participant to the police station. Notice will be posted at facility advising parent of their participant’s location.
All parents/legal guardians must sign a late pick-up form when picking up form and their participant after program closing time. Payment must be received within one week after date of late pick-up. If someone other than the parent or guardian picks up the participant late, notification will be sent directly to the participant’s home. In addition, four late pick-ups during a one-month period may result in suspension (without refund) from the program.

REFUND POLICY

No refunds or credits will be issued because of non-attendance of a child from any program, nor if closed due to safety concerns, inclement weather, power loss, or other emergencies. The Parks and Recreation Department reserves the right to cancel under-enrolled programs, in which case the fee will be refunded.

AFTERCHOOL & ENRICHMENT PROGRAMS

Due to the seasonal nature of our programs, their popularity and limited space, we are precluded from issuing any refunds or credits within two weeks of the program start date for any cause. Refund requests must be received in writing two weeks prior of program start date to receive a 50% refund OR a full credit to be applied to a sibling or another program within the same fiscal year.

ACKNOWLEDGMENT AND AGREEMENT

My signature acknowledges that I have duly read and understand the above stated Rules and Regulations / Late Pick Up and Refund Policy.

Children will be released to person/persons indicated on the participant registration form and/or emergency contact card.  Any changes must be made in writing at least at least 24 hours in advance.
Person picking up child must come inside the facility to sign the child out; we will not allow children to wait outside or leave when parent beeps a car horn.  For the safety of the children, it is necessary for staff to see who is picking up each child.
Junior, Pre-Teens and Teens will be permitted to walk home only if they have written and signed permission from their parent/legal guardian.  
Primers (K-2nd grade) are not permitted to walk home alone.  Primers may walk home with (Sibling) Juniors, Pre-Teens and/or Teens with written and signed permission from parent or legal guardian (below).

• 5-15 minutes late - $5
• 16-60 minutes late - $15
• 61-90 minutes late - $20
• 91-120 minutes late - $25

All participants must be picked up no later than program closing time (parent/legal guardian is responsible to check program hours of operation).  We understand that unforeseen circumstances do arise which can cause a late pick up, however; this problem has increased to such an extent that a late pick up policy has been implemented. 

All parents/legal guardians must sign a late pick-up form when picking up form and their participant after program closing time.  Payment must be received within one week after date of late pick-up.  If someone other than the parent or guardian picks up the participant late, notification will be sent directly to the participant’s home.  In addition, four late pick-ups during a one-month period may result in suspension (without refund) from the program.

The safety of your child is of the utmost importance.Your cooperation in abiding by the above procedure/policy is required.  Please note: In the event of the unavailability of staff to stay after program closing time, participant will be taken by a police officer to the police station.  Notice will be posted at facility advising parent of their participant’s location. I do hereby release the Edge Above Academy from all liability for any accident or injury that might be sustained through my child’s participation in this activity.

To request this material in accessible format, sign language interpreters, information on access for persons with disabilities, and/or any  accommodations to review any document or participate in any city-sponsored proceeding, please contact 305-604-2489 (voice) or 305-673-7218 (TTY) five days in advance to initiate your request. TTY users may also call 711 (Florida Relay Services).