After School Program Enrollment Form
  • 2025 Susanville School District Kids Expanded Learning Opportunities Summer Adventure Camp Program Enrollment Form

    for students in TK - 6th grade
  •  Susanville School District is pleased to offer our Expanded Learning Opportunities Summer Adventure Camp Program for those students enrolled in the district by May 1, 2025.   These enrichment-based programs will be located on each student's school campus from June 9 to June 27, 2025, for the first session and from July 28 to August 19, 2025, for the second session. NOTE: THERE WILL NOT BE PROGRAM ON AUGUST 20,2025, IN PREPARATION FOR THE SCHOOL START.  These exciting camps will be offered to each student free of charge.  The program will be open from 7:45 am to 5:15 p.m. each day with the exception of June 19, 2025 (Juneteenth Holiday).  We can offer these programs free of charge through funding from the Expanded Learning Opportunities Program. Susanville School District seeks to provide students with fun, hands-on, and engaging opportunities. 

    Please complete and submit one form per student being enrolled in the Expanded Learning Opportunities Summer Adventure Camp Program.

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  • Please specify each person, including the name of parents, who has permission to pick up your child from the ELOP Summer Adventure Camp Program.

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  • Expanded Learning Program Policies and Notifications

  •  ELOP Summer Adventure Camp Program Disciplinary Action Plan

    CITIZENSHIP

    All children are expected to display good citizenship while attending the  Expanded Learning Summer Adventures Program and must have enough maturity not to wander off or leave the site without permission. They must also be able to work cooperatively in a large group setting. We are a “Hands Off” program. Any child who abuses anyone or anything will be subject to immediate disciplinary action, as determined by the Program Leader or Site Coordinator, with coordination of the Program Director.

    Discipline is typically in the following order: The program uses discussion, redirection, and “time-out” as a means of discipline for inappropriate behaviors. If a behavior escalates, continues, or is beyond using these methods, one of the following two reports will be used to document and address the behavior based on the type and severity of the incident.

    Warning Reports: A Warning Report is issued to a child and parent/guardian as a written notification that there is either an ongoing behavior problem, or that an incident occurred that a Program staff member deems necessary to formally discuss with a parent/guardian.

    1. When a staff member fills out a Warning Report, you and your child will be asked to sign it.
    2. There are no program consequences for an individual Warning Report.
    3. Copies of the Warning Reports are kept at both the actual site and the Lassen County Office of Education program office.

    Behavior Reports: A Behavior Report is issued when a behavior has occurred that has either been a continual problem that has not been resolved through other methods of discipline or a single behavior that is severe or unacceptable.

    1. When a leader fills out a Behavior Report, you and your child will be asked to sign it.
    2. Upon receipt of a third Behavior Report, the child will be suspended from the program for the following program day, with coordination of the Program Director. A meeting will be set-up with the Site Coordinator, Parents/Guardians, and Program Director.
    3. Upon receipt of the fourth Behavior Report, the child will be suspended for the period of five days, with coordination of the Program Director.
    4. Upon receipt of the 5th Behavior Report, the child may not attend the program for one month, with coordination of the Program Director.
    5. After one month has passed, a meeting will be held with the Site Coordinator, Program Director, and Parent/Guardians to discuss the re-admittance and to create an action plan. If the action plan does not work we will have to exit the child for the remainder of the program year.
    6. Copies of these reports are kept at the site and the Lassen County Office of Education program office.

    Notwithstanding the above discipline policy, program staff reserves the right to immediately call the parents/guardians and remove a participant from the program for the remainder of the day, and/or suspend a participant at any time, with coordination of the Program Director, for the following reasons:

    1. Non-Cooperation
    2. Physical or verbal abuse of another child or leader.
    3. Possession of a weapon on school premises or while under the care of the Expanded Learning Opportunities Summer Adventure Camp Program.
    4. Any conduct that is a threat to the health, safety, or welfare of the staff or other program participants.
    5. Lack of cooperation by parents/guardians.
    6. Continual late pick-ups.

    Please Note:

    1. At any time, a parent has the option to request a conference with the Program Site Facilitator and the Program Director.
    2. A parent’s/guardian’s refusal to sign a warning or behavior report does not negate the validity of the report.
    3. Children who are suspended from school will not be accepted at any SSD Expanded Learning Summer Adventure Camp Program during the time of their suspension.
  • Anaphylaxis Treatment Annual Notification to Parents

    California Education Code 49414 authorizes school districts to provide trained personnel with epinephrine auto­ injectors for emergency medical aid to persons suffering from an anaphylactic reaction.


    Anaphylaxis is a rapid, severe allergic response triggered by insect stings, foods, medications, latex materials, exercise, or, in rare cases, by unknown causes. This is a life­ threatening allergic condition requiring immediate treatment.

    Administering epinephrine to students during a medical emergency may help to ensure the student's health and safety at school. Therefore, the Lassen County Office of Education and Susanville School District have adopted a policy for standing orders to provide life-saving epinephrine to students who need such treatment.

    This policy states that a credentialed, licensed school nurse or trained, unlicensed school staff, under the direct or indirect supervision of the credentialed school nurse (or supervisor of health), may administer epinephrine in the form of an epinephrine auto-injector during a severe,
    life-threatening allergic reaction. The epinephrine auto-injector rapidly delivers a pre-measured, sterile, single dose of epinephrine by direct injection through the skin.

    If you do not wish your child/children to receive this treatment, you must complete the Refusal to Use Anaphylaxis Form within two (2) weeks of the beginning of the program.  The form can be obtained in each schools office (McKinley, Diamond View, Meadow View) 


  • CAMP SELECTION

    Please select the weeks and camps your student will be attending.
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