25-26 Galt Expanded Learning Registration Form

25-26 Galt Expanded Learning Registration Form

If you have multiple children, please complete a registration packet for each child. Returning your registration packet DOES NOT guarantee you a spot. Due to the high volume of interest in our program, admittance will be based on family need. You will be notified of acceptance into the program.
ROBERT L. McCAFFREY MIDDLE SCHOOL
Student Details:
Student Name*
Grade*
Allergies or Health Conditions:*
Parent/Guardian E-mail*
Parent/Guardian E-mail

Please list all adult contacts who can pick up your student if necessary or in case of emergencies.*

Rows	Full Name	Relationship	Phone Number
Primary Contact
2
3
4
5
6

Address
123 Afterschool St. Galt, 95632

Student Release Form

Please choose all that apply.
-Meet designated adult at the front of the school-Walk home (Before 5:30)-Ride the city bus-Ride the District Bus at 5:15pm*(*MMS students who live on the WEST side of HWY 99 are eligible for district transportation)Other

GALT EXPANDED LEARNING PROGRAM POLICY AND EXPECTATIONS

All students enrolled in the Expanded Learning program are expected to follow school and district behavior and attendance guidelines and homework expectations.
BEHAVIOR:
- Disciplinary Action will be taken for the following behaviors, to include, but not limited to:
  - Unsafe Behavior
  - Inappropriate/Offensive Language
  - Repeated failure to follow rules and listen
  - Deliberate destruction of property
  - Fighting/Hands on another student
  - Inappropriate social behavior
- Staff will work with students and families to reinforce positive behavior and provide the necessary support for the student to be successful.
  Students receiving 3 Disciplinary Action Forms in one school year will result in dismissal. Parents will be notified of each offense and the number of offenses to date.
- Behaviors that will result in immediate disciplinary action, and may warrant immediate dismissal from the program include, but are not limited to: fighting, weapons, profanity, defiance, and substance abuse.
ATTENDANCE:
- This is NOT a drop in program. Students are expected to utilize their spot in the program 5 days a week. Students should not be picked up within the first hour.
- Early Release Forms must be on file for consistent schedules that result in absences i.e. extracurricular activities, medical appointments, or religious practices.
- ALL absences must be communicated to the site coordinator prior to absence.
  - Lack of communication will result in your student being marked as unexcused.
- Three unexcused absences in one trimester will result in dismissal from the program. (Definition of Unexcused Absence: Student was in attendance during the school day, but absent from Expanded Learning after school without communication.)
- Program ends at 6:00pm. If students are picked up past 6:00 pm a Late Pick-Up notice will be issued.
- Three Late Pick-Up notices in one school year will result in dismissal from the program.
HOMEWORK:
- The Expanded Learning program is designed to help students succeed academically, and refusal to do necessary assignments is an insufficient use of the homework hour. This behavior can and will result in a Disciplinary Action Form.
- Students are expected to work on homework during the homework hour. Any homework that is not finished during Expanded Learning needs to be completed at home. If no homework is assigned, students will read or work on designated educational websites for at least 30 minutes.
Agree

G.E.L. Program BUS POLICY

If your middle school student lives on the WEST side of HWY 99 in Galt, they are eligible to ride the bus from the MMS G.E.L Program after school. Due to the limited space on the bus and to accommodate as many students as possible your child should be aware of the following:
G.E.L Bus Rules:

1. Respect the rights and property of others while at the bus stop and on the bus. Students defacing property on the bus may be responsible for damages.

2. Follow the instructions of the driver, as well as following all bus safety rules that are reminded daily; no insolence or disrespect will be tolerated.

3. Do not use profane language, obscene gestures, or create distractions that may affect the driver’s ability to operate the bus safely.

4. Help keep the bus free of litter by not eating or drinking on the bus.

5. Remain seated, facing forward with legs, feet and other objects clear of the aisle while the bus is in motion.

G.E.L Bus Citation Policy:

Students not following the G.E.L. Bus Rules will receive a citation.

1st Citation: A warning and notification to parent

2nd Citation: Termination of G.E.L Bus privileges

G.E.L Bus Eligibility:

Students who have signed up for transportation in the G.E.L. programs are expected to utilize the services. Not riding the bus consistently will result in your student being removed from the G.E.L. Bus roster.

-If your student no longer needs bus transportation please communicate with Abby Mendoza at 209-745-5462 Ext. 1906.

-If you would like to change your student’s bus stop, please call transportation at (209) 745-1059.
Agree

Parent Permissions

Please choose yes or no for the following questions
Does the district have permission to use your student's photo and/or video clips on the District Office website, School website(s), District newsletters, or on GJUESD social media accounts? *
Does your child have permission to watch PG movies?*
Should be Empty:

25-26 Galt Expanded Learning Registration Form

ROBERT L. McCAFFREY MIDDLE SCHOOL

Student Release Form

GALT EXPANDED LEARNING PROGRAM POLICY AND EXPECTATIONS

G.E.L. Program BUS POLICY

Parent Permissions