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English (US)
Spanish (Latin America)
Vietnamese
2025-2026 Parent Orientation & Handbook Acknowledgement Form
Thank you for participating in the After School Education and Safety Program. This form is intended for parents/guardians to:
Review the Parent Orientation Video
Read the Parent Handbook
Signing the form acknowledgement form
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Please watch the video below in your perferred lanugage. In either, English, Spanish, or Vietnamese.
English
Spanish
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Please review the Parent Handbook below:
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Next
Please complete the acknowledgement form by filling out the information below:
Name of Child #1
*
Name of Child #2
Name of Child #3
Name of Child #4
Name of School
*
Please Select
Alamitos Intermediate
Doig Intermediate
Fitz Intermediate
Irvine Intermediate
Jordan Intermediate
Lake Intermediate
McGarvin Intermediate
Ralston Intermediate
Walton Intermediate
Please initial next to each line indicating that you have reviewed and understand the
following:
I understand the BGCGG program consists of Power Hour, Enrichment, Announcements, Physical Fitness, and Snack.
*
I understand the Attendance Policy.
*
I understand the Early Release Policy.
*
I understand the Member Sign-Out and Late Pick-Up Policy.
*
I understand the excused reasons for my child having to leave the program early.
*
I understand the protocol for the program handling illnesses.
*
I understand the Health Concerns & Medication protocol.
*
I understand the BGCGG Behavior Model.
*
I understand the policy for Bullying.
*
I understand the Parent Code of Conduct policy.
*
I understand the Parent Handbook and watched the Parent Orientation Video.
*
Name of Parent/Guardian
*
Signature of Parent/Guardian
*
Date
*
/
Month
/
Day
Year
Date
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Should be Empty: