• Extended Care Student Information

  • Gender
  • Does your student have (or had in the past) a 504 and or IEP plan?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Parent/Guardian Information

  • In case of emergency, the Parent/Guardian will be contacted based on the information below:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • I authorize the following individuals to collect my child from the facility in case of emergency or if I cannot be contacted:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • INFORMED CONSENT AND ACKNOWLEDGMENT

    I hereby give my approval for my child’s participation in any and all activities prepared by North Valley Christian Academy during extended care. In exchange for the acceptance of said child’s candidacy by North Valley Christian Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless North Valley Christian Academy and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from extended care.

    In case of injury to said child, I hereby waive all claims against North Valley Christian Academy including all coaches, teachers, affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

    I give my child permission to visit other classrooms and designated areas on campus for field trips and special events. This includes, but is not limited to, the MPR, Big Playground, Grand Staircase, and additional classrooms.

  • MEDICAL RELEASE AND AUTHORIZATION

    As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to the North Valley Christian Academy and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the registered season.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • POLICY & PROCEDURES

  • Hours of Operation

    Before School Care: 7:00 AM – 8:45 AM
    After School Care: 3:00 PM – 5:00 PM 
    Calendar: The program operates only on days when school is officially in session. It is closed during school holidays, breaks, and professional development days.


    Sign-In and Sign-Out Procedures 

    Brightwheel: Parents must have an active Brightwheel account before utilizing Extended Care. Your Brightwheel pin will allow you to check in/out your student.

    Drop-Off (Before Care): Parents must physically walk their child into the designated area and sign them in with a staff member using our check-in system. Children may not be dropped off at the curb.

    Pick-Up (After Care): Children will only be released to parents, guardians, or individuals explicitly listed on the child’s Authorized Pick-Up List.
    Identification: Any unfamiliar adult picking up a child must present a valid photo ID to staff before the child will be released.

    Late Pick-Up Fee: The program closes promptly at 5:00 PM. A late fee of $5.00 per minute will be assessed for any child remaining after closing time.


    Age-Appropriate Grouping & Ratios

    Early Childhood Group (Preschool & Kindergarten): Supervised at a lower staff-to-child ratio in accordance with state licensing. Activities focus on sensory play, storytime, and gross motor movement.

    Elementary Group (Grade 1 – Grade 5): Activities include a dedicated homework/quiet study time, organized group games, and outdoor recreation.

     

    Snack and Nutrition

    Before Care: Parents may send a simple, mess-free breakfast with their child if dropped off before 7:30 AM.

    After Care: A light afternoon snack will be provided daily by the program.

    Allergies: We are a Nut-Aware facility. Please ensure all allergy information is updated on your child’s enrollment forms. Staff are fully trained on allergy protocols.


    Health & Illness Policy

    Children must be symptom-free (including fever-free without the use of fever-reducing medication) for a full 24 hours before returning.
    If a child becomes ill during after-school care, a parent will be notified and must pick up the child within 30 minutes of the call.


    Behavior Expectations & Discipline

    We expect all students to display kindness, respect, and safety, mirroring the values of our school day.

    Staff use positive redirection, verbal reminders, and logical consequences to manage behavior.

    Zero Tolerance: Behavior that threatens the physical safety of another child or staff member (biting, hitting, kicking) or continuous extreme disruption may result in temporary or permanent suspension from the program.

  • Please select the Extended Care option that best fists your family's needs:
  • Should be Empty: