GRATTAN AFTER SCHOOL PROGRAM - 2018-2019 Family Handbook Grattan After School Program 165 Grattan Street, room 211, San Francisco, California ...
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GRATTAN AFTER SCHOOL PROGRAM 2018-2019 Family Handbook Grattan After School Program 165 Grattan Street, room 211, San Francisco, California 94117 Phone: 415-506-8617 Email: gasp.grattan@gmail.com
Table of Contents Overview of GASP ........................................................................................................................ 4 Welcome.............................................................................................................................. 4 Program Philosophy.............................................................................................................4 History of GASP ................................................................................................................. 4 Organizational Directory..................................................................................................... 4 Organizational and Contact Information………………………………………………………5 General Program Components…………………………………………………………………..………………...6-7 Program Hours/Days............................................................................................................6 Curriculum and Sample Daily Schedule…………………………………………………..6 Homework Assistance…………………………………………………………………..6-7 Field Trips............................................................................................................................7 Movies..................................................................................................................................7 PTA Enrichment Classes and Athletic Teams……………………………………...……..7 Snack....................................................................................................................................7 General Program Policies and Related Information...............................................................8-9 Parent Involvement…………………………………………………………………………………....…8 Absences………………………………………………………………...……………….8 Transportation……………………………………….…………………………………...8 Clothing…………………………………..…………………………………………....…8 Electronics, Toys and Games from Home………………………………………….…….8 Cell Phone Policy…………………………………………………………………….…...9 Candy and Special Treats…………………………………………………………………9 High School Volunteers…………………………………………………..………………9 Extended Day Program............................................................................................................... 10 Safety and Security.................................................................................................................11-13 Behavior Guidance……………………………………………………………………….11 Removal From the Program……………………………………………………………...11 Signing In and Out............................................................................................................. 12 Alternate Pick-Up Person(s).............................................................................................. 12 Child Pick-up Security.......................................................................................................12 Suspected Neglect/Child Abuse................................................................................... 12-13 Emergency Procedures/Emergency Closing Policy...........................................................13 Medical Information…………………………………………………………………………………......14 Medical or Dental Emergencies…………………………………………………………...…….14 Illness……………………………………………………………………...……………………..14 2
Medication……………………………………………………………………………………..14 Admissions Policies and Tuition Information......................................................................15-17 Enrollment Policies………………………………………………………..……………..15 Registration and Deposit Fees........................................................................................... 15 Tuition Payments............................................................................................................... 15 Tuition Receipts................................................................................................................. 15 Late Payments/Returned Checks....................................................................................... 16 Refunds.............................................................................................................................. 16 Dropping your Child from the Program………………………….………………………16 Tuition Rate Changes…………………………………………………………………….16 Community Agency Tuition Payments..............................................................................16 Sibling Discount.................................................................................................................16 Tuition Assistance..............................................................................................................16 Late Pick-Up Fees..............................................................................................................17 Drop-In Policy................................................................................................................... 17 Licensing Information and Application Forms................................................................... 18-20 General Licensing Information.......................................................................................... 18 Application Packet............................................................................................................. 18 List or Required and Optional Forms................................................................................ 18 Notification of Personal Rights (LIC 613A)..……………………………………………19 Notification of Parents Rights(LIC995)………………………………………………….20 Receipt of the Family Handbook…………………………………………………...……21 3
OVERVIEW OF GASP Program Overview The Grattan After School Program (GASP) is a nonprofit, licensed after school program currently serving children in Kindergarten through 5th grade at Grattan Elementary School. GASP offers academic, enrichment and recreational activities to students, as well as, aligns its mission, vision and youth development practices with Grattan Elementary School. HISTORY OF GASP Motivated by the need for after school child care, GASP was founded in 1978 by a small group of student parents. The shape and form of GASP’s program structure has evolved; in the Fall of 2012, GASP merged it’s K-2 and 3-5 programs. GASP’s K-5 program continues to align itself with the needs of Grattan’s school day faculty, parents and children. 4
ORGANIZATIONAL AND CONTACT INFORMATION Organizational Information Site Director Monika Jessel Contact Information Mailing Address: 165 Grattan Street San Francisco, CA94117 Office Phone – 415-759-2815 Mobile Phone – 415-506-8617 Email – gasp.grattan@gmail.com Community Care Licensing License: 380505445 GASP Tax ID # - 91-2160459 CONTACT INFORMATION Many parents or guardians have specific questions or suggestions and we want to be able to meet your needs in the most efficient way possible. This guide will help you direct your questions. QUESTIONS/COMMENTS PLEASE CONTACT Tuition, Payments, Bills, GASP Office (415-506-8617) Receipts and Enrollment E-mail gasp.grattan@gmail.com Concerns about the program or 1. Your child’s teacher your child 2. Director Concerns about staff Site Director General suggestions or Site Director comments Comments, Suggestions, Executive Director Concerns or to Contact the Chrystal@gasp-grattan.org Board 5
GENERAL PROGRAM COMPONENTS PROGRAM HOURS AND DAYS GASP operates from school dismissal (1:50pm) until 6:00pm. Monday-Friday. The program begins in August and ends in May or June depending on the calendar year. The program aligns with the school’s calendar and adjusts for holidays and early release days based on the school calendar. DAILY SCHEDULE Sample Daily Schedule for Kindergarten through 5th Grade Time Activity Location & Transitions (Monday- Thursday) 1:50-2:05pm Attendance & Announcements Upper Yard (3-5 on Upper Yard), Middle Yard (K-2 on Middle Yard) K Yard 2:05-3:15pm Recreation (free play)/ K-2 Middle Yard/3-5 Upper Yard or Enrichment Cafeteria 3:15-3:30pm Snack Upper Yard 3-5, Middle Yard K-2 3:30-4:30pm Academic: Homework Hour, Group Homeroom -All Students will be in Activity their GASP homeroom during this 5th Grade 50 minutes of hour. homework 10 minutes Group Activity 4th Grade 40 minutes of homework 2o minutes Group Activity 3rd Grade 30 minutes of homework 30 minutes Group Activity 2nd Grade 20 minutes of homework 40 minutes Group Activity 1st grade 10 minutes of homework 6
50 minutes Group Activity K grade 10 minutes of homework 50 minutes Group Activity 4:30-6:00pm Choices See Where Am I Board Grattan After School Program Friday’s Schedule Friday Clubs **To locate your student, see the Where Am I Board. (Enrichment Classes) Time Activity 1:50-2:05pm Attendance & Announcements 2:05-3:00pm Recreation Time 3:00-3:15pm Snack & Friday Club Break Out 3:15-5:00pm Friday Clubs 5:00-6:00pm Community Time (Free Choice, Yard, Cafeteria) HOMEWORK SUPPORT GASP provides a formal homework time Monday through Thursday (see above). Homework hour is a time and space designated for students to work on and complete their homework assignments. HOMEWORK CLUB- KINDERGARTENERS Homework Club is a time and space designated for students to work on and complete their homework assignments during the Enrichment hour. Due to the minimal homework assigned to Kindergarteners, parents/ guardians of Kindergarteners must sign their child up for Homework Club. FIELD TRIPS At GASP, we encourage our children to become more familiar with their neighborhood and community by taking them on field trips. We often take neighborhood walks or go to Grattan parks. A general permission slip for these field trips is in the Application Packet. Parents will be notified ahead of time for field trips that are out of the neighborhood and/or require public transportation. These field trips will require a separate permission slip. MOVIES 7
Movies may be shown on rainy days and occasionally during program hours. Movies shown are rated G or PG. ATHLETIC TEAMS: Release Children attending GASP may also be on a school related athletic team. Children may be picked up, brought to practice and returned to the program by their coach or other parent volunteer. Please make sure that all adult(s) taking children to and from practice are listed on as authorized pick up persons. SNACK Children are served nutritious snacks daily. Snacks may include a combination of the following: fresh fruit, vegetables, crackers/bread, cheese, with juice/milk. A sample snack menu is posted on the bulletin board across from room 210. Parents are welcome to pack an extra snack for the afternoon. Children should not bring glass bottles, medicine, soda or candy in their lunches or backpacks. Peanuts are not allowed in the program. ** Due to severe children’s allergies, food products with nut oils, various nuts, and processed on machines with nuts are not allowed in the program. PLEASE READ ALL FOOD LABELS before packing children’s lunches, snacks, or donating food to the programs. GENERAL PROGRAM POLICIES AND RELATED INFORMATION PARENT INVOLVEMENT Parent Orientations are held in the fall each year after the beginning of the program. While this handbook provided most of the necessary information about the program, families are highly encouraged to attend the orientation and it is a great opportunity to meet the staff. Visiting: We have an open door policy. Parents/guardians are welcome to visit at any time during the course of the program day. All visitors must check in with the Site Director.. Volunteer: Have an extra hour or two? Stop by the program for a participatory visit! Help with homework time, making snacks, playing kickball, reading a story and more! Board of Directors: GASP is governed by an Executive Board of Directors. The Board works to provide support to GASP staff, families and the Grattan community. Joining the GASP Board of Directors is a great way to participate at the administrative level of the organization. Board meetings are held monthly to provide support to the Executive Director and oversee the organization’s policies, finances, and strategy for the future. Candidates with expertise in human resources, finance/accounting, law, non-profit management, and fundraising are particularly encouraged to join the Board. Please contact the Executive Director. Donations: Donations for tuition assistance and supplies are welcome. Please check with the Directors regarding specific supply needs. 8
ABSENCES For planned absences, please inform the Director the days your child will be absent. Please call the program Site or program cell phone if your child will not be attending the program. Please leave a message with the following details: date/time of call, caller’s name, child’s name, message and call-back number. Emails or texts are other ways to inform the program of absences. TRANSPORTATION GASP does not provide transportation to or from our program. Families must make the appropriate transportation arrangements necessary to ensure that their children are safely picked up on time. CLOTHING Please have your child bring a sweatshirt or jacket each day as we try to go outside each day (weather permitting). Please bring an extra set of clothing for Kinder & 1st graders. All clothing needs to be bagged and labeled with your child's full name. Clothing will be kept in their cubby or backpack. ELECTRONICS, TOYS AND GAMES FROM HOME Toys from home are not allowed during GASP; this includes video and electronic games. We do not allow any type of toy guns or war toys at the school site. If toys or games are brought from home, a teacher may take the item away from the child and set it aside to be returned to the parent at pick-up time. GASP does not take responsibility for lost or stolen property including items lost at school or on field trips. CELL PHONE POLICY If your child owns a cell phone and brings it to school, the following policies will apply: The phone must be turned off and remain out of sight during after school program hours (1:50PM – 6:00PM), The phone is to be used only on the way home after leaving program and is not to be used while on the school campus, The phone may not be used in the after school program at any time except with the permission of the after school program staff. If a student does not follow these rules and uses the phone during after school program hours without permission, the phone will be taken away from them, and a parent or guardian will have to come to the school to pick up the phone; this may result in the student no longer being able to bring their cell phone to the after school program for the remainder of the school year, 9
The after school program, shall not be responsible for any loss, theft, or damage to a student’s cell phone. CANDY AND SPECIAL TREATS Children are not allowed to bring candy or sweets to the GASP program. Children will occasionally be served treats on special days like birthdays or special events. The teacher will notify parents in advance when special treats can be brought in to share. If parents want to arrange to bring in treats, arrangements MUST be made in advance and agreed upon by the Director. HIGH SCHOOL VOLUNTEERS GASP may have high school students working or volunteering part-time during the course of the school year may work in your child’s group. Often these students are fulfilling community service requirements for school. They are not included in our child to adult ratio and are never alone with the children. The High School Volunteers will interact with the children, assist with the maintenance and cleaning of the center, and learn about child development and the after school field. EXTENDED DAY PROGRAM Grattan After School Program follows the San Francisco Unified School District (SFUSD) calendar as a guide for its scheduled days of operation. GASP may be open on days that SFUSD is not and parents will receive a calendar each fall with other days and times that GASP is open. For days when GASP is open, but SFUSD is not, there is a fee charged per day per participant to cover the additional hours. Extended Day Guidelines: Sign-Up sheets for non-school day participation will be posted approximately 1 month prior to the date. Payment for Extended Day Programs must be paid in full before the deadline date posted. Please make checks payable to “GASP”. On occasion extended day programs will include field trips or activities that will be outdoors and may be change due to adverse weather conditions. The original activity may be canceled and a new one will be implemented. Once a child has been signed up for the extended day(s), the family is responsible for payment by the date posted. Unfortunately, there are no refunds and drop-in’s cannot be accommodated due to the staff scheduling. Families subsidized by Community Agencies may attend the Extended Day program but they must either pay for the fees themselves or have written approval stating that their agency will cover the cost of Extended Day Care. 10
SAFETY AND SECURITY BEHAVIOR GUIDANCE All students are expected to respect and cooperate with all program staff, instructors, volunteers and students at all times. GASP has a discipline policy consistent with the Grattan Elementary School day program that gives positive guidance, allows for redirection and sets clear behavior limits. The discipline policy is designed to assist students and staff in fostering the students development of self-control, self-respect, respect for others and respect for the rights and property of others. When an issue arises between children, children are encouraged to resolve the problem using Restorative Practices. Staff is available to help children with problem solving by making suggestions, offering support, and guiding children to solve differences. No corporal punishment is allowed at the program at any time. Students who have ongoing behavior difficulties may receive a phone call home and parents/ guardians may be requested to participate in a conference to discuss the situation and create a plan of action to address behavioral problems. If a student’s behavior problems cannot be resolved the student may be suspended or dismissed from the program. 11
Children and parents are expected to treat all persons equally and respectfully and refrain from the willful or negligent use of slurs against any person on the basis of race, color, creed, national origin, religion, ancestry, age, sex, sexual orientation, gender identity, or disability. REMOVAL FROM THE PROGRAM We reserve the right to suspend or expel any child for disciplinary reasons. Children and parents who compromise the safety of the children and staff will be suspended or removed from the program. Other instances when program services may be terminated and the child removed from the program: Non-payment of tuition, beyond forty-five days for the school year; Continual late pick-up of the child and/or failure to make a late pick-up payment; Failure to sign out on a daily basis using initial and time; Failure to comply with the health and safety polices of the organization; Failure to comply with Community Care Licensing requirements for enrollment in the program; A parent/guardian is verbally or physically abusive to staff, administrative staff, other children, their own children or other adults on the premises or confronts staff while children are present. SIGNING IN AND OUT Signing In Children in Kindergarten through 2nd grade will be signed in by the program staff. Children in 3rd through 5th grades will sign them selves in. Program staff will ensure that all children have been signed in. Signing Out Students must be signed out daily by their parent, guardian or an authorized adult. Failure to comply with signing out using your initials and time, on a daily basis, will be grounds for dismissal. GASP will allow 5th graders to leave the program on their own if an agreement is signed by both the parent/guardian and the program director. In this case, the center staff will sign the child out. All 5th graders signing themselves out must check in with program staff before leaving the school grounds. Failure to do so will result in privileges being revoked. 4th graders may also be given this privilege, but only under special circumstances. Persons signing out a child out must be 18 years or older. If you would like a person under the age of 18 to pick up your child, you must have written permission on file and work with the Director to ensure safety of the participant. 12
ALTERNATE PICK- UP PERSON(S) If parents/guardians would like another person to pick up their child, they must be the designated person or persons on the Identification and Emergency Information Form. If someone other than those on the pickup list will be picking up your child, please write a note or call GASP informing the staff of who will be picking up your child and include the date(s)of the pick up and the full name of the person picking up. The person picking up must have a form of ID. GASP will not release a child without an ID. CHILD PICK UP SECURITY If the contracting parent or guardian chooses not to list the divorced or separated parent, pursuant to licensing regulations, we cannot release the child without a court-signed order. Staff cannot deny access to a biological parent. If the non-custodial, biological parent or other such person arrives to pick up the child, and they are not listed on the Child Authorization Release Form, the staff will: a. Contact the contracting parent or guardian b. Explain to the non-custodial, biological parent or other such person that we cannot release the child to them without permission from the contracting parent or guardian. Staff will explain the release procedure. c. If the contracting parent or guardian cannot be reached and permission given, staff may need to call the police. d. The police will then confirm the identity of the non-custodial, biological parent. In all probability, the police will then release the child to the non-custodial, biological parent. SUSPECTED NEGLECT AND/OR CHILD ABUSE OR SUSPECTED INFLUENCE OF A CONTROLLED SUBSTANCE All GASP staff are Mandated Reporters. Staff is legally mandated to report any instance of observed or suspected child abuse or neglect of a child. This will include a parent or pick-up person who appears to be under the influence of alcohol or other substance when picking up a child at any site. Staff will not release a child to anyone who is suspected to be under the influence of alcohol or other substance. Staff will try to call the names listed on the emergency card to arrange alternative pick-up. If the pick-up person insists on leaving the premises with the child, we will call 911 immediately. EMERGENCY PROCEDURES/EMERGENY CLOSING POLICY In the event of an emergency or disaster, GASP staff will supervise the children until an authorized adult can pick up the child; An updated disaster and mass casualty plan is posted on the bulletin board outside room 210. This plan is reviewed by staff on a regular basis. Staff are certified in First Aid and CPR. 13
The program has regular fire and earthquake drills. Staff are trained in blood borne pathogens and infectious diseases. Though staff will be supervising the children, the facility may be closed due to structural damage, toxic leaks, and other unsafe circumstances. The primary evacuation site is Grattan park. 14
MEDICAL INFORMATION MEDICAL OR DENTAL EMERGENCIES The licensing form titled “Consent for Emergency Medical Treatment” must be completed for each child. This can be found in the application packet. If your child has an accident such as a hard head bump or a cut or a bumped limb, the Director or staff will administer first aid. Staff will notify parents/guardians of an injury or accident when they have seen or been informed of an injury or accident. If your child experiences a serious medical or dental emergency during program hours, we will take the following steps: 1. Call the parent or guardian 2. Call the names listed as emergency contacts 3. Call the listed doctor or dentist 4. Call 911 ILLNESS Do not send your child to the program if he or she has any of the following symptoms: fever, open wound, undiagnosed rash, vomiting, diarrhea, head lice, inflamed eyes, severe cold or sore throat. You should contact your site if your child becomes sick with a contagious illness. When the program has been notified that a child has a contagious illness, such as chicken pox or strep throat, the program will notify all parents/guardians. Notices will also be placed in community areas of the program site. If a child becomes ill during program hours, we will place the child in a quiet, isolated area of a room to await pick up. GASP will contact parent(s) to pick up the child. If parent(s) cannot be reached, the staff will call the emergency contact listed on the Emergency Form. Head Lice: GASP and Grattan Elementary School will share information regarding a lice outbreak in order to contain it as soon as possible. GASP will adhere to the SFUSD lice exclusion policies. Parents are expected to inspect and treat their child for head lice as needed. Children cannot attend GASP is they have live lice and will be sent home. MEDICATION If your child must take medication during program hours, staff will only dispense medication if all of the licensing requirements are met and a completed Medication Form must be on file. The medication Form can be found in the Application Packet. Over-the-counter drugs cannot be administered by program staff. PLEASE DO NOT SEND MEDICINE IN A CHILD'S LUNCH OR BACKPACK. Community Care Licensing requires all of the following conditions to be met in order to administer prescription medication to a child: Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. 15
For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. This documentation shall be kept in the child's record. The instructions from the child's authorized representative shall not conflict with the label directions as prescribed by the child's physician 16
ADMISSIONS POLICIES AND TUITION INFORMATION ENROLLMENT POLICIES GASP serves children in kindergarten through fifth grades who attend the Grattan Elementary School. A parent or guardian may visit the program for an orientation before the child attends. All required documentation must be completed and turned in before the child begins the program. Accounts with unpaid balances at the end of the school year program will not be eligible for admittance for the following school year until those balances are paid. GASP is non-discriminatory in admission. We do not discriminate based on race, religion, place of national origin, gender, sexual orientation, mental or physical ability. REGISTRATION AND DEPOSIT FEES Registration Fee - All new enrolling children and new enrolling siblings are required to pay a non-refundable one-time registration fee of $50.00. The registration fee is due prior to the start of the first day of program. Tuition Deposit – In order to secure a place for your child in the program, each child must pay a deposit of $300. This deposit will be applied to your child’s final month of tuition for the school year. Families receiving tuition assistance are required to pay a deposit of 50% of their monthly tuition. Tuition Deposit Checks will not be cashed and will be returned to the family if the child is placed on the wait list. TUITION PAYMENTS Tuition is due and payable to GASP on the 1st of the month. We strongly encourage payments be made on the EZChildTrack located at www.ezchildtrack.com. Check, cash or money orders are accepted as payment. Please make all checks payable to GASP and please include on the memo line your child/children’s first and last name to ensure your account is properly credited. We recommend that all check payments be placed in an envelope and either given to the Director and any staff or placed in the GASP Mail Box in the Grattan School Office. Cash Payments are discouraged and must be given directly to the Director. A receipt will be issued immediately as proof that payment was received. Please do not put cash in the GASP Mail Box. A family paying in cash assumes responsibility to make sure payment is received and credited to their child/children’s account. GASP is not responsible for any lost payments. TUITION RECEIPTS If you have a special request for a hand-written receipt for flex-spending accounts or for other personal financial purposes; parents must contact GASP at 415-506-8617 and request further assistance. 17
LATE PAYMENTS/RETURNED CHECKS A late fee of $25.00 per child will be charged to your account if payment is not received by the 10th of the month. If your account is 45 days past due program services will be terminated and you will be asked to leave the program. A fee of $25 will be charged to your account for any returned check due to insufficient- funds or other banking issues not associated with GASP. REFUNDS There are no refunds for absences related to illness, school vacations, personal vacations or school related holidays not interconnected with GASP. DROPPING YOUR CHILD FROM THE PROGRAM GASP must be notified in writing by the 1st of the month if your child will be dropping from the program. For example, if your child’s last day in the program will be February 28th, you must notify the program on or before February 1st. Families that do not provide the required notification will be held responsible for tuition regardless of whether or not your child/children are attending the program. TUITION RATE CHANGES Tuition rates will not be adjusted for miscellaneous absences that may occur in a calendar month during the school year If in the event there is a rate change or change in service, parents will be given written notice 30 days prior to the change. COMMUNITY AGENCY TUITION PAYMENTS GASP accepts payment for the program through Community Agency Programs such as Children’s Council, Wu Yee Children’s Services and Social Services. The contracting parent or guardian is responsible for making sure paperwork is correctly negotiated with all anticipated programming needs. All forms must be signed in a correct and timely manner. The contracting parent or guardian understands they are financially responsible if fees are not paid through their Community Service Agency Program. SIBLING DISCOUNT For two or more children, there is a 10% sibling discount applicable to the second child’s monthly tuition. The 10% sibling discount does NOT apply towards the deposit, registration fee, fee subsidy, or Extended Day Programs. 18
TUITION ASSISTANCE GASP offers some tuition assistance to support families in need who want their child(ren) to attend the after school program during the school year. Families desiring tuition assistance must apply for tuition assistance by filling out the Tuition Assistance Application form found in the Application Packet. Tuition Assistance Applications must be completed annually. Families need to be aware that there may not be assistance available for all qualified applicants. Fee Subsidies do not cover or include One-Time Enrollment Fees Any Full Day Programs offered during non SFUSD school days. LATE PICK-UP FEES GASP closes at 6:00 PM daily. Parent(s) are considered late if child(ren) are picked up beyond a five (5) minute grace period and will be subject to a charge of $1.00 per minute per child. This policy also applies to full day programs. The grace period is revoked if parent(s) arrive after the five minute grace period three times in one school year. Continual late pick-up will be grounds for dismissal from the program. Please call the program if you are going to be late. Late charges will still be incurred, but the child’s emergency contacts will not be called. The late charge of $1.00 per minute beyond closing time should be paid directly to the staff member staying late with your child, not the organization. Failure to make prompt late pick-up payment may result in termination of program services. In an effort to contact someone, we will telephone the names listed on your child’s emergency card. If GASP is unable to contact parent(s) or the emergency designee one- hour after closing time, we are legally required to contact the Police Department. DROP- IN POLICY Any drop-ins will be need to be coordinated with the Director. Drops-ins can be no more than once a month per child. 19
LICENSING INFORMATION AND APPLICATION FORMS GENERAL LICENSING INFORMATION GASP is licensed through the State of California Department of Social Services (Community Care Licensing Department). Per state licensing guidelines, all on-site staff pass three levels of background checks (FBI, Child Abuse Index Check, and Dept. of Justice) through electronic fingerprinting. All on-site staff are also required to be TB Negative. As a licensed program, we are required by law to maintain a ratio of 14:1. Licensing analysts from Social Services may make unannounced visits to the programs. GASP’s license number is listed on page 5 of this handbook. The Department of Social Services (Community Care Licensing) has the right to interview children or review their records without parent or guardian notification. Changes in emergency information must be kept up to date. If you have any questions about any of the forms, please speak to the director. APPLICATION PACKET The Application packet contains all forms required to enroll in GASP. All forms must be completed and on file prior to the first day of enrollment. All additional optional forms (tuition assistance, cell phone policy, etc) are also in the application packet. A child's file is to be made available to Community Care Licensing for review at any time even without parent or guardian notification. ***Licensing regulations mandate children without all required/updated paperwork cannot participate in the program. Children without all appropriate paperwork will not be allowed to participate in GASP. Violation of licensing regulations may result in citations, fines, and possible program closure. LIST OR REQUIRED AND OPTIONAL FORMS Please fill out one set for each child Required Forms Optional Forms Admissions Agreement Cell Phone Contract Local Field Trip Permission Medication Authorization Identification and Emergency Information (LIC 700) Tuition Assistance Application Notification of Personal Rights (LIC 613A) Permission to leave without an Adult Notification of Parents Rights (LIC 995) Permission to Picked up by a Minor Consent For Emergency Medical Treatment (LIC 267) Additional Health Information Media Release Form 20
Receipt of Handbook I hereby acknowledge receipt of the Grattan After School Program’s Family Handbook. I have read and understand the Grattan After School Program Family Handbook. I understand that it is my continuing responsibility to read and know its contents. I agree to all of the terms and policies outlined in the Family Handbook. Signature _________________________________________ Print Name ____________________________________________ Date ________________________ 21
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