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Immaculate Heart of Mary |
Immaculate Heart of Mary After-School Care 2009-2010
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(click here for pdf version of letter/form)
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IHM AFTER-SCHOOL CARE PROGRAM
2009 - 2010
Dear IHM Parents,
Welcome to the 2009-2010 School year! The IHM After-School Care Program
operates every day that school is in session
for a complete day and is open to anyIHM student in grades 1 through 6. The hours are from 3:00 until 6:00.
Please print and complete the Registration Form and Medical Form and send them
to IHM c/o Anne Jones, with the $35.00 Registration Fee made out to IHM School.
In order to prepare, I need these before the start of school on August 25th.
The following rates are in effect for this school year: Full-time (4 or 5 days per
week): $210.00 per month for one child and $345.00 per month for two children.
Part-time (3 days per week or less): $163.00 per month for one child and $273.00
per month for two children. We also take children on an hourly basis and for
emergency situations: $7 per hour, per child. August/September will be billed as
one month. May/June will also be billed as one month. All payments are due on
the first Thursday of the month. Hourly students will be billed at the end of each
month. Please send your payment with the payment slip to school to my attention.
You will receive the payment slips at a later date.
NOTE: It is imperative that your child(ren) be picked up by 6:00. If your child is
not picked up by 6:00, there will be a charge of $1.00 per minute past 6:00
and itmust be paid in cash at that time.
In an emergency, please have someone elsepick up your child(ren) if at all possible.
You will need to inform us if someoneother than a parent will be picking up your child(ren).
On days you plan to use After-School Care, tell your child(ren) to meet the After-
Care staff in the Gym at 3:00. Please pick your child up in the second grade
classrooms. I am looking forward to caring for your children. Thank you.
Sincerely,
Anne Jones
Coordinator, IHM After-School Care Program
AFTER-SCHOOL CARE RULES AND SCHEDULE
1. Children are expected to listen to the After-School Care staff and do what they are told.
2. Children must meet the workers in the Gym immediately after school is out.
3. Children must not use the restroom, go back to their classroom, visit with a friend, etc.
before they have checked in.
4. After check-in, the children will have play-time, either outside or in the Gym, until 4:00.
5. Playground equipment will be provided. Toys, dolls, and electronic games from home
are not allowed.
6. At 4:00, the children will be provided a snack. If your child is allergic to certain foods,
please let us know. If your child has an epi-pen, inhaler, or is on medication, please fill
out the appropriate form. We will keep medication locked up in a cabinet.
7. At 4:30 the children will go to classrooms to work on homework until 5:00. IF
CHILDREN DO NOT HAVE HOMEWORK, THEY MUST READ A BOOK OR
COLOR QUIETLY UNTIL 5:00. THIS RULE WILL BE STRICTLY ENFORCED!
8. Friday is “movie-day”.
9. Children will be expected to put away any toy they are finished with before bringing out
another toy.
10. Children may play cards, read, color, or play board games after their homework is
finished.
AFTER-SCHOOL CARE DISCIPLINE POLICY
1. Children who don’t share, play roughly, or call others inappropriate names will be given
one warning.
2. If the behavior is repeated, the child will have a 10-minute time-out.
3. Some behaviors may warrant a phone call to a child’s parent or guardian. In these cases,
the child will be isolated until the parent/guardian picks up the child.
4. These behaviors include:
Being disrespectful to the staff
Harassment of another child
Physical assault
Refusing to follow the rules
Running away from the group
Stealing
Destroying another student’s property.
5. In addition, the above named behaviors may include a one-week suspension, at the
discretion of the director.
6. Parents will be informed in a timely manner; suspensions begin the following week, on
Monday, or the first school day of the week. Parents may subtract one week’s payment if
their child is suspended.
7. In the event of a second suspension, the child may be expelled from the program.
AFTER-SCHOOL CARE PROGRAM 2009-2010 REGISTRATION FORM
Family Name: ______________________________________
Home Address: _________________________________________________________________
Child(ren) who will be enrolled in the program.
Name: ____________________________________________ Grade/Homeroom: ______
Name: ____________________________________________ Grade/Homeroom: ______
Name: ____________________________________________ Grade/Homeroom: ______
He/She/They will be: ___ Full-Time
___ Part-time
___ Hourly
Please mail this form along with a check - payable to IHM School in the amount of $35.00 (per
family) to the address below:
Anne Jones
IHM School
7800 Beechmont Ave.
Cincinnati, OH 45255
I/We have read the policies of the Immaculate Heart of Mary After-School Care Program and
agree to abide by them.
____________________________________
Signature (Parent)
____________________________________
Signature (Parent)
____________________________________
Signature (Child)
____________________________________
Signature (Child)
____________________________________
Signature (Child)
____________________________________
Date_________________________________
IMMACULATE HEART of MARY AFTER-SCHOOL CARE MEDICAL FORM
STUDENT’S NAME:___________________________________
EMERGENCY NAMES AND NUMBERS WHERE YOU OR PERSON YOU DESIGNATE
MAY BE REACHED DURING AFTER-SCHOOL CARE HOURS:
NAME: NUMBERS:
1.____________________________________________________________________________
2.____________________________________________________________________________
PART I OR II MUST BE COMPLETED
PART I: TO GRANT CONSENT
In the event reasonable attempts to contact me at _____________(phone) or
________________(other parent or guardian) at _____________(phone) have been
unsuccessful, I hereby give consent for:
1.) The administration of any treatment deemed necessary by
Dr._________________________(preferred physician) at _____________(phone) or,
Dr._________________________(preferred dentist) at _____________(phone) or, in
the event the designated preferred practitioner is not available, by another licensed
physician or dentist; and
2.) The transfer of the child to________________________________(preferred hospital)
or any hospital reasonably accessible.
This authorization does not cover major surgery unless the medical opinions of two other
licensed physicians or dentists, concurring in the necessity for such surgery, are obtained before
surgery is performed.
FACTS CONCERNING THE CHILD’S MEDICAL HISTORY INCLUDING ALLERGIES,
MEDICATIONS AND ANY PHYSICAL CONDITIONS WHICH THE PHYSICIAN AND
SCHOOL SHOULD BE INFORMED:______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________ ______________________________
Signature of Parent or Guardian
________________________________ Date____________________
PART II: REFUSAL TO CONSENT (do not complete part II if you completed part I)
I do not give my consent for emergency medical treatment of my child. In the event of any
illness or injury requiring treatment, I wish the school authorities to take no action or to:_______
______________________________________________________________________________
________________________________________ ______________________________
________________________________________ ______________________________
Signature of Parent or Guardian
_________________________________ Date___________________