WilliamsonCountySchoolsAgreementsand polices SACC 2013-2014 School Year (one form per family) Please indicate Summer SACC site by checking below: _____ Allendale _____ Chapman’s Retreat _____ Clovercroft _____ College Grove _____ Crockett _____ Heritage _____ Kenrose _____ Longview _____ Oak View _____ Trinity _____ Westwood Please initial on the line Field Trip Permission __________My child/ children have permission to participate in all SACC activities planned and conducted by the WilliamsonCounty Child Care (SACC) Program, including field trips and transportation services where applicable. Field trips will be taken over Fall Break, Winter Break, and Spring Break. I will be notified of all field trips in writing in advance between the dates of August 9, 2013 and May 22, 2014. I understand that WilliamsonCountyandWilliamsonCounty School District, their agents and employees, and volunteers are not responsible for any injury to the minor that may result while attending any SACC sponsored programming, activities, and/ or field trips. ***Field Trip/ Half Day/ Full Day Policy __________ Our Field Trip, half day, and full day policy is detailed below: 1. Sign-up sheets for half days, full days, and field trips will be available at least 3 weeks prior. 2. You may sign up your child to attend or cancel up until 1 week before the half day, full day, or field trip. After the sign-up sheet is removed from the desk (1 week prior) a parent must call to see if space is available. Space is not guaranteed. 3. There will be no drop-in care if a child is not registered to attend the half day, full day, and/or field trip. 4. Children cannot be picked up during the field trip. Children must be signed in and out from the school and ride the bus to and from the field trip. 5. The full day rate is $25 per day, field trip rate is $28 per day, and half day rate is $15 per day for drop in and full time a.m. only students. 6. If you register for your child to attend a half day, full day or field trip and do not attend, you will be responsible to pay the daily child care cost ($15 half day, $25 full day, $28 field trip day). Release of Liability __________ I grant permission for photographs/videos, which include my child to be used in media releases and benefit the center to be taken. I agree to hold harmless, indemnify and release WilliamsonCounty, WilliamsonCounty School District, their agents and employees and any volunteer from any liability for any injury or damage sustained with the minor while attending SACC along with any SACC activities including field trips. Medical Emergencies __________ I hereby authorize WilliamsonCounty SACC/Child Care personnel to provide emergency medical care for my child enrolled in the program. In the event that I cannot be reached, I hereby give permission to the physician selected by the SACC personnel to order x-rays, routine tests and treatment for the health of my child. I give permission to the physician selected by the SACC personnel to hospitalize, secure proper treatment for and to order injection(s) and/or anesthesia and/or surgery for my child after all emergency contact attempts have been made.