2013-2014 School Year Registration - Hanover District Schools

Hanover Township School Age Child Care(HTSACC)61 Highland AvenueWhippany, NJ 07981973-515-2449 Fax: 973-637-5516District Web-site - www.hanovertwpschools.comProgram e-mail – jennifer.adkins@hanovertwpschools.orgSeptember 2013 – June 2014Registration MaterialsPlease carefully read all enclosed materials and keep pages 1-4 for your records.HTSACC will strictly adhere to the policies within. Thank you. To secure enrollment for the month of September beginning with the first day of school,submit registration forms now through Friday, July 26, 2013. After that date, newenrollments will be effective the first day of the next new month, with paperwork andchanges due before the cutoff dates posted on the school calendar and atwww.hanovertwpschools.com. All registration is accepted in the order it is received. Registrations submitted must include the School Year Registration Fee of $35 per family Registrations are processed as they are received, providing all required materials areenclosed and correct, and your check for the registration fee is included. Missing materials will delay the registration process. If desired programs are full, you will be waitlisted on a first come first serve basis.PLEASE DO NOT SEND IN MONTHLY PAYMENT WITH ENROLLMENT FORMS, wait toreceive your invoice and the Coupon book. After enrollment forms are processed, a copy of your registration will be mailed back toyou as confirmation along with a coupon book to make your first payment. Allconfirmations will be mailed no later than August 16, 2013.*****1

HANOVER TOWNSHIP PUBLIC SCHOOLSOffice of the SuperintendentADOPTED 2013-2014 CALENDAR FOR PUPILS AND STAFFMONTH DATE DAY EVENT PUPIL DAYSSeptember 2 Monday Labor DaySchools closed3-4 Tuesday & Staff In-Service DaysWednesday Schools Closed5 Thursday Rosh HashanahSchools Closed6 Friday First Day of School 17October 14 Monday Columbus DayStaff In-ServiceSchools Closed 22November 7-8 Thursday & NJEA ConventionFridaySchools Closed28-29 Thursday & Thanksgiving HolidayFriday Schools Closed 17December 23-31 Monday- Winter RecessTuesday Schools Closed 15January 1 Wednesday New Year’s DaySchools Closed20 Monday Martin Luther King, Jr. DaySchools Closed 21February 17 Monday Presidents' DaySchools Closed 19March 21April 14-21 Monday- Spring BreakMonday Schools Closed 16May 26 Monday Memorial DaySchools Closed 21June 23 Monday Last Day of School 16Total 185NOTE: If we experience more than three (3) emergency school closings, the following procedure will be put intoeffect. First, the last day of school will be extended to Tuesday, June 24 th and then Wednesday, June 25 th ,etc. until we meet the contractual obligation of 185 work days. Unused emergency closing days will bededucted from the calendar.Adopted 1/22/201322

*****Keep this page for your records*****Hanover Township Public Schools61 Highland Avenue Whippany, New Jersey 079812013-2014Welcome to the Hanover Township School Age Child Care program. This will be the 17 th year thatHTSACC has been providing quality childcare programs to families of Hanover Township. Youshould know that your child will find their time in HTSACC safe & enjoyable. Please be awarethat there is a minimum of one month of enrollment. If you are interested in starting inthe programs after 9/6/13, you must wait until the start of the next new month. Thisregistration packet contains the materials you need to register for the following programs:Program Descriptions: Early Birds and After School Kids are held in the cafeteria of your child’s school.Kinder Kids has its’ own classroom in each school.7:30-8:45 Earlybirds (K-5) provides fun, low-stress activities such as board games, puzzles, cards,simple arts/crafts and a light breakfast.1:05-3:05 Kinderkids (K) provides childcare and activities to compliment the Hanover TownshipSchool's kindergarten program. Kinderkids is offered to Hanover Township children who are registered toattend kindergarten in our elementary schools. You must provide lunch for your child.3:05-6:00 After School Kids (K-5) is designed to allow the children to explore their own intereststhrough the various materials and activities that are made available to them each day. Activities includearts and crafts, board games, science projects, and organized indoor and outdoor games. Homework Clubis available each day for the children to begin their homework with supervision in a quiet atmosphere. Anafternoon snack is provided by HTSACC at 3:05 and again at 5:00 PM.PLEASE READ THE ENROLLMENT AGREEMENT CAREFULLY, your signature indicates yourfull understanding of, and agreement to, the HTSACC enrollment policies.Enrollment ProceduresEnclosed are the school calendar, fee schedule, enrollment agreement, family information andhealth forms for up to two children.Please complete and return:1. Enrollment Agreement (front & back) with signature2. Family Information (front & back)3. Health Information -1 per child (front) with signature4. School Year Fee $35 per family (September-June, regardless of when you enroll)Registrations are processed as they are received with all required materials enclosed. Missingmaterials will delay the registration process. If desired days are full, you will be waitlisted on afirst come first serve basis. PLEASE DO NOT SEND IN MONTHLY PAYMENT WITH ENROLLMENT FORMS.After enrollment forms are received, a copy of your registration will be mailed back to you as yourconfirmation along with a coupon book to make your first payment. Confirmations will be mailed no laterthan August 16, 2013.In order to secure enrollment for the first day of school and the month of September, pleasesubmit the enclosed forms now through Friday, July 26, 2013. If you are enrolling after this date,paperwork is due before the cutoff dates posted on the schools calendar and atwww.hanovertwpschools.com to be effective the first day of the next new month.We look forward to providing your child with the best child care program possible. Best Wishes to you andyour family in the new school year.3

*****Keep this page for your records*****Fee Schedule and Additional Program FeesEffective September 1, 2013-June 30, 2014Below is the fee schedule for Hanover Township School Age Child Care (HTSACC) elementary school programs. Areduction in fees is available to families who qualify, contact the HTSACC office for more information. You will not receivea monthly bill from HTSACC. All payments are to be made using the coupon book. Please retain this schedule for yourrecords.Enrollment in the HTSACC program is for a minimum of one month. Once your child/ren is enrolled, we will considerenrollment to be the same each month for the year unless you indicate otherwise in writing. Schedule changes may bemade to your child’s schedule once per month for the upcoming month of service. Schedule changes incur a $20processing fee and are honored only if space is available on the requested days. Cut-off dates for schedule changes areposted in the School Guide and Calendar that you receive in September and at www.hanovertwpschools.com.For information on calculating Fees for Program enrollment not listed in the fee schedule, please contact the HTSACCoffice.EarlybirdsKinderkidsAfter SchoolKidsEarlybirds&KinderkidsEarlybirds&After SchoolKidsKinderkids& AfterSchool KidsEarlybirds,Kinderkidsand AfterSchool KidsOne ChildTwo ChildrenOne ChildTwo ChildrenOne ChildTwo ChildrenOne ChildTwo ChildrenOne ChildTwo ChildrenOne ChildTwo ChildrenOne ChildTwo Children5days/wk 4day/wk 3days/wk 2days/wk 1day/wk$110$210$220$430$250$490$319$619$349$679$448$877$547$1066$95$182$190$372$215$422$276$536$301$586$386$757$472$921Additional Program Fees$80$154$155$304$175$344$227$443$247$483$315$618$387$756$65$126$115$226$125$246$174$339$184$ 359$229$449$287$563$38$74$65$128$75$148$99$195$109$215$134$263$168$330School Year Registration Fee: $35.00 per family September-June, paid regardless of month registration begins.Late Payment Fee: $25 per week late. Payments for services are due by the 15 th of the month prior to themonth of service. Payments are considered LATE after the 1 st of the month and will incur a $25 late fee for eachweek that the payment is late.Schedule Change Fee: $20. Changes to your child/ren’s schedule are effective the first of the month for theentire month. Changes in scheduling must be received in writing and on or before the posted monthly deadline.All changes must be made in writing, no exceptions.Late Pick Up Fee: $15 for each 15 minute increment or part thereof, per child, Maximum 4 occurrences,additional late pick-ups will be grounds for cancellation of program services. Unscheduled Attendance Fees – Before Care - $10.00 per day, Kinder Kids - $20.00 per day, After School Kids -$30.00 per day, Half Day (12:45 – 6:00 PM) - $45.00 per dayHTSACC TAX ID #: 22 60018 56NEED A RECEIPT FOR CHILDCARE PAYMENTS? Please send in a self-addressed/stamped envelope with yourrequest stating the month you need the receipt for. You may also have a receipt faxed to you. Please state therequest on the coupon and provide your fax.4

HANOVER TOWNSHIP AFTER SCHOOL CHILD CARE PROGRAMENROLLMENT AGREEMENT 2013-2014PLEASE FILL OUT THIS FORM NEATLY & IN PEN. PLEASE PRINT! IT WILL BE RETURNED TO YOUAS CONFIRMATION OF ENROLLMENT WITH A COUPON BOOK TO MAKE YOUR MONTHLY PAYMENT.CHILD ONE:Last Name:________________________________________________,Last NameFirst Name;_______________________________.School Name:_________________. Grade in Sept. 2013:___________._____Earlybirds (EB) _____ Kinderkids (KK) _____ After School Kids (ASK)______Monday ______Monday ______Monday______Tuesday ______Tuesday ______Tuesday______Wednesday ______Wednesday ______Wednesday______Thursday ______Thursday ______Thursday______Friday ______ Friday ______FridayTotal Days: ______ Total Days: ______ Total Days: ______Beginning Month: ____________________.READ & SIGN REVERSE SIDECHILD TWO:Last Name:________________________________________________,Last NameFirst Name: _______________________________.School Name:_________________. Grade in Sept. 2013:___________._____Earlybirds (EB) _____ Kinderkids (KK) _____ After School Kids (ASK)______Monday ______Monday ______Monday______Tuesday ______Tuesday ______Tuesday______Wednesday ______Wednesday ______Wednesday______Thursday ______Thursday ______Thursday______Friday ______ Friday ______FridayTotal Days: ______ Total Days: ______ Total Days: ______Beginning Month: ____________________.READ & SIGN REVERSE SIDEReminder: Send in forms with $35 school year registration fee (September-June)Below is for HTSACC office use only:Registration Check listRegistration Roster/Attendance Medical Alerts Family/Health Info Memo of Attendance Confirmation to Family Site informationBookkeeping New Family Registration Fee InvoiceConfirmation of EnrollmentEnrollment has been confirmed for: ____________Monthly fees for the program are: $_________Prior Credits $__________ Deduct from first paymentPayments are due the 15 th of the month PRIOR to the service monthUse coupon book for accuracy of payment5

HTSACC Enrollment Guidelines and Agreement 2013-2014By my signature, I confirm that I have read the entire enrollment packet and understand the following policies regarding mychild/ren’s enrollment in the HTSACC 2013-2014 programs:1. The child care programs are open according to the official school calendar of the Hanover Township Public Schools2. You must submit the NON-REFUNDABLE $35 School Year Enrollment Fee along with the registration materials tovalidate enrollment, regardless of when you enroll.3. There is a monthly service fee payment for the HTSACC programs. The monthly service fee is determined by dividingthe cost for the entire year into ten equal monthly payments. Therefore, regardless of the number of school days in aparticular month, or the month that your child begins the program, the monthly service fee is always the same.4. Enrollment in the HTSACC programs is for a minimum of one month and once child/ren are enrolled, HTSACC willconsider enrollment to be the same each month unless indicated otherwise in writing no later than the monthly cut-offdate posted on the school calendar and at www.hanovertwpschools.com.5. You will not be billed. You are responsible for payment of monthly fees using the coupon book that will be providedupon confirmation of enrollment.6. Fees are due on the 15 th day of the month prior to the month of service and must include a late fee of $25 ifpostmarked later than the first day of the month of service. A $25 fee will be posted each week payments are late.Non-payment of fees will result in termination of program services for your child/ren.7. You must give notice in writing prior to withdrawal from the program following the posted schedule change cut-offdates. Withdrawal will be effective the 1 st day of the following month and no credits or refunds will be issued for theprogram. You are responsible for fees for the month reserved until withdrawal is effective.8. There are no refunds, credits or make up days due to absence, illness, vacation or activities, you are responsible forfees for time reserved, not actual time spent at the program.9. Changes to your child/ren’s schedule are effective the first of the month for the entire month.10. Changes in scheduling must be received in writing by close of business the day due, no exceptions. Cutoff dates forschedule changes/registration will be posted on the school calendar and at www.hanovertwpschools.com. Thedeadline applies to changes made via US Mail, fax, drop-box or e-mail. There is a $20.00 fee for each monthlyschedule change made.11. On days that school is closed (all programs) or closes early due to emergency conditions (KK and/or ASK), there willbe no HTSACC program and there will be no credits, refunds, or switching of days of attendance as a result of missedattendance in the program due to school closing.12. HTSACC provides full day child care at an additional fee on some holiday and vacation days, enrollment formsavailable one month prior to Holiday/Vacation at the sites or on-line.13. You must keep your Family/Health information up to date and complete for safety/emergency purposes.14. The Program staff will assume full responsibility for your child from the time he/she arrives at the program until yourchild leaves the program. You may not sign your child back into a program once they have been signed out for the day.15. HTSACC will follow the Health Guidelines and Procedures as outlined in the Health Information form in the event ofaccidents/emergencies.16. The Earlybirds program opens at 7:30AM. Do not drop your children off prior to 7:30 AM. After the 2 nd occurrence ofdrop off prior to 7:30 AM, enrollment will be terminated.17. Children must be signed into Earlybirds and signed out of the Kinderkids or After School Kids program each day by anauthorized adult or sibling. All additions to the original list must be received in writing to the office, prior to a pick-up.18. Closing time is 6 PM sharp and you will be responsible for a fine of $15.00 per 15 minute increment or any partthereof, per child, for any time you pick up later than 6 PM. More than 4 late pick-ups are grounds for cancellationof services. Kinder Kids program only must be picked up by 3:05 PM.19. If your child is absent from school, you should contact the program at 973-637-1563. If your child is in school but willnot attend the HTSACC program on a scheduled day, you must notify the school that your child will not attend bywritten notification sent directly to the school through your child’s teacher, as well as calling our office.20. All payments and transactions regarding your child should be mailed or dropped off directly to the HTSACC office.Office hours are 9:00AM until 3:00PM. A secure drop box is available outside of the HTSACC office. At no timeshould payments/transactions be sent in with the child or given to the staff.21. HTSACC will send a newsletter via email or via the FAMILY MAILBOX at your child’s school. Information is alsoregularly available on the web at www.hanovertwpschools.com.I agree to adhere to the stated policies and procedures of the Hanover Township School Age Child Care program asstated here, and give my child/ren permission to participate fully in this program.____________________________ ___________________________ _____________________ _________________Signature Printed Name Relationship to Child DateAll Program Policies & Procedures are available at www.hanovertwpschools.com & in the Family Policies and ProceduresHandbook, available upon request.6

Hanover Township School Age Child Care~ 61 Highland Avenue ~Whippany, NJ 07981973-515-2449 FAX: 973-637-55162013/14 Family/Child Information FormChild 1 Name: ____________________________School: _____________ Grade in Sept. 13: _______Child 2 Name: ____________________________School: _____________ Grade in Sept. 13: _______****Items with *stars are REQUIRED to complete registrationPRIMARY CONTACT- *Relationship____________________________________*Name:__________________________________________________*Address:_____________________________________________________________*Cell Phone:_______________________________________________________*Home Phone:______________________________________________________Employer:_______________________ *Work Phone__________________________*Email:_______________________________________________________________SECONDARY CONTACT-*Relationship__________________________________*Name: _______________________________________________________________*Address:______________________________________________________________*Cell Phone:________________________________________________________*Home Phone:_______________________________________________________*Employer:_______________________ *Work Phone __________________________*Email:________________________________________________________________Do both people listed above have custody of the child(ren) named above? YES___ NO ____If no, please provide court order information regarding custodial rights of both parties.Individuals Authorized for Pick-up:(Besides primary/secondary contact) Parents, emergency contacts and authorizedadults or siblings under 18 years of age will be the only individuals permitted to pick up your child from the program. If an individual’sname is not on the list, they will not be allowed to pick up your child(ren). Any additions or deletions must be made in writing andmailed or faxed to the office. Emergency changes must be called or faxed into the office PRIOR to 1:00 PM that day.***HTSACC reserves the right to request photo identification from anyone picking up a child at our programs. Ifthe Group Leader has a concern with the pick-up person, they will call the child’s contacts, beginning with thePrimary and going down the list before releasing the child. This is for the safety and security of your child/ren!Person’s Name Under 18? Relationship Telephone #”s1. __________________ ______ __________________ ________________ ________________2. __________________ ______ __________________ ________________ ________________3. __________________ ______ __________________ ________________ ________________Emergency Contacts (At least 2-please do not list yourself)Person’s Name Under 18? Relationship Telephone #’s1. ___________________ ______ ___________________ ________________ ________________2. ___________________ ______ ___________________ ________________ ________________3. ___________________ ______ ___________________ ________________ ________________Please ask your child/ren: What activities do you want to do while in HTSACC?__________________________________________________________________________________________________________________________________________________________________________________Goals for my child/ren’s experience in the program:__________________________________________________________________________________________________________________________________________________________________________________Additional information about your child/ren that we should be aware of:__________________________________________________________________________________________________________________________________________________________________________________HTSACC incorporates cultural activities and family traditions into the program. Can you share any informationabout your family culture and tradition with us? ____________________________________________________________________________________________________________________________________________7

Hanover Township School Age Child Care~ 61 Highland Avenue ~Whippany, NJ 07981973-515-2449 FAX: 973-637-55162013/14 Health Information FormOne Form Per ChildPLEASE NOTE – THIS IS A 2 PAGE FORM - BOTH PAGES MUST BE FILLED OUT COMPLETELY ANDSIGNED ON PAGE 2!Child’s Name: __________________________________________Age: ____ Date of Birth: ________ Gender:______LastFirstHeight: ________________ Weight: ___________Eye Color: _______________ Grade in Sept. 2013 ____________Home Address: ______________________________________ Town: ____________________ Zip: _____________Primary Contact in Emergency: Name: _______________________________________ Phone: __________________Secondary Contact: Name:__________________________________ Phone:__________________________Health Guidelines/Procedures:HTSACC staff is trained in First Aid and CPR and will administer first aid for minor injuries.Parents will be notified by HTSACC of injuries that require extensive first aid or additional observation by a physicianThere is no nurse on duty at anytime during the program.HTSACC staff do not administer any form of medication at any time, with the exception of EpiPenIn the case of a major medical emergency, 911 will be called. You will be contacted immediately.HTSACC operates under the guidelines of the Hanover Township Public Schools Communicable diseases policy,all of which policy applies to Camp HTSACC.I hereby give permission for my child, named above, to be transported by emergency vehicle to the hospital emergencyroom for necessary treatment. I understand that an HTSACC staff member will accompany my child.Check One: YES____ NO____Does your child have an Individual Health Care Plan on file with the School Nurse? Yes_______ No________If Yes, do we have your permission to view this plan? Yes________ No__________Signature of Parent or Guardian______________________________________________________________Chronic Illnesses ( asthma, seizure disorder, etc.): Describe illness and management:______________________________________________________________________________________________________________________________________________________________________________________________________Medication for Chronic Illness:___________________________________________________________________________________________________Allergies: (list all known; use extra paper if needed). Being very specific, please describe allergic reaction and management(i.e. apples – rash on face develops if eaten, no treatment, call parent):______________________________________________________________________________________________________________________________________________________________________________________________________Medication for Allergies*:______________________________________________________________________________*If medication for allergies includes an EpiPen, please read and sign the following statement:If my child has an allergy requiring the use of an EpiPen and has an Individual Health Care Plan on file for such with theSchool Nurse, I give my permission for a designated member of the HTSACC staff to administer the EpiPen to my child ifit is deemed necessary. I understand that this employee is not a trained health care professional, but a designee of theSchool Nurse and has been trained to administer the EpiPen by the School Nurse. I also understand that I will be8

esponsible for providing the HTSACC program with a separate EpiPen, in its’ original box with the original prescription.The pen will be labeled for your child (same procedure as used by the school nurse) and kept in a secure location in themain site for HTSACC. If my child’s allergy requires the need for an EpiPen, and I do not agree to these terms, my childwill not be permitted to participate in the HTSACC program.Parent or Guardian Signature____________________________________(only if child requires EpiPen)Does your child have an inhaler for asthma at their school?Yes ________ No___________ Carries own inhaler_________Inhaler with nurse__________If yes, will your child have an inhaler available for use at HTSACC (note – must be self-administered with Dr. order)Yes_________ No___________Does your child take medication for any Behavioral Issues? Yes__________ No_____________Dietary Restrictions: __________________________________________________________________________________Other Restrictions: ___________________________________________________________________________________Child’s Primary Care Physician: __________________________________ Phone: (_____)_________________________Insurance Provider: ______________________________Policy # ______________________ Group # _______________Signature : ___________________________________________________________ Date: _______________9

___________________________________________________________________________________________Hanover Township School Age Child Care~ 61 Highland Avenue ~Whippany, NJ 07981973-515-2449 FAX: 973-637-55162013/14 Health Information FormOne Form Per ChildPLEASE NOTE – THIS IS A 2 PAGE FORM - BOTH PAGES MUST BE FILLED OUT COMPLETELY ANDSIGNED ON PAGE 2!Child’s Name: __________________________________________Age: ____ Date of Birth: ________ Gender:______LastFirstHeight: ________________ Weight: ___________Eye Color: _______________ Grade in Sept. 2013 ____________Home Address: ______________________________________ Town: ____________________ Zip: _____________Primary Contact in Emergency: Name: _______________________________________ Phone: __________________Secondary Contact: Name:__________________________________ Phone:__________________________Health Guidelines/Procedures:HTSACC staff is trained in First Aid and CPR and will administer first aid for minor injuries.Parents will be notified by HTSACC of injuries that require extensive first aid or additional observation by a physicianThere is no nurse on duty at anytime during the program.HTSACC staff do not administer any form of medication at any time, with the exception of EpiPenIn the case of a major medical emergency, 911 will be called. You will be contacted immediately.HTSACC operates under the guidelines of the Hanover Township Public Schools Communicable diseases policy,all of which policy applies to Camp HTSACC.I hereby give permission for my child, named above, to be transported by emergency vehicle to the hospital emergencyroom for necessary treatment. I understand that an HTSACC staff member will accompany my child.Check One: YES____ NO____Does your child have an Individual Health Care Plan on file with the School Nurse? Yes_______ No________If Yes, do we have your permission to view this plan? Yes________ No__________Signature of Parent or Guardian______________________________________________________________Chronic Illnesses ( asthma, seizure disorder, etc.): Describe illness and management:______________________________________________________________________________________________________________________________________________________________________________________________________Medication for Chronic Illness:___________________________________________________________________________________________________Allergies: (list all known; use extra paper if needed). Being very specific, please describe allergic reaction and management(i.e. apples – rash on face develops if eaten, no treatment, call parent):______________________________________________________________________________________________________________________________________________________________________________________________________Medication for Allergies*:______________________________________________________________________________*If medication for allergies includes an EpiPen, please read and sign the following statement:If my child has an allergy requiring the use of an EpiPen and has an Individual Health Care Plan on file for such with theSchool Nurse, I give my permission for a designated member of the HTSACC staff to administer the EpiPen to my child ifit is deemed necessary. I understand that this employee is not a trained health care professional, but a designee of the10

School Nurse and has been trained to administer the EpiPen by the School Nurse. I also understand that I will beresponsible for providing the HTSACC program with a separate EpiPen, in its’ original box with the original prescription.The pen will be labeled for your child (same procedure as used by the school nurse) and kept in a secure location in themain site for HTSACC. If my child’s allergy requires the need for an EpiPen, and I do not agree to these terms, my childwill not be permitted to participate in the HTSACC program.Parent or Guardian Signature________________________________________(only if child requires EpiPen)Does your child have an inhaler for asthma at their school?Yes ________ No___________ Carries own inhaler_________Inhaler with nurse__________If yes, will your child have an inhaler available for use at HTSACC (note – must be self-administered with Dr. order)Yes_________ No___________Does your child take medication for any Behavioral Issues? Yes__________ No_____________Dietary Restrictions: __________________________________________________________________________________Other Restrictions: ___________________________________________________________________________________Child’s Primary Care Physician: __________________________________ Phone: (_____)_________________________Insurance Provider: ______________________________Policy # ______________________ Group # _______________Signature : ___________________________________________________________ Date: _______________11

Hanover Township Public SchoolsHanover Township School Age Child CareOffice of the Program Coordinator61 Highland Avenue Whippany, New Jersey 07981973-515-2449 FAX 973-637-5516Child Behavior PolicyThe child behavior policy is in place to assure that there are uniform guidelines for behavior management withinthe HTSACC programs. It is expected that all families enrolled understand the policy that HTSACC followswhen dealing with matters regarding inappropriate behavior. It is the goal of the HTSACC staff to setappropriate limits for the children to succeed within. Staff will give acknowledgement to children with theycooperate, share and participate. The staff will also encourage children to resolve their own conflicts usingconflict resolution methods and will intercede when needed.When inappropriate behavior occurs and/or persists, HTSACC staff will help a child modify this behavior bytalking with the child to help them understand why the behavior is not acceptable. They will also discuss theconsequences of that behavior, as well as alternatives to use in the future. It is required that HTSACC staff reportany inappropriate behavior that results in physical or verbal harm to a child’s peers, staff or themselves to thechild’s family. All incidents of inappropriate behavior will be documented , parents will be notified and requiredto sign the incident report.After two documented incidents, the family of the child will be contacted for a meeting with the Group Leaderand/or Program Coordinator. The desired outcome from a meeting is to produce positive behavior guidelines forthe child with the staff and families in agreement. The behavior guidelines should then be met andimprovements seen within a pre-determined period of time. After this period, the decision will be made for thecontinuation or discontinuation of the child’s enrollment in the HTSACC program. If enrollment is cancelled, theProgram Coordinator will decide the length of time that suspension is necessary. There will be no refund of feespaid if a child is suspended from a program.The Program Coordinator has the discretion to temporarily or permanently remove a child from the program ifdocumented behavior problems persist or if immediate action is necessary. It is the discretion of the GroupLeader if a child’s behavior requires that a family member pick up a child earlier than time of program closing.Enrollment in all HTSACC programs requires agreement to the behavior policy.I have read and I understand the HTSACC Child Behavior Policy and by my signature accept the policyas stated.Child/ren’s Name:_______________________________________ School:______________Parents Signature: __________________________________________ Date:________________PLEASE SIGN AND RETURN WITH COMPLETED REGISTRATION MATERIALSParents/childbehaviorpolicy.doc12