Harvard Elementary School Eagle’s Nest · 2019-12-09 · NOTE: The Tuition and Fees listed below are the Spring Rates.If you registered in the Fall for Full or Half Time Ext Day

AVAILABLE ONLINE BEGINNING DECEMBER 9 DOWNLOAD COMPLETE REGISTRATION GUIDE FROM https://www.houstonisd.org/Domain/21225

NOTE: All Registrations are on a first come first serve basis

Questions: Contact Sylvia Ponce de Leon, Director: [email protected] OR 713-529-3507

Registration Info Dates Where

On Site Early Registration $15.00 Registration Fee

DECEMBER 9-13 (11:30-6:00) DECEMBER 16-18 (1:30-6:00)

Eagle’s Nest Office

On Site January Registration $25.00 Registration Fee

Beginning January 6 (Registration may be processed for your child to begin within 2 days from the day

you submit your registration)

Eagle’s Nest Office

Add-Drop Deadline Until January 31 Eagle’s Nest Office

Spring 2020 Extended Day Jan 6 – May 29 On Site

Spring 2020 Enrichment Classes Available for registration Dec 9 (Fall 2020 Enr Class Registration will be held in May)

Jan 13 – May 22 On Site

After School Ext Day & Enr Options Offered for Spring 2020 Option Type Time Biweekly Cost SPRING Total Payment Schedule Full Time 2:50 - 6:00 $115.00 $1150.00 Bi-Weekly Half Time 2:50 - 5:00 $108.00 $1080.00 Bi-Weekly Occ Ext Day 5 Units 2:50 - 6:00 $65.00/set In Full Spring Enrichment (Fall Reg in May)

3:30-4:30 4:35-5:35

See schedule in packet 4 Month Pymt Plan

Bridge to 2nd Class 2:50-4:35 $95.00

4 Month Pymt Plan

Early Dismissal Ext Day (2 days: 01/17; 02/14)

11:30-2:50 $30.00 (total) In Full

Do not delay…register ASAP so that your services may begin on Monday, JANUARY 6.

Extended Day Payment Plan for SPRING 2020: Bi Weekly: At Registration, Jan 16, Jan 31, Feb 13, Feb 28, Mar 13, Apr 3, Apr 17, May 1, May 15

4 Month Payment Plan: At Registration, Feb. 13, Mar 13, Apr 17

4 Month Fall Payment Plan for Enrichment Classes Spring 2020: At Registration, Feb. 13, Mar 13, Apr 17

Make your 1st money order OR check payable to: Harvard Elementary ALL PAYMENTS AFTER YOUR 1ST PAYMENT MAY BE SUBMITTED VIA SCHOOLPAY.COM

All outstanding balances must be paid before registration is accepted Any FALL 2019 outstanding balances of $100.00 or greater will be rolled over to the SPRING 2020 with a $25.00 rollover fee

assessed. Any SPRING 2020 outstanding balances $100 or greater remaining after MAY 15 will be rolled over to the FALL 2020 with a $25.00 rollover fee.

Questions: Contact Sylvia Ponce de Leon, Director: [email protected] OR 713-529-3507 Contact Erick Vazquez, Coordinator or Eagle’s Nest Bookkeepers: [email protected] OR 713-556-2249

Copyright © 2019 CIASP Parent Copy

Harvard Elementary School Eagle’s Nest

REGISTRATION GUIDE SPRING 2020

______________________________________________________ _____________________________________ _______________________________ Student Name Grade Level 2019-2020 Homeroom Teacher

_________________________________________________ __________________ __________________________________________ Name of person responsible for account/billing/changes Relationship to child Contact Phone Number(s)

_________________________________________________ __________________ __________________________________________ Name of person responsible for account/billing/changes Relationship to child Contact Phone Number(s)

________________________________________________________/____________________/___________________/__________________ Billing Street Address / City / State / ZIP

__________________________________________________________________________________________________________________ Email Contact for person(s) responsible for billing I authorize the After School Program to disclose any information regarding my account to the following individual(s) (if applicable):

_____________________________________________________________________________________________________________ Name(s) • *List the total cost for your first option for Enrichment Classes on ITEM B below. If you do not get your 1st choice, the 2nd payment due will be readjusted. If you pay the entire amount NOW based on your first choice, your bill will be adjusted accordingly. A. AFTER SCHOOL Extended Day Options (Write in the amount(s) for all that apply: Extended Day Option: Spring TuitIon Minimum Pymt Total Submitted Full-Time (Until 6:00) Spring $1150.00 $115.00 (BIWEEKLY) $____________ Half-Time (Until 5:00) Spring $1080.00 $108.00 (BIWEEKLY) $____________ Occasional Days/5 Unit Increments $ 65 (5); $130 (10); $195 (15) $ 65.00 (5 Units) $____________ Bridge Enrichment to 4:10 SPRING $95.00/day $____________ Fee-based Homework Help SPRING $150.00/day $____________ Early Dismissal Ext Day (11:30-2:50) SPRING $30.00 (01/17; 02/14) $____________

Total for Extended Day Options $____________ (A) B. Total Tuition for Enrichment Class(es) (Calculation of ¼ pymt $_____________) $____________ (B) C. Total Fees for Enrichment Classes $____________ (C) D. Registration Fee by DEC 18 (See timeline on front cover) $ 15.00 (D) E. Registration Fee after DEC 18 (See timeline on front cover) $ _______ 25.00 (E) Grand Total of A-E: $____________ (F) Payment submitted: $___________ REMEMBER TO SUBMIT YOUR 2ND PAYMENT BY THE DUE DATE LISTED BELOW (Biweekly Plan or 4 month Payment Plan). If purchasing only occasional days, please pay in full. Please Initial: 1. _________Registration in the Extended Day Program is an acceptance of the Contract Agreement/Safety Plan. 2. ________I have submitted full payment based on my 1st choice for enrichment classes. I understand that the amount due may increase or decrease if my first choice is not met. The After School Program will adjust my account accordingly and I will submit my payment (if necessary) by the 2nd payment due date. 3. ________ I am paying ! of the Grand Total based on my 1st choice for Enrichment Classes. I understand that the amount due may increase or decrease if my first choice is not met. My account will be adjusted accordingly and I will submit payment by the 2nd payment due date. 4. ___________I understand that a late payment fee of $10.00 will be added to my account if I do not submit my payments by the due dates as specified here and on the Front Cover Page _________________________________ ______________________________ ___________________ Name (person responsible for bill) Signature Date _________________________________ ______________________________ ___________________ Name (person responsible for bill) Signature Date 2 Copyright © 2019 CIASP

Office Copy


TUITION/FEE PAYMENT FORM – SPRING 2020

Office Use Only: ____BiWeekly Option for Ext Day ______! Payment Option for Ext Day ______Initial of Staff ____________Date Reg. Received ____________Time Received __________CK # __________Amount

NOTE: The Tuition and Fees listed below are the Spring Rates. If you registered in the Fall for Full or Half Time Ext Day and continue on either of these options, you will not be assessed a $25.00 registration fee again. However, you will be assessed a registration fee again if you register in Enrichment Classes or change your Ext Day Option. Also, If you wish to withdraw from Ext Day, you must submit a written notice to the After School Program Office. However, keep in mind if you do withdraw and wish to RE-Enroll for any portion of Extended Day, a $25.00 Administrative Reinstatement Fee will be assessed. Thank you.

Student’s Name: __________________________________________________________ Grade Level: _________________________________

Office Copy 3 Copyright ! 2019 CIASP

Spring 2020: Full, Half, Occasional & Early Dismissal Extended Day Program (" Select One Option) Full & Half Time Extended Day - Bi Weekly Payment Plan

Full Time Ext Day 2:50-6:00/$115/Bi-WEEKLY

$1150.00 (Spring) Spring: 10 equal payments of $115

Half Time Ext Day 2:50-5:00/$108/BI-WEEKLY

$1080.00 (Spring) Spring: 10 equal payments of $108

Full & Half Time Extended Day – 4 Payment Plan Full Time Ext Day 2:50-6:00/4 Payments

$1150.00 (Spring) Spring: 4 equal payments of $287.50

Half Time Ext Day 2:50-5:00/4 Payments

$1080.00 (Spring) Spring: 4 equal payments of $270.00

HOMEWORK ASSISTANCE – $150.00/day ONLY if you are enrolled in Occ OR Only Homework HOMEWORK ASSISTANCE Offered to 1st-5th Graders

_____MON 3:30-4:30 _____TUES 3:30-4:30 _____ WED 3:30-4:30 _____THUR 3:30-4:30 _____MON 4:35-5:35 _____TUES 4:35-5:35 _____ WED 4:35-5:35 _____THUR 4:35-5:35

Occasional Ext Day

"5 Units "10 Units "15 Units "20 Units "25 Units Occasional Ext Day 2:50-6:00

$65.00 $130.00 $195.00 $260.00 $325.00

Bridge to Enrichment Bridge to Enrichment $95.00/day Bridge of Time to cover ONLY 1 hour supervision before a

4:05 OR 4:35 Enr Class on a per day basis. Early Dismissal Ext Day (2 days: 01/17; 02/14)

Early Dismissal (2 days) $30.00 (2 days: 01/17; 02/14)

DESCRIPTION OF EXTENDED DAY OPTIONS Full-Time Ext Day until 6:00 Extended Day Supervision until 6:00 for Full Time Ext Day. Half-Time Ext Day until 5:00 Part-time Supervision until 5:00 PM daily. Minimum of 5 Occasional Ext Day Units will be added to

your account if you pick up your child after 5:00 pm. Occasional Ext Day

Units until 6:00 Occasional Extended Day Units provide an economical choice for students needing intermittent services and may be purchased in increments of 5. PLEASE NOTE: Unused units from the Fall carry over to the Spring Semester, but may not be carried over to the next school year. At the end of the Spring Semester unused Occasional units are forfeited. The following applies to Auto Purchases as well.

Bridge Enrichment Bridge Enrichment (up to 1 hour of time) is designed for students who enroll SOLELY in a Private Lesson at 4:05 OR 4:35 pm Enrichment Class on a per day basis. Therefore, your child will be supervised ONLY the class time (up to 1 hour of time) before the Enrichment Class.

Late Pick-up after Enr Classes

If your child is enrolled ONLY in Enrichment Classes and you are late picking him/her up after the class time, you will be assessed a late fee of $2.00/minute. (Please see the Coordinator for further details when needed.)

Late Pick-UP AFTER 6:00 PM

If you pick up your child after 6:00 PM you will be assessed a late fee of $2.00 per minute. If late pick-up fees are not paid within 24 hours, the fee is automatically doubled. (Check or money order only.) Also, after the 5th late pick-up I may be asked to make other arrangements for After School Child Care.

HOMEWORK ASSISTANCE Homework assistance is available at NO COST for those enrolled ONLY in Full Time or Half Time Ext Day (everyday). This class is designed to provide a quiet environment away from your child’s busy group. Our ASP Staff is not responsible for Tutoring or re-teaching a concept taught in your child’s homeroom and reinforced in your child’s homework. If your child is unable to complete his/her homework independently, the ASP Staff will notify you. For students enrolled ONLY in Enrichment, Occ Ext Day or Early Dismissal, the cost of homework is listed at the top of this page.


Extended Day Registration Form Spring 2020

Crse#Course Name DayTime Tuition Fees TeacherGrade Room

TBA

1st 2nd 3rdCHOICES !

EAGLE'S NEST @ HARVARD ELEMENTARYMASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2020

Classes begin the Week of January 13 NOTE! NOTE! NOTE! NOTE! NOTE!

1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum enrollment.In the Fall, there are 13 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester. Classes are formed onlywhen the minimum enrollments are met. Refer to the Course Descriptions for min/max number of students per class.NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional costs, the Providerswill notify you.

02An Engineering World (STEM)/K-2 Mon3:30-4:30 $295.00 $0.00 MDG Gulf CoastK-2 $14.50 Harvard

03Create your Comic Book(s) Mon3:30-4:30 $255.00 $25.00 TBA2-5 $12.00 Harvard

04Debate Club Mon3:30-4:30 $305.00 $0.00 MDG Gulf Coast4-5 $15.00 Harvard

05Fitness for Kids! Mon3:30-4:30 $255.00 $5.00 Mini StarsK-5 $12.00 Harvard

06Hip-Hop & Break Dance/K-2 Mon3:30-4:30 $290.00 $40.00 DCTK-2 $14.00 Harvard

10Kodu: Video Game Creations Mon3:30-4:30 $255.00 $0.00 Active Learning1-5 $12.00 Harvard

07Little Picassos Mon3:30-4:30 $305.00 $30.00 Young PicassosPK-1 $15.00 Harvard

08Public Speaking Mon3:30-4:30 $270.00 $10.00 Coloquia Language Arts2-5 $13.00 Harvard

09Sculpture & Clay Mon3:30-4:30 $255.00 $40.00 TBAPK-5 $12.00 Harvard

11Hip-Hop & Break Dance/3-4 Mon4:35-5:35 $290.00 $40.00 DCT3-4 $14.00 Harvard

12Guitar Fundamentals (Private) @ M3:30 - closed Mon3:30-4:00 $570.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

13PianoA (Private) @ M3:30 - closed Mon3:30-4:00 $570.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

14PianoB (Private) @ M3:30 - closed Mon3:30-4:00 $570.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard










24Attention, Organizational & Studying Techniques Tues3:30-4:30 $305.00 $10.00 Coloquia Language Arts2-5 $13.00 Harvard

25Ballet/Tap/Creative Movement Tues3:30-4:30 $325.00 $40.00 DCTPK-K $14.00 Harvard

26Imagineers Tues3:30-4:30 $295.00 $15.00 American Robotics AcademyPK-K $12.25 Harvard

27Little Med School/Wilderness Medicine Tues3:30-4:30 $305.00 $15.00 Little Med SchoolPK-5 $13.00 Harvard

28Mad Science Tues3:30-4:30 $355.00 $0.00 Mad Science of HoustonK-5 $15.75 Harvard

29Painting on Canvas Tues3:30-4:30 $305.00 $40.00 Coloquia Language ArtsPK-5 $13.00 Harvard

30Young Picassos Tues3:30-4:30 $340.00 $30.00 Young PicassosK-5 $15.00 Harvard

31Ballet/Jazz Tues4:35-5:35 $325.00 $40.00 DCT1-3 $14.00 Harvard

32Crazy Action Contraption/Wacky Walkers Tues4:35-5:35 $295.00 $15.00 American Robotics Academy1-5 $12.25 Harvard

33Piano (Private) @ Tu3:30 - closed Tues3:30-4:00 $640.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

34Voice (Private) @ Tu3:30 - closed Tues3:30-4:00 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard



TotalStudent's Name_______________________________________

______/_______Tuition Fees

(B) (C)ASP Office Copy 4copyright © 2019 CIASP

Music


TBA









41A Taste of Charm & Chivalry Wed3:30-4:30 $340.00 $20.00 Monica Lewis School of EtiquettePK-5 $15.00 Harvard

42ArtSmart-Early Childhood Art Wed3:30-4:30 $290.00 $40.00 TBAPK-K $12.00 Harvard

43Chess Instruction with USA Chess/K-5 Wed3:30-4:30 $290.00 $5.00 Active LearningK-5 $12.00 Harvard

44Martial Arts/Beginners & Intermediate*** Wed3:30-4:30 $340.00 $35.00 Mini Stars2-5 $15.00 Harvard

45Robo-Engineers Wed3:30-4:30 $305.00 $0.00 Interactive Robotics1-5 $13.00 Harvard

46Spanish for Life - For Former Students K-2 Wed3:30-4:30 $305.00 $25.00 Coloquia Language ArtsK-2 $13.00 Harvard

47Spanish for Life 1 Part 2 - PK-1 Wed3:30-4:30 $305.00 $25.00 Coloquia Language ArtsPK-1 $13.00 Harvard

48Guitar Fundamentals (Private) @ W3:30 - closed Wed3:30-4:00 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

49PianoA (Private) @ W3:30 - closed Wed3:30-4:00 $640.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

50PianoB (Private) @ W3:30 - closed Wed3:30-4:00 $640.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

51Voice (Private) @ W3:30 - closed Wed3:30-4:00 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

52Guitar Fundamentals (Private) @ W4:05 - closed Wed4:05-4:35 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard




56Guitar Fundamentals (Private) @ W4:40 Wed4:40-5:10 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard




60Guitar Fundamentals (Private) @ W5:15 Wed5:15-5:45 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


62PianoB (Private) @ W5:15 Wed5:15-5:45 $640.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

63Voice (Private) @ W5:15 Wed5:15-5:45 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

64Art After School: Multimedia Thur3:30-4:30 $290.00 $40.00 TBA1-5 $12.00 Harvard

65Coding Club with micro:bits/Robotics Club 3-5 Thur3:30-4:30 $295.00 $0.00 MDG Gulf Coast3-5 $12.50 Harvard

66En Guarde: Fence for Fun Thur3:30-4:30 $305.00 $0.00 Bayou City Fencing1-5 $13.00 Harvard

67Eng, Science and CSI Thur3:30-4:30 $340.00 $0.00 Camp EinsteinK-5 $15.00 Harvard

68Getting Ready Art Thur3:30-4:30 $340.00 $0.00 Monart School of ArtK-5 $15.00 Harvard

69Jewelry Making / Origami Thur3:30-4:30 $290.00 $50.00 TBA1-5 $12.00 Harvard

70Little Vet School DOG Thur3:30-4:30 $305.00 $15.00 Little Med SchoolPK-5 $13.00 Harvard

71Mad About Hoola Hoops / PK-2 Thur3:30-4:30 $340.00 $0.00 Mad About HoopsPK-2 $15.00 Harvard




Cafe


TBA





72Yoga for Kids Thur3:30-4:30 $290.00 $5.00 Mini StarsK-5 $12.00 Harvard

73Zumba for Kids Thur3:30-4:30 $340.00 $0.00 Tropa Z FitnessK-5 $15.00 Harvard

74Conflict Resolution (2-5) Thur4:35-5:35 $305.00 $10.00 Coloquia Language Arts2-5 $13.00 Harvard

75Mad About Hoola Hoops / 3-5 Thur4:35-5:35 $340.00 $0.00 Mad About Hoops3-5 $15.00 Harvard

76Guitar Fundamentals (Private) @ Th3:30 - closed Thur3:30-4:00 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

77Piano (Private) @ Th3:30 - closed Thur3:30-4:00 $640.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

78Violin (Private) @ Th3:30 - closed Thur3:30-4:00 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

79Guitar Fundamentals (Private) @ Th4:05 Thur4:05-4:35 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


81Violin (Private) @ Th4:05 - closed Thur4:05-4:35 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

82Guitar Fundamentals (Private) @ Th4:40 - closed Thur4:40-5:10 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


84Violin (Private) @ Th4:40 Thur4:40-5:10 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

85Guitar Fundamentals (Private) @ Th5:15 Thur5:15-5:45 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


87Violin (Private) @ Th5:15 Thur5:15-5:45 $640.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard

88Cardio Kickboxing Fri3:30-4:30 $325.00 $0.00 Tropa Z FitnessK-5 $15.00 Harvard

89Creative Writing & Story Book Illustration Fri3:30-4:30 $325.00 $0.00 Monart School of ArtK-5 $15.00 Harvard

90Dance Theater - A Repertoire Fri3:30-4:30 $270.00 $0.00 Houston Healthy Hip-Hop1-5 $12.00 Harvard

91Little Hands in Action Fri3:30-4:30 $290.00 $40.00 Coloquia Language ArtsPK-1 $13.00 Harvard

92Little Mandarin Speakers Fri3:30-4:30 $350.00 $35.00 VIVO Professional MusicPK-3 $16.50 Harvard

93RAD Art Fri3:30-4:30 $270.00 $0.00 Houston Healthy Hip-Hop3-5 $12.00 Harvard

94Reverse Engineering 1 (REV1) Fri3:30-4:30 $275.00 $15.00 American Robotics Academy3-5 $12.25 Harvard

95Tumbling/Gymnastics Fri3:30-4:30 $325.00 $0.00 Mini StarsPK-3 $15.00 Harvard

96Piano (Private) @ F3:30 - closed Fri3:30-4:00 $605.00 $0.00 VIVO Professional MusicPK-5 $33.00 Harvard

97Violin (Private) @ F3:30 - closed Fri3:30-4:00 $605.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


99Violin (Private) @ F4:05 Fri4:05-4:35 $605.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


101Violin (Private) @ F4:40 - closed Fri4:40-5:10 $605.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard


103Violin (Private) @ F5:15 Fri5:15-5:45 $605.00 $0.00 VIVO Professional MusicK-5 $33.00 Harvard





Contract Agreement/Safety Plan Spring 2020 By signing below, I understand the contents of this registration packet and agree to the following for the Spring 2020. Disregard of this contract and/or the contents in the registration packet will result in immediate dismissal from the Harvard Elementary School After School Program. 1. ______I understand I am presently enrolling for Extended Day for Spring 2020. Also, I understand

that if I enrolled in the Fall 2019 in Full or Half Time Extended day (everyday), I will automatically be enrolled in the same Ext Day Option for Spring 2020 unless I have notified in writing the after school office that my child will not be reporting to Extended Day in Spring 2020 or at any other time. Also, I understand that if I do register for Spring 2020 Enrichment Classes or change my Ext Day Options or withdraw and re-enroll, there is a $25.00 Fee I will be assessed.

2. _____ TIMELINES: I have received a copy of the timeline with all important dates, including registration dates, payment due dates, and the dates that Extended Day and Enrichment Classes begin and end. (Timeline is on front cover.)

3. _____ CLASS TIMES: I understand the times of Extended Day, Enrichment Classes, and Homework Assistance as listed on page 3 and on the Master Schedule of Enrichment Classes provided in this registration packet.

4. PAYMENTS: (Please init ial each item below on the l ine) _____1st Payment MUST BE SUBMITTED by check or money order payable to: Harvard Elementary School. All subsequent payments are to be submitted via schoolpay.com Cash is not accepted. _____If I choose the Bi Weekly Option or the 4 Month Payment Plan for Full or Half Time Ext Day, I will pay at least the minimum due on the due dates, as stated on the front cover page. In addition, I understand the 4 Month Payment Plan option is the only payment option for Enrichment Classes. Whichever option I choose the, Bi Weekly or 4 month payment plan, I will be assessed a monthly late fee of $10.00 after each due date, as listed on the front cover page.

_____I will be assessed a $35.00 charge for each returned check by HISD. I understand HISD will contact me via U.S. Mail regarding returned checks and that I am to direct my repayment to HISD directly, as the letter will instruct. Failure to do so will result in suspension of services. _____I understand that after school services may be suspended if I do not pay my bill on time. In addition, any accounts with outstanding balances of $100.00 or greater remaining after May 15 will be assessed a $25.00 fee which will be rolled over to the Fall 2020 semester. Failure to meet your financial obligations may result in suspension of services. 5. _____ ADD/DROP: Only 2 changes are permitted during Add/Drop. No class changes will be made

and no refunds or credits will be issued after January 31. 6. _____ PRORATION OF CLASSES: ANY Enrichment Class attended until January 31 will be prorated.

In addition, if you withdraw from a class after January 31, your bill will be prorated ONLY if your child is required to attend Tutoring Classes by his/her school teacher or if your child withdraws from Harvard Elementary School. In addition, no refunds will be assessed in the event of HISD canceling after-school activities for inclement weather or any other extenuating circumstances or if your child is absent from the school or after school.

7. _____ OCCASIONAL DAYS: • If I purchase Occasional Days and all units are used, another 5-Unit Occasional Card will be automatically billed to my account, which I am responsible for the cost.

8. _____ SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign my child out from the After School Staff. Failure to sign the student out will be regarded as an “Incident” and may result in suspension from the program for the remaining school year. SHOWING PHOTO ID IS MANDATORY. copyright © 2019 CIASP

7 Office Copy


Contract Agreement/Safety Plan Spring 2020 9. _____ SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child

must sign my child out from the After School Staff. Failure to sign the student out will be regarded as an “Incident” and may result in suspension from the program for the remaining school year. SHOWING PHOTO ID IS MANDATORY.

10. _____ ENRICHMENT CLASSES BEGINNING AFTER 3:30 ONLY: I must enroll my child in either a 3:30 enrichment class, Bridge UNTIL class time of Enrichment, or Occasional Extended Day in order for my child to participate in an Enrichment Class after 3:30.

11. _____ LATE PICK UP: • If my child is picked up after 6:00 PM I understand I will be assessed a late pickup fee of $2.00/minute. • After the 5th late pick-up I may be asked to make other arrangements for After School Child Care. • The official time for our after school program will be gauged by the school clock. • Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically doubled (Check or money order only).

12. _____ CHANGES IN HOW A STUDENT GETS HOME: I MUST notify the ASP Coordinator in writing (phone calls not accepted) via faxed or written note dropped off in the ASP Office or in the ASP Box (located in front school office) OR via email ([email protected]) and ([email protected]) for ANY changes in how my child gets home. ONLY the adult who registers the child is authorized to make changes in regards to pick up arrangements. Without written permission, my child will not be permitted to leave.

13. _____ BEHAVIOR EXPECTATIONS: The HISD Code of Student Conduct will serve as the basis for all discipline expectations to ensure the safety of all students and staff members. Parents will be notified

immediately if their child has violated any portion of the school’s previously communicated Code of Student Conduct. Services will be suspended should disrespectful or unsafe behavior be directed towards a student or staff member, either by a parent of a student or a student enrolled in the program. I understand that it is my responsibility for reading and knowing the expectations of the HISD Code of Conduct. I also understand that the program reserves the right to deny services on a permanent basis if behavior expectations are not being met.

14. _____ SPECIAL NEEDS: We do not provide staff trained to deal with special needs. Please contact the school administration with any questions.

15. _____ TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any student in grades PK-5. All such devices must be kept in the student’s backpack.

16. I understand that my email address and/or phone number(s) may be given to the Provider of any Enrichment class in which I have enrolled my child should the Provider find it necessary to contact me.

17. _____ MEDIA PERMISSION: I authorize the Harvard Elementary After School Program to include my child in photographs used for publicity ____YES ____NO 18. All information published in this registration packet applies to this contract. In addition, I understand and agree to adhere to any guidelines amended to this contract and that I will be notified in writing by the after school program. _________________________/_________________________/__________/_______________________ Name of Parent (please print) Parent Signature Date STUDENT NAME _________________________/_________________________/__________/_______________________ Name of Parent (please print) Parent Signature Date STUDENT NAME

copyright © 2019 CIA

Office Copy

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Only the individuals listed on the Tuition Fee Payment Form are authorized to make any changes to this form.

_________________________________________________ ___________________ _______________________ Student Name Grade Level 2019-2020 Homeroom Teacher _________________________________________________ __________________________________________ Father’s Name Mother’s Name _____________________________________________________________________________________________ Father’s Home Phone# Father’s Work Phone# Father’s Cell Phone# _____________________________________________________________________________________________ Mother’s Home Phone# Mother’s Work Phone# Mother’s Cell Phone# Individuals authorized to pick up my child are: ______________________________________________________________________________________________ Name Work Phone # Home Phone# Other Phone# ______________________________________________________________________________________________ Name Work Phone# Home Phone# Other Phone# ______________________________________________________________________________________________ Name Work Phone# Home Phone# Other Phone# ______________________________________________________________________________________________ Name Work Phone# Home Phone# Other Phone# My child is allergic to the following: ____________________________________________________________________________________ _________________________________________________________________________________________________________________ Please note: 1. It is important you notify the After School Program in writing when you have updated information such as an

address change, individuals you authorize to pick up your child, foods your child may be allergic to, etc. 2. On any given day someone NOT listed on the ASP Authorization/Emergency Form needs to pick up your child, the

After School Office must receive notification in writing (no later than 1:00 PM – or 10:00 AM on Early Dismissal Days) from the parent or the individual registering the student. You MUST notify the After School Office as follows:

A. email this notification to: [email protected] OR [email protected] B. Fax it to: 713-867-5215 and address the note to the attention of After School Program.

C. Drop off a note in the After School Program box located in the front school office. D. Drop off a note in the After School Program office.

3. Please be aware that we will NOT release your child to anyone unless we have it in writing. We will not make any exceptions. Also: we will not release your child to anyone under the age of 18.

Copyright © 2019 CIASP Office Copy

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Authorization Emergency Form – Spring 2020

Documents

Harvard Elementary School Eagle’s Nest · 2019-12-09 · NOTE: The Tuition and Fees listed below are the Spring Rates.If you registered in the Fall for Full or Half Time Ext Day