Mandarin Immersion Magnet School (MIMS) After School ... · child to Ext Day on an average of 2-3 days per week. Each time your child reports to the After School Program, 1 Unit will

Spring 2018: Extended Day Payment Due Dates (Bi Weekly) (Add One-Time $20 Supply Fee per semester)

Bi Weekly: At Registration, Jan. 19, Feb. 2, Feb. 16, Mar. 2, Mar 23, Apr. 6, Apr 20, May 4, May 18 3:20-6:30 Full Time PLUS Option 1: $1265.00 9 pymts of $125.00 and 1 final pymt of $140.00 3:20-6:30 Full Time PLUS Option 2: $1160.00 9 pymts of $115.00 and 1 final pymt of $125.00 3:20-6:30 Full Time PLUS Option 3: $1050.00 9 pymts of $103.00 and 1 final pymt of $123.00

3:20-6:00 Full Time Option 1: $1085.00: 9 pymts of $105.00 and 1 final pymt of $140.00 3:20-6:00 Full Time Option 2: $975.00: 9 pymts of $95.00 and 1 final pymt of $120.00

3:20-6:00 Full Time Option 3: $870.00: 9 pymts of $85.00 and 1 final pymt of $105.00

3:20-5:00 Half Time Option 1: $895.00: 9 pymts of $85.00 and 1 final pymt of $130.00 3:20-5:00 Half Time Option 2: $785.00: 9 pymts of $75.00 and 1 final pymt of $110.00 3:20-5:00 Half Time Option 3: $680.00: 9 pymts of $65.00 and 1 final pymt of $95.00

OR DIVIDE YOUR TOTAL COSTS INTO 4 PAYMENTS

Spring 2018 DUE DATES: At Registration; Feb. 2, Mar. 2. Apr 6

For questions contact: Sylvia Ponce de Leon, Director: [email protected] OR 713-529-3507

Connie Godina, Coordinator, [email protected]

Any Fall 2017 outstanding balances $100.00 or greater will be rolled over to the Spring 2018 with a $25.00 rollover fee assessed. Any Spring 2018 outstanding balances $100 or greater remaining after May 25 will be

rolled over to the Fall 2018 with a $25.00 rollover fee.

Registration Info Dates Where

On Site Early Registration *Register Early-$15.00 Registration Fee

December 13-20 For assistance, you may stop by the ASP Office after 3:30 PM (Mon-Fri)

MIMS ASP Office

Mail In Early Registration U.S. Postmark Date dictates order of registration (Reg Fee of $15.00 and is first come first serve.)

December 22 -December 29 CIASP 2020 SW Freeway, Ste. 310 Houston, Tx 77098

Mail In – STILL Early Registration *Register Early–$15.00 Registration Fee

After December 29 – January 4 CIASP 2020 SW Freeway, Ste. 310 Houston, Tx 77098

On Site Late Registration *Register Late–$25.00 Registration Fee

Beginning January 8 (Registration may be processed for

your child to begin by Tue, Jan 9

MIMS ASP Office

Add-Drop Deadline Until January 26 MIMS ASP Office

Extended Day January 8 – June 1 On Site

SPRING 2018 Enrichment Classes

January 16 - May 25 On Site

M a n d a r i n I m m e r s i o n M a g n e t S c h o o l ( M I M S ) After School Program SPRING 2018

REGISTRATION PACKET AVAILABLE DEC. 12 FORMS ARE AVAILABLE ONLINE: http://www.houstonisd.org/domain/39415

Make your money order or check payable to: Mandarin Immersion Magnet School Parent Copy Copyright © 2017 CIASP

Mandarin Immersion Magnet School (MIMS) After School Program Tuition/Fee Form Spring 2018

________________________________________________ _____________________________ _________________________________________________ Student Name Grade Level 2017-2018 2017-2018 Homeroom Teacher (OFFICE USE ONLY) ______________________________________________________________ ________________________________________________ Name of person responsible for account/billing/changes Relationship to child

______________________________________________________________ ________________________________________________ Name of person responsible for account/billing/changes Relationship to child

___________________________________________________________/____________________/___________________/_____________ Billing Street Address City State ZIP

_________________________________________________________________________________________________________________ Email Contact for person(s) responsible for billing I authorize MIMS to disclose any information regarding my account to the following individual(s) (if applicable): _________________________________________________________________________________________________________________ Name(s) A. Extended Day Options (Write in the amount(s) for all that apply: Extended Day Option: Total Tuition: Full-Time PLUS Option (#1-$12655; #2-$1160; #3-$1050)……… $________________ Full-Time Option (#1-$1085; #2-$975; #3-$870)………………….. $________________ Half-Time Option (#1-$895; #2-$785; #3-$680)…………………… $________________ Full Time Occasional Days PLUS…………………….…………… $________________ Half Time Occasional Days…………………………….…………… $________________ Bridge Enrichment Mon Tues Wed Thur Fri…($95/day).… $________________ Early Dismissal Only…………………………………………………. $________________ Ext Day Supply Fee…(FT, HT, OCC)………………………….…... $ 20.00 Registration Fee: by Jan 7: $15.00; beginning Jan 8: $25.00……$________________ Total for Extended Day Options…………………………………… $________________ (A) B. *Total Tuition for Enrichment Class(es): .............................................................................................$________________ (B)

*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.

C. Total Fees for Enrichment Class(es)(see Enrichment Class descriptions for any additional fees)……… $________________ (C)

D. Any Late Fees incurred……………………………………………………………………………………….. $________________ (D) (See timeline on front cover) E. Grand Total of A-D………………………………………………………………………………………….... $________________ (E) Payment enclosed – must include the total cost of Materials/Supply Fee Check or Money Order made out to: MIMS (No Credit Cards/ No Cash) Payment Amount Enclosed $______________ (Must be at least 1/4 of Grand Total. If purchasing only Occasional Days, please pay in full.) Please Initial: 1. ________ Registration in MIMS After School Program is an acceptance of the MIMS ASP Contract Agreement. 2. ________ I am submitting my payment for the Grand Total. I understand if I have signed up for Enrichment Class(es) that my payment is based on my 1st choice(s) and that the amount due may increase or decrease if my first choice is not met. The ASP will adjust my account accordingly & I will submit my payment by the 2nd due date, as listed in this packet. 3. ________ I am paying ! of the Grand Total. I understand if I have signed up for Enrichment Class(es) that my payment is based on my 1st choice(s) and the amount due may increase or decrease if my first choice is not met. The ASP will adjust my account accordingly & I will submit my payment when my 2nd payment is due. 4. ________ I am choosing the Bi Weekly Payment Option for Extended Day and am submitting the 1st payment due, including the

Supply Fee. I understand if I have signed up for Enrichment Class(es) my ! payment is based on my 1st choice(s) and the amount due may increase or decrease if my first choice is not met. The ASP will adjust my account accordingly & I will submit my payment (if necessary) by the 2nd payment due date.

5. ________ 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 on the front cover page of this packet. _________________________________ __________________________________ ____________ Name (person responsible for bill) Signature Date _________________________________ __________________________________ ____________ Name (person responsible for bill) Signature Date

Copyright © 2017 CIASP

Office Copy 2

Office Use Only: ____________Date Reg. Received ____________Time Received ______Initial of Staff __________CK # __________Amount

Mandarin Immersion Magnet School (MIMS) AFTER SCHOOL PROGRAM – SPRING 2018

FULL TIME & HALF EXTENDED DAY OPTIONS/CHOICES There are many options/choice for you to select from. You must decide which option best fits your needs. Note the descriptions listed below. In all options, once Homework Time ends, students will spend time participating in an activity for some down time either indoors or outdoors. The Extended Day Activities may consist of: Art; Chinese Games; Board Games; Story Hour; Crafts, etc.

! Course # Full Time PLUS 3:00-6:30 Tuition SupplyFee ! Course # Half Time 3:00-5:00 Tuition SupplyFee 100 Full Time PLUS #1 $1265 $20 201 Half Time #1 $895 $20 101 Full Time PLUS #2 $1160 $20 202 Half Time #2 $785 $20 102 Full Time PLUS #3 $1050 $20 203 Half Time #3 $680 $20 ! Course # Full Time 3:00-6:00 Tuition SupplyFee 103 Full Time #1 $1085 $20 104 Full Time #2 $975 $20 105 Full Time #3 $870 $20

! Course # Full Time Occ 3:00-6:30 Tuition SupplyFee ! Course # Half Time Occ Tuition SupplyFee 105 FT 5 Units $75 $20 205 HT 5 Units $50 $20 110 FT10 Units $150 $20 210 HT 10 Units $100 $20 115 FT15 Units $225 $20

215 HT 15 Units $150 $20

120 FT 20 Units $300 $20 220 HT 20 Units $200 $20 125 FT 25 Units $375 $20 225 HT 25 Units $250 $20 ! Course # Early Dism 12:30-3:00 NA Tuiition SupplyFee ! Course # Bridge to 2nd Class Tuition 204 Early Dismissal Cancelled $0 $0 300 Per day (Mon-Fri) $95.00 **NOTE: 1 Time Supply Fee for Occ & Early Dismissal

Description of Extended Day Options

FULL or HALF TIME OPTION #1: This option provides you with Extended Day Activities and Homework Assistance provided daily by the ASP Staff. This option is open ONLY to students who enroll in ONE or NO Enrichment Class. For Half Time you MUST enroll in ONE or NO Enrichment Class ONLY the 1st hour. The cost of each class is in addition to the cost of Extended Day. Homework will always be a priority. Also, Early Dismissal Days are included.

FULL or HALF TIME OPTION #2: You must enroll in either 2, 3 or no more than 4 Enrichment Classes on any day/time. For Full Time you may enroll in 2-4 Enrichment Classes, either 1st hour or 2nd hour. For Half Time you MUST enroll in 2-4 Enrichment Classes ONLY the 1st hour. The cost of each class is in addition to the cost of Extended Day. Homework Assistance will be provided during the hour your child is not in Enrichment. Also, Early Dismissal Days are included.

FULL or HALF TIME OPTION #3: You must enroll in 5 or more Enrichment Classes. For Full Time you may enroll in 5 or more Enrichment Classes everyday (Mon-Fri), either 1st hour or 2nd hour. For Half Time you MUST enroll in 5 Enrichment Classes ONLY the 1st hour everyday. The cost of each class is in addition to the cost of Extended Day. Homework Assistance will be provided during the hour your child is not in Enrichment. Also, Early Dismissal Days are included.

OCCASIONAL Units – Full Time (FT) and Half Time (HT) Units are sold in sets of 5. This is designed for you to send your child to Ext Day on an average of 2-3 days per week. Each time your child reports to the After School Program, 1 Unit will be used. FT Occ provides services from 3:30-6:00 and HT Occ provides services from 3:30-5:00. There is a 1 time Supply Fee of $25.00. Also, if your child is enrolled in Half Time Ext Day and you do not pick up your child by 5:00, an AUTO Purchase of 5 HT Units will be assessed to your account which will provide services until 6:00 PM. Anyone picking up after 6:00 PM will be assessed a late pick up fee of $2.00/minute.

BRIDGE TO 2ND CLASS - If your child is enrolled ONLY in a class that begins after 1:00 PM (Wednesday Private Lesson) or after 4:00 PM, your child must be supervised until the start of the class. Therefore, you must enroll in Bridge to 2nd Class. However, you MUST pick up your child immediately at the end of the Enrichment Class Time.

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ARABIC IMMERSION MAGNET SCHOOLMASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2018

Classes begin the Week of January 16 (Tuesday) 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 maximumenrollment.In the Fall, there are 13 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additionalcosts, the Providers will notify you.

Crse#Course Name DayTime Tuition Fees TeacherGrade

Room

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1st 2nd 3rd

CHOICES !

MANDARIN IMMERSION MAGNET SCHOOLMASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2018

Classes begin the Week of January 16 (Tuesday)

02Adventurous Authors (closed) Mon3:50-4:50 $0.00 $0.00 WITS1-2 $4500.00 Mandarin

03Archery for Beginners 5th-7th Mon3:50-4:50 $325.00 $10.00 Mini StarsK-5 $15.00 Mandarin

04Ballet & Chinese Dance Beg & Intermediate Mon3:50-4:50 $305.00 $0.00 Mitsi Dancing SchoolPK-7 $14.00 Mandarin

05Computer Animation, Game Design & 3D Mon3:50-4:50 $410.00 $0.00 Monart School of Art2-5 $20.00 Mandarin

06Guitar Group Lesson (begins Feb. 5) Mon3:50-4:50 $295.00 $35.00 Soundscape Music StudioK-5 $15.75 Mandarin

07Interactive Robotics Mon3:50-4:50 $290.00 $0.00 Interactive RoboticsK-5 $13.00 Mandarin

08Little Mandarin Speakers/PK-2 Mon3:50-4:50 $410.00 $25.00 VIVO Professional MusicPK-2 $20.00 Mandarin

09Little Vet School Mon3:50-4:50 $280.00 $15.00 Little Med SchoolPK-1 $12.50 Mandarin

10Sculpture & Clay 1-4 Mon3:50-4:50 $270.00 $40.00 City ArtWorks1-4 $12.00 Mandarin

11Soccer Clinics/Footskills PK Mon3:50-4:50 $255.00 $5.00 Mini StarsPK $11.00 Mandarin

12Archery for Beginners K-4 Mon4:55-5:55 $325.00 $10.00 Mini StarsK-4 $15.00 Mandarin

13Little Mandarin Speakers/3rd-5th Mon4:55-5:55 $410.00 $25.00 VIVO Professional Music3-5 $20.00 Mandarin

14Little Vet School Mon4:55-5:55 $280.00 $15.00 Little Med School2-5 $12.50 Mandarin

15Sculpture & Clay 5-7 Mon4:55-5:55 $270.00 $40.00 City ArtWorks5-7 $12.00 Mandarin

16Soccer Clinics/Footskills K-1 Mon4:55-5:55 $255.00 $5.00 Mini StarsK-1 $11.00 Mandarin

17Piano (Private) @ M3:50 (closed) Mon3:50-4:20 $550.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin


19Guitar (Private) @ M5:00 closed (begins 02/05) Mon5:00-5:30 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin


21Guitar (Private) @ M5:35 (begins Feb. 5) Mon5:35-6:05 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin


23ArtSmart-Early Childhood Art Tues3:50-4:50 $290.00 $40.00 City ArtWorksPK-K $12.00 Mandarin

24Basketball Tues3:50-4:50 $270.00 $5.00 Mini StarsK-4 $11.00 Mandarin

25Creative Dance and Improvisation Tues3:50-4:50 $325.00 $0.00 Mitsi Dancing School1-7 $14.00 Mandarin

26Eng, Science and CSI-Fri Tues3:50-4:50 $340.00 $0.00 Camp EinsteinPK-K $15.00 Mandarin

27Eng, Science and CSI-Fri Tues3:50-4:50 $340.00 $0.00 Camp Einstein1-5 $15.00 Mandarin

28Jewelry Making Tues3:50-4:50 $290.00 $50.00 City ArtWorksK-5 $12.00 Mandarin

29JumpBunch Tues3:50-4:50 $250.00 $0.00 JumpBunchPK-7 $10.00 Mandarin

30Mandarin Chinese Choir Tues3:50-4:50 $340.00 $35.00 VIVO Professional MusicK-5 $15.00 Mandarin

31Taekwondo Tues3:50-4:50 $290.00 $0.00 Tropa Z Fitness1-4 $12.00 Mandarin

32Basketball/5th-7th Tues4:55-5:55 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin

33Guitar (Private) @ Tu3:50 closed (begins 02/06) Tues3:50-4:20 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin

34Piano A (Private) @ Tu3:50 (closed) Tues3:50-4:20 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin

35Voice (Private) @ Tu3:50 (closed) Tues3:50-4:20 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin

36Guitar (Private) @ Tu4:25 closed (begins 02/05) Tues4:25-4:55 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin



TotalStudent's Name_______________________________________ ______/_______Tuition Fees

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Room

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CHOICES !



39Guitar (Private) @Tu5:00 closed (begins 02/05) Tues5:00-5:30 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin


41Piano B (Private) @ Tu5:00 Tues5:00-5:30 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin


43Guitar (Private) @ Tu5:35 (begins Feb. 6) Tues5:35-6:05 $505.00 $35.00 Soundscape Music StudioK-5 $31.25 Mandarin


45Piano B (Private) @ Tu5:35 Tues5:35-6:05 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin


47En Guarde: Fence for Fun/5-7 Wed3:50-4:50 $305.00 $0.00 Bayou City Fencing5-7 $13.00 Mandarin

48Getting Ready Art Wed3:50-4:50 $340.00 $0.00 Monart School of ArtK-5 $15.00 Mandarin

49Royal Academy of Dance Ballet Wed3:50-4:50 $325.00 $0.00 Mitsi Dancing SchoolPK-7 $14.00 Mandarin

50Soccer Clinics/Footskills 2nd-4th Wed3:50-4:50 $270.00 $5.00 Mini Stars2-4 $11.00 Mandarin

51Yoga for Kids/K-4 Wed3:50-4:50 $270.00 $5.00 Mini StarsK-4 $11.00 Mandarin

52Royal Academy of Dance Ballet Wed4:55-5:55 $325.00 $0.00 Mitsi Dancing SchoolPK-7 $14.00 Mandarin

53Soccer Clinics/Footskills 5th-7th Wed4:55-5:55 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin

54Yoga for Kids/5-7 Wed4:55-5:55 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin

55Piano (Private) @ W3:50 (closed) Wed3:50-4:20 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin

56Voice (Private) @ W3:50 (closed) Wed3:50-4:20 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin



59Piano (Private) @ Th5:00 (closed) Wed5:00-5:30 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin




63Wired Words (closed) Wed3:30-4:30 $0.00 $0.00 WITS3-5 $4500.00 Mandarin

64En Guarde: Fence for Fun/1-4 Wed4:50-5:50 $305.00 $0.00 Bayou City Fencing1-4 $13.00 Mandarin

65An Engineering World (STEM) Thur3:50-4:50 $300.00 $0.00 Engineering for KidsPK-2 $12.50 Mandarin

66Art After School: Multimedia/1-3 Thur3:50-4:50 $290.00 $40.00 City ArtWorks1-3 $12.00 Mandarin

67Baseball for All/K-4th Thur3:50-4:50 $270.00 $5.00 Mini StarsK-4 $11.00 Mandarin

68Chess Instruction with USA Chess/K-2 Thur3:50-4:50 $270.00 $5.00 Active Learning1-7 $11.00 Mandarin

69Kung Fu - Beginner Thur3:50-4:50 $380.00 $60.00 Shaolin Kung Fu AcademyK-5 $17.00 Mandarin

70Mad Science Thur3:50-4:50 $300.00 $0.00 Mad Science of HoustonPK $12.75 Mandarin

71Mad Science Thur3:50-4:50 $300.00 $0.00 Mad Science of HoustonK-5 $12.75 Mandarin

72Outdoor Sports Thur3:50-4:50 $270.00 $5.00 Mini StarsK-3 $11.00 Mandarin

73Story Book Illustration Thur3:50-4:50 $340.00 $0.00 Monart School of Art1-5 $15.00 Mandarin

74Art After School: Multimedia/4-6 Thur4:55-5:55 $290.00 $40.00 City ArtWorks4-6 $12.00 Mandarin

75Baseball for All/5th-7th Thur4:55-5:55 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin


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76Kung Fu - Advanced Thur4:55-5:55 $380.00 $60.00 Shaolin Kung Fu AcademyK-5 $17.00 Mandarin

77Piano (Private) @ Th3:50 (closed) Thur3:50-4:20 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin



80Piano (Private) @ Th5:35 Thur5:35-6:05 $585.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin

81A Taste of Charm & Chivalry Fri3:50-4:50 $325.00 $20.00 Monica Lewis School of EtiquettePK-5 $15.00 Mandarin

82An Eng World(STEM)/VEX IQ - Robotics Fri3:50-4:50 $300.00 $0.00 Engineering for Kids3-7 $12.50 Mandarin

83Attention, Organizational & Studying Fri3:50-4:50 $290.00 $10.00 Coloquia Language Arts3-5 $13.00 Mandarin

84Fitness for Kids! Fri3:50-4:50 $270.00 $5.00 Mini StarsK-5 $11.00 Mandarin

85Lacrosse Fri3:50-4:50 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin

86Sculpture & Clay PK-K Fri3:50-4:50 $270.00 $40.00 City ArtWorks5-7 $12.00 Mandarin

87Tennis/K-4 Fri3:50-4:50 $270.00 $5.00 Mini StarsK-4 $11.00 Mandarin

88Video Game Creations Fri3:50-4:50 $270.00 $0.00 Active Learning2-6 $12.00 Mandarin

89Tennis/5th-7th Fri4:55-5:55 $270.00 $5.00 Mini Stars5-7 $11.00 Mandarin

90Piano (Private) @ F3:50 (closed) Fri3:50-4:20 $550.00 $35.00 VIVO Professional MusicK-5 $30.00 Mandarin





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copyright © 2017 CIASP

Mandarin Immersion Magnet School (MIMS) After School Program Contract Agreement SPRING 2018

By signing below, I understand the contents of this registration packet and agree to the following for the Spring 2018 semester. Disregard of this contract and/or the contents in the registration packet will result in immediate dismissal from MIMS ASP. 1. I understand that I am enrolling only for SPRING 2018. 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, Early Dismissal and Enrichment Classes begin and end. (Timeline and Payment Schedule are listed on front cover.)

3. CLASS TIMES: I understand the times of Extended Day Options, Enrichment Classes, and Homework according to the Extended Day Options Form and the Master Schedule of Enrichment Classes provided in this registration packet.

4. PAYMENTS: (Please in it ia l each item be low on the line ) _____MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY made out to MIMS. Cash is not accepted. _____If I enroll in Enrichment Classes, I will pay at least of 1/4 of the total cost of classes for the Spring 2018 semester at registration. Payment due dates are listed on the front cover page. _____If I enroll in Extended Day (Full/Half), I may choose the Biweekly Payment Schedule or the 4 Payment Plan, I understand the payment plan and agree to submit my payments by the due dates listed on the front cover page. _____I will be assessed a late fee of $10.00 each time I do not pay my bill by the due dates. _____I will be assessed $35.00 for each returned check. I understand the HISD Comptroller’s Office will notify me should any personal check be returned by my bank and that I am to pay the returned check directly to HISD via money order or cashier’s check. _____I understand that after school services may be suspended if I do not pay my bill on time. Spring 2018 Accounts with outstanding balances of $100 or more will be rolled over to Fall 2018 after May 25. with a $25.00 rollover fee.

5. ADD/DROP: Only 2 changes are permitted during Add/Drop period (until Jan. 26). No class changes will be made and no refunds or credits will be issued after Jan. 26.

6. PRORATION OF CLASSES: ANY class attended until Jan. 26 will be prorated should you drop classes. You are responsible for all costs of any classes not dropped after Jan. 26. 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 MIMS. NOTE: NO refunds OR credits will be assessed in the event of HISD canceling after-school activities for inclement weather or any other extenuating circumstances.

7. OCCASIONAL DAYS: • If I purchase sets of Occasional Days I understand the full amount for each set is due at the time I

sign up. • If I purchase sets of Occasional Days and they run out, another 5-Unit Occasional Card will be automatically billed to my account.

8. SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign my child out from the after school program at the time of pick-up. Failure to sign the student out from the school office will be regarded as an “Incident” and may result in suspension from the program for the remaining school year. ONLY adults 18 years or over authorized to pick up children. SHOWING PHOTO ID IS MANDATORY UPON REQUEST.

9. ENRICHMENT CLASSES AFTER 4:30 ONLY: I must enroll my child in a 3:50 PM enrichment class or Bridge until the start time of an Enrichment Class beginning after 4:20 or Occasional Extended Day in order for my child to participate in an Enrichment Class beginning after 4:20 PM.

Office Copy 7 Copyright © 2017 CIASP

Mandarin Immersion Magnet School (MIMS) After School Program Contract Agreement SPRING 2018

10. CHANGES IN HOW A STUDENT GETS HOME: I MUST notify the ASP Coordinator in writing (phone calls not accepted) via fax or written note dropped off in the ASP Office or in the ASP Box (located in front school office) OR via email ([email protected] OR [email protected]) for ANY changes in how my child gets home. Without written permission, my child will not be permitted to leave.

11. LATE PICK UP: • If my child is picked up after 6:30 PM I will be assessed a late pickup fee of $2.00/minute. • When I am late picking up my child from Full Time, Half-Time or Enrichment I will be automatically issued a 5-Unit Occasional Card which will provide supervision until 6:30 PM. 1 Unit from this card will be used for the late pick up and I understand that I will have 4 Units remaining. • 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 clock located in Pick UP Location in the school. • Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically doubled. (Check or money order only)

12. 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.

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

14. TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any student in grades PK-7. All such devices must be kept in the student’s backpack.

15. 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.

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. I understand that enrolling in the MIMS After School Program does not include any other programs offered by the school (i.e. tutoring, clubs, etc.) and that the MIMS After School Program is only responsible for services listed in this packet. If I do sign up my child in a school program and wish for a school staff member or the adult sponsor of a school related class (i.e. tutoring, clubs, etc) to pick up my child from the MIMS After School Program, I must list the names of adults on the Authorization Form authorizing them to pick up my child from the MIMS After School Program. I understand my child will not automatically be sent to any activity not related to the MIMS After School Program.

18. MEDIA PERMISSION: I authorize MIMS ASP to include my child in photographs used for publicity. ____YES ____NO

__________________________/____________________________/__________/____________________ Name of Parent (please print) Parent Signature Date STUDENT NAME __________________________/____________________________/__________/____________________ Name of Parent (please print) Parent Signature Date STUDENT NAME Office Copy 8 Copyright © 2017 CIASP

M a n d a r i n I m m e r s i o n M a g n e t S c h o o l ( M I M S ) A f t e r S c h o o l P r o g r a m

AU TH OR IZA TION FOR M

Only the individuals listed on the Tuition Fee Payment Form are authorized to make any changes to this form. Fill this out only if you need to make changes from the one we currently have on file for Fall 2017.

___________________________________ _________________ ______________________________________ Student Name Grade Level 2017-2018 2017-2018 Homeroom Teacher (OFFICE USE ONLY) ______________________________________________ _________________________________________________ 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#

Will your child be a Bus Rider when not reporting to the After School Program? ! YES ! NO

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: _____________________________________________________________________ My child has special medical needs as follows: _____________________________________________________________ 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 If 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 11:00AM) 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] AND [email protected] B. Fax it to: (713) 662-3527 and address the note to the attention of ASP.

C. Drop off a note in the ASP box located in the front school office. D. Drop off a note in the ASP 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.

Copyright © 2017 CIASP Office Copy

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Documents

Mandarin Immersion Magnet School (MIMS) After School ... · child to Ext Day on an average of 2-3 days per week. Each time your child reports to the After School Program, 1 Unit will