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Exploratorium Health Form and Contract of Conduct
All students of the Exploratorium are required to have this form on file before the first day of class.
Student FIRST Name:
Please use proper capitalization
Your answer
Student LAST Name:
Please use proper capitalization
Your answer
Student T-Shirt Size:
Each student will receive a free ACE t-shirt. Be sure to check your size, these unisex shirts from American Apparel tend to run small!
Allergies/Medical Conditions:
Please list any medical conditions the Exploratorium needs to be aware of. If you require an asthma inhaler, please make sure to let us know, and be sure to bring it everyday. If there are no medical conditions the Exploratorium needs to be aware of, please indicate NONE in the box below.
Your answer
Emergency Contact:
Please list a person (other than a parent) that we may contact in the event of an emergency
Your answer
Emergency Contact phone number:
Your answer
Is anyone else authorized to pick-up the student after class?
If so, please include all names of people you authorize to pick-up your child after class. If this changes throughout the summer don't fret, just email Sarah Wass at!
Your answer
Exploratorium Contract of Conduct
This contract sets forth guidelines that are to be followed by all students of the Exploratorium. Failure to follow these guidelines will result in expulsion from the Exploratorium with no refund, at the discretion of the ACE Exploratorium administration.

For the purposes of this contract, the term TEACHER refers to any class teacher, ensemble leader, director, or other adult in charge. The term CLASS refers to any lesson, rehearsal, convocation, forum, or other scheduled event that takes place during the Exploratorium schedule.

Parents and students should read together this whole document, the completed form must be on file with Exploratorium before a student can attend classes on the first day.

Schedule information
==> New this year! Exploratorium begins on a THURSDAY!
==> New this year! Exploratorium runs Monday through Friday!
==> Exploratorium starts at 9:00 am and ends at 3:00 pm,
==> Parents need to park and escort their children to the Community Room
==> There is a lunch and recess break each day from noon – 1:00 p.m.
==> Students need to bring a water bottle, lunch and snacks from home

NOTE: Each student is required to attend both presentations, and the second presentation occurs after the last class day of class! All Exploratorium students will be involved on both nights. Please ask if you have questions about these final presentations BEFORE you click the button indicating that you agree.

I understand the Exploratorium daily schedule, lunch requirement, and the schedule of presentations.
Exploratorium Attendance Policy (Exploratorium attendance line 818-732-3000)
• Daily attendance is expected and required at all classes, rehearsals; everything listed on the student binder cover.

• All students are expected to attend the entire three-week term, including both final presentations and dress rehearsals.

• Any student who receives three or more tardies in a class/ensemble, or receives an unexcused absence is subject to removal from the class/ensemble, (including removal from the class/ensemble’s final presentation) with no full or partial refund, pending a decision made by the ACE Exploratorium administration.

• Students are expected to be on time for all classes and rehearsals. In the event that a student must be tardy or absent, a parent phone call is required before 9:00 a.m. on the day in question. Calls should be directed to the Exploratorium office; the voicemail number is listed above.

I understand the Exploratorium attendance policy.
Oakwood Pick-up/Drop-off Policy
• Students need to be dropped off each morning at Oakwood Elementary School. Parents need to sign-in their child(ren) on the clipboard.
• Each afternoon, students need to be picked-up at Oakwood Elementary School, by either a parent or an authorized party. (Be sure the authorized person's name is listed under the Health/Medical section above.) Parents need to sign-out their child(ren) on the clipboard.
• There will be NO pick-up or drop-off on Moorpark Blvd, or Elmer. All pick-up/drop-off must happen in the designated area.
I understand the Oakwood campus policy.
Expectations for Behavior
• Students are expected to dress in a manner appropriate for school. Clothing with slogans that belittle the beliefs or rights of others; or that contains hostile, vulgar or sexually suggestive expressions, is not acceptable. Neither is clothing that is inappropriately revealing (i.e. bare midriff, showing undergarments). Or that condones or makes light of drug or alcohol use.

• Members of the Exploratorium community are expected to treat each other with respect; furthermore, the school is committed to providing a learning environment free of unlawful harassment. Prohibited unlawful harassment because of sex, race, religious creed, color, national origin or ancestry, physical or mental disability, medical conditions, age, sexual orientation or any other protected basis includes, but is not limited to, the following behavior:

==> Verbal conduct such as epithets, derogatory jokes or comments, slurs or unwanted sexual advances, invitations or comments

==> Visual conduct such as derogatory and/or sexually oriented posters, photography, cartoons, drawings or gestures.

==> Physical conduct such as assault, unwanted touching, blocking normal movement or interfering with work because of sex, race or any other protected bases

==> Threats and demands to submit to sexual requests as a condition to avoid loss, and/or offers of other benefits in retaliation for having reported or threatened to report harassment.

I understand the expectations for behavior.
Controlled Substances
• State law and school policy forbid the possession, use or distribution of alcoholic beverages and controlled substances.

• Oakwood is a tobacco-free environment and the possession, use or distribution of tobacco, or tobacco products on school premises or at school events is prohibited.

• Any student found to be in possession of, or under the influence of a controlled substance is subject to immediate expulsion from the Exploratorium with no tuition refund.

I understand the controlled substances policy
All students are expected and required to treat Exploratorium equipment and Oakwood property in a responsible and respectful manner. This includes:
o Classrooms, including desks, boards, floors, etc.
o Exploratorium provided materials (art/music/theater/dance equipment and supplies)
o Smartboards, computers, music playback equipment
o Recreational/PE equipment used at lunch and during breaks
o Any other equipment present at Oakwood School

• Any student found responsible for the damage or destruction of Exploratorium or Oakwood equipment will be financially responsible for the repair/replacement of said equipment, pending decision from Exploratorium administration.

• All students are expected to come prepared to each class, including the first day’s classes, with whatever materials are necessary for full participation. The teacher of each class/ensemble will make it clear what equipment is required of each student.

*note for Exploratorium music students
• Instrumental music students are required to provide their own instrument, in good working order and ready to be played on the first day. Any necessary repairs or instrument rentals need to be taken care of in advance at the student’s expense.
• Drummers: drum sets are provided, bring your own drumsticks. If you have your own cymbals, feel free to bring them.
• Guitar/Bass players: amplifiers are provided; bring your own patch cords, picks and tuners!

I understand the equipment policy
I have read and understand all Exploratorium and Oakwood policies listed above.
I understand that checking the box below constitutes my electronic signature on this document.
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