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Behavior Policy Parent Consent Form 

Our Fun Friends classroom uses positive, safety‑focused strategies to support all of our students’  spiritual, and social‑emotional growth while keeping everyone safe. The safety of each child in our care is of utmost importance. Please review the summarized strategies below and sign to confirm you have been informed of our classroom behavior policy.

Classroom Behavioral Strategies

Redirect & Relocate: Staff may offer an alternative activity, provide a distraction, or move students to different areas of the classroom to prevent escalation.

Reminder & Reteach: Staff will give brief, calm verbal reminders at eye level about expected behavior, model appropriate actions, and provide a chance for the child to practice the correct behavior.

Remove for a Break: With additional staff support available, a child may be taken for a short break outside the classroom (e.g., walk break or stroller) to regain composure.

Hurtful Behaviors — Time‑Out: For behaviors that cause harm to others (biting, hitting, kicking, pinching, pulling hair, throwing objects at a person), the child will be placed briefly in a supervised time‑out (chair or bean bag) away from peers. A visual timer (2 minutes) will be used; an adult remains nearby for safety and proximity support.

Repeated Hurtful Behavior: If a child engages in hurtful behaviors again after two supervised time‑outs during the same day, the parent/guardian will be contacted for pick‑up.

Notes:

Staff use minimal, developmentally appropriate interventions and prioritize student dignity and safety. 

All incidents will be communicated to parents/guardians as appropriate.
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Consent and Acknowledgment

If you wish not to sign the behavioral policy, please enter Student Name and N/A below. 

Student Names:

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By signing below, I acknowledge that I have read and understand the classroom behavioral strategies summarized above. I confirm that church staff have informed me about these procedures and may use them when supporting my child. I understand that I may be contacted for pick‑up if my child continues to engage in hurtful behaviors after two supervised time‑outs in one day. 

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6yr male


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Parent/Guardian Name 

Megghan mcdougall
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Guardian Phone Number - Number we can text during service if needed. 

850-381-9135
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Relationship to student: mom

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Email address: mmegghan@yahoo.com 
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If you have questions or want to schedule an individual meeting about behavior supports, please contact:
Tammy Kirkland, Director of Children’s Ministries
Phone: 850-785-6530| Email: Tkirkland@hilandpark.org

Thank you for partnering with us to keep our classroom safe and supportive for all students while growing a deeper relationship with Jesus. We want your experience at Hiland Park Baptist Church to be positive, safe, and enjoyable for all of our amazing children, families, and spectacular staff/volunteers! 

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FOR STAFF: 
Staff receiving form signature and date. 

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Classroom Behavioral Strategies

Redirect & Relocate: Staff may offer an alternative activity, provide a distraction, or move students to different areas of the classroom to prevent escalation.

Reminder & Reteach: Staff will give brief, calm verbal reminders at eye level about expected behavior, model appropriate actions, and provide a chance for the child to practice the correct behavior.

Remove for a Break: With additional staff support available, a child may be taken for a short break outside the classroom (e.g., walk break or stroller) to regain composure.

Hurtful Behaviors — Time‑Out: For behaviors that cause harm to others (biting, hitting, kicking, pinching, pulling hair, throwing objects at a person), the child will be placed briefly in a supervised time‑out (chair or bean bag) away from peers. A visual timer (2 minutes) will be used; an adult remains nearby for safety and proximity support.

Repeated Hurtful Behavior: If a child engages in hurtful behaviors again after two supervised time‑outs during the same day, the parent/guardian will be contacted for pick‑up.

Notes:

Staff use minimal, developmentally appropriate interventions and prioritize student dignity and safety. 

All incidents will be communicated to parents/guardians as appropriate.
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Consent and Acknowledgment

If you wish not to sign the behavioral policy, please enter Student Name and N/A below. 

Student Names:

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No responses yet for this question.

By signing below, I acknowledge that I have read and understand the classroom behavioral strategies summarized above. I confirm that church staff have informed me about these procedures and may use them when supporting my child. I understand that I may be contacted for pick‑up if my child continues to engage in hurtful behaviors after two supervised time‑outs in one day. 

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No responses yet for this question.

6yr male


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No responses yet for this question.

Parent/Guardian Name 

Megghan mcdougall
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No responses yet for this question.

Guardian Phone Number - Number we can text during service if needed. 

850-381-9135
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No responses yet for this question.

Relationship to student: mom

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No responses yet for this question.
Email address: mmegghan@yahoo.com 
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No responses yet for this question.

If you have questions or want to schedule an individual meeting about behavior supports, please contact:
Tammy Kirkland, Director of Children’s Ministries
Phone: 850-785-6530| Email: Tkirkland@hilandpark.org

Thank you for partnering with us to keep our classroom safe and supportive for all students while growing a deeper relationship with Jesus. We want your experience at Hiland Park Baptist Church to be positive, safe, and enjoyable for all of our amazing children, families, and spectacular staff/volunteers! 

Copy chart
No responses yet for this question.
FOR STAFF: 
Staff receiving form signature and date. 

Copy chart
No responses yet for this question.
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