After-School Program Registration 2018-2019
Thank you for participating in our after-school programs! One registration per child.

Please note:
• Classes will not meet when there is an early dismissal or when school is not in session. Check the school calendar for details.
• Register for Drama, Soccer, Improv, Robotics and Chess using the links on https://akibaschechter.org/student-life/after-school-programs/.
• Notify the office at frontdesk@asjds.org when there is a change in your child(ren)‘s after-school/bus plans.
• Students registering for fencing, flag football and basketball must download, sign and return the Concussion Information Sheet on ParentsWeb.
• REGISTRATION DEADLINE: Monday, September 3rd, by 9:00 a.m.
• Remember, our After-School Programs are open to the community! Share this information with friends outside of Akiba-Schechter!

Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Grade *
Your answer
Flag Football: Mon & Weds, Sept 5-Oct 24, 2018
Fencing: Tuesdays and/or Thursdays
Basketball: Mon (girls) or Weds (boys) starting Oct. 29, 2018
Orchestra: Tuesdays (Varsity) or Thursdays (Cadet)
After-Care: Kids Club for K-2nd, Homework Help for 3rd-8th
What are your child's after-care plans?
Will your child stay after school on specific days (for example, every Thursday)? Any other schedule issues we should know about?
Your answer
Waiver and release of all claims
I recognize and acknowledge that there are certain risks of injury to participants in after-school programs. I do hereby fully release and discharge Akiba-Schechter Jewish Day School and its officers, agents and employees from any and all claims from injuries, damage or loss which I or my minor child/ward may have or which may accrue to me or my child/ward and arising out of, connected with or in any way associated with the activities of the program.

I understand and agree to the following terms and conditions:
• In the event my child misses a class, credit is not issued. In the event a class is cancelled, the fee will be prorated or it will be credited toward future after-school programming. After the second class I am responsible for payment in full; No refunds will be given.
• Fees are not prorated for starting late or dropping out.
• Drop-ins to Homework Help and Kids Club are billed when the student stays for 15 minutes or more. The drop-in rate applies no matter how long a student stays beyond the first 15 minutes.
• If I do not pick up my child(ren) within fifteen minutes of the end of his/her scheduled program, my child(ren) will be escorted to Kids Club and considered a drop-in.
• If I arrive to pick up a child from Kids Club after 5:45 p.m. Mondays through Thursdays, I will be charged $15.00 for every fifteen minutes I am late.
• In order for my child(ren) to participate in future after-school programs, all outstanding payments from previous sessions must be paid in full.
• My child(ren)'s contact and medical information is up to date on ParentsWeb.
• Students registering for fencing, flag football and basketball must download, sign and return the Concussion Information Sheet on ParentsWeb and https://akibaschechter.org/student-life/after-school-programs/.

By entering my name here, I agree to the stipulations above: *
Your answer
I authorize the Akiba-Schechter Finance Office to *
Before clicking "submit" please print this page for your records. It'll look great on your refrigerator!
As always, contact me with any questions, issues or suggestions. See you after school!

Elisa Aranoff
After-School Program Director
Akiba-Schechter Jewish Day School
773-493-8880
earanoff@asjds.org

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