BES LEAPS After School Program -- Session 1 September 21

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BES LEAPS After School Program -- Session 1 September 21 - November 6

Dear Families,

Welcome back! Our highly qualified staff is committed to children learning in a safe, supportive, healthy, and fun environment. The staff have been working hard to plan for this year's program. Our program provides enriching activities that support lifelong learning and positive relationships. This year we will be offering three program options. Our in-person program will be designed with lots of youth choice and outside time. The take-home activity kits will include arts and crafts activities, STEM challenges, and unique projects. The on-line program option will include both live video links and prerecorded videos.

LEAPS is also excited to welcome Ethan Moss as the new BES LEAPS Coordinator. Mr. Ethan comes to BES from Sheldon where he worked as a paraeducator and LEAPS program staff. He enjoys outdoor activities such as hiking, canoeing, and fishing with his fiance and their dog, Wren.

We look forward to seeing you this September!

REGISTRATION

Please note that we require confirmed enrollment before a student is able to attend our program.

Student's Name (First and Last) *

Grade *

Which day(s) would you like to register you child for? *

Mondays

Tuesdays

Thursdays

Fridays

My child is either enrolled in remote only or is homeschooled.

Required

Programs Registering: You may sign up for multiple programs.

In-Person Program:
The in-person program has limited space for enrollment due to COVID-19 safety procedures. We require confirmed enrollment before a student is able to attend our in-person program. This is to ensure that we have enough space, PPE, and supplies for each participant. Students and staff will be assigned a cohort and desk space in a disinfected room. All FNESU COVID-19 safety procedures will be followed, including health screenings before entering the building, wearing a facial covering, and physical distancing.

Take-Home Activity Kits:
The take-home activity kits will include three different activities to use at home during the remote learning days. The activity kits will include arts and crafts projects, science projects, building/engineering challenges, and other unique projects. Each activity will also come with instructions, some will even have a link to video instructions.

On-Line Program:
The online program will include both live video activities and prerecorded video activities. Having both live and prerecorded video links will allow students to access the activity when it's convenient for them.

Check all that apply. *

In-Person Program

Take-Home Activity Kits

On-Line Program

Required

Are you interested in helping with activity kits or leading an online program? *

Yes, I would like to help create activity kits.

Yes, I would like to lead an online program.

Not at this time.

Required

Contact Information

Mother's Name: *

Father's Name: *

Phone Number: *

E-Mail Address: *

Mailing Address: *

Student lives with: *

Both Parents

Mother

Father

Other:

Emergency Contact: (name & phone number) *

2nd Emergency Contact (name & phone number)

Medical Information

Explain any allergies your child has: *

Explain any other health issues your child has:

Dismissal Plans

People authorized to pick up my child:

Additional Information

Does your child receive (check one): *

Free - Hot Lunch

Reduced - Hot Lunch

Not Eligible

Is your child on any of the following: *

IEP

504 Plan

Behavioral Plan

Other

None of the above

Required

Any additional information we should know.

Permissions

Please check the box if you agree to the following permissions:

to photograph your child for potential marketing, advertising or Internet publishing, which may include their first name and last initial only, at the discretion of the after school program.

to watch a PG rated movie during the after school program.

to go on a walking field trip during the after school program.

Are you interested in either helping with activity kits or offering an online program? *

Yes, I am interested in helping with kits

Yes, I am interested in offering an online program

I am not interested at this time.

Required

Franklin Northeast Supervisory Union and its employees will exercise reasonable judgment and care in the planning and operation of the trips and/or programs. I understand and agree that neither the School District nor its employees will be liable for injuries resulting from accidents or unanticipated occurrences beyond their control.In case of illness or injury, I request to be contacted. If I cannot be reached or the emergency contact person cannot be reached at the phone numbers I have provided, I authorize and direct program personal to seek emergency medical care or take other action they believe is necessary under the circumstances to protect the best interest of my child/ward. If my child/ward is taken for emergency medical treatment, I hereby authorize the attending physician to administer the emergency treatment he/she believes is appropriate, and I agree to pay any resulting expense. *

I have read the above form and checking the box demonstrates that I have provided my consent for my child to participate in the trips/programs under the terms described above.

Required

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