BY Submitting this Registration Form: I GIVE CONSENT TO THE FOLLOWING
1. My child is registering to Attend Steps to Success Saturday and Summer Program with Epps Christian Center and any field trips with the program. Necessary Precautions and supervision will be provided. The Epps Christian Center and Escambia Children's Trust (ECT) will not be responsible for any injury that may occur during the program or lost or stolen items.
2. I Give Permission for Program Staff to Obtain and review my child’s academic and behavior reports from his/her school, including grades, attendance, discipline reports, and standardized test scores. This includes information about whether my child has an identified exceptionality, an individual education plan (IEP) or Academic Improvement Plan, and suggestions from my child’s teacher(s) on how my child can best be helped in the Program.
3. Program Staff May Use photographs/videos in which my child or I may Appear for program or ECT publicity, press releases, news stories, and other such purposes
4. Program Staff May Calculate Health information on my child such as weight and bmi (Body Mass Index) for grant objectives (pre, mid and post)
5. My Child Will Maintain attendance standards (at least 2 Saturdays a month and 3 days/week during the summer program). Failure to maintain attendance standards will result in termination from the program.
6. I understand that Respectful and Cooperative Behavior is Expected, I will ensure that my child follows Behavior.
7. I Understand that in the event of a medical emergency, every effort will be made to contact me. If I cannot be Reached, I give Permission to secure the services of a licensed physician.
*