Sundale Foundation 2019-2020 After School Registration Packet
Registration Packet - Early registration discount $10.00 off if received by June 14th, 2019
Email address *
Student Information
Child's Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Sex *
Child's Age *
Your answer
Child's Grade during the 2019-2020 School Year *
Street Address/City/Zip *
Your answer
Will your child ride the bus? *
Required
If yes, what is their bus number?
Your answer
If yes, will an older sibling pick this child up from the learning center at their later scheduled release time?
If yes, what is the older sibling's name?
Your answer
Any know allergies? *
Required
Special Needs? *
Required
Modified Diet? *
Required
Medications? (If yes, please pick up a medication form from the Foundation Office and return upon completion) *
Required
Parent/Guardian Information
Mother's Name *
Your answer
Mother's Street Address, City, Zip *
Your answer
Mother's Cell Phone Number *
Your answer
Mother's Cell Phone Provider *
Your answer
Mother's Work Phone Number (if applicable)
Your answer
Mother's Home Phone Number (if applicable)
Your answer
Email Address (required for billing) *
Your answer
Mother's Employer *
Your answer
Father's Name *
Your answer
Father's Street Address, City, Zip *
Your answer
Father's Cell Phone Number *
Your answer
Father's Cell Phone Provider *
Your answer
Father's Work Phone Number (if applicable)
Your answer
Father's Home Phone Number (if applicable)
Your answer
Email Address (required for billing) *
Your answer
Father's Employer *
Your answer
Emergency Information
Physician Name *
Your answer
Physician Phone Number & Address *
Your answer
Health Insurance Provider & Number *
Your answer
Dentist Name *
Your answer
Dentist Phone Number & Address *
Your answer
Dental Insurance Provider & Number *
Your answer
If yes to any of the above questions, please explain:
Your answer
In the event of an emergency, what action should be taken? *
Authorized Pick Up
Please list all persons you authorize to pick up your child, along with their phone number and relationship to child
**Must be 18 years or older to pick up**
Name/Phone Number of Authorized Pick Up
Your answer
Relationship of Authorized Pick Up
Name/Phone Number of Authorized Pick Up
Your answer
Relationship of Authorized Pick Up
Name/Phone Number of Authorized Pick Up
Your answer
Relationship of Authorized Pick Up
Before School Hours
Morning Session is open from 7:00 a.m. - 8:00 a.m.
Before School Rates
New Morning Rates 1 - 60 minutes Flat Rate $5.00
After School Hours
After School Session is open from the time school is released - 6:00 p.m.
Students will be moved to the TK/Kindergarten after school classroom at 5:30 p.m.

ASES Grant has limited enrollment available & is based on a first come first serve basis. Children are required to attend Monday through Friday and must stay until 5:30 p.m.

After School Rates *
Foggy Day Sessions
Morning = $5.00 per hour
Plan X = $30.00 per day (for all students)
If your child will be with us for the whole day, please call the Foundation Office by 10:30 a.m.
Payment Due Dates
Statements are emailed at the first of the month. Payments are due by the 10th of the month and will be considered late if not paid by this date. A late fee of $25.00 will be applied to your account if payment is not received by the 10th of the month.
Payment Options
Payments may be paid with cash, check, money order, or cashiers check. Checks should be made payable to Sundale Foundation. We also offer the convenience of ACH (bank to bank) automatic monthly payments, online payments, and Visa/MasterCard at our check-in/out stations. If you would like to set up ACH automatic payments or online payments, please contact the Foundation office at (559) 688-8175.
Homework Assistance
Sundale Foundation is not a homework completion program. We assist students with 30-60 minutes of homework time daily. Parents should review to ensure their child's homework is completed, correctly done and turned in on time.

Electronic devices are not allowed at the Before & After School Program. If you need to reach your child, please call
(559) 688-8175.

After School Program Guidelines
Sundale Foundation is required to incorporate certain standards and activities into the daily routine. These standards and activities include homework time, organized physical activity, S.T.E.M, and nutrition.
Sundale School Assistance
On occasion, Sundale School staff requests the assistance of the students during Sundale Foundation Learning Center hours. Do you give your student permission to help Sundale staff, Foundation Staff, etc.? If your child is allowed to help, they could miss out on homework time, enrichment activities, and/or snack. (your child must check in with after school staff before volunteering)
Do you give your child permission to help Sundale School Staff? *
Required
Medication After School Hours
If your child is prescribed medication, a Medication in School form must be completed and returned prior to bringing medication to the Foundation Office. You can find this form in the Foundation Office. This form must be completed by both parent and physician giving authorization.

All authorized medications will be stored in the Foundation o=Office, and documentation will occur each time the medication is used. If you have questions regarding your child’s use of medication after school hours, please contact the Foundation Office.

Discipline Plan
Sundale Foundation will extend the school’s disciplinary plan into the Before & After School, V-Center, and Enrichment classes. Students may be sent to the Foundation Office for discipline when the Teacher/Aide has attempted to control measures to no avail, including contacting the parent. Each incident will be handled on a case-by-case basis, and discipline will be dependent on the child’s age. If the behaviors persist your student may be dismissed from all Foundation programs. Certain incidents may need to be communicated with Sundale School administration.

The Sundale Foundation is dedicated to seeing that every child receives the best possible support in education, homework assistance, and enrichment activities. No child has the right to interfere with another’s right to learn. All rules and regulations are developed with this thought in mind.

Our goal is to work closely with parents and staff to correct any behavioral problems.

Have you read & understand the discipline plan that Sundale Foundation has implemented into their program? *
Required
Photograph/Video Release
On occasion, children may be spontaneously photographed or videotaped by foundation personnel while they are involved in activities at Sundale Foundation and other sponsored events. We intend to monitor such occasions so that there will be no undue invasion of individual public privacy or disruption of the instructional process.

Photos/Videos: To be used on Sundale Foundation websites, Social Media, Flyers, etc.

Do you give Sundale Foundation permission to photograph/video your child? *
Required
Safety Procedures
Sundale Foundation conducts drills during and after Sundale School hours on a regular basis to ensure your child knows the proper procedures in the event of an emergency.
Remind 101
New safety procedures have been implemented for the 2018-19 school year. Sundale Foundation will notify all parents of an emergency event taking place or of important information regarding your child through the Remind Program.

In order to receive these notifications and alerts, you must sign up using your cell phone. Please follow the instructions below to ensure you receive all information being sent out.

Sign Up Instructions for Emergency Notifications & important Information
Before & After School Program 2019-2020 Registration Agreement
I understand that there is a $25.00 (per family) non-refundable annual registration fee that is due with my child's registration packet. ($10.00 off if received by June 14th, 2019) *
Required
I understand that invoices are emailed on the first of the month. *
Required
I understand that payments are due by the 10th of the month and will be considered late if not paid by this date. *
Required
I understand that a $25.00 late fee will be applied to my account if payment is not received by the 10th of the month. *
Required
If I am unable to make a payment by the due date, I understand that it is my responsibility to contact the Foundation Office immediately to discuss a payment plan. *
Required
I understand that if I fail to remain current on my account, my child's ability to participate in the Before/After School Program may be affected. *
Required
I understand that the After School Program closes at 6:00 p.m. *
Required
I understand that I will be liable for late fees of $1.00 per minute if my child is picked up after 6:00 p.m. *
Required
I understand that my child may be dismissed from the After School Program if I continuously pick up my child after 6:00 p.m. *
Required
I understand that no credits or refunds will be given for pre-paid days that my child does not attend. *
Required
If for any reason I no longer need to use the services of Sundale Foundation, I understand it is my responsibility to notify the Foundation Office and pay my ending balance in full. *
Required
If my child is enrolled in the ASES Grant Program, I understand that their attendance is to be kept at an 80% attendance rate each month. *
Required
I understand that my child may be dismissed from the ASES Grant Program if their attendance is not kept at an 80% attendance rate each month. *
Required
I understand that it is my responsibility to notify the Foundation Office if I would like to remove my child from the ASES Grant Program at any time. *
Required
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