Evolution After School Registration

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At the end of this form, a method of payment will be required to submit registration with a 2 week NON-REFUNDABLE deposit. There is an annual $30 registration fee. You will be able to read through the questions (for informational purposes) prior to submitting. Transportation spots/seats are limited. Program begins no later than AUGUST 10th, 2023 (tentatively based on the schools that have released their 2023-2024 school calendars).

Email *

Each day participants will be given time to work on homework and school assignments (with counselor supervision) upon arrival and also given play/activity time choices. We will work individually with families on their needs/expectations for homework completion as every school, teacher, and child is different. Students should bring any electronic devices and other materials needed to complete assignments (we will provide wi-fi access). Participants should bring water bottles and snacks; snacks are available for purchase in the office if needed. Students who attend 5 days a week may have access to a facility locker in which to store some items so they don't have to be transported daily.

TIERED TUITION RATES:

After School Tuition will be "averaged' over a 24 week period first semester (and similarly second semester) to help create stability (and longevity) of the program for all involved. ***𝗘𝘅𝗽𝗹𝗮𝗻𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗧𝗮𝗯𝗹𝗲 𝗮𝗯𝗼𝘃𝗲/𝗘𝘅𝗮𝗺𝗽𝗹𝗲:*** (8 weeks@$98)+(8 weeks@$68)+(8 weeks@$38) = 24 weeks@$68. But, if the participant is only enrolled for 16 weeks then (8 weeks @$98)+(8 weeks@$68)=16 weeks @$83. Weeks are counted by the number of weeks enrolled (not a specific time frame on a calendar.) Vanishing Tuition will "reset" after the completion of 24 weeks, the tiered system can carry over to the next school semester (2022) if participant starts mid-year. Initial that you have read these policies. 𝘼 𝙢𝙞𝙣𝙞𝙢𝙪𝙢 12 𝙬𝙚𝙚𝙠 𝙘𝙤𝙢𝙢𝙞𝙩𝙢𝙚𝙣𝙩 𝙞𝙨 𝙧𝙚𝙦𝙪𝙞𝙧𝙚𝙙, 𝙧𝙚𝙜𝙖𝙧𝙙𝙡𝙚𝙨𝙨 𝙤𝙛 𝙨𝙚𝙡𝙚𝙘𝙩𝙚𝙙 𝙗𝙞𝙡𝙡𝙞𝙣𝙜 𝙘𝙮𝙘𝙡𝙚. P͟r͟o͟g͟r͟a͟m͟ r͟a͟t͟e͟s͟ a͟r͟e͟ N͟O͟T͟ a͟d͟j͟u͟s͟t͟e͟d͟ f͟o͟r͟ s͟c͟h͟e͟d͟u͟l͟e͟d͟ s͟c͟h͟o͟o͟l͟ d͟a͟y͟s͟ o͟f͟f͟ o͟r͟ s͟c͟h͟o͟o͟l͟ c͟a͟n͟c͟e͟l͟l͟a͟t͟i͟o͟n͟s͟. 𝗦𝗖𝗛𝗢𝗢𝗟 𝗗𝗔𝗬𝗦 𝗢𝗙𝗙 𝗖𝗔𝗠𝗣𝗦: Are included in your tuition if being run on a day y͟o͟u͟r͟ s͟t͟u͟d͟e͟n͟t͟ a͟l͟r͟e͟a͟d͟y͟ a͟t͟t͟e͟n͟d͟s͟. RSVP and prior communication/scheduling is required. If Evolution is hosting a "SCHOOL'S OUT CAMP" on a day your student does not attend, your student may attend the camp for an additional fee/payment for a day that week at camp rates. *

𝗖𝗢𝗩𝗜𝗗 𝗠𝗲𝗮𝘀𝘂𝗿𝗲𝘀: We will operate based on the state guidelines for pools, camps, youth, and athletic programs and adjust our policies has those policies fluctuate. A͟s͟ o͟f͟ n͟o͟w͟, w͟e͟ d͟o͟ n͟o͟t͟ r͟e͟q͟u͟i͟r͟e͟ t͟e͟m͟p͟e͟r͟a͟t͟u͟r͟e͟ c͟h͟e͟c͟k͟s͟ o͟r͟ m͟a͟s͟k͟s͟ t͟o͟ p͟a͟r͟t͟i͟c͟i͟p͟a͟t͟e͟ i͟n͟ o͟u͟r͟ p͟r͟o͟g͟r͟a͟m͟s͟. 𝙀𝙫𝙤𝙡𝙪𝙩𝙞𝙤𝙣 𝘼𝙦𝙪𝙖𝙩𝙞𝙘 & 𝘼𝙘𝙩𝙞𝙫𝙞𝙩𝙮 𝘾𝙚𝙣𝙩𝙚𝙧 receives 𝗡𝗢 federal/state/county/public funding whatsoever (which surprises people). It is completely family owned and operated, thus we are not bound by the NC mandates for federal and county buildings. 𝗟𝗢𝗖𝗞𝗘𝗥 𝗥𝗢𝗢𝗠𝗦 and 𝗖𝗢𝗠𝗠𝗨𝗡𝗜𝗧𝗬 𝗔𝗥𝗘𝗔𝗦 are deep cleaned daily and wiped down during the day. 𝗖𝗢𝗩𝗜𝗗 𝗡𝗢𝗧𝗜𝗙𝗜𝗖𝗔𝗧𝗜𝗢𝗡𝗦: We will follow best practices for notification, tracing, and confidentiality. If a family chooses to take a student for a COVID test w͟h͟o͟ i͟s͟ s͟h͟o͟w͟i͟n͟g͟ s͟y͟m͟p͟t͟o͟m͟s͟, we will send an email to everyone saying "someone" had a Fever of X degrees (or significant symptoms) on day/night Y and went to go get tested on day Z. We will update you with contact tracing info and test results when available. We will send a second email to the people in the same orbit (kids who were in the same room, activity, van, etc. within 24 hours) letting you know. Again, this is just reporting of the SYMPTOMS. When we know if the test taken was negative, or positive, we will let everyone know and provide the information needed going forward at that point. Please INITIAL THAT YOU HAVE READ AND ACCEPT THESE POLICIES. *

𝗦𝗪𝗜𝗠 𝗜𝗡𝗦𝗧𝗥𝗨𝗖𝗧𝗜𝗢𝗡: There is NO ADDITIONAL COST for students to receive weekly swim instruction. However, appropriate swim attire will be required for all aquatic activities. No "beach shorts" will be allowed for boys and no "two piece" or loose fitting swim suits will be allowed girls. Swim shirts will be allowed IF they are tight-fitting. Appropriate well-fitting googles will be required for all (mask-like goggles or those that cover the nose will be permitted). Suits (jammers for boys, swim team "style" for girls) and goggles are available in the EAAC Pro-Shop and staff can assist with sizing. 𝗞𝗔𝗥𝗔𝗧𝗘 𝗜𝗡𝗦𝗧𝗥𝗨𝗖𝗧𝗜𝗢𝗡: There is NO ADDITIONAL COST for students to attend a weekly Karate class. However, there is a 1 time fee to purchase a Karategi (white karate uniform $40) if the student doesn't already have one. Students will be eligible to attend optional "belt ceremonies" and will pay any fees related to earning belts directly to MATI Karate. 𝗦𝗪𝗜𝗠 𝗧𝗘𝗔𝗠: Students who are interested and qualified to participate on the Evolution Aquatics swim team may attend practices with Stroke Intro or MS/HS Prep (finish before 6pm) or Stroke Development or Stroke Performance (finish at 6:45pm) O͟N͟C͟E͟ A͟ W͟E͟E͟K͟ if they register with USA Swimming (one time annual registration $125). There is no additional charge to stay at the EAAC until 6:45pm on those days if participating in a swim team practice. 𝗦𝗪𝗜𝗠 𝗧𝗔𝗫𝗜: Full swim team participants may receive a discount/rebate on their swim team tuition while enrolled/using After School as a method of transportation. Initial you have read these policies. *

How did you hear about AFTER SCHOOL @ EVOLUTION? *

Next Door

School FB Posting

Drive-By/Walk-In

Web Search

Evolution FB or Website

Received from a friend

Summer League Team

Heat Sheet Ad

None of the Above

Required

Student Name (First & Last) *

Student Date of Birth *

YYYY

Parent(s)/Guardian(s) First *

Parent(s)/Guardian(s) Last *

Parent(s)/Guardian(s) Phone Number: *

Parent/Guardian Street Address *

Emergency Contact First and Last Name *

Emergency Contact Phone Number *

Emergency Contact Relationship to Camper *

Please list those people in addition to Parent/Guardian that are permitted to pick up your camper. *

Student's T-Shirt Size

Youth S

Youth M

Youth L

Adult XS

Adult S

Adult M

Adult L

Clear selection

Student grade *

1st

2nd

3rd

4th

5th

6th

7th

8th

What school does your child attend? *

Bonnie Cone Leadership

Bradford Prep

Blythe ES

Carolina International

Corvian MS

Corvian ES

Cox Mill ES

Lake Norman Charter ES

Lake Norman MS

Odell ES

Odell PS

Other:

Select Days for AFTER SCHOOL (check all that apply) *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

None of the above (I need the late pick up time from LNC-see section below)

Required

Select days for LATE PICK UP from LNC (check all that apply)

Monday (3:30pm pick up)

Monday (4pm pick up)

Tuesday (3:30pm pick up)

Tuesday (4pm pick up)

Wednesday (3:30pm pick up)

Wednesday (4pm pick up)

Thursday (3:30pm pick up)

Thursday (4pm pick up)

Friday (3:30pm pick up)

Friday (4pm pick up)

Are you interested in a shuttle service (not interested in attending after school or after activities)? *

Yes

Maybe

What date would you like to start After School enrollment? *

YYYY

Choose an enrollment duration *

Minimum 12 week commitment

Full 24 weeks (1st semester)

Full year (1st and 2nd semester)

Would you need van transportation FROM school TO the Evolution After School program from your school? - There is no additional charge. *

Yes

What is the EARLY and LATE time window for pick-up at your school? (Example: 2:20p -3:10p (just before carpool/bus release to the end of carpool). If you answered "NO" above, type N/A. *

If you will pick up BEFORE 6:00pm or need a later pick-up time, please let let us know using "OTHER" *

6:00 pm is fine

Other:

For LNC families: Are you interested in the morning shuttle service drop off to LNC Middle and LNC Elementary?

Yes

Maybe

Clear selection

For Corvian ES & MS families: Are you interested in the morning shuttle service drop off to Corvian Elementary and Corvian Middle?

Yes

Maybe

Clear selection

Fall/1st Semester: I understand that to ensure the program will run/be sustainable, I will make a minimum 8 week enrollment commitment assuming there is no change in public health/school issues. For tuition calculation, the initial 8 week tuition rate will continue into January (if there is less than 8w left in the fall). Example: If starting program with only 5 weeks left before program break Dec. 17, the first 4 weeks of program (after January 4) will be at the "first" 8 week rate. Please initial I have read and understand this policy. *

If transportation (near NOMAD or from your school) was available for School Holidays, would you be interested in attending "Break" or "School's Out" camps? *

Yes

Maybe

Please tell us a little about your campers swim experience and ability level. *

Please list ANY allergies that your camper has to any food, medications or environmental factors or type NONE. *

Please list and describe any health issues, medical conditions and/or physical concerns, as well as, any current medications or type NONE. *

Medical Information: Primary Physician *

Medical Information: Name of Insurance Provider & Policy Number *

Please check off the items that your student WOULD NEED (does not have) for participation in Karate/Swimming. Swimming items available for purchase in the NOMAD Pro Shop and Karate uniform available from MATI Club. *

Karate Gi (approx $40)

Goggles ($11-$16)

Swim Cap (approx $3-$5)

Boys Suit (Jammer approx $25-$35)

Girls Suit (one piece, appropriate for swim instruction/team approx $25-$40)

I am interested in a LOCKER RENTAL for the semester ($50 for the semester).

NONE, we have everything above that we would need

Required

𝗧𝗘𝗥𝗠𝗦 𝗢𝗙 𝗔𝗚𝗥𝗘𝗘𝗠𝗘𝗡𝗧: Evolution Aquatics & Activities Center and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that NO fees will be REFUNDED or TRANSFERRED. In case of an emergency, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or physician). And additional waiver/release may be required prior to starting the program. Please initial below. *

PHOTO RELEASE: I hereby give permission for my child to be photographed at Evolution Aquatic & Activity Center. I understand the photos and quotes can be used for promotional purposes and can be posted on a p͟r͟i͟v͟a͟t͟e͟ FB group for AFTER SCHOOL at the Evolution Center. I understand that although my child's photograph may be used for advertising, his or her identity will not be disclosed. I do not expect compensation and that all photos are property of Evolution Aquatic & Activity Center and its affiliates. Please initial below. *

𝗣𝗔𝗬𝗠𝗘𝗡𝗧 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡: AUTO draft ACH (Checking or CC) authorization is required U͟N͟L͟E͟S͟S͟ the term (12w or 24w) payment is being paid in F͟U͟L͟L͟. A Deposit (2 weeks) is due at the time of REGISTRATION (submitted via form or phone, spots will not be held while waiting for no paper checks. To process registration payment, please provide bank account ROUTING number and CHECKING ACCOUNT number below along with bank name. ACH Draft is preferred, C͟r͟e͟d͟i͟t͟ C͟a͟r͟d͟s͟ w͟i͟l͟l͟ b͟e͟ a͟c͟c͟e͟p͟t͟e͟d͟ b͟u͟t͟ w͟i͟l͟l͟ h͟a͟v͟e͟ a͟ 3͟% c͟o͟n͟v͟e͟n͟i͟e͟n͟c͟e͟ f͟e͟e͟ a͟d͟d͟e͟d͟ (we are trying to keep tuition as low as possible.) Please initial that you have read and agree. *

𝗣𝗔𝗬𝗠𝗘𝗡𝗧 𝗢𝗣𝗧𝗜𝗢𝗡𝗦: After a 2 week deposit is paid (by CC or ACH Draft) at registration and $25 annual registration fee (if I choose the following method of payment *

Paper check for balance of the term (12w) due by or on the first day of attendance (no authorization required)

ACH Auto Draft bi-weekly for the remainder of the term (12w or 24w)

CC Auto Draft bi-weekly for the remainder of the term (12w or 24w) + 3%

ACH Auto Draft for balance of the tier (8w) due by or on the first day of attendance, then bi-weekly draft

CC Auto Draft for balance of the tier (8w) due by or on the first day of attendance. +3%, then bi-weekly draft.

PAYMENT INFORMATION (please enter CC number, exp. date, CSV code, and name on the CC to be used, or Bank Account, Routing number, and Bank Name below) This will be used for your deposit (and the payment option listed above). *

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