~Temporary Full Time Hub Enrollment~

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Welcome to the Full Time Hub Program @ Black River High School. We are excited to be offering in-person care and academic support during the upcoming school closure!!

Please be sure to read the following bullet points.

~Priority has been given to students already accessing the Hub. If you have not received an email confirming your child's reservation AND they attend the Wednesday program please email Venissa. If you have received confirmation please do not complete this form.

~All enrollment will be based on a first-come first-serve basis--However, slots are determined by your child's grade and school.

~Enrollment is limited

~This program will open December 7th and operate the weeks of 12/7-12-11, 12/14-12/18, and 1/4-1/8

~We are not a drop in program. If you do not use the time you have agreed to you will lose your spot. All students must be signed up for a minimum of 4 days/week. You cannot enroll your child for only one week.

~This program is only open M, T, TH, and F. We are not accepting registration for Remote Wednesdays at this time.

~The Hub will operate from 7:30-5:00 (ASP programming is still being worked out)

~Drop off at the Hub will take place from 7:30-8:10. If you arrive after 8:10 there will not be anyone to perform a health screening, and your child will not be allowed into the program. Unfortunately, we do not have the resources to dedicate staff to this task. Please arrive on time, or expect to care for your child for the day. Flexibility is given for arrangements made in advance.

~ASP staff will provide programming from 3:00-5:00 daily

~We will work closely with classroom teachers to meet expectations for all remote learning. This will be a challenge, and will not be perfect. You will need to check in with your student at the end of the day to see what work they still need to do.

~We will send students home for poor behavior. If your student is dismissed from the program for behavior it is expected that you will pick them up ASAP. Students may be asked to take a break and not return to the program the next day for behavior and safety concerns. Please see our discipline policy on our website.

~Transportation from CAES and CTES will be provided. The bus will leave CAES at 7:35, and return at 4:50.More information regarding transportation will be sent upon confirmation.

~Breakfast and lunch will be provided at the Hub. Both meals are served hot. Please sign up for breakfast and lunch with us or through your school. Do not sign up for both.

~The weekly cost of the Hub is $100/child. Any additional children will be billed at $75 per week. We accept child care subsidy and can help with this process (please don't wait to do this).

~Payment is expected on Monday of each week. Checks can be made out to TRSU ASP and sent with your child in morning, or handed to staff at drop off.

~You will be billed regardless of attendance.

More information about TRSU After School Programming can be found in the parent handbook and other resources located on the TRSU ASP website Please continue to access this site for future information regarding 2020 programming. This link will lead directly to the handbook:

https://docs.google.com/document/d/15alEqGDCTjnsnsUIVr9X9w_H44QzRVmpD9mtWmOMUWo/edit?usp=sharing

You must complete one form per child. Any forms with multiple children will not be accepted. The form will be deleted and you will have to start again.

Email *

Student's Full Name: (First, last) *

Student's Date of Birth: (You can edit the year) *

YYYY

Home address: *

My child is enrolled in: *

CAES

CTES

LES

MHS

What cohort will your child be in: *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Days we would like to enroll our child at the Hub for the following days of the week. *

Monday

Tuesday

Thursday

Friday

Required

My child will be picked up @/or ride the bus home (CAES/CTES) *

3:00

3:30

After 4:00

Ride the Bus

Please help us to plan ahead

My child will eat breakfast at home

My child will bring their own lunch

Parents Name and Telephone Number: This must be a number that we can reach you on during the work day. *

Emergency Contact Info (not parents) it is expected that this person can pick your child up if illness or behavior issues arise. *

Emergency Contact Info #2 (not parents) It is expected that this person can pick your child up if illness or behavior issues arise. *

Doctors Contact Info: Name and Phone Number *

Dentist Contact Info: Name and Phone Number *

Please tell us about your child's physical and mental health. Be sure to include; allergies, medications currently prescribed, fears, triggers, things that could cause anxiety during the school year. We want to serve your family to the best of our ability. *

Please check all boxes *

I give my child permission to participate in the activities at TRSU After School Program and Hub.

I give permission for my child to be photographed/videoed as a program participant, and I understand that these photographs, without my child’s name, may be used in reports about the program including, but not limited to; the news media, partner organizations, the school’s web sites, reports to local governing bodies, and reports to the federal government.

I give permission for my child to receive emergency medical treatment deemed necessary during TRSU ASP activities.

I give my child’s school, and the after school program permission to freely share academic and medical information with TRSU and TRSU ASP staff as needed.

I understand the rules and guidelines outlined in the TRSU After school parent handbook

I understand that my registering for the Full Time Hub does not mean my child has a slot

I have read the parent handbook and understand the policies and practices of TRSU ASP 2020

I understand that many TRSU ASP activities will be held outside, and it is my responsibility to dress my child appropriately

I understand that the Hub will do their best to meet teacher expectations during this remote learning time, however I also realize it is my responsibility to check in with my student regarding academic work

I understand that this is a contract and once my child has been enrolled in the program I am responsible for payment regardless of attendance.

Required

Payment information: Please check all that apply

Sibling Discount

Qualify for state subsidy

Full Pay

Parent Signature *

Any Questions please reach out to Venissa White regarding the Full Time Hub Program

Venissa.white@trsu.org or 802-591-2294

A copy of your responses will be emailed to the address you provided.

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