Auburn's Best After School Program - 2022
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Please list your child's FIRST and LAST name here: *
Parent (s) or Legal Guardian (s): Please list your first and last name (s) here: *
How old is your child? *
What school does your child attend? *
Has your child ever attended an after school program? *
If yes, which after school program? *
If you marked yes to having attended a previous after school program, can you tell us why you decided to leave? *
We've found an Open House format typically works best which will include a tour, question/answer session, food, door prizes, and more.  Please note- after August we have one-on-one private interviews before acceptance into the program. *
I understand that attendance of the Open House on Saturday, July 31st- 11:00am - 12:00pm is mandatory and required for acceptance into the after school program. (If you cannot attend due to illness or prior-made plans that cannot be changed, let us know and we will do our best to work with you on an alternate time/day.) If you are enrolling later in the school year, a mandatory parent/guardian conference with both parents/guardians is required before acceptance into the program. *
I understand that my child's temperature may be taken upon arrival each day to after school upon check-in. If my child registers a temperature of 100* or more, my child's temperature will be taken two more times. If the 3rd temperature reading still shows a temperature of 100* or more, my child will not be able to attend camp for that day.  My child may return after their temperature is normal for 48 hours. *
Does your child have any known food or other allergies? *
Does your child need any medications administered during their after school program? *
Your child must be able to inform a coach that they need to take their medicine, and be able to take their medication on their own. *
If yes, please pack your child's medication in a sealed ziplock bag each day with instructions on dosage and time for the medication to be given.   *
Required
List an emergency contact here: First and Last Name *
List RELATIONSHIP of your emergency contact here *
Emergency Contact's Cell Phone number here: *
In the event of a serious allergic reaction I give permission for  Auburn's Best After School and Summer Camp to administer Benadryl or its generic equivalent to my child. *
In the event of a headache I give permission for an age appropriate dosage of acetaminophen to be administered to my child. *
Please list any information you can tell us about your child's personality or health which will enable us to ensure your child has an AWESOME time during their after school program.   *
My child's FIRST t-shirt is free! (Please note: if your child has previously received their t-shirt from last year's after school program or summer camp and it still fits well, this constitutes their free t-shirt.) *
As an enriching, fun, engaging, after school program, from time to time we go on field trips! As such, I understand that my child must wear his/her after school program t-shirt on days scheduled for field trips (or bring it) as it is a requirement to wear during field trips.  This requirement ensures safety for all of our kids. If my child forgets to wear or bring his/her t-shirt to after school on any field trip day, Auburn's Best After School and Summer Camp has permission to charge my account $16.35  ($15 plus $1.35 sales tax) to pull a t-shirt for use. *
I understand that it is left to my discretion as to whether my child will wear a mask at the studio. During field trips if a mask is required by the facility we are visiting, then I give my permission for my child to wear a mask.  If I forget to pack a mask for my child, I agree that Auburn's Best After School and Summer Camp may give my child a disposable mask and my account be charged $2.00 to cover the cost of the mask. *
I understand that for my child to have optimal energy and mental and physical and emotional fortitude, that we will either pack a snack everyday or purchase a snack from the Kids Cafe everyday and that Auburn's Best After School and Summer camp requires my child to eat a snack (whether brought or bought) for the above reasons. *
Regarding snacks:  If my child purchases a snack from the Kids Cafe, I will send- $1.00 bills for exact change per snack item.   *
Regarding snacks:  I understand that if I have told my child to not purchase a snack, but to eat the snack brought from home, that they are not to ask a coach for a snack, and I understand that if my child approaches a coach to purchase a snack, they will be sold a snack.   *
Regarding snacks: You give us permission that if your child does not bring a snack from home, or shows up to the after school program and tells us they do not have a snack,  we WILL give them a snack, and charge your account $1.00.   *
Regarding food allergies: If you are concerned that your child may accept a food that they should not eat offered by another child, or that your child may ask to buy a snack when you have told them to not buy one, or that a parent may bring in snack items for special occasions such as birthdays that your child cannot eat, or that other parents (or kids) may bring in the allergic food item, then we are happy to talk with you further whether our program will be a good fit for your child. We want to be transparent on what we can offer through our program, and what we cannot. If we know of a food allergy, we will send out a notice to parents about the allergy, but we are not able to ensure that all food items entering the program are in compliance. It is a courtesy notice only. Your child must be able to be responsible for ensuring they do not eat any offending food. *
Change of clothing:  Please bring an entire change of clothing (we recommend the least "loved" clothing items) for your child to keep in their cubby in the event of accidental spills, etc. We recommend that favorite items of clothing be left at home and not brought in the event your child's clothing ends up leaving with someone else.  Place an uncherished t-shirt, uncherished pair of finger-length shorts, underwear, and socks in a large, sealed ziplock bag labeled with your child's name.  This will be kept in their cubby for the duration of their after school program. *
Regarding extra change of clothing:  clothing needs to be soft with no hardware or bling: no buttons, buckles, zippers, hard beads, etc.- Soft clothing will ensure children are not scratched during activities and not only protects children, but also protects our mats! *
I understand that my child will be given instructions to pack up their belongings (except their ziplock bag change of clothing) at the end of each day, but that my child is responsible for keeping up with their own belongings. Coaches throughout the day remind children to keep their belongings neatly within their cubbies.  Coaches also instruct children to pack-up for the day and repeat those instructions.   I will not hold Auburn's Best After School and Summer Camp program to blame for any lost or left behind items. From time to time we will donate to the Thrift Store unclaimed items.  We are not responsible for any left behind water bottles or clothing items as children are instructed to pack them away each day. *
I understand that doors at the facility may be open for air-flow and I agree to always enter and exit the facilities through the LOBBY door during early check- out times (before 5:00pm) and in the car line in the back of the building during regular check-out time (5:00pm - 6:00pm). *
I understand that the field trip schedule is an approximate time frame ONLY and that Auburn's Best After School and Summer Camp is not obligated to be at the facility at any given time before  6:00pm and that the time of returning from field trips may vary depending on the field trip destination and a host of other factors. *
I will send $5.00 in cash on field trip days with my child which will be used to pay for field trip related expenses.  If the cost for the field trip will exceed $5.00, a coach will let me know the amount to send in. Please send in exact change PER CHILD as typically we do not carry change on hand. *
If wearing shorts, shorts need to be finger length. As a program that engages in physically active games and activities, shorts need to be of a length to ensure that modesty is preserved. *
Please note: In being absolutely transparent on what our program is, and what it isn't, please be aware of the following and make sure this program is a good fit for your family before proceeding. Auburn's Best follows a Green Light, Yellow Light, Red Light system.  All children start on green. If a child must go into time-out, they are moved to yellow,  however they may resume regular activities after their time-out period. Subsequent time-outs result in check marks on the child's yellow card.  If a child is not behaving at the dojo- they will not behave out in public and we will not take them on a field trip-primarily for safety concerns. If a child acquires 4 check marks on their yellow card, we will call for ONE parent conference to work together on ways we can support you as the parent so that your child can return to green and remains on Green.  If no improvement in behavior occurs after the Parent Conference, the child is moved to Red.  Red indicates a suspension of one week from attending the after school program.   If this week suspension does not correct behavior upon their return, then the parents will be asked to find another program more suited to their needs. We gear our program to BEST behavior and to children who want to attend, comply, and have fun.  We believe the parent or guardian is the disciplinarian of their child- Our program strives to create a positive environment full of incentives for best behavior, but we are not the disciplinarians. Our goal is that ALL children go home each day saying they cannot wait to get back. This is only achieved if ALL children are on their best behavior- rather than a few on their worst. We have a zero tolerance for poor behavior that does not end up being corrected within the structure of our systems.  We also have a ZERO tolerance for bullying in ANY form. If you feel that your child does not listen to your voice at home, they will not listen to ours.  If your child listens well to you at home, they will listen well to us. We believe all children are THE BEST that attend our program and do not want children getting an idea they aren't the best by going into multiple time-outs or even a RED.  Since we believe discipline comes from the home, we believe it is the parent/guardians responsibility to ensure proper behavior of their child during the after school program by following up with discipline at home. *
I understand that my child will be transported to and from their schools to the dojo and to and from the after school location to field trip destinations and I give my permission. *
I have completed my digital participation waiver. *
I understand that my child will not be able to participate in Auburn's Best After School and Summer Camp program until all required waivers have been completed, and all other required forms completed and submitted AND either I have attended an Open House OR had an individual parent conference. *
I understand that pictures (and some videos) of my child and their fellow campers will be taken throughout the day and posted for me to be able to see what great activities and fun my child is having in a closed Group Me group.  I can also comment during the day in this closed group. I agree to download the Group Me app and join Auburn's Best After School and Summer Camp. *
Required
If at anytime I need any assistance, I can text/call Randall Phillips at 678-595-9859 any time, or use the Group Me to post a comment or question. This Group Me will have pictures and videos posted throughout the day and coaches will check for comments and questions from parents when they are able to do so. Please do not post any personal, private information on Group Me.   *
I understand that if we forget to pack a snack, that my child can purchase snacks from our Kids Cafe for $1.00 each - various chips and candy. *
I understand that if my child is on a field trip during snack time and wishes to purchase a snack from the vendor, that they must have enough cash on hand to purchase their snack. I also understand that if a coach asks the child if they have a parent's permission, and the child tells us they do, we will allow the child to purchase a snack. *
I understand that in the interest of the utmost security and protection of my child, when I arrive to  pick up my child I must have a coach check-out my child.  I must also arrive and present a valid id to verify my identity-such as a driver's license until such time as I am easily recognized by coaches.  I understand to do this each and every time I pick-up my child, and that my child will not be released to me if a coach cannot verify my identity.  Please be aware we have a large staff of coaches, and new coaches from time-to-time, and you may be asked by a coach to show your id even if other coaches know who you are. Please comply with their request knowing it is for the safety of your child. *
I understand that ONLY people listed below on my Approved Person's List (to pick up my child) may pick up my child when I am unable, and that a valid ID is required for them to show coaches when they arrive to pick up my child. I understand that if the name (s) listed and the person's ID do not match, or they do not show a valid ID or they are not on the list, that my child will not be allowed to leave with them under any circumstances. *
Approved Person's to Pick Up My Child:  First and Last Name: (you may list up to 4 people but at least ONE); RELATIONSHIP (S), and CELL PHONE NUMBER (S)- for each please. INCLUDE YOUR OWN NAME HERE *
I agree to keep on file an active and current cell phone number AND email address during the year so that I may keep abreast of communication! *
I understand that pick-up is a car-line pick-up between 5:00pm - 6:00pm in the BACK of the building and that a coach will walk my child to my car. *
I understand that if I wish to pick up my child prior to 5:00pm, that I will park my car in the FRONT of the buildings IN THE PARKING LOT SPACES (NOT IN FRONT OF THE ENTRANCE) and that I will WALK INSIDE to check-out my child with a coach. I understand that I must have a coach check-out my child before being allowed to leave. *
Required
I understand that if my child is on a field trip and I wish to check him/her out early on that day, that I will first text the Director my intentions, and the Director will tell me what APPROXIMATE time and the location of the field trip. I understand it is an approximate time only and that there is no promise or guarantee that when I arrive at the destination that the children may still be there (they may have left and are in transit back to the dojo, for instance) but that every effort will be made to help me coordinate the time and place to pick up my child on a field trip day AS LONG AS it does not impede the scheduled arriving, transit, and leaving times for that field trip, AND most importantly as long as it does not make for an inconvenience to the kids and staff on the field trip. *
I understand that 3 criteria must be met in order for me to check-out my child early at the field trip destination. 1) Only a parent or legal guardian can pick up my child AND 2) A coach must be able to recognize me and confirm my identity and 3) I must INITIAL by my child's name on my child's coach's transportation list.  I understand that if either of these 3 criteria are not met, that my child will not be allowed to be checked out from a field trip site for any reason. Babysitters or others listed on the Approved Pick-Up list will not be allowed to pick up my child from a field trip destination. *
Required
We are super excited about Auburn's Best After School and Summer Camp this year and can't wait to get started! *
Do you have any questions for us right now? *
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