Emergency School Closure Care NEW Registration

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This is the form to continue Emergency Closure Care during the COVID-19 School shutdown. This form is only intended for previously registered families, new families must register separately.

Emergency School Closure Care:

Dover Eyota will provide limited care to children currently attending Dover Eyota Schools Kindergarten-5th grade for children of emergency workers critical to the State's response to COVID-19 who do not have alternative care previously arranged. If possible parents should continue to use your regular childcare provider as emergency care of this kind is limited. Care will be provided only during working hours, for parents who are unable to work from home, for essential staff as listed below:

Emergency Care is a service available ONLY to parents/legal guardians who work in roles critical to patient care and the response to COVID-19. Please review the MDE list to determine if your child is eligible for care: https://education.mn.gov/mdeprod/idcplg?IdcService=GET_FILE&dDocName=MDE032076&RevisionSelectionMethod=latestReleased&Rendition=primary

Care may be limited. Preference will be given to Tier 1 families first.

HOW TO REGISTER::
1.Complete the on-line Registration Form

2. Wait for Approval Pending from Coordinator--Jenna, pending program availability and suitability.

*You must fill out a separate registration form for each child.

Email *

My child's names: *

At this time, care will be continued from May 4th-June 3rd. Care will be provided from 7:30-4:30 M-F on regularly scheduled school days. *

I understand.

Required

Please check the statements below to confirm understanding and registration information. *

My child is eligible for participation in Emergency Child Care and/or Extended Care based on the information provided. I will bring my verification letter from my employer confirming employment and a role listed in the Minnesota Department of Education document “School-Age Care for Children of Emergency Workers” or employer ID to the first day of care.

You must be unable to work from home.

Care will be provided by various D-E staff. At this time we are not able to guarantee that staff will be able to support child(ren) in their distance learning.

Participants must be fever free, must not have had direct exposure in the last fourteen days to an individual who has tested positive for COVID-19, and must not have traveled themselves in the last fourteen days to a country with a Level III Travel Health Notice by the Centers for Disease Control.

Group child care carries inherent risks because of its nature as a congregate activity. By signing up for Emergency Child Care and/or Extended Care, I understand I am accepting the risks inherent in this activity and releasing Dover-Eyota Public Schools from all claims of injury that result from participation in Emergency Child Care.

All participants will participate in a brief health screening before entering the program. Children must be fever free without use of fever-reducing medications for 72 hours and must not be exhibiting symptoms of an active respiratory illness.

Children must be able to follow staff direction regarding safety and behavior.

At this time Dover-Eyota has decided not to charge for care offered during this emergency school closure period.

Breakfast, Lunch and PM snack will be provided during care hours. Students are welcome to bring their own lunch and/or snack each day.

Required

I do not have previously arranged child care. *

I agree.

Required

Care may be limited. Preference will be given to Tier 1 families first. *

I understand.

Required

Please include your employer and position: *

Children must be well enough to attend care: Sick Child: If your child becomes ill at care, the staff will notify parent/guardian immediately. Parent/Guardian is responsible for making arrangements for child to be picked up immediately. Children should remain home or will likely be sent home if any of the following occur: Severe cold, cough, or sore throat; Vomiting, diarrhea, nausea, or abdominal pain; Temperature of 100.0 degrees or more with or without other symptoms; Eye infections, especially if discharge is present; New skin rashes, especially if discharge is present; and/or Any other signs of acute illness. Any children experiencing COVID-19 symptoms or have a family member with COVID-19 symptoms or tests positive for COVID-19 will be excluded from care for a period of time. Written permission and signature from a licensed physician to return to care will be required. *

I understand.

Required

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