Text Box: It’s never too early to think about your 2008-2009 after school needs. The Orono Afterschool Program offers a fun and safe alternative to your child going home to an empty house or a babysitter. Children are met at Asa Adams by Afterschool staff where they can use the gym and outdoor facilities. The children then walk back to the Keith Anderson Community House with staff where they will participate in craft activities, play games or do homework. Special events, trips, and theme days throughout the year. Text Box: Grades: 5-6 Monday-Friday 2:30-5:30 Mini Days 12:30-5:30 In service & Vacation 7:30-5:30 Snow Days 9:00-5:30 Weekly $50 Daily $12 Mini Day $15 Vaca. week $75 In service/Snow $20 PRE- REGISTRATION REQUIRED Text Box: Afterschool Policies Payment required all registered days. Registrations accepted on full semester basis. 1 week advance notice on all cancellations./No part-time cancellations. Not responsible for lost articles. $15 late pick up fee. PG movies shown at discretion of Director. No CD’s, radios, walkmen, MP3 players, candy, gum, collector cards. Payments must be received by end of week that child attends. Text Box: 2008-2009 Afterschool Program

Afterschool Program closed

on all municipal holidays and Christmas Week.

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Spring/Summer 2008

Childs Name: ________________________________________ Age: _____  Grade: _____  D.O.B. _____/_____/_____

 

Parent/Guardian: ______________________________________  _________________  _________________  _________________                                                                                                                                                           Home                             Work                          Cell

Parent/Guardian: ______________________________________  _________________  _________________  _________________                                                                                                                                                           Home                             Work                          Cell

Address: _______________________________________________________________ Teacher:____________________________

 

Any Medical Conditions? ____________________________________________ Family Physician: _________________________

 

Emergency Contact:  __________________________________  _________________  _________________  _________________                                                                                                                                                           Home                             Work                          Cell

Full Week: _____                    Part Time:  Monday _____     Tuesday _____     Wednesday _____     Thursday _____     Friday _____

Who else may pick up your child: ________________________     ________________________    ________________________

I/We give our child permission to participate in the Afterschool Program.  I am aware by participation in this activity there is a risk of injuries of accidents and as a result will not hold the Town of Orono, employees, agents or volunteers responsible and waive all rights and claims against. In addition, I give permission to the Parks and Recreation Department to contact our physician and for medical treatment to applied as needed. I also understand that payment is due the week prior to attending and payment is required for days registered for regardless of attendance without a one week notice.  There are no cancellations for part time slots.  Furthermore I have read all other program policies in the Afterschool brochure and agree to abide by them and my child understands the need to follow these rules.

 

       _________________________________________________________                                              ______________________________                                                           Parent/Guardian                                                                                                                            Date