Jonathan has shown tremendous growth and aptitude in both goal areas. He is excited about reading and writing. He is very helpful in assisting his classmates with spelling.
Jonathan clearly has strong number sense. He enjoys math, and working with numbers seems to come easy to him. Jonathan understands the concepts of addition and subtraction very well. He needs the most work in accurately memorizing his addition facts.
Cesar has shown some growth in reading and writing, particularly with writing. With the tutor’s assistance, he is able to write complete sentences. He is also working significantly to decode in reading and blend sounds to spell.
When Cesar is focused, he is able to concentrate on the relationships between numbers. He is working on figuring out the concepts when a mathematical situation is presented. He is also working on addition of higher one-digit numbers, and memorizing the addition facts with smaller one-digit numbers.
Comments: Litzy enjoys and has progressed in her understanding and interpretation of antonyms and synonyms. I continue to work with her on spelling and capitalization in general. She has, however, demonstrated improvement and a better understanding of capitalization.
Litzy is eager to learn and complete her work. She is working on being more confident in her math abilities. She is building her number sense at the same time. Litzy will continue to practice addition facts, and to clearly understand if addition or subtraction is needed in mathematical situations.
Ethan enjoys and has progressed in his understanding and interpretation of antonyms and synonyms. Although I continue to work with him on spelling and capitalization in general, he is eager and excited about writing. His writing is very detailed and descriptive. It should also be noted that, when compared to last year, Ethan’s citizenship and behavior have improved to a great extent.
Ethan has been working on addition and subtraction of one-digit numbers. He will work on subtraction with regrouping. Ethan is confident in math, but needs to be sure to understand all details of the mathematical situation. He will also continue to practice addition and subtraction facts, so that he can strengthen his number sense.
Friday, April 4, 2008
AFTER SCHOOL CONTRACT 2008-2009
LAUSD Grant 2008-2009
S.T.A.R. Inc. [“STAR”] a 501(c)3 non-profit organization
AFTER SCHOOL CONTRACT 2008-2009
CHILD'S NAME: __________________________________________________________ Permit: _________ Grade: ________
Age: ___________ Date of Birth: ____/____/____ Sex: M____ F____ Home Language: _________________________
Home Address: __________________________________________________City: ________________________Zip: ____________
Home Phone#: _____________________________ E-Mail Address: _____________________________________
Parent/Guardian1 Name: _______________________________________________ Cell#: _________________________________
Guardian 1 Employment: _____________________________________________Position: _______________________________
Address: _____________________________________________City: ___________________________ Zip: _________________
Work Phone#: ______________________________ E-Mail Address: _____________________________________
Parent/Guardian2 Name: _______________________________________________Cell#: _________________________________
Guardian 2 Employment: _____________________________________________Position: _______________________________
Address: ______________________________________________City: _________________________ Zip: __________________
Work Phone#: ______________________________ E-Mail Address: _____________________________________
Participation in Program
Students are required to attend the program daily for maximum benefit from core curriculum and enrichment programs. In addition, students are expected to complete the daily rotation of classes everyday. If continued absences become a pattern, the student will be asked to leave the program so that others may benefit in his/her place.
TARDINESS AND PICK UP
Late pick up policy: STAR closes promptly at 6:00 p. m. Repeated tardiness may result in cancellation of your child's enrollment in the program. Excessive tardiness is considered to be more than 3 times in the school year. Late Fee is $1.00 per minute after 6:00 p.m. STAR allows a ten-minute grace period. At 6:11 the late fee is $11.00, 6:12 the fee is $12.00 etc. You must pay the late fee upon arrival. Please pay the staff member(s) in cash only. If you do not pay, your child may not attend the program until that balance has been paid in full. When late, our staff member will make every effort to contact you or persons listed as your emergency contacts. If we are unable to make contact by 7:00 p.m. the school police will be contacted and your child will be taken to the local school police station. Staff is not allowed to take children home.
STAR PHOTOGRAPHY & VIDEO CONSENT
Occasionally STAR will use a student’s photograph and/or film/video for promotional purposes of the organization. Your signature below indicates your permission to allow STAR to use your child’s photograph and or film/video for promotional purposes.
Parent/Guardian Name (Print): ________________________________________
Parent/Guardian Signature: ___________________________________________ Date: ________________
RELEASE OF LIABILITY
I hereby agree to hold harmless STAR, Inc, STAR Staff, Directors, Administrators and Members of the Board of Directors from any liability related to any and all STAR activities and programs. I hereby acknowledge the existence of the implied risk associated with all programs for children and the areas where such activities and programs take place.
I HAVE READ AND UNDERSTOOD ALL THE INFORMATION INCLUDED IN THIS CONTRACT AND BY SIGNING, I AGREE TO ADHERE TO THE TERMS OF THIS CONTRACT. IT IS FURTHER UNDERSTOOD THAT POLICIES AND TERMS OF THIS CONTRACT MAY BE CHANGED AND AMENDED, AND, THAT I SHALL BE INFORMED IN WRITING OF SUCH CHANGES WITH A 30 DAY NOTICE. I HAVE RECEIVED A COPY OF THIS CONTRACT.
Parent/Guardian Name (Print): ________________________________________
Parent/Guardian Signature: ___________________________________________ Date: ________________
(03/08)
Please Indicate Ethnicity (optional)
American Indian/Alaskan Native Asian Hispanic Black (not of Hispanic origin)
White (not of Hispanic origin) Filipino Pacific Islander Other_____________________
EMERGENCY CONTACTS
The law requires guardians to sign their child in or to sign them out. Failure to comply with this law may result in suspension or termination of this contract. Your child/children will not be released to any person that is not listed on the emergency contact list. If you need to have your child/children picked up by someone not included in this list, we require both a telephone call from you and a written authorization. Appropriate identification will be required.
By law children must be released to either parent even if one parent is not included on this form. STAR must have a copy of any court document that mandates special custody arrangements. Besides guardians listed above, we will release children only to the following individuals:
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: _________________
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: ________________
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: ________________
Name: _______________________________________________________________ Relation: ________________
Address: _____________________________________________________________ Phone#: ________________
DENTIST'S NAME: ______________________________________________Ph#_________________________
Address: _______________________________________City__________________________________
PHYSICIAN'S NAME: ____________________________________________Ph#_________________________
Address: _______________________________________City__________________________________
EARTHQUAKE OUT OF STATE CONTACT: ___________________________________________PHONE#__________________
List any specific health concerns your child may have (i.e. Illness, allergies, sensitivities, etc):
_____________________________________________________________________________
Does your child have any special needs? (Please specify physical, emotional, dietary or others such as autism, asbergers, tourettes,
ADD, ADHD etc.) _____________________________________________________________
STAR will conduct all of its programs using District facilities in accordance with all federal, state and local regulations and in a manner necessary to provide equal opportunity and access to our programs. The programs offered by STAR vary in programming and rigor among the various campuses. If STAR becomes aware that a child is in need of accommodation or modifications to the STAR program to participate, STAR will consult with the school administrator to determine on a case-by-case basis what reasonable accommodations or modifications, if any, that may be necessary and/or appropriate for each particular program.
EMERGENCIES
In case of an emergency, STAR will make every effort to contact the guardians of the child involved, before any treatment is begun. However, in the event we are unable to make contact with the parents or guardians, we require this medical release to be signed by all the participants in the program.
I HEREBY AUTHORIZE THE PHYSICIAN OR HOSPITAL SELECTED BY THE STAR PROGRAM TO HOSPITALIZE, SECURE TREATMENT FOR, AND TO ORDER INJECTION, ANESTHESIA, OR SURGERY FOR MY CHILD.
It is further understood that the undersigned will assume full responsibility for any such treatment, including the payment of all costs, and will hold STAR Inc., its representatives, the STAR directors, teachers and staff, harmless there from.
Name of Insurance: ____________________________________________ Policy #: ________________
Parent/Guardian's Name (Print): _____________________________________
Guardian’s Signature: _______________________________________________
Date: _______________
S.T.A.R. Inc. [“STAR”] a 501(c)3 non-profit organization
AFTER SCHOOL CONTRACT 2008-2009
CHILD'S NAME: __________________________________________________________ Permit: _________ Grade: ________
Age: ___________ Date of Birth: ____/____/____ Sex: M____ F____ Home Language: _________________________
Home Address: __________________________________________________City: ________________________Zip: ____________
Home Phone#: _____________________________ E-Mail Address: _____________________________________
Parent/Guardian1 Name: _______________________________________________ Cell#: _________________________________
Guardian 1 Employment: _____________________________________________Position: _______________________________
Address: _____________________________________________City: ___________________________ Zip: _________________
Work Phone#: ______________________________ E-Mail Address: _____________________________________
Parent/Guardian2 Name: _______________________________________________Cell#: _________________________________
Guardian 2 Employment: _____________________________________________Position: _______________________________
Address: ______________________________________________City: _________________________ Zip: __________________
Work Phone#: ______________________________ E-Mail Address: _____________________________________
Participation in Program
Students are required to attend the program daily for maximum benefit from core curriculum and enrichment programs. In addition, students are expected to complete the daily rotation of classes everyday. If continued absences become a pattern, the student will be asked to leave the program so that others may benefit in his/her place.
TARDINESS AND PICK UP
Late pick up policy: STAR closes promptly at 6:00 p. m. Repeated tardiness may result in cancellation of your child's enrollment in the program. Excessive tardiness is considered to be more than 3 times in the school year. Late Fee is $1.00 per minute after 6:00 p.m. STAR allows a ten-minute grace period. At 6:11 the late fee is $11.00, 6:12 the fee is $12.00 etc. You must pay the late fee upon arrival. Please pay the staff member(s) in cash only. If you do not pay, your child may not attend the program until that balance has been paid in full. When late, our staff member will make every effort to contact you or persons listed as your emergency contacts. If we are unable to make contact by 7:00 p.m. the school police will be contacted and your child will be taken to the local school police station. Staff is not allowed to take children home.
STAR PHOTOGRAPHY & VIDEO CONSENT
Occasionally STAR will use a student’s photograph and/or film/video for promotional purposes of the organization. Your signature below indicates your permission to allow STAR to use your child’s photograph and or film/video for promotional purposes.
Parent/Guardian Name (Print): ________________________________________
Parent/Guardian Signature: ___________________________________________ Date: ________________
RELEASE OF LIABILITY
I hereby agree to hold harmless STAR, Inc, STAR Staff, Directors, Administrators and Members of the Board of Directors from any liability related to any and all STAR activities and programs. I hereby acknowledge the existence of the implied risk associated with all programs for children and the areas where such activities and programs take place.
I HAVE READ AND UNDERSTOOD ALL THE INFORMATION INCLUDED IN THIS CONTRACT AND BY SIGNING, I AGREE TO ADHERE TO THE TERMS OF THIS CONTRACT. IT IS FURTHER UNDERSTOOD THAT POLICIES AND TERMS OF THIS CONTRACT MAY BE CHANGED AND AMENDED, AND, THAT I SHALL BE INFORMED IN WRITING OF SUCH CHANGES WITH A 30 DAY NOTICE. I HAVE RECEIVED A COPY OF THIS CONTRACT.
Parent/Guardian Name (Print): ________________________________________
Parent/Guardian Signature: ___________________________________________ Date: ________________
(03/08)
Please Indicate Ethnicity (optional)
American Indian/Alaskan Native Asian Hispanic Black (not of Hispanic origin)
White (not of Hispanic origin) Filipino Pacific Islander Other_____________________
EMERGENCY CONTACTS
The law requires guardians to sign their child in or to sign them out. Failure to comply with this law may result in suspension or termination of this contract. Your child/children will not be released to any person that is not listed on the emergency contact list. If you need to have your child/children picked up by someone not included in this list, we require both a telephone call from you and a written authorization. Appropriate identification will be required.
By law children must be released to either parent even if one parent is not included on this form. STAR must have a copy of any court document that mandates special custody arrangements. Besides guardians listed above, we will release children only to the following individuals:
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: _________________
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: ________________
Name: ______________________________________________________________ Relation: ________________
Address: ____________________________________________________________ Phone#: ________________
Name: _______________________________________________________________ Relation: ________________
Address: _____________________________________________________________ Phone#: ________________
DENTIST'S NAME: ______________________________________________Ph#_________________________
Address: _______________________________________City__________________________________
PHYSICIAN'S NAME: ____________________________________________Ph#_________________________
Address: _______________________________________City__________________________________
EARTHQUAKE OUT OF STATE CONTACT: ___________________________________________PHONE#__________________
List any specific health concerns your child may have (i.e. Illness, allergies, sensitivities, etc):
_____________________________________________________________________________
Does your child have any special needs? (Please specify physical, emotional, dietary or others such as autism, asbergers, tourettes,
ADD, ADHD etc.) _____________________________________________________________
STAR will conduct all of its programs using District facilities in accordance with all federal, state and local regulations and in a manner necessary to provide equal opportunity and access to our programs. The programs offered by STAR vary in programming and rigor among the various campuses. If STAR becomes aware that a child is in need of accommodation or modifications to the STAR program to participate, STAR will consult with the school administrator to determine on a case-by-case basis what reasonable accommodations or modifications, if any, that may be necessary and/or appropriate for each particular program.
EMERGENCIES
In case of an emergency, STAR will make every effort to contact the guardians of the child involved, before any treatment is begun. However, in the event we are unable to make contact with the parents or guardians, we require this medical release to be signed by all the participants in the program.
I HEREBY AUTHORIZE THE PHYSICIAN OR HOSPITAL SELECTED BY THE STAR PROGRAM TO HOSPITALIZE, SECURE TREATMENT FOR, AND TO ORDER INJECTION, ANESTHESIA, OR SURGERY FOR MY CHILD.
It is further understood that the undersigned will assume full responsibility for any such treatment, including the payment of all costs, and will hold STAR Inc., its representatives, the STAR directors, teachers and staff, harmless there from.
Name of Insurance: ____________________________________________ Policy #: ________________
Parent/Guardian's Name (Print): _____________________________________
Guardian’s Signature: _______________________________________________
Date: _______________
STAR Discipline & Responsibility Policy
STAR Discipline & Responsibility Policy
GOALS
The goal of the STAR Program is to provide every child with a happy, safe, and enriching experience everyday. In order to achieve our goal, we need the full cooperation and
support of every parent and child. By working together, we can teach the children the skills that will help them make sound decisions and be successful in their social development.
PARENT RESPONSIBILITY
Your cooperation is needed in the following areas:
• Direct your child to come directly to the program on days enrolled
• Sign your child in and/or out every day by an authorized adult (your child will not be released otherwise)
• Call when your child is absent
• Go over the rules with your child
• If corrective actions are needed, such as suspension, please follow up at home with a discussion about the issue at hand. Be supportive. We are working together for the welfare and healthy development of your child’s social skills.
• Parents are their children’s first teacher and primary role models. Any parent who uses abusive language or behavior toward staff, other parents, or children risks registration cancellation.
DISCIPLINE POLICY
Dictionary definition of discipline: To guide, train, practice, correct, and teach.
The STAR Program follows the STAR CAN DO DISCIPLINE PROGRAM. This highly acclaimed system uses a positive approach for guiding children. All staff members are required to take this training. The assertive discipline training has 3 components: the Rules, the Reward System, and the Consequences.
The Rules
• Come directly to STAR
• Follow Directions
• Stay in your area
• Respect others: no fighting, inappropriate physical contact, name calling or other activities that take the right to be happy away from any child.
• No inappropriate behavior or touching, including gestures and signals.
• Respect the property of others.
----------------------------------------------------------------------------------------------------------------------
(More Information on Back)
Please remember to sign and return the “tear off” section on the other side of this sheet.
Keep the remaining portion for your records.
Thank You.
The Reward System
Each STAR Program will implement a reward system to positively reward good behavior.
Consequences
If a child chooses repeatedly to break the rules, a formal meeting with the parent will be set up. If the child breaks the rules after this meeting, a one-day suspension will follow. Any further infractions of the rules will result in cancellation of the child’s registration.
MORE SERIOUS BEHAVIOR & CONSEQUENCES
Biting, spitting, physical fights, leaving the group or campus, searing or blatant disrespect for children, parents, and staff are considered more serious offenses. A first time infraction shall result in a one-day suspension, and a second time infraction will result in the non-refundable cancellation of registration. Parents may be called to pick up their child immediately from the program if the child is out of control and will not follow instructions. Any behavior that endangers the children or staff will be cause for immediate cancellation of registration.
BATHROOM PROCEDURES
Children are taken to the bathroom on a regular basis or as needed. A staff member will
accompany each child to the bathroom. Restrooms are to be used for their intended purpose only. Restrooms are not an area for play!
IMPORTANT
To ensure we are providing the best service possible for the children, we review our policies and procedures on a regular basis. Therefore, this contract may be modified at any time.
(03/08)
-------------------------------------------------------------------------------------------------------------------------------
STAR DISCIPLINE AND RESPONSIBILITY POLICY AGREEMENT
I have read and understood the Discipline and Responsibility Policy of the STAR Program and herby agree to follow the terms stated in these policies.
Parents Name (please print): ____________________________________________________________________
Parents Signature: ____________________________________________________________________________
Child’s Name: ________________________________________________________________________________
Child’s Signature: _____________________________________________________________________________
Date: ________________________________
GOALS
The goal of the STAR Program is to provide every child with a happy, safe, and enriching experience everyday. In order to achieve our goal, we need the full cooperation and
support of every parent and child. By working together, we can teach the children the skills that will help them make sound decisions and be successful in their social development.
PARENT RESPONSIBILITY
Your cooperation is needed in the following areas:
• Direct your child to come directly to the program on days enrolled
• Sign your child in and/or out every day by an authorized adult (your child will not be released otherwise)
• Call when your child is absent
• Go over the rules with your child
• If corrective actions are needed, such as suspension, please follow up at home with a discussion about the issue at hand. Be supportive. We are working together for the welfare and healthy development of your child’s social skills.
• Parents are their children’s first teacher and primary role models. Any parent who uses abusive language or behavior toward staff, other parents, or children risks registration cancellation.
DISCIPLINE POLICY
Dictionary definition of discipline: To guide, train, practice, correct, and teach.
The STAR Program follows the STAR CAN DO DISCIPLINE PROGRAM. This highly acclaimed system uses a positive approach for guiding children. All staff members are required to take this training. The assertive discipline training has 3 components: the Rules, the Reward System, and the Consequences.
The Rules
• Come directly to STAR
• Follow Directions
• Stay in your area
• Respect others: no fighting, inappropriate physical contact, name calling or other activities that take the right to be happy away from any child.
• No inappropriate behavior or touching, including gestures and signals.
• Respect the property of others.
----------------------------------------------------------------------------------------------------------------------
(More Information on Back)
Please remember to sign and return the “tear off” section on the other side of this sheet.
Keep the remaining portion for your records.
Thank You.
The Reward System
Each STAR Program will implement a reward system to positively reward good behavior.
Consequences
If a child chooses repeatedly to break the rules, a formal meeting with the parent will be set up. If the child breaks the rules after this meeting, a one-day suspension will follow. Any further infractions of the rules will result in cancellation of the child’s registration.
MORE SERIOUS BEHAVIOR & CONSEQUENCES
Biting, spitting, physical fights, leaving the group or campus, searing or blatant disrespect for children, parents, and staff are considered more serious offenses. A first time infraction shall result in a one-day suspension, and a second time infraction will result in the non-refundable cancellation of registration. Parents may be called to pick up their child immediately from the program if the child is out of control and will not follow instructions. Any behavior that endangers the children or staff will be cause for immediate cancellation of registration.
BATHROOM PROCEDURES
Children are taken to the bathroom on a regular basis or as needed. A staff member will
accompany each child to the bathroom. Restrooms are to be used for their intended purpose only. Restrooms are not an area for play!
IMPORTANT
To ensure we are providing the best service possible for the children, we review our policies and procedures on a regular basis. Therefore, this contract may be modified at any time.
(03/08)
-------------------------------------------------------------------------------------------------------------------------------
STAR DISCIPLINE AND RESPONSIBILITY POLICY AGREEMENT
I have read and understood the Discipline and Responsibility Policy of the STAR Program and herby agree to follow the terms stated in these policies.
Parents Name (please print): ____________________________________________________________________
Parents Signature: ____________________________________________________________________________
Child’s Name: ________________________________________________________________________________
Child’s Signature: _____________________________________________________________________________
Date: ________________________________
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