2016-2017 Extended Day Registration Form

Extended Day Registration Form

2016-2017 Extended Day Program Registration Form

Student Information
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Parent Information
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Lower School Extended Day (PK-4th)
Middle School Extended Day (5th-6th)
Parental Consent
I give my consent for my child’s participation in the Hammond School Extended Day Program. I agree to release and hold harmless the School, its agents and employees from claims, damages, losses, or other liabilities for injuries to the Student not from gross or willful negligence by the School, its agents or employees. I agree to indemnify the School for damage caused by the Student. I will not hold the School responsible in the case of accident or injury as a result of participation. I have read, understand and agree to all policies and billing information for the Extended Day Program.
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Attention PK & K5 Families:
Families must complete the DSS Form 2900 for students in Pre-Kindergarten and Kindergarten in accordance with DSS regulations. Please click the form above to complete it and submit it to the Auxiliary Programs Office.It is required that all children in attendance be fully registered and have all documentation completed in full prior to admission to the program. Students may not participate in the Extended Day Program for any reason without all required documents.Billing Notice: Parents of students enrolled will need to submit any changes to their billing schedule, in an email to the Director of Auxiliary Programs, by the 25th of each month prior to the change.
Billing Notice:
Parents of students enrolled will need to submit any changes to their billing schedule, in an email to the Director of Auxiliary Programs, by the 25th of each month prior to the change.
Extended Day Program Acknowledgement and Agreement
The following are statements of understanding. Please read each section and type your name at the bottom.
1. I understand Hammond School Extended Day Program’s Behavior and Discipline Policies and agree to support and/or follow these procedures. 2. I have read and understand the Dismissal Procedures and Polices. I agree to support and follow these procedures. 3. I have read and understand the Hammond School Extended Day Program’s Confidentiality Policy. 4. I have read and understand that Hammond’s Extended Day Program will not transport children to and/or from school each day, and that they will not take field trips or field studies off campus on school days during regular hours. I understand that field trips may be planned when Extended Day is available on many school holidays and early dismissals. 5. I understand that the Extended Day staff does not administer any medication to children. I fully understand the Medication Policy and agree to support and follow the procedures as they are outlined in the Extended Day Program Handbook. 6. I have read, understand, and agree to all of the policies and procedures contained in the 2016-2017 Extended Day Program Handbook. 7. The 2016-2017 Extended Day Program Handbook has been prepared as a guide to the policies and procedures and other essential information to assist our families with the Hammond Extended Day Program. The information contained in the handbook establishes guidelines only. The Extended Day Program reserves the right to make changes in the content or application of this handbook and to implement those changes with or without notice. 8. I have received and thoroughly read a copy of the Extended Day Program Handbook. I understand it is my responsibility to become familiar with these policies and procedures and to abide by them. I understand that my child’s continued enrollment in this program is dependent upon my continued support of the mission, policies and procedures of the Extended Day Program as documented in the handbook.
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Hammond School

854 Galway Lane, Columbia, SC 29209  •  P:803.776.0295