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 DATE: _______________ Barnard F.A.S.T. Whole Child Summer Academy Application A few things about registration for Barnard Programs: 1. It is expected that if you signed your child up for a program that you are committing to regular attendance (no more than 2 absences). 2. Students MUST be dropped off and picked up from programs at the times listed. Otherwise, students with late drop offs (before-­‐school) or late pick-­‐ups (after-­‐school) will be removed from programs and a student from the waiting list will be enrolled in their place. 3. There is no child care available at Barnard for siblings of students enrolled in other programs. Students whose younger siblings are left in the building unsupervised while waiting for a sibling to attend another program will need to be picked up immediately. If pick up is not available, the student enrolled in the program will be removed. If your family needs information about alternative after school care for siblings not enrolled in programs, please contact the office. 4. Students are expected to engage in Respectful, Responsible and Safe behavior. Any behaviors that create an unsafe or unproductive learning environment for other students may result in dismissal from the program. Registration Process: 1. Check the class in which your child will participate. 2. Fill out all information below. Incomplete registration forms will not be considered. th
3. Sign, date and return the form to the Barnard School Office by June 17 . You will receive an enrollment confirmation by email and phone. PLEASE NOTE: Registration is not a guarantee of enrollment. If class is filled prior to receiving your child’s enrollment form, your child may not be accepted. Please make sure you receive confirmation prior to your applied for club. Child Name: _____________________________________ Current Grade (School Year 14/15): ____________________ Current Barnard Student? ____ Yes ____No Registering for: ___ Pre-­‐K ___K-­‐2 ___3-­‐4 ___ 5-­‐7 Parent Name: _________________________________ Contact Number: _______________________ Address: _____________________________________________________________________________________________________________ Email: _______________________________________________________________________________________________________________ ___ Yes! I am interested in getting information about additional childcare for an extended day (from 12:00 noon on). The school will give you contact information and the family will be responsible for this additional sign up process. I understand that my child may be participating in the above selected clubs, beginning Wednesday, July 1. Registration is no guarantee of th
enrollment. An enrollment confirmation call and email will go out by June 20 to confirm enrollment. Parent Signature: __________________________________________ Date: ___________________ For more information, please contact Ms. Recchia, Community Schools Coordinator at Barnard at narecchia@cps.edu or call 773-­‐535-­‐2625. Barnard Elementary 10354 S. Charles St. Chicago, IL 773-­‐535-­‐2625 www.barnard.cps.k12.il.us