O-1913-1-01ORDINANCE NO. 1913-1-01
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF ALLEN, COLLIN
COUNTY, TEXAS, ESTABLISHING A YOUTH AFTER SCHOOL PROGRAM;
PROVIDING A REPEALING CLAUSE; PROVIDING A SEVERABILITY CLAUSE;
AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City Council after conducting a public hearing and affording a full and fair hearing to all citizens,
and in the exercise of its legislative discretion, has concluded that a Youth After School Program should be
established as set forth herein.
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF ALLEN,
COLLIN COUNTY, TEXAS, THAT:
SECTION 1: The City of Allen Parks and Recreation Department may conduct a recreation program for
elementary -age children (ages 5-13) known as the City of Allen Youth After School Program ("YAP") in
accordance with the terms set forth herein.
SECTION 2: The purpose of YAP is to provide supervision for children who attend the Allen Independent
School District ("AISD"), elementary and middle school grades (K-6 Grades and ages 5-13). YAP provides a safe,
supportive place which parents may rely upon throughout the school calendar year, as defined by the AISD
calendar, providing a variety of activities which include recreation and games, reading, music, time for homework
and free time for the participating children. The City shall not discriminate against any child based on the child's
race, color, national origin, sex or religion in the operation of YAP.
SECTION 3. YAP shall be held at the Joe Fanner Recreation Center, Monday -Friday, 2:30 p.m. - 6:30
p.m. a at such other locations and times as may be approved by the City Manager.
SECTION 4. YAP shall be operated in accordance with the Annual Minimum Standards and Guidelines,
the Youth After School Program for Parent/Student Handbook and the Youth After School Program Staff
Handbook attached hereto as Exhibits "A;' "B," and "C," respectively, and incorporated herein. Exhibits "B"
and "C," including any related forms, shall be approved by the City Manager and may be amended from time
to time by administrative order of the City Manager. A copy of the Youth After School Program for
Parent/Student Handbook shall be given to the parent of each participating child including all enrollment
forms prior to the enrollment of any child in YAP.
SECTION 5. All ordinances of the City of Allen, Collin County, Texas, in conflict with the provisions of
this ordinance be, and the same are hereby, repealed; provided, however that all other provisions of said
ordinances not in conflict with the provisions of this ordinance shall remain in full force and effect.
SECTION 6. Should any word, sentence, paragraph, subdivision, clause, phrase or section of this
ordinance, as amended hereby, be adjudged or held to be void or unconstitutional, the same shall not affect
the validity of the remaining portions of said ordinance, which shall remain in full force and effect.
SECTION 7. This ordinance shall take effect immediately from and after its passage in accordance with the
provisions of the Charter of the City of Allen, and it is accordingly so ordained.
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DULY PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF ALLEN, COLLIN
COUNTY, TEXAS, ON THIS THE 4th DAY OF January , 2001.
APPROVED:
e—cl
Stephen Terrell, MAYOR
APPROVED AS TO FORM: ATTEST:
Peter G. Smith, CI ATTORNEY J Mo son, CMC/AAE, CITY SECRETARY
Ordinance No. 1913-1-01 , Page 2
EXHIBIT "A"
'
YOUTH AFTER SCHOOL PROGRAM ("YAP')
2000 ANNUAL MINIMUM STANDARDS AND GUIDELINES
Enrollment Information and Other Records
A. All records required by these minimum standards must be maintained and made available for inspection
during the facility's hours of operation.
B. There must be on file at the facility, for as long as the child participates in YAP and for 12 months after
the child's last day in the program, an enrollment agreement, signed by the parcm(s) prior to the child's
admission into the program, containing at least the following information:
1. the child's time, birth date, home address, and the home telephone number;
2. for a child attending school, the telephone number of the school (this is not required for a child in an
after-school care facility at the school the child attends);
3. date of admission;
4. name and address of parents and telephone numbers at which parents can be reached while the child
is in care;
5. names and telephone numbers of other persons designated by the parent when the parent cannot be
reached;
6. names and telephone numbers of persons to whom the child may be released;
7. name, address, and telephone number(s) of the child's physician(s);
8, a statement of the child's special problems or needs, including known allergies, existing illnesses,
previous serious illnesses and injuries, any disabilities, any hospitalizations during the past 12
' months, and any medication prescribed for long -temp, continuous use;
9. permission for transportation, if provided;
10. permission for water activities, if provided;
11. permission for field trips, if provided; and,
12. emergency medical treatment authorization.
C. A dated statement signed by the parent that the child's immunization record is current and is on file at a
school the child attends. The parent must include the name, address and telephone number of the school
in the statement.
D. Each child must have a record of a tuberculosis examination with negative results if such a test is
recommended by local health authorities or the regional office of the State Department of Health, or a
dated statement signed by the parent that the child's tuberculosis test record is current and is on file at the
school the child attends. The parent must include the name, address and telephone number of the school
in the statement.
E. There must be a record of attendance of children and staff, indicating the hours worked by each staff, for
the previous six months.
Parental Communication
A. At the time of enrollment of children, facility staff must review with parents and give them a copy of the
Youth After School Program Parent -Student Handbook and obtain a signed receipt. The receipt must be
kept on file as long as the child(ren) is (are) in care.
B. Staff must immediately notify the parent or other person authorized by the parent when the child:
1. is injured;
Ordinance No. 1913-1-01 , Page 3
2. has a signor symptom requiring exclusion from the facility as listed in Standard 8100 D, or;
3. has been involved in any situation which placed the child at risk, such as, forgetting a child in a van
' or not preventing a child from wandering out of a center into a street.
C. Staff most notify all parents of children in the facility when there is an outbreak of a communicable
disease in the facility required to be reported to the State Department of Health.
Coordinator Qualifications and Responsibilities
A. Organize, plan and coordinate program activities for elementary school youth in an after school setting;
supervise counselors in tutoring and facilitation of daily activities.
B. Essential and other important responsibilities and duties may include, but are not limited to the following:
1.
Supervise, coordinate and schedule the organization, staffing, and operational activities of the YAP.
2.
Plan various programming activities, including tutoring, games, art and crafts, drama, and sports.
3.
Help formulate program budget, maintain the bookkeeping related to payroll of staff, and monitor
program account budget, both income and expenses; handle money form enrollment fees as
necessary.
4.
Participate in the selection, training, motivation, and evaluation of YAP program personnel.
5.
Hire and oversee contractors for program entertainment.
6.
Market the program as necessary, i.e.: post public service announcements, develop posters, fliers and
ads as needed. Speak at public meetings such as City Council, Park Board, and civil organizations.
7.
Provide participants of the program with an environment in which they are safe, are allowed time for
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studies and tutoring as necessary, enjoy wholesome recreation activities, and participate in
appropriate social opportunities with their peers.
8.
Set up tables and chairs and other equipment necessary for the program; clean up after the program,
including breaking down tables and chairs, equipment used, and taking out trash.
9.
Ensure that participants are released only to a parent or an adult designated by the parent.
10.
Provide periodic status reports to the Recreation Center Supervision or other department management
as necessary.
11.
Maintain files, type letters and other related clerical duties for program.
12.
Must maintain regular attendance by working up to twenty hours per week, including program hours
(Monday through Friday, 2:45 p.m. to 6:30 p.m. [7:30 a.m. - 6:30 p.m. -Holidays] throughout the
school year - this time includes any holidays the schools are open).
13.
Perform other duties as necessary and as assigned.
C. Knowledge of:
1.
Operations and activities of elementary school -aged youth.
2.
Organizing and directing programs participants and staff.
3.
Principles and practices of program development and administration.
4.
Modem office procedures, methods and computer equipment.
5.
Pertinent Federal, State and local laws, codes and regulations.
D. Ability
to:
1.
Interact with and lead participants in a variety of activities.
2.
Work harmoniously with participants, fellow employees, recreation center staff, and the public.
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3.
Identify and respond to participant issues, needs and concerns.
4.
Handle emergencies that may develop.
5.
Recommend and implement goals for providing a superior program.
6.
Create an environment that is safe, fun, age appropriate and exciting.
Ordinance No. 1913-1-01 , Page 4
7.
Work with all types of youth, including at -risk youth, generating programming m appropriate.
8.
Work with general public concerning their children participating in program.
9.
Communicate clearly and concisely, both orally and in writing.
10.
Handle any emergencies that may develop.
11.
Supervise up to 24 children at one time.
12.
Handle spontaneous demands from children, parents and staff.
E. Experience and Training Guidelines. Any combination of experience and training that would likely
provide the required knowledge and abilities is qualifying. A typical way to obtain the knowledge and
abilities would be:
1. Education and/or Experience: Completed two years of college in recreation, education, or related
field. Education may be substituted with four years of recreation experience.
2. License or Certification:
a. Possession of, or ability to obtain, an appropriate commercial Texas Driver's License.
b. Possession of a Social Security Card.
c. Possession of, or ability to obtain, First Aid certification within eight weeks from hire date.
d. Possession of, or ability to obtain, CPR certification within eight weeks from hire date.
F. Supervision Received and Exercised.
1. Receives supervision from the Recreation Center Supervisor.
2. Exercises supervision over staff and participants of the Youth After School (YAP) program.
G. Working Conditions.
1. Environmental Conditions: Inside conditions, some travel involved to parks and recreational sites,
irregular work hours, including days, evenings and weekends.
2. Physical Conditions: Essential and marginal functions may require maintaining physical condition
necessary for sitting, standing, or walking for prolonged periods of time; adequate speech, hearing,
and eyesight required, may be required to carry, push, pull, drag or hold light to moderate weight
objects.
Activity
Leader Qualifications and Responsibilities
A. Assist in organizing, coordinating and supervising daily activities for elementary school youth in an after
school setting.
B. Essential and other important responsibilities and duties may include, but are not limited to the following:
1.
Assist in organizing, coordinating and supervising program activities.
2.
Check youth in/out of the program on daily basis. Respond to any questions and/or concerns
regarding the Youth After School Program.
3.
Supervise and facilitate program activities, including tutoring, games, arts and crafts, drama, and
sports.
4.
Clarify and advise participants of rules and policies in the case of problems or disputes.
5.
Provide participants of the program with an environment in which they are safe, are allowed time for
studies and tutoring as necessary, enjoy wholesome recreation activities, and participate in
appropriate social opportunities with their peers.
6.
Set up tables and chairs and other equipment necessary for the program; clean up after the program,
including breaking down tables and chairs, equipment used, and taking out trash.
7.
Ensure that participants are released only to a parent or an adult designated by the parent.
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8.
Handle money from enrollment/monthly fees.
9.
Must maintain regular attendance by working up to twenty hours per week, including scheduled
hours, 2:45 p.m. to 6:30 p.m. (7:30 a.m. - 6:30 p.m. -Holidays) throughout the school year - this time
includes any holidays the schools are open.
Ordinance No. 1913-1-01 , Page 5
10. Perform other duties as necessary and as assigned.
1C. Knowledge of.
1. Supervision and coordinating of children's activities.
D. Ability to:
1. Interact with and lead participants in a variety of activities.
2. Work harmoniously with participants, fellow employees, recreation center staff, and the public.
3. Create an environment that is safe, fun, age appropriate and exciting for the children.
4. Identify and respond to participant issues, needs and concerns.
5. Handle emergencies that may develop.
6. Operate and maintain recreational equipment.
8. Communicate clearly and concisely, both orally and written.
9. Handle spontaneous demands from children, parents and staff.
E. Experience and Training Guidelines. Any combination of experience and training that would likely
provide the required knowledge and abilities is qualifying. A typical way to obtain the knowledge and
abilities would be:
1. Education and/or Experience: Must be at least a Junior in High School.
2. License or Certification:
a. Possession of a Social Security Card.
b. Possession of, or ability to obtain, First Aid certification within eight weeks from hire date.
' c. Possession of, or ability to obtain, CPR certification within eight weeks from hire date.
F. Supervision Received and Exercised.
1. Receives supervision from the Youth After School Program Coordinator and the Recreation Center
Supervisor.
2. Exercises supervision over participants of the Youth After School program.
G. Working Conditions.
1. Environmental Conditions: Inside conditions, some travel involved to parks and recreational sites.
2. Physical Conditions: Essential and marginal functions may require maintaining physical condition
necessary for sitting, standing, or walking for prolonged periods of time; adequate speech, hearing,
and eyesight required, may be required to carry, push, pull, drag or hold light to moderate weight
objects.
Staff Responsibilities
Staff must:
1. know and be aware of the object and purpose of the minimum standards;
2. report suspected abuse and neglect to the Department and to law enforcement as required by the
Texas Family Code;
3. supervise children at all times;
4. demonstrate physical, emotional, and intellectual competencies necessary for self-control and good
judgment when performing assigned responsibilities;
5. recognize and respect the uniqueness and potential of all children, their families, and their cultures;
6. interact frequently with children, showing affection, interest, and respect;
7. foster developmentally appropriate independence in children.
Ordinance No. 1913-1-01 , Page 6
Space Requirements
' The following space requirements must be met:
1. YAP facilities must have at least 30 square feet of indoor activity space measured wall-to-wall on the
inside for each child in the program, not including single -use areas such as restrooms and kitchens.
2. 80 square feet of outdoor play space for each child using the outdoor area atone time.
Furnishines
A. The following must be available:
1. one working telephone with a listed number;
2. storage for children's personal belongings;
3. comfortable seating for children;
4. comfortable arrangements for rest when school-age children are in care for more than 7 hours;
Equipment
A. The facility must have a number and variety of appropriate indoor and outdoor equipment and materials
to facilitate children's play.
B, Restmoms must be inside and located and equipped so that children can use them independently and staff
can supervise as needed.
1. There must be one flush toilet and one sink for every 17 children ages 18 months and over.
C. Doors on restrooms used by children under 6 years of age must not have inside locks within the children's
reach.
Discipline and Guidance
A. Discipline and guidance of children must be consistent and based on an understanding of individual needs
and development.
B. Positive methods which encourage self-esteem, self-control, and self-direction must be used.
C. There must be no harsh, cruel, or unusual treatment.
1. Corporal punishment or threats of corporal punishment are prohibited.
2. Children must not be shaken, bitten, hit, or have anything put in or on their mouth as punishment.
3. Children must not be humiliated, yelled at, or rejected.
4. Children must not be subjected to abusive or profane language.
7. Staff may use brief, supervised separation from the group if necessary, but staff must not place
children in a locked room or in a dark room with the door closed.
Activities
A. Activities appropriate to each child's developmental needs must be provided.
B. All children must have time outdoors each day that weather permits.
C. Indoor and outdoor time periods must include:
1. alternating active and quiet activities; and
2. opportunity for individual and group activities.
Ordinance No. 1913-1-01 , Page 7
Child/Staff Ratios
' A. The number of children per staff member size must not exceed the following number of children
supervised by one staff: 8 children.
Transporting Children
A. The child/staff ratio for transporting children is: One adult in addition to the driver must be present for
each group of eight children.
B. Each child being transported must ride in a seat belt, as appropriate to the child's age, size, and condition
in any vehicle used to provide transportation, with the exception of a bus with a gross vehicular weight
rating (GV WR) of 10,000 pounds m more. Tins requirement applies to all transportation, including, but
not limited to, to and from the facility, to and from the child's school, and on field trips.
1. All restraint devices must have been manufactured and dynamically crash -tested according to federal
standards and installed according to instructions provided by the manufacturer.
2. Appropriateness of child restraint, or seat belt is determined as follows:
a. A child must ride in either a child seat or in a seat belt.
3. Only one child may use each seat belt at a time.
4. A child may ride in a shoulder harness and seat belt if the shoulder harness goes across the child's
chest and not across the child's face or neck.
5. The driver and all adult passengers in a vehicle transporting the children must be properly restrained
by a seat belt when the vehicle is in motion.
C. Children most be loaded and unloaded at the curbside of the vehicle or in a protected parking area or
driveway. Children must not be allowed to cross a street unsupervised after leaving a vehicle.
D. The following must be in the vehicle when children are being transported:
1. a list of the children being transported;
2. first aid supplies (see Glossary);
3. emergency medical treatment forms for each child being transported;
4. a minimum of one operational portable fire extinguisher, approved by the Fire Marshall, safely
secured in the passenger compartment and accessible to the adult occupants.
Safety
A. The building, grounds, and equipment must be repaired and maintained to protect the safety of the
children.
B. All areas accessible to children must be free from hazards.
C. Indoor and outdoor play equipment and supplies used both at and away from the facility must be safe for
the children.
D. There must be first aid supplies at the facility and during transportation which are readily available to
staff in a designated location and out of reach of the children.
E. A guide to first aid and emergency care must be immediately accessible to staff at the facility.
' F. The temperature of hot water available to children must be controlled by a thermostat an that the water
temperature is no higher than 120 degrees Fahrenheit.
G. The facility most ensure the safety of children from other persons as follows:
1. Adults must at all times be able to observe children.
Ordinance No. 1913-1-01 , Page 8
2. Persons must not consume alcohol or illegal controlled substances in the facility, including during
transportation and on field nips.
3. Any person to whom a child is released must be either a parent or a person designated by the parent.
Sanitation
A. The buildings, grounds, and equipment must be cleaned, repaired, and maintained to protect the health of
the children. There must be adequate light, ventilation, and heat.
B. There must be a supply of drinking water:
1. supplied in a safe and sanitary manner and meeting the standards of the Texas Natural Resources
Conservation Commission; and
2. always available to the children.
C. There must be a sewage system that is sanitary and meets the standards of the Texas Natural Resources
Conservation Commission.
D. All garbage must be kept and managed as necessary in order to maintain sanitary conditions inside and
outside the facility.
E. Measures must be taken to keep the facility free of insects and rodents.
F. Children must:
1. wash their hands with soap and running water after toileting and before eating.
2. have clean drying material such as paper towels or their own towels.
G. Staff must wash their hands with soap and running water:
1. after assisting a child with toileting;
2. before feeding a child;
3. before and after serving and handling of food;
4. after caring for a child with symptoms of a communicable disease,
5. after personal toileting.
H. All food and drink served must be of safe quality and stored, prepared, distributed, and served under
sanitary and safe conditions.
I. Food service equipment must be washed and sanitized.
I Staff with open wounds and/or any injury that inhibits handwashing, such as casts, bandages or braces,
must not be allowed to prepare food.
K. Cleaning supplies must be clearly marked, kept separate from food, and kept inaccessible to children.
Fire. Fire Safety, and Emergency Precautions
A. The YAP facility must have an annual fire inspection with a written report by the City Fre Marshal. The
facility most be in compliance with any corrections, conditions, or restrictions specified in the report.
B. In an emergency, the YAP facility's first responsibility is to move the children to a designated safe area
where they must be supervised.
C. In an emergency, all staff and children must he able to safely exit the building within three minutes.
Ordinance No. 1913-1-01 , Page 9
D. An ill child must not be admitted for participation in the program if one or more of the following exists:
1. The illness prevents the child from participating comfortably in YAP facility activities.
2. The illness results in a greater need for care than the staff can provide without compromising the
health, safety, and supervision of the other children.
3. The child has any of the following:
a. oral temperature 100.4 degrees or greater; armpit temperature 99.4 degrees or greater;
accompanied by behavior changes or other signs or symptoms of illness until medical evaluation
indicates that the child can be included in the YAP activities;
b. symptoms and signs of possible severe illness (such as lethargy, uncontrolled breathing,
uncontrolled diarrhea, vomiting illness [two or more episodes in 24 hours]), rash with fever,
mouth sores with drooling, wheezing, behavior change, or other unusual signs until medical
evaluation indicates that the child can be included in the YAP activities.
4. The child has been diagnosed with a communicable disease, until medical evaluation determines that
the child is no longer communicable and is able to participate in the YAP activities.
E. In case of the onset of a critical illness or injury:
1. The physician named by the parent must be called, and
2. The child must be taken to the nearest emergency room or clinic, or an emergency vehicle must be
called.
Ordinance No. 1913-1-01 , Page 10
I . The building must have at least two exits to the outside, located in distant parts of the building. An
exit through a kitchen or other hazardous area cannot be one of the required exits unless specifically
approved in writing by the fire marshal.
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2. No doors that are blocked or locked may be counted as an exit.
3. A flashlight or other battery -powered lighting must be available in each classroom to use in case of
electrical failure.
D.
An emergency evacuation and relocation plan must be posted in each room the children use.
I. The plan must show two exit paths from each room unless the room opens directly to the outdoors at
ground level.
2. Staff and children must have a fire drill every month. This drill must be documented.
3. Staff and children must have a severe weather drill at least once each six months. Each practice must
be documented.
E.
The YAP facility must call the fire department in case of fire or danger of fire, explosion, toxic fumes, or
other chemical release.
F.
The YAP facility must have a fire extinguishing system approved by the fire marshal. This may be a
sprinkler system and/or fire extinguishers.
G.
The YAP building must be equipped with working smoke detectors installed and maintained according to
the manufacturer's instructions and in compliance with requirements of state and local ordinances.
Illness and Wary
' A.
B.
Parents must be notified in cases of illness.
A child whose illness requires that the child be sent home must be given appropriate attention and
supervision until the child's parent arrives to remove the child.
C.
A child with uncontrolled diarrhea or vomiting must be provided cue apart from the other children. Extra
attention must be given to hygiene and sanitation, until the parent or other person authorized by the parent
arrives to pick up the child.
D. An ill child must not be admitted for participation in the program if one or more of the following exists:
1. The illness prevents the child from participating comfortably in YAP facility activities.
2. The illness results in a greater need for care than the staff can provide without compromising the
health, safety, and supervision of the other children.
3. The child has any of the following:
a. oral temperature 100.4 degrees or greater; armpit temperature 99.4 degrees or greater;
accompanied by behavior changes or other signs or symptoms of illness until medical evaluation
indicates that the child can be included in the YAP activities;
b. symptoms and signs of possible severe illness (such as lethargy, uncontrolled breathing,
uncontrolled diarrhea, vomiting illness [two or more episodes in 24 hours]), rash with fever,
mouth sores with drooling, wheezing, behavior change, or other unusual signs until medical
evaluation indicates that the child can be included in the YAP activities.
4. The child has been diagnosed with a communicable disease, until medical evaluation determines that
the child is no longer communicable and is able to participate in the YAP activities.
E. In case of the onset of a critical illness or injury:
1. The physician named by the parent must be called, and
2. The child must be taken to the nearest emergency room or clinic, or an emergency vehicle must be
called.
Ordinance No. 1913-1-01 , Page 10
F. Children must be given fust aid treatment or CPR when needed.
' Medications
A. If the YAP policy includes administering medication to children:
1. a record must be made of the following and kept for at least three months:
a. name of the child to whom the medicine was given;
b. time of the medication;
c. date, time, and amount of medication given; and
d. name (not initials) of staff administering the medication.
2. The medication most be administered to the child with written parental percussion and as stated on
the label directions, or as amended by a physician.
B. Any medications brought by parents for their child(ren) must:
1. be in the original container;
2. be labeled with the child's name;
3. be labeled with the date (if prescription medicine);
4. include directions to administer the medication; and,
5. if prescribed, include the name of the physician prescribing the medication.
C. Medications must:
1. be refrigerated, if refrigeration is required, and kept separate from food;
2. be kept out of reach of children or in locked storage;
3. be disposed of or returned to the parent when the child withdraws from the facility or when the
medication is out of date; and
' 4, not be administered after its expiration date.
Nutrition
A. Food served to the children must be nutritious and served in varieties and amounts adequate to ensure
growth and development.
B. Recurring eating problems must be discussed with the child's parent.
C. If a child must be served a therapeutic or special diet, there shall be written approval from a physician or a
registered or licensed dietitian. This information must be given to all persons preparing and serving food.
D. Children may he encouraged but not forced to eat.
Ordinance No. 1913-1-01 , Page 11
1
EXHIBIT `B"
"YAP"
Youth After School Program
For Parent — Student Handbook
CITY OF ALLEN
Joe Farmer Recreation Center, 1201 E. Bethany
Allen, Texas 75002 (972) 727-0152
Ordinance No. 1913-1-01
EXHIBIT "B"
Introduction
Welcome to Youth After School Program (YAP). Our program has been organized to provide
supervision for children from the Allen Independent School District Elementary and Middle
Schools. YAP is a inn-profn program, administered by the City of Allen Parks and Recreation
Department. The Parent Handbook is a valuable part of the enrollment agreement between YAP
and the parents or guardians of the children who are enrolled. This program is not certified by the
State of Texas.
YAP will provide a safe, supportive place, which parents can rely upon throughout the school
calendar year, as defined by the AISD calendar.
YAP will offer a variety of activities which include recreation and games, reading, music, time to
work on homework, and "free time" for the participants to pursue their own interests in a safe,
supportive environment.
TABLE OF POLICIES AND PROCEDURES
Section I.
"YAP"
Section H.
(Youth After School Program)
Section III.
Program Policies and Procedures
Section IV.
Parent Handbook
Introduction
Welcome to Youth After School Program (YAP). Our program has been organized to provide
supervision for children from the Allen Independent School District Elementary and Middle
Schools. YAP is a inn-profn program, administered by the City of Allen Parks and Recreation
Department. The Parent Handbook is a valuable part of the enrollment agreement between YAP
and the parents or guardians of the children who are enrolled. This program is not certified by the
State of Texas.
YAP will provide a safe, supportive place, which parents can rely upon throughout the school
calendar year, as defined by the AISD calendar.
YAP will offer a variety of activities which include recreation and games, reading, music, time to
work on homework, and "free time" for the participants to pursue their own interests in a safe,
supportive environment.
TABLE OF POLICIES AND PROCEDURES
Section I.
Parent's Expectations of the Program
Section H.
Program's Expectations of the Parents
Section III.
Children's Expectations of the Program
Section IV.
Program's Expectations of the Children
Section V.
Fees and Payment Policy
Section VI.
Registration/Enrollment
Section VII.
Fors
Section VIII.
Withdrawal From Program
Section IX.
Homs of Operation
Section X.
Closing Time
Section XI.
Absences
Section XII.
Release of Children
Section XIII.
School Cancellations
Section MV.
Distribution of Medications
Section XV.
Health and Safety
Section XVI.
Snack
Section XVI.
Children's Personal Property
Section XVHl.
Visitors and Observations
Section=
Discipline and Discharge Procedures
Section XX.
School Calendar
Ordinance No. 1913-1-01
EXHIBIT 'B"
POLICIES AND PROCEDURES
Enrollment in the YAP constitutes an understanding that you will abide by the policies as
follows:
Section I. Parent's Expectation of the Program
Parents may expect that:
1. Their children are cared for in a safe, supportive environment.
2. They may visit with the Program Coordinator about concerns related to their child or the
program.
3. They will be told about any misbehavior on the part of thein child, and asked to visit with the
Program Coordinator in order to bring about improvement in the situation.
4. They will be informed promptly if their child does not arrive at YAP according to his or her
enrollment information.
Section H. Program's Expectations of the Parents
YAP expect that parents:
1. Pay fees on time as explained in Section V. Fees and Payment Policy.
2. Keep the child's records up-to-date as explained in Section VIII. Enrollment Forms.
3. Pick up children on time as explained in Section Xt. Closing Time.
' 4. Follow health policy as explained in Section XVI. Health and Safety Policy.
5. Contact the Program Coordinator if their child will not be attending a scheduled day.
6. Pay attention to any communications from the Program Coordinator regarding thein child's
behavior and cooperate in efforts to bring about improvement in the situation
Section III. Children's Expectation of the Program
Children may expect:
1. To have a safe, supportive and consistent environment.
2. To use all the program equipment, materials and facilities on equal basis.
3. To receive respectful treatment. To have discipline that is fair and non -punitive.
4. To receive care from staff members who are actively involved with them
Section IV. Program's Expectations of the Children
YAP expects that the children will:
1. Be responsible for thea actions.
2. Respect the school rules that guide them during the day and at YAP.
3. Remain with the group and staff at all times.
4. Take care of materials and equipment properly and return them to thew place when done, or
before taking out new ones.
5. Arrive at YAP promptly, according to the enrollment information.
Ordinance No. 1913-1-01
EXHIBIT `B"
Section V. Fees and Payment Policy
YAP salaries, supplies and administrative expenses are supported entirely by fees. The City of
Allen provides the space, utilities and custodial services as an in-kind donation. Fees are as
follows:
YAP is $35 per week per participant.
1. The $10 registration and enrollment fee per child is an annual, nonrefundable fee.
2. Tuition payments are due every week and are paid to reserve the upcoming week(s),
according to the option agreement, irrespective of the actual number of days and hours the
child attends.
3. Any tuition that is not paid seven days after the due date will result in an immediate
suspension of services until the fees are paid in full. If the tuition is not paid in full 14 days
after the due date the child shall be automatically discharged. The parent will be notified in
writing before a child is suspended and discharged from the program. Reinstatement may
occur on a space -available basis when all fees have been paid.
4. Non -sufficient fund checks are held until cash or a money order is received to cover the
amount of the check plus returned check fee of $15.00. Parents will be notified immediately
upon receipt of the NSF notice by the program and shall have two school days in which to
pay the charge and tuition in full by cash or money order. If not paid by the end of the
' second day after notification, services will be suspended immediately. If the tuition and
charge is not paid in full by the end of the first week after notice, the child will be discharged
from the program
S. If all of the child's required enrollment forms are not completed and returned to the Site
Coordinator by the day the child is scheduled to start, the child will not be allowed to attend
until these completed forms are submitted to the Program Coordinator. The
parent/guardian/custodian will be responsible for payment of fees starting from that date in
order to reserve the enrollment spot until such time as the completed form are returned.
Section VI. Registration and Enrollment
YAP does not discriminate on the basis of sex, race, color, creed, national origin or ethnic
background.
Registration: The parent must complete a registration form and submit it with a $10.00 annual,
non-refundable registration fee to the City of Allen Parks and Recreation Department.
Registered children, who cannot be immediately enrolled, will be placed on a waiting list. When
YAP is filled to capacity, the Program Coordinator will maintain a current list of children who
are waiting to emolL YAP requires a complete registration form to maintain a child's eligible
status for enrollment.
' Eligibility: A child may be registered for enrollment in the program at anytime.
Ordinance No. 1913-1-01
EXHIBIT `B"
t Openings: Openings are determined by staff and space availability. When openings occur,
parents of registered children are contacted for enrollment on the basis of 1) the schedule
indicated on registration form, and, 2) on first-come basis for the available time according to the
date of registration receipt.
Enrollment: Parents of registered children will be contacted regarding enrollment in the
program
]. If the parents wish to enroll their child(ren), the parents will be provided with a set(s) of
enrollment forms. Prior to the child's first day of attendance, the parent(s) will complete all
forms and submit them to the Program Coordinator. A completed set of forms is required for
each child enrolled in the program
2. On the first day of attendance, the parent must make payment to the Program Coordinator.
The parent must sign and return a program registration agreement.
3. Children will be allowed to attend the program only after all forms have been completed and
returned, and payments have been submitted. If the parent has not submitted completed
forms the date when the child is scheduled to start attendance, the parent will be responsible
for payment of fees in order to reserve the enrollment spot until such time as the completed
forms we returned.
' Section VII. Forms
Parents will be asked to complete the following when first enrolling:
Mandatory Forms:
Enrollment Agreement Physical Assessment & Health Agreement
School Medical Record Release Form Parental Emergency Medical Consent
Optional Forms:
Exception for child pick-up Medication Authorization
YAP expects the forms to be kept current. The parent must provide new information to the
Program Coordinator regarding information on forms such as: emergency persons, names,
employers, phone numbers, arrival/departure changes.
Section VIII. Withdrawal from the Program
Parents wishing to withdraw thein child from YAP must provide a statement in writing to the
Program Coordinator, at least two weeks prior to the discontinuation of this service.
Section IX. Hours of Operation
YAP Program: 3:OOp.m-6:30p.m.
Section X. Closing Time
' YAP closes at 6:30p.m Parents, whose children remain past 6:30p.m., will be required to pay
overtime fees to compensate an employee who remains with the child beyond 6:30p.m. at the
rate of $5.00 for every 5 minutes after 6:30p.m.
Ordinance No. 1913-1-01
EXHIBIT "B"
Services may be withdrawn if three overtime charges occur. The Recreation Center Supervisor
in consultation with the Program Coordinator will make a final determination
Section XI. Absences
If your child will not be attending YAP because of scheduled appointment, vacation, or other
planned absence, please notify the Program Coordinator in advance. If your child is ill, when
you call the school to report the illness or pick up your child from school, please contact YAP.
Absentees without prior notification may be mistaken for a missing child. If a child does not
arrive at the program as intended, the Program Coordinator will contact the parents. If the
parents cannot be reached, the Program Coordinator will contact the child's emergency persons.
YAP Phone Number:
Joe Farmer Recreation Center (972) 727-0152
Section XH. Release of Children
Children will arrive at and leave YAP according to the schedule written by parents on the
Arrival/Departure Procedures Form Children will be allowed to leave with persons other than
the parent only if permission has been given to the Program Coordinator on the enrollment form
or in writing by the parent. If a one-time exception is made to this schedule, the parents should
provide the Program Coordinator with a completed Exception to Arrival/Departure Procedures
Form prior to the date.
' If your child attends extracurricular activities or has any other kind of arrival/departure time
change within the period he/she is enrolled in YAP, you must provide the Program Coordinator
with a complete Change of ArrivaVDeparture Procedure Form, prior to the date the change is
effective.
Section XIII. Scheduled & Unscheduled Cancellations,
School Opening Delays & School Closings
1. Scheduled No School Days — YAP will notify parents in advance whether YAP will be
available on scheduled "no school days such as conference days. See Section XXII for
calendar.
2. Unscheduled No School Days — There will be NO YAP on days when school is canceled due
to water main breaks, heating failure, electrical problems bad weather days, etc.
3. Unscheduled School Delays — YAP will NOT be open if school is delayed due to water main
breaks, heating failure, electrical problems, bad weather days, etc.
4. Unscheduled Early Dismissal Days — YAP is NOT available when school is dismissed early
due to water, heating, electrical problems, bad weather days, etc.
Section XIV. Distribution of Medications
Whenever a child is to be given prescription or over-the-counter medicine, the parent must
provide a completed, signed medication authorization form to the Program Coordinator. Any
medications brought by parents for their child(ren) must:
1. be in the original container;
2. be labeled with the child's name;
Ordinance No. 1913-1-01
EXHIBIT `B"
3, be labeled with the date (if prescription medication);
4. include directions to administer the medication; and,
5. if prescribed, include the name of the physician prescribing the medication.
If medication is to be kept at YAP for treatment of a chronic condition, no more than a one-
month supply should remain at the YAP at any time.
Section XV. Health and Safety Policy
If your child has a known medical condition (asthma, diabetes, seizure disorder, etc.) please be
sure the Program Coordinator knows what to do if a problem should occur during YAP hours.
Please make sure that any medication is available (on site) and that the appropriate forms for its
use have been completed.
If a child has any one of the following conditions, the parent will be notified to pick up their
child immediately: Contagious Disease, Fever over 100°F, Vomiting or Diarrhea, Accident
Requiring Medical Attention.
In case of accident or illness, parents of the child will be called immediately. In serious cases,
the child will be taken to one of the local hospitals by ambulance or emergency vehicle for
treatment and the parents will be called as soon as possible.
YAP regulations require caregivers to report suspected cases of child abuse. This includes the
reporting of parents who appear to be impaired by drugs or alcohol.
Section XVI. Snack
YAP will serve healthy snacks in the afternoon.
Section XVII. Children's Personal Property
Children's personal property, coats, clothing, school bags, etc. must be cleared from the Joe
Farmer Recreation Center after each session of the program Any personal property, which
remains after the session, will be taken to the lost and found. YAP is not responsible for lost or
stolen personal property.
Section XVIII. Visitors and Observations
Parents and community members who are screened by the Program Coordinator are welcome to
observe. For liability and supervision reasons, it is not possible for children who visit the
program to participate in the activities.
Section XIX. Discipline and Discharge Procedures
The goal of City of Allen is to guide children in becoming happy, responsible and cooperative
participants in the program Effective discipline should increase children's self-respect by:
➢ Developing self-control and responsibility for one's own actions.
' ➢ Fostering respect for the rights and feelings of other's.
➢ Teaching skills for resolving conflicts.
Ordinance No. 1913-1-01
EXHIBIT `B"
The staff utilizes positive techniques for guiding children. It is our policy never to resolve
conflicts by use of emotional or physical abuse. Similarly, we cannot allow others, including the
children, to do so. Positive attention from staff rewards children for appropriate behavior.
When conflict arises, it is our goal to work with individuals, listening to what each has to say and
helping children to resolve conflicts through effective communication.
Chronically disruptive behavior is defined as verbal or physical activity, which may include but
is not limited to behavior that:
requires constant attention from the staff, inflicts physical or emotional harm on other children,
abuses the staff, ignores or disobeys the ndes, which guide behavior during the school day and
YAP. If a child cannot adjust to the rules of YAP and behave appropriately, then the child may be
discharged.
Reasonable efforts will be made to assist the children in adjusting to the YAP setting.
Disruptive behavior will be deah with in the following manner:
1. The misbehaving child will be given a five-minute time-out, in order for him/her to cool off
and thirds about his/her actions.
2. If a second, five-minute time-out is given to the child in a single day, an incident report will
' be written. This report is to be given to the parent or guardian to read and sign. The report
will be returned to the Program Coordinator, where it will remain with the child's enrollment
information.
3. If a child receives three written behavior -related reports, the child will be suspended effective
at the end of the day of the third report. During the first week of suspension, the parents and
YAP staff will meet in a conference setting in order to determine the length of suspension and
the conditions for reinstatement. Parents will be responsible for the payment of tuition
during the period of suspension or until the child is withdrawn from the program or is
discharged by action of the Program Coordinator and the Recreation Center
Supervisor.
4. If the child is reinstated in the program and receives a fourth behavior -related report, the
program coordinator may suspend the child immediately, including if necessary, notifying
the parent to come and get the child. The Program Coordinator may make such
recommendations to the Recreation Center Supervisor as are appropriate, including discharge
without the right of reinstatement. The Program Coordinator will bring this to the prompt
attention of the Recreation Center Supervisor who will act upon the recommendations of the
Coordinator regarding continuation of the child in the program Parents will continue to be
responsible for the payment of tuition during the period of suspension or until the child is
withdrawn from the program or is discharged by Program Coordinator and Recreation Center
Supervisor, who will notify the parent. Tuition and refund policies shall be as set out in
Section V (Fees).
Ordinance No. 1913-1-01
EXHIBIT `B"
5. If the severity of a problem is great enough that it could endanger the safety of the child or
other children in YAP, discharge will be effective immediately after the coordinator consults
with the Recreation Center Supervisor and Recreation Service Manager who will notify the
parents.
6. If a child should be placed in alternative school, this child will not be allowed in YAP until
the child returns to the normal classroom
A child may be discharged if he/she is picked up late three times (see sections XI. Closing
Time).
A child maybe discharged for non-payment of fees as discussed in Section V. Fees and Payment,
#3 and #4.
Discipline Procedures
An incident of a minor nature, the coordinator will stop the action, remind the student of YAP
rules and verbally warn student of having thein privileges revoked.
Should a minor incident reoccur during the same date, an incident report will be written and
signed by student and parent on the day of occurrence. A copy will be given to parent, Joe
Farmer Recreation Center Supervisor and added to students file.
Minor Incident(s)
1.
Disregard for rules
2.
Possession of pager or cell phone
3.
Improper dress
4.
Minor profanity
5.
Minor Harassment
6.
Spitting
7.
Misuse of equipment
8.
Hanging on basketball rims
9.
Being in an unauthorized area
10.
Gum chewing
11.
Food/drinks (other than those served by the program)
Minor Incident Consequences
1. Verbal warning, an incident report, if the same incident occurs more than once in the same
day.
2. 1-3 minor incidents within a 1 week period will result in a discipline notice, conference with
student, parent and YAP coordinator to review the YAP policy and behavior modification
guidelines for the student.
3. Any occurrences beyond those outlined in #2 will result in the parent being called to pickup
their child and a suspension from the program for 1-3 days.
' In the case of major misconduct, a discipline notice will be written, and the student and parent
will be notified immediately that the student is suspended. The parent, YAP coordinator and Joe
Farmer Recreation Center Supervisor will meet within 24 hours to discuss the misconduct and
Ordinance No. 19131-01
EXHIBIT `B"
the terms for reinstatement into the YAP program If the parent refuses to cooperate, the child
A will be terminated from the program.
Major Misconduct
1. Aggressive or threatening movements towards a student or staff member
2. Excessive (more than once) profanity
3. Excessive arguing
4. Verbal harassment of the staff
5. Disrespectful words or gestures towards Joe Farmer Recreation Staff, patrons or visitors
Major Misconduct Suspension Actions
1. I' occurrences of major misconduct — 1 to 3 days suspension. A history of previous
incidents by the student will be considered grounds for lengthening suspension time.
2. 2nd occurrence within 2 week period will result in 1 week of suspension.
3. 3 or more within 1 month period will result in suspension based on a0 prior incidents (major
& minor) and possible termination from the YAP program
Zero Tolerance
The following violations will not be tolerated, and will result in immediate termination from the
YAP program, without the chance of reinstatement.
1. Smoking
2. Fighting
3. Possession of drugs or alcohol
4. Under the influence of drugs or alcohol
5. Possession of a weapon (gun, knife, slingshot, etc.)
6. Physical assault of YAP personnel
7. Theft from other students, YAP stats; YAP program, Joe Farmer Recreation Center staff,
patrons or visitors
8. Vandalism to the Joe Farmer Recreation Center Facility
'Should the incident be in violation of the law and/or City Ordinances or endanger the
safety of other students or YAP staff, the police and Joe Farmer Recreation Center
Supervisor will be notified immediately
Order of appeals:
Recreation Center Supervisor
Recreation Services Manager
Director of Parks and Recreation
Section XX. 2000-2001 YAP Calendar
The first day of operation for YAP is January 8, 2001.
' YAP will be open on all regular school days.
10
Ordinance No. 1913-1-01
I
EXHIBIT `B"
The program will be open on a limited basis at an additional cost on the following days from
8:00a.m.to 6:30p.m.
In -Service
April 16, 2001
Fall Break
Not applicable at this time
Christmas Break
Not applicable at this time
Holidays
January 15, 2001
Spring Break
March 5 — 9, 2001
The full day cost for optional school recess days will be $20 per child. The schedule hours for
"special days" are 8:OOa.m.-6:30p.m. Parents will be given an opportunity to register for these
special days approximately two weeks in advance. The regular weekly fee DOES NOT include
these special days and parents are not billed for any days the program is not open.
YAP will NOT be available on the following vacations and holidays for the 2001 spring school
semester.
Winter Break - January I — 5, 2001
Easter Holiday - April 13 —16, 2001
Section XXI. Internal Use Forms
These forms will be used by staff as needed.
11
Ordinance No. 1913-1-01
I
EXHIBIT "C"
Tr A iT
Youth After School Program
Staff Handbook
CITY OF ALLEN
Joe Farmer Recreation Center, 1201 E. Bethany
' Allen, Texas 75002 (972) 727-0152
Ordinance No. 1913-1-01
Alien Parks &Recreation Department EXHILWciesG, Procedures, Camp Leadership, Disciplinary Techniques
Staff Policies and Procedures
Youth After School Program
General Statement:
Staff are hired for the school year. We do not hive extra staff to cover in case of absences. Therefore, we
expect staff to be at work daily unless there is illness a other approved emergency.
Absence:
In case of `serious" illness, call Bruce's pager (972) 269-9643 by 6:30am,
foes of pay:
There will be loss of pay for each day absent.
Accident Procedures:
All accidents and illnesses (major or mina) must be reported immediately to the Program Coordinator.
Accidents and illnesses most be documented on appropriate forms filled out and turned in to Site
Supervisor. If a staff member is injured on thejob, an incident report must be filled out.
Discipline:
Should a serious problem occur with the youth, it should be documented and brought to the attention of the
Program Coordinator.
Snacks& Personal Items:
Students personal items will be placed in designated area daily. Snacks will be provided, other food items
will not be allowed in the building unless prim arrangements have been made with the Program
Coordinator,
Phone Use:
Only staff may use office phones (Joe Farmer Recreation Center or Fad Pool). Emergency calls only. If a
student needs to contact a parent, the youth leader should make the call. No personal calls.
Smoking, Drinking, Profanity:
Absolutely no smoking, drinking, or profanity (or questionable wards) on thejob. Conversation between
staff should be job related. Do not talk about your personal life, the great time you had last night, etc. Kids
pick upon everything you say and will repeat it! Remember that you are a role model.
Maintenance:
All employees are responsible £or keeping the area clean. Pick up all trash, clean up after arts & crafts
projects, etc.
Visitors:
No visiting guests during working hours.
Sign -Out Policy:
Parents must sign thein children our! If other armngernents have been made (walking home or riding bice),
make sure you have them sign a Release of Responsibility Form. Get to know the students' parents as
quickly as possible!
Every effort should be made to prevent a child from getting into a vehicle with a parent under the influence
of drugs oralcohol. The police should be called to give the child and parent a ride home. If a child is taken
by a parent under the influence, copy the license number and call the police.
Child Abuse:
The Department of Human Services requires caregivers to report suspected cases of child abuse. This
includes the reporting of parents who appear to be impaired by drugs or alcohol.
1
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHIFAWciX Procedures, Camp Leadership, Disciplinary Techniques
Bus Rules
1.
Attire:
All counselors are required to wear appropriate clothes and/or staff T-shirt and comfortable shoes each day.
`
2.
Throwing articles, etc. is not tolerated.
Termination, of Employment:
3.
Employment will be terminated by the employer at any time they feel it is necessary. If you do not perform
your duties in a satisfactory manner, the Program Coordinator will not hesitate to let you go.
Youth Leaders must maintain order on the bus.
Rules & Regulations
5.
I. Students must remain with their Youth leaders at all times.
2. A Youth leader shall never punish a student. (Absolutely no physical or harsh punishment)
No food or drinks.
3. Students must request permission to go to the restroom.
7.
4. Have respect for the environment at all times.
5. Avoid any risks, which could cause danger.
One counselor most sit in the middle of the bus.
6. Take care of all supplies, materials, & equipment and always return them to their proper place.
9.
7. Always he on tire! Know the schedule.
8. Always walk.
Always take roll.
9. Everyone most observe pool rules during the swimming hours.
10. Be helpful, kind and considerate. Be a friend to everyone.
11.
ALWAYS, ALWAYS TARE HEAD COUNTS! COWNG AND GOING.
Bus Rules
2
Ordinance No. 1913-1-01
1.
Always sit in seats.
2.
Throwing articles, etc. is not tolerated.
3.
Camp songs, road games are great ... but no yelling.
4.
Youth Leaders must maintain order on the bus.
5.
No hanging outside bus windows.
6.
No food or drinks.
7.
One counselor must sit by the emergency door.
8.
One counselor most sit in the middle of the bus.
9.
One counselor most sit in the front of the bus.
10.
Always take roll.
1
11.
ALWAYS, ALWAYS TARE HEAD COUNTS! COWNG AND GOING.
2
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHIIA�'cie3; &ocedm.es, Carnp Leadership, Disciplinary Techniques
Memo From a Child
L1. Don't spoil me. I know quite well that I ought not to have all I ask for. I'm only testing you
2. Don't be afraid to be firm with me. I prefer it It makes me feel secure.
3. Don't make me feel smaller than I am. It only makes me behave stupidly big.
4. Don't correct me in from of people if you can help it I'll take much more notice if you talk quietly
with me in private.
5. Don't let me form had habits. I have to rely on you to detect them in the early stages.
6. Don't make me feel that mistakes are sins. It upsets my sense of value.
7. Don't be too upset when 1 say, `7 hate you". It isn't you I hate, but you power to thwart me.
8. Don't protect me from the consequences. I need to learn the painful way sometimes.
9. Don't take too much notice of my small ailments. Sometimes they get me the attention I need.
10. Don't nag. If you do, I shall have to protect myself by appearing deaf.
11. Don't make rash promises. Remember that I feel badly let down when promises are broken.
12. Don't forget that I cannot explain myself as well as I should like. That is why I sm not always very
accurate.
13. Don't tax my honesty too much. I am easily frightened into telling lies.
14. Don't tell me my fears are silly. They are terribly real and you can do muck to reassure me if you try
to understand.
15. Don't he inconsistent. That completely confuses me and makes me lose faith in you.
16. Don't put me off when I ask questions. If you do, you will find that I stop asking and seek my
information elsewhere.
17. Don't ever suggest that you are perfect or infallible. It gives me too great a shock when I discover that
you are neither.
18. Don't ever think it is beneath you dignity to apologize to me. An honest apology makes me feel
surprisingly warm towards you.
19. Please don't forget I love experimenting.
3
Ordinance No. 1913-1-01
Allen Parks &Recreation Department EXHIlKWcic�procedures, Camp Leadership, Disciplinary Techniques
6 Basic Principles of Counseling
Spiritual — Mental — Physical
1. Be available.
2. Listen... Listen... Listen.
3. Uncovertherealproblem.
4. Guide the youth to an understanding of himself.
5. Challenge the youth to challenge himself.
6. 117possible, direct the youth to an immediate constructive course of action.
Youth Leadership
1. Don't force kids to play.
2. Develop tappet.
3. Have a sense of humor and enthusiasm.
4. Show appreciation to those who 6'y and those who excel.
5. Seek to encourage the intimidated or shy child.
6. Do not be autocratic. Give the group some decision.
7. Develop the spirit of play.
8. A general condition of order should be maintained
9. Stop the horseplay at fust appearance.
10. Keep things moving.
11. Kill games before they die.
12. Name the game, explain and demonstrate the game and participate in the games.
13. Put the group in order as soon as possible.
14. Describe in as few, words as possible.
15. Explain "why" and najust "what to".
16. Allow as much hands on for the youth as possible.
4
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHIIKTci , Procedures, Camp Leadership, Disciplinary Techniques
Do's and Don'ts
The best way to manage behavior is to avoid mistakes.
➢
DO expect the best from each child. They are not only intuitive they are positively psychic.
If you are afraid a child is not going to cooperate, he will sense your anxiety and test you.
Anticipate behaviors and generally children will meet yew expectations.
DON'T use negative labels and phrases. Fatso, Skinny, Slowpoke, Clumsy, etc., are
damaging to the "I AM". The child may pretend he doesn't mind, but the hurt is there.
➢
DON'T make threats you can't carry out. Example: "If you don't huffy up we will go without
ya„
➢
DO treat children with the same courtesy you would afford a guest in your home. If a guest
spitted his drink on your table you probably wouldn't any, "There you go again! How any
times have I told you to be careful?"
➢
DON'T give choices when you don't mean it. Example: "Who would like to listen to a
story?" Whin you expect everyone to sit down and listen.
Do be consistent. Be clear in yew own mind what the rules and limits we. When a child
tests you, always react in the same way.
➢
DON'T be afraid to admit you make mistakes. Children will respect you for it. It is good for
them to know adults are not perfect.
➢
DO avoid confrontations. Sometimes a nasty scene tarn be avoided if you seek help from
someone who is not emotionally caught up in the situation. If you feel a "blow-up"
coming
on, call in the reserves: mother counselor or director. That will de -fuse the situation.
The
problem can be resolved after everyone has a chance to cool down. under under my
circumstances, STRDM SLAP. SDiAKL or PHYSICALLY HORT A CHUM
➢
DON'T "horse around" with campers or"try to get down to their level". Do not allow them to
hang all over you, sit in your lap urjump on yon. Neve hold then by thein arms. A child's
arm slips out of the socket very easily!
'
•
DO try to fend at least one thing to love in every child. If you have honestly tried— without
success—talk it over with you director before the semester is spoiled for both of you.
Whenall else fails— ACT! Do notrant and rave. Walkover to the child, take his hand in a firm grip, and
start walking — somewhere out of sight and sound of the other children. Get down to his eye level, and
speak quietly and firmly, eyeball to eyeball. Know in advance what you can do — and what your limitations
are. Do nor try to handle a situation outside your weperience or expertise. Ask for help! Above all keep
your sense of honor and stay loose!
S
Ordinance No. 1913-1-01
Alien Parks & Recreation Department EXHIciu �Proc edwm, Camp leadership, Dis6pl amy Techniques
Listening
A. Listening
1. Core of communication
2. Think positively of the speaker and topic
3. Stay open minded
4. Listen for detail and content
5. Be attentive
6. Let the speaker be complete
7. Avoid criticizing the camper
8. Be an effective listener
B. Active Listening
1. Beroadytolisten
2. Take active responsibility to understand
3. Ask questions
C. Show That You Are Listening
1. Watch kids
2. Paraphrase what they have said
' 3. Get on their eye level
6
Ordinance No. 1913-1-01
Communication and Listening
Communication
A. Open Communication (examples)
1. Talking, Conversing
2. Eye contact
3. Listening
4. Body Language
5. Symbols
6. Convey a thought
B. Closed Communication (examples)
I. Blaming and shaming
2. Preaching and moralizing
3. Ordering and bossing
4. Admonishing and accusing
5. Ridiculing and belittling
6. Threatening and bribing
7. Diagnosing and prognosticating
C. Promote Communication
1. Don't talk down
2. Give all children a fav chance
3. positive feedback
4. Signs
5. Let them finish their sentence
6. DON'T INTERRUPT
7. Listen to what they have to say
'
8. Eye contact
9. Be honest
10. Facial Expressions
11. Tone of Voice
Listening
A. Listening
1. Core of communication
2. Think positively of the speaker and topic
3. Stay open minded
4. Listen for detail and content
5. Be attentive
6. Let the speaker be complete
7. Avoid criticizing the camper
8. Be an effective listener
B. Active Listening
1. Beroadytolisten
2. Take active responsibility to understand
3. Ask questions
C. Show That You Are Listening
1. Watch kids
2. Paraphrase what they have said
' 3. Get on their eye level
6
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHI%16:ct '�ocedures Camp Leadership, Disciplinary Techniques
Social Development
Common Forms of Social Behavior
If we understand certain social behaviors we can better understand some of their causes and how to deal
with them.
1. Negativism
2. Quarreling
3. Tossing and bullying
4. Rivalry
5. Corporation
6. Ascendant behavior
7. Generosity
& Desire for social approval
9. Sympathy
10. Dependency
11. Friendliness
12. Aggression— actual or threatened act of hostility
Common Came of Aggressive Behavior in Young Childrea
1.
Frustration, which predisposes the child to attack a person or object that, stands in his way.
2.
Displaced anger when the child cannot express anger directly toward the offending person or object.
3.
Parental rejection.
4.
Desire to win attention.
5.
Child's desire to show his superiority.
6.
Need for self-protection when the child feels insecure or is on the defensive.
lousy
S.
Identifikation with aggressive adult or older child.
Ideen
9.
Physical with aggressive characters in mass media. (TV characters)
10.
Physical punishment for misbehavior, mousing the desire to strike back.
11.
Permissive attitudes of parents or older adults toward aggression
12.
Emotional tensions resulting fi om family stress not involving the child
Source: Child Development—Hurley
I
Ordinance No. 1913-1-01
Allen Parks &Recreation Department EXHI%Wcie , Procedures, Camp Leadership, Disciplinary Techniques
Management of Childhood Aggression
Essential Points:
You are never simply dealing with a child, but the child and the feelings the child triggers in you.
Control of the child's anger - first demands control of your own.
Techniques:
Lower one's voice and talc softly. The tendency when a child is going from anger into rage is for the
voicem get higherand louder. In= effort to over power the child, the adult not shouts the child. Next the
child gets even leader, and the aggressive buildup escalates Lowering and softening one's voice tends to
allow the child to gain control ova self since he is not having to over power the adult. Through conscious
voice control, the adult, in addition to the child, is mere likely in become calm.
Use the child's acme over and over in reassuring voice. The use of the time several times when
calming the child down can work like magic. We all like hearing our carnes repeated in a reassuring way.
Politicians and salesmen have used this tool successfully fa decades. It has calming effect because we feel
the power over self.
Rehr to the child's Wt i mmen and comptiaom When the child's refusal to comply with adult's request
occurs and aggrewien mourns', referring to the child's last compliance helps the child know you see
him/her as successful. Thus the child experiences power over self through acknowledgment of past and
therefore, expected future success. The approach allows me to be very firm but not place the child in a
position demanding a power struggle to feel affirmed. An example would be saying, "look Johnny, you
have kept your chores up without getting all upset the last ample of days, so I know you can do it. I expect
you to do it now." This is very different from, "You never seem to be able to go more than a couple of
days before you start throwing a fit ova doing chores. Now get going."
Use silence for thirty seconds to a minute as the child's aggression builds. After the child begins going
from anger to rage, the simple use of silence has a powerful canning effect since the child bas no me else
to fight with. Our tendency when the child gets upset or enraged is to talk more and faster. This has the
effect of heightening anxiety and powerlessness in the child. Most of us wait less then ten seconds before
filling the air with more words.
Leave the room or area Upon realizing them is no me to fight with, the child has more opportunity to
gain self-control. By leaving the coon, the child can "save face". Much of a child's rage and fury is a
result of the child's not knowing what else to do other than blow up to experience a sense of power and
gain self control.
Switch the subject of cmliet. Many times an angmnent picks up a momentum of its own and aggression
quickly builds up. By switching the subject to something nm threatening f sjust a few minutes, the
momentum of aggressin subsides and we can return to the area of =flier feeling more in control. An
example is, "Nancy, before we continue talking shout your chores, I was wandering where your class is
going m next weeks field trip?'
Giving permission to be angry. At times the child can best gain control of self by being alknved, and
even me iraged in verbally expressing anger. Giving permissin takes the face out of an escalating
power play and allows a catharsis or draining out of the anxiety. To do this, one must use active listening
skills The goal is to allow the child to explore the anger, not defend it Plhrtam like "go m and tell me
more about yon feelings" o'you are really angry, I'm glad you can tell me" c9n be effective.
' Evggersting the conflict to humorous proportion. The effective use of this tedmique depends upon
the adult's humor about the situation, not sarcasm toward the child. Homan is, perhaps, me of the most
effective methods in allowing both child and adult to break out of a feel of control ova self since no me is
attempting to overpower the other. Humor allows both adult and child in see their weakness or the
8
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHIIKW.'WC"pa. urea, Camp Leadership Disciplinary Techniques
hormonal nature ofthe situation without having to pm ate person down a the expense of the other. An
exaaple of humor directed at the situation is, "If we kap fighting much longa, we won't have any energy
left to fight the rest of the week".
Interpret the aggression to the child. Much, if not most, of the child's unreasonable aggressive behavior
has little to do with the immediate situation. A child may all of a sudden blow up when told to pick up
scattered toys, for example, but rage and fury are more the result of other evens, such as being teased a
school or feeling file a failure in sports. Pointing out to the child the original source of fivshation can lead
to a feeling of more control since the heart of the child's cancan is being addressed. An example is, "I'm
wondering if the reason you're so upset is not because I need you to help around the house, but because
your close friend is going to move oto of town?" Be prepared for the child to initially reject your
interpretation, even if accurate. Many times the child will reject your interpretation but settle down due to
having touched emotionally the true problem even if unable to acknowledge it with rational thoughts.
Be a crisis anticipator — not only a crisis interferon. As adults, we become more aware of children's
behavior patterns and we less involved in managing blowups because we can anticipate the circumstances
our of which they tend to occur. Thus the final `technique" is nor a technique, but a state of mind that is
alert to, and therefore can prevent crisis resulting in an intense aggressive response. Encouraging a child
who has difficulty in doing homework after supper, to do it before, would be an example of anticipating
and thus preventing a crisis.
Characteristic Features of Children's Emotions
Emotions Are Intense
The younger child responds with equal intensity to a trivial event and to a serious situation. (Remember
when you were younger and any little thing seemed so important, and how you can now Wok back and
W
Emotions Appear Frequently
The child displays his emotions frequently. As he grows older act discovers that disapproval or
punishment often follow an emotional arousing situations, be thea curbs his outburst or reacts in a more
acceptable way.
Emotions Are Transitory
The young child's rapid shifts from jealousy to affection are attributable to three factors:
1. Clearing the system of pent-up emotions by unreserved expressions;
2. Lack of complete understanding of the situation baause of intellectual immaturity and limited
experience;
3. Short attention spon, which makes it possible for a child to be diverted easily.
Raapoox Reflect Individuality
In all newborns, the pattern of response is similar. Gradually, as the influences of learning and
environment are felt, the behavior accornpanying the different emotions is individualized. One child will
run out of the room frightened, another hides behind mother, another stands his ground and aim.
Emotions Change In Strength
Emotions that are very strong at certain ages wave in strength. These variations are due partly to changes in
the strength of drives, partly to the child's intellectual development partly to changes in interests and
values.
Emotions Can Be Directed By Behavior Symptoms
' Child= may not snow thein emotional reactions directly, but they show them indirectly by restlessness,
day dreaming, crying, speech difficulties, and nervous mannerisms such as and biting and thumb socking.
SOURCE: Child Development —Hurley
Ordinance No. 1913-1-01
Allen Parks &Recreation Department EXHI%Wcie� Procedures, Camp Leadership, Disciplinary Techniques
10
Ordinance No. 1913-1-01
Techniques in Discipline
'
➢
Ignore
➢
Positive reinforcement
➢
Praise positive behavior
➢
Rejoice with the child
➢
Positive statements
➢
Reflect and accept the child's feelings
•
Divert attention
➢
Redirect, suggest alternatives
➢
Offer release and support child
➢
Remind
➢
Reason
➢
Isolate the child or remove from the group
'
➢
➢
Deprive the child of privilege
Structure the environment
➢
Establish routines
➢
Limit, rules — choose 3 to 5 important rules
➢
Offer choices
➢
Describe the situation and encmvage problem solving
➢
Encourage responsibility for consequences of behavior
➢
Give child words
D
Go to the child instead of shouting across the room
➢
Act Cahn, quiet, confider in yourself
➢
Give warnings of change of activity as transition times we difficult for children.
➢
Try not to interfere too much — Let the child solve many situations fon himself. Be available to help
but encourage independence.
10
Ordinance No. 1913-1-01
Allen Parks &Recreation Department EXHIIKWcieProcedures, Camp Leadership, Di.-ipli..y Techniques
Discipline Techniques/Behavior Modification
Praise
Praise children whenever he/she does something well (helps a peer, completes a task, follows instructions).
Praise by commenting favorable, smiling etc. Asa general rule, praising should occur four times more
often than reprimanding.
Verbal Reprimand
I.et the child know that the behavior is not OK and explain why. Be sure to distinguish behavior from
person. For example, it's different to say "Hitting Sally is not OK" as opposed to `you are not an OK
person because you hit Sally'.
Signaling
Sometimes a child is unaware of his/her behavior and will respond to a signal. For example, making a
quiet sign when child is speaking out of tum.
Maintain Sense of Humor
Children respond well to humor.
Lower Hurdles
Sometimes a child acts out due to frustration with a difficult or complex task. Break the job down into
smaller steps so that he/she can succeed.
Reward
Encourage desired behavior with a reward. For example, promise an extra snack if a task is completed on
time. Be sue to follow through with your promise.
' Be Consistent
Inconsistent behavior is confusing to children. If you reprimand Susie fm calling Billy names one day,
don't ignore it the next.
Planned Ignoring
You may choose to ignore an action if it's designed to go attention.
Encouragement
Motivate the child to succeed by offering enooumgement.
Alternate Behavior
Suggest a different activity rather than the one the child is doing.
Distract
Change the subject to less debatable topic.
Affection
A hug pat on the back, or verbal affection can do wonders for a child who is having a difficult day.
Look for Small Successes
While a major task may be botched, point out the parts that worked well. For example, cite the perfectly
cooked hamburgers rather than the burned potatoes.
Schedule
Alternate fun, active activities with quieter, sildowa activities
Proximity
Physical closeness can be reassuring to a child. Don't leave groups unattended.
II
Ordinance No. 1913-1-01
Allen Parks & Recreatim Department EXHIIKWe'jcC�Procedures, Camp Leadeship, Disciplinary Techniques
Define Expectations
Let the children know what you expect. "We'll he eating lunch at nom so you'll need to wash your
hands."
`r
Explain Simply the Reason for your Requests
"We'll be staying together in a group to make sure no me gets lost."
Make Reasoaabte Demands
Don't expect a 5 -year-old to sit quietly for two hours.
Empower the Children
Let the children make decisions that affect them whenever possible. They'll be much more likely to do
what they're interested in. For example, if there is a possibility of two activities, let then make the choice.
Avoid Power Struggles
No me wits in a power struggle
BE WD.LING TO NEGOTIATE
Coping Techniques for Staff
1. View behavior from a developmental model
2. Sense of humor
3. Talk things over with your posts and boss.
4. Keep your expectations realistic.
5. Keepajoumal—writeabomit
6. Keep an appreciation file. When a child gives you a Flower orwrites you a poem or thank yen note,
keep it. Read it m hard days.
7. Leave work m work. Give yourself permissim to not worry after hours. Making a list of things to do
for the next day is a good way of cutting it off at 6:OOpm.
12
Ordinance No. 1913-1-01
Allen Parks & Recreation Department EXHI%j,',es;'Procedures, Camp Leadership, Disciplinary Techniques
Code of Ethics
All persons providing service to the P.A.R.D. must observe and comply with the Code of Ethics.
Violation of the following principles will be regarded as engaging in unethical conduct or actions
which are net in the best interest of the organization.
1. Staff must not discriminate against any child on the basis of age, sex, ethnic or socioeconomic
background, creed, or sexual preference.
2. Staff must nor engage in sexual activity with children.
3. Smffmust not strike, shake, spank or verbally abuse a child as a means of discipline or otherwise.
4. Staff must not report to work under the influence of alcohol or drugs.
5. Staff must report any violation of the Code of Ethics to the Program Coordinator.
I understand that violation of the Code of Ethics will result in disciplinary action.
Employee
Supervisor
13
Ordinance No. 1913-1-01
"YAP" FORMS
CITY OF ALLEN
Joe Farmer Recreation Center, 1201 E. Bethany
' Allen, Texas 75M2 (972) 727-0152
Ordinance No. 1913-1-01 —Pam 1
"YAP" FORMS
' YAP
(Youth After School Program)
Enrollment Agreement
1. 1 understand that I am enrolling my chili
for the current school year. He/She will
Full-time afternoons
Other (please specifj
2 I understand that YAP is open according to the official school calendar of the Allen ISD, and
is closed during vacations, and inclement weather days.
3. I understand that I am responsible for payment of fees in the amount of $35 per week for the
YAP program; which are due every week according to the printed 2000-2001 Billing
Schedule. I will give two (2) weeks notice in writing prior to withdrawal from the program
during which time I will be responsible for payments of fees.
4. I understand that in the event of any absences during program hours, I will be responsible for
' the fee for time missed.
5. I will update my child's file information as outlined in the YAP Parent Handbook as changes
occur.
6. The YAP staff will assume full responsibility for my child f Tom the time he/she arrives at the
YAP site until my child leaves YAP according to the written instructions for departure.
7. If a medical emergency arises, the YAP staff will first attempt to contact me. If I cannot be
reached, the staff will contact my emergency notification person. If the emergency is such
that immediate hospital attention is necessary, an ambulance or emergency vehicle may take
my child to the hospital.
I agree to adhere to the stated policies and procedures of the YAP as stated here and in the YAP
Parent Handbook, and give my child permission to participate fully in this program.
Signature
Date
Relationship to Child
' Submit this completed statement and all eorolhrknt forms to the Youth After School Program a the Joe Former Recreation
Center located at 1201 F. Bethany Driv or call(972)727-0152 for more intorrnation.
Ordinance No. 1913-1-01— Pace 2
"YAP"FORMS
YAP (Youth After School Program)
C Child Record Checklist
Of
Child's Name
The following information is required to be in each child's file:
An enrollment agreement form.
An enrollment form.
Parental Emergency Medical Consent form.
Completed Physical Assessment forth.
Medical Records Release Forth
Medication Authorization (as needed).
Medication Administration Record (as needed).
For Staff Use Only
' This information should be updated as needed. List the date and initials of parent and staff when
information entered.
Ordinance No. 1913-1-01 — Page 3
P
"YAP" FORMS
YAP (Youth After School Program)
Late Pick -Up Charge Form
YAP closes promptly at 6:30p.m.
A $5.00 per five (5) minutes fee will be charged for late pick-up
Time of Arrival
Child(ren)'s Name
Parent's Signature(or person picking up child)
Program Coordinator's Signature
Form must be signed by both Parent and Program coordinator
The Late Pick-up fee will be paid with the next weekly statement.
Chili care services may be withdrawn if three (3) charges occur.
Ordinance No. 1913-1-01 —Paee 4
"YAP" FORMS
' YAP (Youth After School Program)
Incident Report
This form may be used for any accident, injury, event or behavior of a child which is considered to
be of a serious nature and needs to be communicated and recorded.
Name of Child
Date and Time
Description of the Incident:
Was the child injured?(circle) Yes No If yes, please describe the injury.
Treatment Administered:
Was a doctor contacted? (circle) Yes No If yes, list doctor's name and phone #:
Was the child's parent called ? (circle) Yes No If yes, please write time & date:
Program Coordinator Signature
Parent Signature (or person authorized to pick up child) Date
1 copy to parent or authorized person
1 copy to kr. iik
I copy to YAP Coordinator
1 copy M Dlreaor
Ordinance No. 1913-1-01 —Paine 5
"YAP" FORMS
YAP (Youth After School Program)
Parental Emergency Medical Consent
(This form must be presented upon admission for treatment)
Chide Full Name eklh Date
In the event that my child (listed above) may require medical and/or surgical care while 1 am out of
the city or unable to be reached, I hereby give my consent for any emergencymedical and/or
surgical treatment I agree to pay all the costs and fees contingent on any emergency medical care
and/or treatment for my child as secured or authorized under this Consent.
(Every effort will be made to notify parents/guardians immediately in case of emergency.)
1. Parents/Guardians With whom the child resides:
Name Relationship to Child
Home Phone #
Work Phone #
2. Persons who are authorized to pick up child if parents are unavailable:
Name
Relationship to Child
Address
Employer
Horne Phone #
Work Phase 0
Name
Relationship M Child
Address
Employer
Horne Phone #
Work Phone #
3. Custody Restraints/Persorl who may NOT pick up child:
Name
Relationship to Child
Name
Relationship to Child
4. Information:
Phone #
feat Tetanus Allergies
Medication
' Insurance Company Policy Holders I.D.
This consent will be in effect beginning and continuing while the child is enrolled in this
facility.
Signature of ParengGtiamon Date signature or ParenVGwrdian Date
Ordinance No. 1913-1-01 — Paee 6
I
"YAP" FORMS
YAP (Youth After School Program)
Medication Administration Record
Date Name of Child Medication Amount Time GivenStaff Initial
Ordinance No. 1913-1-01 — Paec 7
"YAP" FORMS
' YAP (Youth After School Program)
Medication Authorization
Child's Full Name
Name of Medication
Please give the above medication:
Amount
Time
Number of Days
OR
Number of Doses
Parent/Guardian Signature Date
Ordinance No. 1913-1-01 —Paee 8
"YAP" FORMS
' YAP (Youth After School Program)
Release Form
Medical Records Release Authorization
1 hereby authorize and request the following school to
release to YAP a copy of the most recent immunization certificate and
physical examination record of my child, present in their
school files.
Signature of Parent/Guardian Date
Ordinance No. 1913-1-01 - Page 9
"YAP" FORMS
' YAP (Youth After School Program)
Exception for Child Pickup
This form is one-time exceptions to the procedure authorized in the child's enrollment farm.
(Name of child) has permission to leave YAP (date)
at (time) to go to (destination) . (name of person
accepting responsibility) will be responsible for my child
after he/she leaves YAP Program.
Date Signature of Parent/Guardian
YAP (Youth After School Program)
Exception for Child Pickup
This form is one-time exceptions to the procedure authorized in the child's enrollment form.
(Name of child) has permission to leave YAP (date)
at (time) l0 g0 t0 (destination) . (name of person
accepting responsibility) will be responsible for my child
after he/she leaves YAP Program.
Date
signature of PerenUGuardon
YAP (Youth After School Program)
Exception for Child Pickup
This form is one-time exceptions to the procedure authorized in the child's enrollment forth.
(Name of child) has permission to leave YAP (date)
at (time) to g0 t0 (destination) . (name of person
accepting responsibility) will be responsible for my child
after he/she leaves YAP Program.
Date
Signature of Parent/Guardian
Ordinance No. 1913-1-01 — Paee 10
"YAP" FORMS
YAP (Youth AfterSchool Program)
Physical Assessment & Health Form
Parent: This form is used as a confidential resource by the Program Coordinator to better serve your
child. Please fill this out to your hest ability. A doctors physical is not necessary.
1. Health Statement
Childs Full Nana Birth Dade
Significant illnesses and surgeries child has had:
Any special health-related needs of child (allergies, medications, injuries, etc.):
2. Physical Assessment
Is there any condition of vision, hearing or speech of which YAP should be aware, or could
compensate for by appropriate action?
' Is the child subject to any conditions which limit classroom activites or physical activities?
Is this child subject to any condition which may result in an emergency situation?
Is this child subject to any mental or physical condition for which he/she should remain under periodic
medical observation?
Are immunizations up to date? (circle) Yes No If no, what is needed?
Other significant information:
1
Ordinance No. 1913-1-01 — Paee 11
"YAP" FORMS
1 7. Custody Restraints/Person(s) who may NOT pick up child:
Name
Name
Relationship to chile
RaktionshipW chRd
Ordinance No. 1913-1-01 —Palm 12
"YAP" FORMS
' 5. Medical Information:
1. Allergies (food, medications, bees):
Page three - Enrollment Forms
2. Chronic or recurrent illnesses or disorders:
3. Does your child take medication for #2 above? If yes, please state the name and
dosage. Please be sure to complete the medication authorization form.
4. Will the medication need to be given during program hours? (circle)
Yes No If yes, when will it need to be given?
5. What should we do if your child has a problem related to his/her medical condition
during program hours?
6. Doctor's Information
Name phone R
Address
6. Child's Information:
1. Other siblings in the home:
Name Birthday Enrolled in YAP?
2. Please give any further information which you believe will be helpful to staff in
understanding and caring for your child:
Ordinance No. 1913-1A1 —Pave 13
"YAP" FORMS
Page two - Enrollment Forms
3. Parents' Status:
Single: Married: Divorced: Separated:
Is there a separation or divorce custody problem of which the YAP staff should be aware of?
(Circle) Yes No
If yes, please explain:
Ordinance No. 1913-1-01 —Page 14
Indicate the name of the person responsible for payment fees:
If person is different from the name of a parent listed on page 1, complete the following information:
Work Phone IF
Name
Home Pham #
Address
email address
Name of a third person, such as a child care provider, if applicable:
Work Phone #
Name - Relelionship to Child
Home Phone #
Address
email address
Emergency Persons - These should be local persons who may be notified in case of emergency
or illness when the above listed people are not available.
Wok Phone #
Name - Relelbnship
Home Plane #
Address
Werk Phone#
Name - Relelbnahip
Home Phone
Address
Work Phare #
Name - Relationship
Home Phare #
Address
4. Release of Child:
May your child leave YAP with the persons listed above? (please check below)
Yes, he/she may depart with any of the persons listed.
No, he/she may not leave with the following persons (Include persons not listed above)
Ordinance No. 1913-1-01 —Page 14
"YAP" FORMS
Program use: Date of receiptFirst date of attendance:
YAP
(Youth After School Program)
Enrollment Form
1. Child's Identification:
Child's Full Name Date of Birth Sex
Address Phone Number
If your child does not go by his/her full first name, what does he/she prefer to be called?
2. Parent(s)/Guardian(s) Identification:
iE
Additional Parent(s)/Guardian(s) Identification:
Name
Employer
Department
Please explain arrangements if applicable:
Relationship to Child
Home Phone#
Work Phone#
Wok Haws
Relationship to Child
Home Phone #
Ordinance No. 1913-1-01 —Paee 15
Work Phone #
Work Hours
Employer
'
Depedment
email addines
Please explain arrangements if applicable.
iE
Additional Parent(s)/Guardian(s) Identification:
Name
Employer
Department
Please explain arrangements if applicable:
Relationship to Child
Home Phone#
Work Phone#
Wok Haws
Relationship to Child
Home Phone #
Ordinance No. 1913-1-01 —Paee 15
Work Phone #
Work Hours