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Western Family YMCA’s

Before and

After School (BASE)

Enrichment (BASE)

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YMCA School Site Phone Numbers

School Site Contact Number

*updated 5/29/18

Brookside Elementary 302-932-3962

Baltz Elementary 302-932-3944

Forest Oak Elementary 302-932-3952

Gallaher Elementary 302-932-3972

Heritage Elementary 302-932-3955

Jennie Smith Elementary 302-932-3971

Maclary Elementary 302-932-3957

Marbrook Elementary 302-932-3946

Mote Elementary 302-932-3949

Wilson Elementary 302-932-3958

YDC Middle School Classroom 302-510-1285

YDC Office – 302-453-0123

Western Family YMCA 2600 Kirkwood Highway

Newark, DE 19711 302-709-9622

Youth Development Center: Main - 302-453-0123 Fax – 302-453-8490

Billing & Registration- 302-453-0123 westernydcoffice@ymcade.org

Jennifer Reid, Senior Child Development Director jreid@ymcade.org

To receive Childcare Text alerts: text @wfycare to 302-266-2533

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TABLE OF CONTENTS

Welcome Page 4 Mission Annual Campaign Philosophy Program Goals Participating Schools

Program Overview Page 5

Staff Information Daily Activities Sample Schedule Curriculum Delaware Stars

Registration Information Page 6

Program Fees Registration Deadlines

Registration Requirements Billing Page 7

Billing Options Additional Fees Financial Help Purchase of Care ID Numbers

Policies & Procedures Pages 8-10

Absences Abuse Policy Babysitting Cancellation Procedure Character Development Child Abuse Reporting Confidentiality Community Resources Drop-off & Pick-up Dual Language Food Inclusion Late Pick-up Fees Literacy Lost & Found New Participants Parent Communication Parent Conferences Parental Involvement Parents/Guardians roles and responsibilities Pick-up Authorization

Pool / Swimming Schedule Changes School Transitions Staff to Student Ratios Supplies /Personal Items Transition Procedure Termination

Emergency Preparedness Page 11 Behavior Policies Pages 11

Verbal Warning Time Out Written Notice Suspension Termination

Medical Info Page 12

Food Allergies Illness Minor Injuries Medication Medical Emergencies

School’s Out Program Page 13

School’s Out Program In-Service Days & Holidays Inclement Weather Days Closing Procedures

Registration Forms Pages 15-25 Enrollment Forms About My Child

Allergy vs. Food Avoidance Child Health Appraisal Photo, Video & Audio Release Child Protection Information Behavior Expectations & Procedures POC Parent Contract

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Welcome! Welcome to the Western Family YMCA! We offer a Before & After School Enrichment Program, BASE, which is

licensed by the Department of Services for Children, Youth and Families of the State of Delaware. The following pages contain important information about our program. Please familiarize yourself with the material and keep this manual handy for easy reference. Our Mission Statement: The YMCA of Delaware is an Association of people of all ages, ethnic groups, and

religious affiliations that strive to cultivate the human potential, self-esteem, and dignity of all people. Our organization exists to develop and practice the Christian principles of love, caring, inclusiveness, justice and peace...and to enrich the emotional, physical and social life of individuals, families and our community. Annual Campaign: Each branch of the YMCA of Delaware sponsors an annual giving campaign known as the Annual Campaign. With your help, kids and families in need have the opportunity to participate in nurturing and value-based programs, such as child care and summer day camp. If you would like to make a gift, please call our

office at 302-709-YMCA. All contributions are tax deductible. Thank you for investing in the future of Delaware’s children. Our Philosophy: Our BASE program is in operation to increase the availability of quality child care in the

community. We believe that a quality Before & After School program should provide enriching experiences which facilitate a child’s cognitive, social, physical and emotional growth. We strive to meet the developmental needs of

each individual child by working in partnership with families to provide a warm, nurturing, loving, and safe environment. The YMCA strives to enable the building of self-esteem and helps to enhance the spirit, mind, and body of children. Children are given the opportunity to meet friends within a safe, structured environment during non-school hours. Y of Delaware School-age Program Goals

• To support and strengthen the family unit

• To help children develop to their fullest potential • To develop and strengthen the character values of caring, honesty, respect and responsibility • To improve interpersonal relationships: Learn to care about, communicate with and cooperate with family,

friends and significant adults in their life • To help children lead healthy lives: Learn ways to be active and to make healthy food choices. • In addition, the Y believes children should have free, unstructured time set aside each day for exploration

of their world. Under staff supervision, activities will be chosen by the children and take place both indoors

and outdoors for no less than one hour, weather permitting. • The program will be using the CATCH program (Coordinated Approach to Child Health) curriculum to plan

physical education time for children. Along with the physical component of CATCH we will also be using the CATCH heart healthy curriculum to teach children about healthy eating and lifestyles.

Participating Schools

Red Clay School District: Christina School District: BASE Middle School Sites: (childcare on site at school) (childcare on site at school) (childcare at Western YDC)

• Forest Oak Elementary • Heritage Elementary • Marbrook Elementary • Mote Elementary • Baltz Elementary

• Brookside Elementary

• Gallaher Elementary • Maclary Elementary • Wilson Elementary • Jennie Smith

Elementary

• Shue-Medill Middle School • Dickinson MYP • Cab Calloway • Conrad • Stanton

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Program Overview Daily Activities: Our licensed BASE program is dependable and convenient. We provide fun activities for children

on school days, most holidays and as well as on early dismissal days. We offer a YMCA values-based curriculum with an emphasis on art, sports, and fitness. Students learn the importance of Caring, Respect, Responsibility, and Honesty by working in small groups, making choices, sharing, and taking turns. See our parent information board at each site for community events, parent resources and daily activities.

Sample Schedule (*Times vary per school)

Morning Schedule 7:00am Arrive, parents sign-in 7:00-8:00 Centers and homework 8:00-8:25 Morning Activity / Literacy 8:25-8:30 Clean-up

Afternoon Schedule 3:00-3:10 Arrival, attendance and announcements 3:10-3:20 Bathroom, wash hands, clean table and prepare snack 3:20-3:50 Snack

3:50-4:00 Clean up from snack 4:00-4:30 Daily Activity/Recreation* 4:30-5:00 Homework time; all children engaged in quiet activities

5:00-5:50 Open Activity Centers 5:50-6:00 Clean-up 6:00pm Program Closes

CATCH: Coordinated Approach to Child Health (CATCH) is a health program designed to help children and their families adopt healthy eating and physical activity behaviors. As part of our curriculum, CATCH is run

several times per week at our Before & After School sites. The students will engage in a number of stimulating and non-competitive games and exercises that are developmentally appropriate and FUN.

YMCA of the USA School Age Curriculum Framework: Second only to human relationships, a well-planned curriculum will help define a child's experience in a YMCA program. Curriculum affects all aspects of a program: its overall quality, parent perceptions, and the outcomes and benefits of the program on individual children. The YMCA

of the USA and Y’s across the country are adopting the YMCA School-Age Care Curriculum framework. The framework discusses the developmental stages of children and youth, describes YMCA beliefs and other frames of reference used in selecting and developing activities, connects the curriculum to the YMCA mission and goals, suggests core content areas, lists sample activities, details additional sources of activities for school-age children

and youth, discusses how to use the framework, and suggests how to develop, set up, introduce and evaluate activities. The eight YMCA core content areas are: arts and humanities, character development, health and fitness, homework support, literacy, science and technology, service learning, and social skills and conflict resolution.

Delaware Stars: Delaware Stars for Early Success is a Quality Rating and Improvement System (QRIS), which is a method used to assess, improve and communicate the level of quality in early care and education and school-age

settings. It establishes quality standards for programs and provides technical assistance and limited financial support to programs involved in Stars as they engage in quality improvement efforts. Delaware Stars is designed as a voluntary system that expects programs to work on improving quality by moving up the Star Levels.

YMCA Staff: The majority of our staff members are college students pursuing degrees in Early Childhood, Elementary/Secondary Education, Recreation/Physical Education, Child Psychology, and other fields of study. Y staff provide a safe and nurturing environment for children, while implementing age appropriated activities. The following are required of all staff to ensure that children receive a high quality experience.

• Background Checks

• Fingerprinting

• Delaware Adult Abuse Check

• YMCA New Staff Orientation

• Child Abuse Prevention Training

• CPR Certification

• First Aid Certification

• Annual Child Development Training (Minimum of 9 hours)

• Quality Assured Trainings

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Before and After School Enrichment Fees

Monthly BASE Fees for 2020-2021

Before Care Only (Starts at 7:00am)

After Care Only (Ends at 6:00pm) Before & After Care

Monthly Rates

Full Member

Community Member

Full Member

Community Member

Full Member

Community Member

2 days/week $93 $121 $135 $165 $171 $210

3 days/week $140 $180 $200 $242 $256 $315

4 days/week $186 $242 $266 $323 $341 $419

5 days/week $232 $303 $334 $402 $428 $525

Registration Deadlines

To Begin Care

Registration Deadlines

8/31/2020 8/12/2020

9/8/2020 8/19/2020

9/14/2020 8/26/2020

Any Other Weeks Contact YDC

Registration Requirements

For Full or Community Member For Purchase of Care Participants

1) All past balances must be paid prior to registration.

1) All past balances must be paid prior to registration.

2) Complete the enrollment forms & submit by email, fax or in person to the Youth Development Center

(YDC).

2) Must provide authorized letter from the State of Delaware (see page 7 for Site ID #s).

3) Provide a $25.00 registration fee per child, non-refundable & charged each school year.

3) Complete the enrollment forms & submit by email, fax or in person to the Youth Development Center (YDC).

4) Tuition is required at registration depending on the billing selected & start date of care (1-month maximum).

4) Provide a signed Purchase of Care Contract by email, fax or in person to the Youth Development Center (YDC).

5) Submit a current health appraisal for your child. Documentation must include shot records, date of exam, physician’s signature, height & weight.

5) Tuition is required at registration depending on

the start date of care (1-month maximum).

6) Submit a current health appraisal for your child.

Documentation must include shot records, date of exam, physician’s signature, height & weight.

Once all of the registration requirements & deadlines listed above are met, an email will be sent including your child’s official start date, payment schedule & other parent references. Any incomplete submissions will be notified of the missing requirements & will not be registered.

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Billing Options & Additional Fees

Option #1: Monthly EFT Billing

• EFT (Electronic Fund Transfer) payments will automatically be deducted from your Checking, Savings,

or Credit/Debit card account, monthly on the 1st. • A $25.00 fee will be applied to any returned payment.

Option #2: Bi-Monthly EFT Billing • EFT (Electronic Fund Transfer) payments will automatically be deducted from your Checking, Savings,

or Credit/Debit card account, bi-monthly on the 1st and 15th of each month. • A $25.00 fee will be applied to any returned payment.

• Purchase of Care participants are not eligible for the bi-monthly EFT billing.

Return Process & Fees: 1st Return- A $25.00 fee will be applied to any account that does not successfully draft. 2nd Return- Member will incur $25.00 fee & be required to provide new account information. 3rd Return- Member will incur $25.00 fee & risk losing EFT billing option if one more payment is returned.

4th Return- Member will incur $25.00 fee, lose EFT billing option & become automatically switched to monthly scheduled billing for the remainder of the school year. **Balances remaining past their current month of care may results in a suspension and/or termination of care.

Financial Help

Financial Assistance (Open Doors): Our financial assistance policy enables the YMCA to assist individuals who

want to participate but cannot afford the entire fee. Stop in, call or visit the YMCA on the web at www.ymcade.org for more info.

Purchase of Care: The Western Family YMCA participates in the State of Delaware Purchase of Care childcare fee subsidy program. Openings into this program are limited and are on a first come first serve basis. We must receive an up-to-date authorization form from the state of Delaware at the time of registration. Must have the correct site

ID for the appropriate school where your child attends (see list below).

Important Note: Purchase of Care recipients must enroll in the five days of care per week and cannot miss more than five days of care within a month. If more than five days are missed within a month

your child will be removed from the program.

Purchase of Care Site ID Numbers: Red Clay School District Christina School District

Baltz Elementary 1710470200 Brookside Elementary 1710413900

Forest Oak Elementary 1710305100 Gallaher Elementary 1710092000

Heritage Elementary 1710346900 Jennie Smith Elementary 1710387400

Marbrook Elementary 1710304900 Maclary Elementary 1700023100

Mote Elementary 1710305000 Wilson Elementary 1700023200

Cab Calloway Middle 1710371700 Shue-Medill Middle 1710371700

Conrad Middle 1710371700 Dickinson MYP 1710371700

Stanton Middle 1710371700

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Before and After School Enrichment Policies & Procedures

Absences: If your child is registered for the morning session and will not be attending on a day he or she is

scheduled to attend, please notify the school site phone on or before the morning of the absence. If your child is

registered for the afternoon session and will not be attending on a day he/she is scheduled to attend, please notify the school site phone on the day of the intended absence. Children who do not report to the YMCA program at dismissal could cause a safety concern. If the child has attended school, does not report to the program and we have not received notice of the absence, we will check with the school office for changes in dismissal. If necessary, the child’s parent or emergency contacts will be called to verify the child’s location. For the safety of all, we cannot allow children to go anywhere outside the program area unless notified by a parent or authorized guardian (i.e. – helping a teacher, extracurricular activities, etc.).

Abuse Policy: Staff accused of abuse or neglect will be investigated, and if found guilty, will be terminated from the YMCA of Delaware. Administration of Medication: In order for our staff to administer medication, a parent permission form must be filled out indicating the name of the child, date of birth, allergies, doctors’ name and phone number, pharmacy phone number, name of medication, time when given, route of administrating, expiration date, start date, end date

and reason for medication. For maintenance medications, such as inhalers, this form must be completed each

month. This form and all medication must be given to your child’s site staff for safe keeping. All medications are dispensed by certified staff and recorded on the medication form. For the safety of all children, please do not leave any medication in the children’s bag. Topical creams and sunscreen are considered medication and cannot be applied by a child or left in their bag. Never send in bottles or

food with medication in it. All prescription medicines must be in your child’s name with a current prescription label stating the dosage, times, and type of medication. For medications that are not administered orally or topically, families will need to work with the program director to determine what accommodations are able to be made that are within the safety limitations of the site.

Babysitting: The YMCA of Delaware employees are NOT permitted to babysit or transport YMCA of Delaware participants at any time. Cancellation Procedure: Parents must submit to the Youth Development Center (YDC) office a written notice 10

days prior to the requested cancellation date in order to cancel a child from the program. Unused tuition will be credited to your account with proper notice.

Character Development: Consistent with the YMCA mission, all staff, program participants and members are invited and encouraged to accept, practice, and demonstrate the four values that help define a strong and value-centered individual. The YMCA of the USA identifies these values as Caring, Honesty, Respect, and Responsibility. By incorporating these values into our lives, we set a positive example for our impressionable youth.

Child Abuse Reporting Policy: Safety and well-being are top priority at the Western Family YMCA. Our staff are required by Federal Law to report any suspected incidents of child abuse to the Department of Youth & Family Services. We will work with the family to ensure the safety of the child. Children will be observed on arrival for unusual symptoms of neglect or abuse. Staff are trained to recognize signs of neglect and abuse. Confidentiality: Your child's records are confidential. The staff will not share your child's records with anyone without written parental consent. Parent has access to their child's records at any time and may request additional

relevant information be added to the records. Community Resources: Community resources are distributed in each of the site mailboxes. All resources are handed out to parents or displayed on the parent board. (i.e. newsletters, articles, policy changes). Drop-off: Each parent or authorized guardian is responsible for signing in and signing out each child to the program. Photo identification must be presented each day when signing out a participant.

Dual Language: Dual language learners refer to youth whose primary language is not English. The YMCA welcomes all children and their families. The director and the staff will work to learn key phrases and simple conversational words to make communication easier with children and families we serve. Appropriate learning opportunities will be made available in a safe and caring environment.

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Food: Children may bring breakfast from home if parents wish them to eat breakfast at the program. If your child attends a school where breakfast is served, your child may take part in the breakfast program. The YMCA provides a healthy afternoon snack. Please let us know if your child has food allergies or special needs.

Homework: Time to complete homework is offered Monday through Thursday for 20-30 minutes each day. During this time, children will be able to begin working on their homework. Staff will work with children to provide them with as much basic instruction and support as possible. If homework is not completed within the given time frame, children are permitted to continue working their homework during the program’s open center time. Inclusion: The YMCA of Delaware child care programs welcomes all children and their families. We follow the

YMCA of the USA’s values of caring, honesty, respect and responsibility to guide and nurture the children in our care. We respect and value input from parents and encourage families to share information about their child and culture. We will use the information to provide appropriate learning environment for all, as applicable. In addition, if your child has an IEP/IFSP, we request that you provide a copy to the director of the program. It is beneficial to meet with the parent/legal guardian to review the plan and work together to ensure that the guidelines are understood. We are determined to provide a safe and secure environment where all children are respected and

valued in an atmosphere conducive to learning and making friends. Late Pick-up: Parents must pick up their children by 6:00 PM. If a parent is unable to pick up the child by 6:00

PM, the parent should notify an individual designated for emergency pick up. YMCA staff will attempt to contact the child’s parents and/or emergency contacts by 6:00 PM. A late pick-up fee of $20 for every 15 minutes will be given for all pick-ups after 6:00pm.

Fees: 6:01-6:15 = $20 6:16-6:30 = $40 6:31-6:45 = $60 6:46-7:00 = $80

*Purchase of Care participants are excluded from this Late Pick-up fee but will have child care services suspended and possibly terminated due to repeated late pick-ups.

Literacy: Literacy is a core component in YMCA school-age program and is just one way we help support a child’s success in school without extending the school day with academic activities. Literacy includes life skills such as reading, writing, speaking, gathering information, using information, thinking critically, understanding others and expressing oneself.

Lost & Found: If your child is missing anything, please inquire with the Site Coordinator as soon as possible.

Remember to label everything. Unclaimed items are given to charity after a reasonable period of time. Please note:

We strongly encourage parents not to send their child to school with money, jewelry or other valuables. We are not responsible for any lost items.

New participants: If you would like to set up an appointment for you and your child to visit the school site or meet the YMCA staff prior, please contact Jennifer Reid at 302-453-0123 x7103. Non-Discrimination Policy: It is the policy of the YMCA of Delaware to never discriminate against anyone based

on race, color, national origin, gender, age, sex, pregnancy, marital status, sexual orientation, gender identity or expression, religion, creed, disability, veteran’s status, or any other category protected by state and/or federal laws. Parent Conferences: Staff observe and document children’s activities on a regular basis. Parent conferences will be offered on an as needed basis with the parent able to request a conference at any time during the year. A

parent conference request form can be requested from the Site Coordinator or from the director. Parents also have the opportunity to “opt” out of a parent conference if they feel one is not necessary.

Parent Communication: Keeping an open line of communication to parents is an important part of the BASE program. We provide parents with weekly and monthly site specific and YMCA newsletters, news boards at each site, incentive boards & emails. Parents are encouraged to call the program director with any praises or concerns.

Parental Involvement: Parents are invited and encouraged to join scheduled family events. Information will be provided in advance regarding these events.

Parents/Guardians Roles & Responsibilities

• Timely payment of all program fees • Student drop off is no earlier than 7am. Pick-up no later than 6pm • Authorized person’s signature upon arrival and dismissal on provided sign in/out sheet. • Treat YMCA staff and participants with respect and dignity

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Pick-up Authorization: Only those individuals authorized on the child’s enrollment form may pick up a child. If you would like to add someone to the authorized pick-up list please contact the Youth Development Center (YDC)

office in writing 24 hours prior to pick-up.

Pool/Swimming: All children 14 years of age and younger must be swim tested by YMCA lifeguard, documented, and wristbanded in accordance to the pool guidelines. Any swimmer who requires the use of a flotation device may only use a coast guard approved PFD for assistance. A YMCA counselor will accompany the children in the water or on the deck of the pool at all times.

Schedule Change Request: Parents must give 10 days prior written notice to the Youth Development Center office to change a child’s schedule in the program. *schedule changes are based on program availability

School Transitions: Morning procedures vary throughout the school district. Please check with school officials and/or YMCA Staff during the first week of school. In the afternoon, children attending the program are dismissed from their classrooms and report directly to the YMCA’s designated after school area. Children should bring all of their belongings including outer clothes, lunch boxes, books etc. Children will NOT be permitted to re-enter classrooms to retrieve any forgotten items unless approved by school and program officials.

Staff to Student Ratio: We adhere to a ratio of one staff to fourteen children. Safety and supervision are first

and foremost in our Before & After School program.

Supplies/Personal Items: Children need shoes and clothing that is appropriate for athletic activities (sneakers, not sandals). The YMCA provides all sports equipment and other materials needed for projects. Please DO NOT bring electronic games, cards, toys, etc. unless instructed by the site counselors. The YMCA is NOT liable if these types of items are brought to the program and disappear or become damaged. Red Clay students that have been provided Chrome Books by the district are allowed to use them during

homework time only.

Transition Procedure: We recognize that changes in schedules can be stressful for both parents and children. For this reason, we provide opportunities for families to get to know us prior to starting our program during the school year and into the summer. Orientations for new and returning families coincide with the school’s open house/back to school night or walk through to give parents and students the opportunity to visit the area care is provided and participate in examples of activities. The school will notify us of the scheduled date and time. Families

signing up after the open house can discuss the program with the director and if time permits, a staff member from the Y school site can call the student’s family prior to their start date. The staff introduces themselves and asks you

about your child’s likes, interests or concerns, and answers any questions you have about the program. We encourage families to visit and participate in activities with their child. We also invite our families to participate in our community/family events. As the school year comes to an end, the Y will provide information about summer activities for families and inform them about camps and classes the Y offers. Students completing our program will be given information about our older youth programs as well.

Termination: A child's participation in the program may be terminated if:

• His/Her behavior is chronically disruptive or poses a danger to him/herself, others, the program or school.

• He/She is expelled from school.

• His/Her health examination form is not returned within one month after entering the program

• If payment is not received by the 5th of the month your child will not be permitted to attend and will be terminated from the program until payment is made.

• He/she is picked up late (after 6:00pm) excessively.

Youth with Identified Disabilities: If your child has an IEP/IFSP, we request that you provide a copy to the director of the program. Upon receiving the IEP/IFSP, the director will schedule a parent meeting to review the plan and discuss ways to accommodate your child’s needs. We will use the information from the plan to provide

appropriate learning opportunities in an environment conducive to learning.

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Emergency Preparedness

In the event of an emergency situation, Western Family YMCA has outlined a response plan for each individual school site. A copy of this plan can be obtained at the Y program on site. Please know that we will attempt to

notify you, so it’s important to keep your emergency contact information up to date.

Evacuation / Relocation

1. If the emergency is confined to the immediate area at the elementary school site, e.g. fire, and the children

cannot stay on the premises, the children will be taken to a nearby location. The children and staff will

remain at this location while you or your emergency contact is notified of the situation.

2. If the emergency is more widespread, encompasses a larger area such as the neighborhood due to an

environmental threat, e.g. flood, and the children cannot remain in the immediate area, they will be

transported to location approximately 2 miles from the school. The children and staff will remain at this

location while you or your emergency contact is notified of the situation.

3. Children will be transported by YMCA van or authorized Bus Company.

Notification

1. We will repeatedly try to call you as soon as the children and staff are safe. If we cannot reach you, we will

call your emergency contacts. During emergencies, children will only be released to you or your

emergency contacts.

2. Information about the event can be found on WDEL or the YMCA of Delaware website www.ymcade.org.

Emergency Supplies / Shelter-in-Place

If we need to shelter in place, we will remain in our classrooms.

1. First aid supplies are located on site.

2. Emergency food and water is located on site.

Participant Behavior Policy & Disciplinary Action Plan The YMCA of Delaware expects all participants to conduct themselves in a manner that reflects the character values of caring, honesty, respect, and responsibility. Any participant whose conduct is inconsistent with these values will

be subject to disciplinary action, up to and including termination of his/her YMCA membership. The YMCA of Delaware reserves the right to take disciplinary action based on what it deems to be appropriate in any given situation. This policy is not all-inclusive and other issues may result in disciplinary action. All past disciplinary

actions will be taken into consideration when addressing any violation. The YMCA of Delaware reserves the right to change, alter, or abolish policy at any time. Forms of Disciplinary Action May Include: Verbal Warning:

Remind the participant of the YMCA’s expectations and rules. Let them know of the rule or conduct they have violated. State what the next step of discipline will be if this action continues. Examples of violations: not following rules in a timely manner, rough play, or disruptive behaviors. Time Out: Remove the participant from the current activity, 1 minute/year of age. Remind the participant of the YMCA’s

expectations and rules. Let them know of the rule or conduct they have violated. State what the next step of

discipline will be if this action continues. Example of violations: multiple verbal warnings or disrespectful towards other participants or staff. Written Notice: A formal notice is documented on the participant’s behavior. The parent/ guardian is notified of this documentation and a future action plan is arranged. Examples of violations: reoccurring violations, foul language, or unwillingness to participate in the program.

Suspension: The participant is not permitted to attend the program for a time set by the YMCA Director. Examples of violations: repeated written notices, running away, fighting, bullying, threatening, or theft.

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*School Suspensions: Any child who is suspended from his/her school will not be permitted to attend our program during the duration of the suspension. Termination:

Participation in the YMCA of Delaware’s program is terminated and the participant is not permitted to return for the duration of the program’s year. Examples of violations: previous suspension, possession of a weapon or illegal drugs, sexual misconduct, or any gross levels of violation. It is the expectation of the YMCA of Delaware that all program participants follow the YMCA’s core character values of caring, honesty, respect and responsibility. Repeated violations may result in suspension from the program. This policy includes all parents/guardians and anyone listed on the participant’s authorized pick-up list.

Medical Info

Food Allergies:

Food allergy issues are reviewed with the child’s parent. • Signs will be hung in rooms where kids with food allergies eat with specific instructions for that child.

• Parent permission to post names on site will be received via permission slip.

• A list of food allergies is posted by the cabinet and is available for parents who provide snacks. • If a child has food allergies requiring separation from others at snack, they are placed at a separate table. Usually there are several children at the separate table that need a different snack so they do not feel segregated. Policy on Allergic Reactions: We screen children as they arrive each day so we are aware of any visible rashes or allergy symptoms. Parents are alerted to any changes staff notice via written and /or verbal notification.

Epi-pens are stored with all medication in a secured storage area. They must be labeled with the prescription indicating the child’s name and correct dosage. During times of transition and during scheduled activities all first aid kits and medications must be carried with staff in a portable and secured bag or container. These items must always be kept out of the reach of children.

Illness

If your child becomes ill during the course of the day, it will be the parent’s responsibility to pick up the child. If a child is sent home due to illness, he/she may not return for 24 hours unless you have a note from a doctor stating

it is safe for the child to return. Parents may not send a child to the program if the child has the following:

• strep throat which has not been treated by an antibiotic for a minimum of 24 hours.

• any rash or acute onset associated with fever or symptoms of illness.

• an oral temperature of 100 degrees or greater, the child must be fever free for 24 hours before returning to the program.

• persistent vomiting and/or diarrhea in the 24 hours prior to coming to the program.

• diagnosed with a contagious disease (Chicken Pox, Hand Foot & Mouth, Lice, Ringworm, Pinkeye, etc.) the child will require a statement from the doctor indicating that the disease is no longer communicable upon return to the program.

A staff member will notify the parent of a child's illness. If a parent cannot be reached, the child's emergency

contact will be notified to pick up the child. It is expected that the child will be picked up as soon as possible. Until the parent arrives the child will be excluded from activities with other children and will rest quietly under the supervision of a staff member. A child may return to the program after 24 hours if free of above illnesses.

Medication

• Prescription medication will be given to a child only if the medication is in the original container bearing the child's name, the doctor's name, a current date, and directions for administration. The parent must complete a YMCA Medication form authorizing the staff to dispense the medication. Parents must sign in all medications on the medication form.

• Non-prescription medication will be given to a child only if accompanied by written instructions and a completed YMCA Medication form.

Minor Injuries: If a minor injury occurs, the staff will administer any necessary first aid and notify parents.

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Medical Emergencies: If an accident or medical emergency occurs, our staff will:

• Administer the necessary first aid immediately

• Call an ambulance if the child's injury requires emergency room treatment

• Call the parent or emergency contact (if the parent cannot be reached)

• Stay with the child at the hospital until the parent or emergency contact arrives

School’s Out Program

(Teacher in-service days and school closings)

For most days that schools are not open, we offer separate care at Western’s Youth Development Center (YDC). We follow the Red Clay and Christina School District schedules & closings. Child must be enrolled in the Before & After School Enrichment (BASE) program for the current school year in order to participate in any In-Service days, Holidays or Inclement Weather days. Additional registration form & daily fees are required in order to attend. School sites cannot accept any forms or payments. Parents must submit everything through the Youth

Development Center (YDC) office & registrations are processed on a first come, first serve basis.

In-Service days & Holidays are days that schools are scheduled to be closed. Care is offered at the YDC from 7:00am – 6:00pm for an additional fee of $40.00/day (POC participants excluded). Your child will be busy with age appropriate games, sports/fitness, CATCH, arts & crafts, swimming (optional), team and character building activities, and recreational indoor/outdoor play. Parents must supply their child with a lunch, a drink, swimsuit & towel (if swimming). Separate registration form & daily fees are due by registration deadlines in order to attend and space is limited. For families who register and later wish to cancel their in-service

registration, we require a 3 business day written notice. With proper notification, families will have a credit applied to their account for future use. Purchase of care participants who cancel without proper notification may be ineligible to register for future in-service days. Inclement Weather days are days when schools are unexpectedly closed due to inclement weather. Care is possibly offered at the Youth Development Center from 8:00am – 6:00pm for an additional $40.00/day (POC participants excluded). Care will be determined by the branch depending on the weather conditions at the time.

Your child will be busy with age appropriate games, sports/fitness, CATCH, arts & crafts, team and character

building activities, and recreational indoor play. Parents must supply their child with a lunch, a drink & no swimming will be available. Separate registration form & daily fees are due at sign-in and space is limited. Unexpected School Closing Procedures * If Christina School District schools are delayed, the YMCA is not permitted to offer morning care.

* If Red Clay School District schools are delayed, the YMCA Before Care begins at 9:00am. The child must already be registered for morning care in order to participate & no additional fees are required. * If schools close early unexpectedly or cancel after school activities, the YMCA After Care will be cancelled & parents must pick up their child at the school at the designated dismissal time. All correspondence will take place via email and text alert.

* If schools are closed for the day due to inclement weather, The Youth Development Center will possibly offer care at the YDC from 8am-6pm (depending on weather conditions).

*If the school adds additional days to the end of the school year due to excessive inclement weather closures, the YMCA program will not charge additional fees.

To find out information & updates about closings, please check out the following resources: Radio Stations: 93.7 WSTW, 99.5 WJBR, 1150 am WDEL, 103.7 WXCY Our Web Site: www.ymcade.org Facebook Twitter Text Alert

To receive Childcare Text alerts: text @wfycare to 302-266-2533

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YOUTH PROGRAM INFORMATION SHEET 2020-2021

PLEASE ONLY LIST ONE CHILD PER FORM AND ATTACH A RECENT PHYSICAL WITH IMMUNIZATIONS

Grade entering 2020-21 _________ Email address _________________________________________________

(to receive all program updates and registration information)

Name DOB / / Gender M F Age

African American/Black Caucasian/White Asian Hispanic Indian ____________

Concerns/special needs

Dual language families Please list the main language used at home.

Allergies

Medication Does your child take prescribed medications? If yes what kind Side effects

(*medication administration form required for our staff to administer)

School Attending

Child’s Information

Name Relationship to child DOB / /

Address City State Zip Is this the child’s primary residence? Yes No

Home Phone Cell Phone Work Phone

Place of Employment Hours of Employment

Name Relationship to child DOB / /

Address City State Zip Is this the child’s primary residence? Yes No

Home Phone Cell Phone Work Phone

Place of Employment Hours of Employment

Is there a custody/visitation agreement? Yes No If yes, please attach the supporting documentation.

Miltary Do any family members currently serve in the military? Yes No Branch of service:

Insurance Company Policy #

Family Physician Physician Phone

Family Dentist Dentist Phone

PLEASE LIST ANY ADULTS, OTHER THAN PARENTS, THAT MAY BE CONTACTED IN AN EMERGENCY.

Name Relationship to child Phone 1 Phone 2

Authorized to Pick Up? Y or N

Name Relationship to child Phone 1 Phone 2

Authorized to Pick Up? Y or N

Child’s Information

Insurance Information

Parent / Guardian

Parent / Guardian

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PLEASE LIST ANY ADULTS, OTHER THAN PARENTS, THAT ARE AUTHORIZED TO PICK UP THIS CHILD

Name Relationship to child Phone 1 Phone 2

Name Relationship to child Phone 1 Phone 2

Name Relationship to child Phone 1 Phone 2

Name Relationship to child Phone 1 Phone 2

PARENT/GUARDIAN SIGNED RELEASES

Treatment/ Emergency care – I hereby give permission to the emergency care physician and/or YMCA director to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event, I cannot be reached in an emergency I hereby give permission to the physician selected by the YMCA supervisor to secure and administer treatment, including hospitalization, for the person named above.

Signature:

Field Trip and Transportation release – The Y has permission to take my child on all pre-arranged field trips indicated as part of the Y program my child is registered for. This includes off site outings due to extreme weather conditions as part of summer programs.

Signature:

Photo/video release – I give permission for my child to be photographed and/or interviewed for promotional purposes.

Signature:

Sunscreen release – I give permission to apply sunscreen provided by me or from the sunscreen machine during summer programs.

Signature:

Screen Time Usage – I give permission for my child to use computers and view interactive age-appropriate and educational videos. Screen time will be less than 30 minutes.

Signature:

Receipt of Parent Handbook – I acknowledge that I have received, read and understand the Parent Handbook.

Signature:

Informed consent - I understand that the YMCA activities have inherent risks and I hereby assume all risks and hazards incident

to my family’s participation in YMCA activities. I further waive, release, absolve, indemnify and agree to hold harmless the YMCA,

the organizers, volunteers, supervisors, officers, directors, participants, coaches, referees, as well as, persons or parents

transporting participants to and from activities from any claims or injury sustained during my use of YMCA property.

Signature:

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GENERAL QUESTIONS: Explain “yes” answers below)

Explain “yes” answers below (circle one) (circle one)

1. Had recent injury, illness or infectious disease yes no 13. Diabetes yes no

2. Have a chronic or recurring illness/condition yes no 14. Down Syndrome yes no

3. Ever been hospitalized yes no 15. Skin problems? (rash, itchy) yes no

4. Ever had surgery yes no 16. ADHD yes no

5. Have frequent headaches yes no 17. Asthma yes no

6. Ever had a head injury yes no 18. Autism yes no

7. Been knocked unconscious yes no 19. Have an orthopedic appliance yes no

8. Wear glasses, contacts or protective eyewear yes no 20. Heart murmur yes no

9. Had frequent ear infections yes no 21. Mononucleosis in past 12 months yes no

10. Passed out during/after exercise yes no 22. Eating disorder yes no

11. Dizzy during/after exercise yes no 23. Emotional difficulties for which yes no

professional help was sought

12. Had seizures yes no 24. Last Tetanus shot Date:

BEHAVIOR

PARENTS RIGHT TO KNOW NOTICE

Under the DELAWARE CODE you are entitled to inspect the active record and complaint files of any

licensed child care facility. To review a child care facility record located in New Castle County contact

Ms. Ann Bercy, at (302) 892-5800 at the Office of Child Care Licensing, 4417 Lancaster Pike, Building

#18, Wilmington, DE 19805. To review a child care facility record located in Kent or Sussex County

contact Ms. Naomi Gosch at (302) 739-5487at the Office of Child Care Licensing, 821 Silver Lake

Blvd., Ste 103, Dover, DE 19904.

You may also view substantiated complaints and compliance review histories for the past three years

by visiting http://www.apex01.kids.delaware.gov:7777/occl/

I acknowledge I received this notice as part _____________________________________________________________________

of the application packet Parent/Guardian Signature Date

Please provide any additional information about your child’s behavior and/or physical, emotional, mental health

behavior we should be aware of

Does your child have an IEP IFSP 504 If yes, please share with YMCA director

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Please circle all days needed for before care and/or after care. START DATE:_______________________

SCHOOL ATTENDING:_______________________

Before Care

Circle the days needed: Monday Tuesday Wednesday Thursday Friday

After Care

Circle the days needed: Monday Tuesday Wednesday Thursday Friday

REGISTRATION PAYMENT: please select one

I would like to pay the one-time, non-refundable $25.00 registration fee (per child; POC participants excluded) by the

payment method below:

☐ Cash

☐ Check #__________

☐ Credit/Debit Card - Card on File Ending ____ ____ ____ ____ Expiration Date____________

Print Name on Card______________________________________ Billing Zip Code ____________

Parent/Legal Guardian Signature______________________________________ Date ___________

BILLING OPTIONS: please select one Monthly Automatic Withdrawal (EFT)

I would like the account below to be automatically drafted on the following dates & I understand a $25.00 fee will be applied to any returned payment:

☐1st of every month only (monthly fee charged)

☐1st & 15th of every month (half of monthly fees charged on each date; POC participants excluded)

☐ Checking account - Please attach a voided check

☐ Savings Account - Please attach statement with routing and account numbers

☐ Credit/Debit Card - Card on File Ending ____ ____ ____ ____ Expiration Date____________

Print Name on Card______________________________________ Billing Zip Code ____________

Parent/Legal Guardian Signature______________________________________ Date ___________

Western Family YMCA BASE Schedule & Billing Form

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Please help us introduce your child to the counselors! Fill in all of the boxes below!

My Child’s Name ___________________ Nickname preferred__________________

School_____________________________________________ Grade _______________________________________

These are areas my child seems to need extra

help with.

These things please me most about my child.

These are some things my child enjoys to do:

This discipline technique seems to work best with

my child:

I would like to be involved in my child’s program

in these ways:

Other things you should know about my child:

(allergies, medication, ect.)

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Allergy vs. Food Avoidance

In our efforts to keep your child safe, we have established a “No Nut” policy. We ask

parents to read labels and not bring in anything that “may contain nuts” or “may be processed in a facility that may contain nuts”. Snacks must be in the original,

unopened container for us to serve the snack. We also ask that parents provide the

original ingredient labels for ingredients in home-made snacks. Our Team will read labels and return any items provided, that we feel may not be in line with our snack

policy. If you have noted a Food Allergy please provide us with information on what type of reactions your child may have, so that we may better care for your child as

quickly as possible! Every child that has been identified as having an allergy or food

avoidance will have their name posted in the classroom for immediate reference.

Allergy: We make every effort to insure children with food allergies are keep safe.

We ask that you please fill out the attached FOOD ALLERGY ACTION PLAN and if your child has an epinephrine pen (EPI Pen) that the additional Release of Liability and

Waiver be signed and returned immediately!

Food Avoidance: Should your child/family have a food avoidance list, we will also make every effort to help your child avoid these foods. However, children are curious

and occasionally take a snack from another child. Please let us know if we should expect a physical reaction or symptom from your child, so that we may keep them

safe. If your Food Avoidance/preference list is extensive, we ask that you please provide a piece of fresh fruit or fresh vegetable each day for your child, that your child

is not the snack person.

All parents should note that throughout the year every class does have special occasions where food is a part of the celebration. We cannot ask every family to avoid

all allergy or food preferences. All foods except nuts may be available. You are asked

to help or be available during such occasions should your child need your guidance.

Please sign and date that you have read and understand the above policy.

Child’s Name___________________________

Parent’s signature ____________________________________

Date: ____________

FOR YOUTH DEVELOPMENT

FOR HEALTHY LIVING

FOR SOCIAL RESPONSIBILITY

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