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WALNUT BEND ELEMENTARY SCHOOL EAGLE’S NEST AFTER SCHOOL
PROGRAM
REGISTRATION GUIDE 2020-2021
Questions: Contact Sylvia Ponce de Leon, Director:
[email protected] OR 713-529-3507
Contact Diana Alcebo, Coordinator: [email protected] or
713-917-3540
Registration Info
Dates Where
Drop Off Registration beginning
Oct. 12
School Office
Late Registration (Registration is first come first serve.
Registration Fee of $15.00 is to be included in your payment.)
After Oct. 19 School Office
Extended Day & Homework Full Time Ext Day Total Cost Full
Time PLUS Ext Day Total Cost
Oct. 19 – June 11 30 weeks $1500.00 $1740.00
On Site
Extended Day until 6:00: $50.00/wk Extended Day until 6:30:
$58.00/wk
Total Number of Weeks (Oct. 19-June 11): 30 Weeks Total Cost for
30 Weeks: Full Time: $1500.00 Full Time PLUS: $1740.00
1st Payment due by Friday, Oct. 16 All additional payments due
weekly or the full monthly amount
by the last Friday of each month: October, November, December,
January, February, March, April, May
Final Payment in June must be submitted in the form of a Money
Order. Make your money order OR check payable to: Walnut Bend
Elementary
Copyright © 2020 CIASP Parent Copy
Your registration packet is complete when it includes the
following items for each child:
______Authorization Form (Page 3) ______Extended Day Options
(Page 4)
______Contract Agreement/Safety Plan Form - signed (Page 5)
______A check or money order payable to: Walnut Bend Elementary
Download complete Registration Packet from:
http://www.houstonisd.org/domain/22213
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WALNUT BEND EAGLE’S
NEST 2020-2021 [email protected]
Dear Eagle’s Nest Parents and Guardians, We recognize that
this will be an unusual school year, but we want to assure you that
the health and safety of the children in our community is our
number one priority. We want you to be prepared for some
changes that you and your child will experience when
you return.
The following are some safety measures that will be
implemented:
● Eagle’s Nest will follow the same safety protocols as are
required during the school day.
● All students, staff, and parents will be required to wear face
masks. ● Eagle’s Nest classes will have a maximum of 12
students per class in order to
promote physical distancing. ● All students will need their
own water bottle each day (labeled with their name). ●
Materials, supplies, equipment, and other items will not be shared
unless absolutely
necessary.
Should you have any questions, please feel free to reach out to
us. We look forward to welcoming you and your child into the
Eagle’s Nest family!
Sincerely,
Walnut Bend Eagle’s Nest
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WALNUT BEND EAGLE’S
NEST 2020-2021 [email protected]
Estimados Padres y Tutores de Eagle’s Nest, Reconocemos que
este será un año escolar inusual, pero queremos asegurarles que
la salud y seguridad de los niños en nuestra comunidad es
nuestra prioridad número uno. Queremos que estén preparados
para algunos cambios que usted y su hijo/a experimentarán
cuando regresen.
Las siguientes son algunas medidas de seguridad que se
implementarán:
● Eagle’s Nest seguirá los mismos protocolos de seguridad que se
requieren durante el día escolar.
● Se requerirá que todos los estudiantes, personal y padres usen
mascarillas. ● Las clases de Eagle’s Nest tendrán un máximo de
12 estudiantes por clase para
promover el distanciamiento físico. ● Todos los
estudiantes necesitarán su propia botella de agua cada día
(etiquetada
con su nombre). ● Los materiales, equipos y otros artículos
no se compartirán a menos que sea
absolutamente necesario.
Si tiene alguna pregunta, no dude en comunicarse con nosotros.
¡Esperamos darle la bienvenida a usted y a su hijo/a a la
familia Eagle’s Nest!
Sinceramente,
Walnut Bend Eagle’s Nest
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Dear Walnut Bend Parents, Walnut Bend Elementary is proud to
present a quality After School Program. This program is designed to
provide the needs of the school community in an after school
setting. The quality of our program will thrive with the
cooperation of the school community (i.e. administration, staff,
parents, children).
This packet is comprised of several forms. We ask that you
review each form and submit only those that apply to your
particular registration.
To better assist you, please note the documents included in this
packet: • Page 1 Front Cover Page with Deadlines (PARENT COPY) •
Page 2 Parent Letter (PARENT COPY) • Page 3 Contract
Agreement/Safety Plan (PARENT COPY) • Page 4 Extended Day Options
(OFFICE COPY) • Page 5 Contract Agreement/Safety Plan (OFFICE COPY)
• Page 6 Authorization/Emergency Form (OFFICE COPY)
IMPORTANT INFORMATION FOR YOU TO KNOW:
1. REGISTRATION: Registrations are processed as they are
received. The date and/or order of registration submission will be
recorded on your paperwork.
• Beginning Oct. 12: Registration forms are available in the
school office and on the school’s website:
https://www.houstonisd.org/domain/22213. Download the packet,
print, fill it out and submit to the front office. Note, there is
no assistance at the office for this.
• Registrations received after Oct. 19 will be processed for
services to begin 2 days after the 1st day of school (Oct. 19).
2. OUTSTANDING BALANCES: Registration cannot be accepted from
anyone who has an outstanding balance from any previous semester.
Registrations submitted must include a separate check for their
outstanding balance in addition to their first payment. Any
accounts with outstanding balances over $100.00 remaining after
December 13 will be assessed a $25.00 collection fee, which will be
rolled over to the Spring 2021 semester. Failure to meet your
financial obligations may result in suspension of services to you.
In addition, at the end of the Spring 2021 Semester any account
with outstanding balances over $100.00 will be assessed a $25.00
collection fee, which will be rolled over to the Fall 2021
semester.
3. PAYMENT: All checks/money orders are to be made payable to:
Walnut Bend Elementary. You may either submit your payment of the
full amount of your bill at the time of registration OR you may
submit your payments in 5 installments, OR you may submit weekly
payments. The Final Payment must be submitted in the form of a
Money Order. This is offered as a convenience to you. Please see
the Contract Agreement Safety Plan Form for important details
including deadlines.
4. RETURNED CHECKS: Checks returned by the bank must be repaid
in the form of a money order for the exact amount directly to HISD
Accounting. In addition, there is a check return fee of $35.00 that
must be submitted in a separate money order. Failure to do this
within 24 hours of notification may result in suspension of
services.
We are looking forward to a successful Fall 2020 Semester! If
you have any other concerns and/or questions, please do not
hesitate to contact either one of us below.
Sincerely,
Sylvia Ponce de Leon Director, After-School Programs
713-529-3507 Email: [email protected] Parent copy 2 Copyright
2020 © CIASP
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WALNUT BEND ELEMENTARY EAGLES NEST AFTER SCHOOL PROGRAM
AUTHORIZATION FORM 2020-2021
_______________________________________/_____________________________________
Student’s Name HR Teacher 2020-2021
______________________________/______________________________________________
Parent’s Name Contact Phone(s) # (i.e. cell, work, etc.) between
2:50-6:30PM
_________________________/___________________________________________________
Parent’s Name Contact Phone(s) # (i.e. cell, work, etc.) between
2:50-6:30PM
Please list individuals authorized to pick up your child (other
than yourself). We need individuals who can be here quickly in
cases of: emergencies, traffic, illness, etc. Consider persons who
are near the school such as neighbors, parents of classmates or the
like.
_____________________________________________________________________________
Name Work Phone # Home Phone# Other Phone#
_____________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
_____________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
_____________________________________________________________________________
Name Work Phone# Home Phone# Other Phone#
Allergies______________________________________________________________________
Please note the following: 1. It is important you notify the
Eagle’s Nest in writing when you have updated information such as
an address
change, phone change, and which individuals you authorize to
pick up your child, foods your child may be allergic to, etc.
2. If you are unable to pick up your child for any reason, The
Walnut Bend Eagle’s Nest will call an adult you have listed on this
form.
3. DO NOT assume the school's front office relays changes you
submit to them to the Eagle’s Nest Office. 4. On any given day you
are having someone NOT listed on the Eagle’s Nest
Authorization/Emergency Form pickup
your child, the Eagle’s Nest Office must receive notification in
writing (no later than 1:00PM) from the parent or the individual
registering the student. You MUST notify the Eagle’s Nest Office as
follows:
A. Email this notification to: [email protected] OR
[email protected] B. Fax it to: 713-917-3656 and address the
note to the attention of Eagle’s Nest.
C. Drop off a note in the Eagle’s Nest Box located in the front
school office. D. Drop off a note in the School Office.
5. Please be aware that we will NOT release your child to anyone
unless we have it in writing. We cannot make any exceptions. It is
your responsibility to update any information you provide on this
form. Therefore, it is vital to plan ahead. In addition, your child
WILL NOT be released to anyone who is under the age of 18.
_____________________________________________________________________________
Parent Signature Date Copyright 2020 © CIASP 3 Office Copy
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WALNUT BEND ELEMENTARY
EAGLES NEST AFTER SCHOOL PROGRAM EXTENDED DAY OPTIONS
TUITION/FEE FORM – 2020-2021
_______________________________________________________/____________________________________/__________________
STUDENT’S NAME HR Teacher (2020-2021) GRADE
______________________________________________________________________________________________________________
PARENT/GUARDIAN’S NAME(S) RESPONSIBLE FOR BILLING
______________________________________________________________________________________________________________
BILLING ADDRESS (INCLUDING ZIP CODE)
________________________________________________________
______________________________/_____________________________ Email
Address(es) HOME PHONE WORK PHONE
(___________)________________-____________________
(___________)________________-______________________ Mom’s Cell
Phone Dad’s Cell Phone
!"#$%&'()$*'+#),)$&"-.'+"/#)01'2)1&' '
'''''''''''''''''' ' ''''''''''' ' 34&"#'541&'
A. Grand Total of Extended Day (Full Time OR Occasional) $
_______________ (A)
B. Total for Homework Enrichment (This line is only if you are
enrolled in Homework Enr ONLY) $ _______________ (B)
C. Grand Total of A, B (Ext Day, Homework ENR) $ _______________
(C)
D. Payment Enclosed (must be minimum weekly cost of Ext Day or
Occ) $ _______________ (D) (Please pay Occasional Extended Days in
Full)
! Parentʼs
Signature__________________________________________++++++++________________Date_______________________________________________
"#$!%&&'()!*+)!%,-.!! ! ! ! /01)! ! !!!!23#4,1!!!
56)(7!8!! ! !!!!!9,'1'0-!!! Payment At Registration!!
"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""!
NOTE: When your child is not attending a Homework Class, he/she
will be under the supervision of an Extended Day Group Leader
working on different planned activities. Thank you.
Copyright 2020 © CIASP
EXTENDED DAY OPTIONS Occasional Extended Day ! Select
One !5 Units !10 Units !15 Units !20 Units !25 Units
Full Time Ext Day/$50/WK (2:50-6:00) Early Dismissal
Included
$1500 OR $60 $120 $180 $240 $300
Full Time Ext Day Plus/$58/WK (2:50-6:30) Early Dismissal
Included
$1740 OR $70 $130 $190 $250 $310
Homework Ext Day – All students enrolled in Ext Day will be
allotted a maximum of 1 hour of Homework Time Daily. Homework
Enrichment – This is for the student who is not enrolled in any
part of Ext day. Homework Enrichment (3:15-4:15) $115/day
Circle
day(s) Mon Tues Wed Thur Fri
Initial those that apply to you
Acceptance of Walnut Bend Contract
Submitting Full payment (Grand total – Line A)
Paying 1st Month Installment Paying Different amount (AT LEAST
WEEKLY COST OF EXT DAY AND/OR FULL COST OF OCC)
Please initial Total Pymt Please initial Total Pymt Please
initial
Total Pymt Please initial
$ $ $
4 Office Copy
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W A L N U T B E N D E L E M E N T A R Y
EAGLE’S NEST AFTER SCHOOL PROGRAM
Contract Agreement/Safety Plan 2020-2021
By initialing and signing below, I understand the contents of
this registration packet and agree to the following for the School
Year 2020-2021. Disregard of this contract and/or the contents in
the registration packet will result in immediate dismissal from
Eagle’s Nest After School Program. 1. REGISTRATION: Registration
for the Extended Day Program is for the entire School Year, Oct. 19
– June 11. 2 changes are permitted during the
semester. Additional changes will incur a reinstatement fee of
$15.00. All registered students will receive confirmation via a
statement during the 1st week your child attends at the time of
pick up. No changes will be made and no refunds or credits will be
issued after Oct. 23. I understand that my registration is ONLY
valid if I have paid out all prior balances owed to Walnut Bend
After School Program. Furthermore, I understand that if I submit my
registration after Oct. 26 I will be assessed a Late Registration
Fee of $15.00. In addition, if I submit my registration after Oct.
19 my registration may be processed for services to begin within 2
school days. Furthermore, I must make other arrangements for After
School until my child’s registration has been processed. In
addition, NO refunds will be assessed in the event of HISD
canceling after-school activities for inclement weather or any
other extenuating circumstances. I also understand I must pay out
any outstanding balances I may have with Walnut Bend Elementary
before registering.
2. SIGN OUT: I will sign out my child from an After School Staff
Member each day. SHOWING PHOTO ID IS MANDATORY UPON REQUEST. 3.
LATE PICK UP:
• If my child is enrolled in Full Time Extended Day and is
picked up after 6:00 PM I understand I will be assessed a late
pickup fee of $2.00/ per minute.
• If my child is enrolled in Full Time Extended Day Plus, and is
picked up after 6:30 I will be assessed a late pickup fee of
$2.00/per minute. • If my child has Occasional Units and the child
is picked up after 6:00 I will be assessed a late pickup fee of
$2.00/ per minute. • If my child has Occasional Units Plus and the
child is picked up after 6:30 I will be assessed a late pickup fee
of $2.00/ per minute. • After the 5th late pick-up I may be asked
to make other arrangements for After School Child Care. • The
official time for our after school program will be gauged by the
clock located in the school office. • Please Note: If late pick-up
fees are not paid within 24 hours, the fee is automatically doubled
(Check or money order only)
4. EXT DAY: I understand the hours of Extended Day are: Full
Time Extended Day 2:50-6:00 p.m.; Full Time Extended Day Plus
2:50-6:30 pm.; Occasional Extended Day 2:50-6:00 p.m.; Occasional
Extended Day Plus 2:50-6:00 p.m.
5. OCCASIONAL and OCCASIONAL PLUS DAYS: • If I no longer have
any Occasional Extended Day Units OR Occasional Extended Day Plus
Units remaining, another 5-Unit Card will be AUTOMATICALLY billed
to my account. • I understand that any Occasional Extended Day
Units OR Occasional Extended Day Plus Unit purchases billed after
May 7 MUST BE PAID
WITHIN IN 24 HOURS OR THERE WILL BE NO SERVICES PROVIDED. 6.
PICK UP CHANGES/NOTIFICATIONS: I am aware that my child MUST be
picked up by an adult and that my child will never be allowed to
walk home without the supervision of an authorized adult I have
listed on the Authorization Contact Form. Furthermore, I will
notify in writing via a handwritten note or via email, the Director
([email protected]) and or Coordinator ([email protected]),
when my child will not report to Extended Day for any of the
following reasons:
A. I will be picking up my child before OR at 2:50 p.m. B.
Someone else, authorized by me, will pick up my child @ 2:50
p.m.
7. PAYMENTS: ____MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY
made out to Walnut Bend Elementary. The Final Fall Payment due by
May 28 (to cover full costs of weeks leading up to the last week of
school) must be paid in the form of a money order. Cash is not
accepted. ____If I select to pay biweekly, I will submit my first
biweekly payment at the time of registration (Oct. 19-Oct. 30 -
$100.00 for FT OR $116.00 for FT PLUS. The next biweekly payment
will be due by Oct. 30. All subsequent biweekly payments will be
set up by the after school Coordinator at the sign out desk located
in the cafeteria. ____If I select to pay in monthly installments
for services offered November 2020-June 2021, I will submit my
payments as follows: Full Time: $150.00 by Oct. 30, $150.00 by Nov.
20, $200.00 by Dec. 18, $200.00 by Jan. 22, $200.00 by Feb. 26,
$200.00 by Mar 26, $200.00 by Apr 30, $100.00 by May 28. Full Time
PLUS: $116.00 by Oct. 30, $150.00 by Nov. 20, $232.00 by Dec. 18,
$232.00 by Jan. 22, $232.00 by Feb. 26, $232.00 by $232.00 by Mar
26, $232.00 by Apr 30, $116.00 by May 28. NOTE TOTAL COST for Oct.
19-June 11: Full Time: $1500.00 Full Time PLUS: $1740.00 ____If I
do not submit my payments by the due dates, I will be assessed a
late fee of $10.00 on the next day the payment was due. ____I will
be assessed a $35.00 charge for each returned check. All returned
checks must be repaid directly to HISD Accounting within 24 hours
after being notified via a Money Order for the EXACT amount of the
returned check. In addition, there is a $35.00 check return fee
assessed by HISD. This payment must be submitted in a separate
money order on the same day you submit the money order for the
returned check. After 1 returned check, all future payments must be
made by money order. *** ____I understand that after school
services will be suspended if I do not pay my bill on time.
8. BEHAVIOR EXPECTATIONS: The HISD Code of Student Conduct will
serve as the basis for all discipline expectations to ensure the
safety of all students and staff members. Parents will be notified
immediately if their child has violated any portion of the school’s
previously communicated Code of Student Conduct. Services will be
suspended should disrespectful or unsafe behavior be directed
towards a student or staff member, either by a parent of a student
or a student enrolled in the program. I understand that it is my
responsibility for reading and knowing the expectations of the HISD
Code of Conduct. I also understand that the program reserves the
right to deny services on a permanent basis if behavior
expectations are not being met. I also understand that all ASP
Staff are HISD Employee and are trained to follow all COVID
Guidelines outlined by HISD.
9. SPECIAL NEEDS: We do not provide staff trained to deal with
special needs. Please contact the ASP Coordinator regarding any
questions. 10. Technology DEVICES: While students during the school
day may be permitted to use their technology during the school day
under the supervision of their teacher, no technology devices may
be used in the after school program by any student in grades PK-5.
All such devices must be kept in the student’s backpack. 11.
Disregard of any portion of this contract calls for immediate
dismissal from the After School Program. By signing this contract,
I am
agreeing to all of the above terms and fully understand all
information listed on the Parent Letter AND on any of the forms of
this packet
_______________________________________/_____________________________________/_______________
_________________________________ Name of Parent (please print)
Parent Signature Date STUDENT NAME
_______________________________________/_____________________________________/_______________
_________________________________
Name of Parent (please print) Parent Signature Date STUDENT
NAME
Parent copy 5 Copyright 2020 © CIASP
Parent Copy 3