WALNUT BEND ELEMENTARY SCHOOL EAGLE’S NEST AFTER SCHOOL PROGRAM

REGISTRATION GUIDE 2020-2021

Questions: Contact Sylvia Ponce de Leon, Director: ciasp2@sbcglobal.net OR 713-529-3507

Contact Diana Alcebo, Coordinator: wbeaglesnest@yahoo.com 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

 

WALNUT BEND EAGLE’S NEST 2020-2021 wbeaglesnest@yahoo.com 

 

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  

 

 

  

 

WALNUT BEND EAGLE’S NEST 2020-2021 wbeaglesnest@yahoo.com 

 

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  

  

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: ciasp2@sbcglobal.net Parent copy 2 Copyright 2020 © CIASP

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: ciasp2@sbcglobal.net OR wbeaglesnest@yahoo.com 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

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

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 (ciasp2@sbcglobal.net) and or Coordinator (wbeaglesnest@yahoo.com), 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