Excellence in Extended Day Experiences
SPRING 2016 REGISTRATION PACKET
AVAILABLE ONLINE BEGINNING DECEMBER 1
TO DOWNLOAD THIS PACKET,
PLEASE VISIT OUR WEB SITE
http://www.houstonisd.org /domain/12282
Registration Info
Dates
Where
(Registration is first come first serve.)
Dec 1-Dec 17
1:00 PM-6:00 PM
Mail In Registration
Dec 18-Dec.28
Late Registration Deadline
After Dec. 17
On-Site Registration
$25.00 Late Registration Fee will be assessed.
Add-Drop Deadline Date
Until Jan. 22
After School Office
CIASP
2020 SW Freeway, Ste. 310
Houston, Tx 77098
CIASP
2020 SW Freeway, Ste. 310
Houston, Tx 77098
After School Office
Payment Due Dates (minimum)
Payment #1: at Registration
Payment #3: March 4
Payment #2: Feb. 5
Payment #4: April 1
***Any outstanding balances remaining after November 20 will be rolled over to the Spring 2016 with a $25.00
rollover fee assessed. Any Spring 2016 outstanding balances greater than $100 remaining after April 15 will be
rolled over to the Fall 2016 with a $25.00 rollover fee.
Program
Dates of Program
ROE Connections Extended Day
Homework Help
Early Dismissal – Every Wednesday
Enrichment Classes
Jan. 5 – May 20
Jan. 5 – May 20
Every Wednesday
January 11 – May 20
Questions: Contact Sylvia Ponce de Leon, Director: ciasp2@sbcglobal.net OR 713-529-3507
Contact Monica Nuncio, Coordinator: roecoordinator@sbcglobal.net OR 713-524-8430
Parent Copy
Copyright ! 2015 CIASP
Excellence in Extended Day Experiences
Dear River Oaks Parents,
River Oaks Elementary is proud to present ROE CONNECTIONS! We look forward to serving you with "Excellence in Extended Day
Experiences" for your child.
Enclosed in this packet are the following forms:
• Schedule of Dates/deadlines (see front cover page)
• Extended Day Schedule of Options, Extended Day Choices & Tuition Schedule
• Master Schedule of Enrichment Classes
• Optional Homework Help Registration Form
• Tuition/Fee Payment Form
• Authorization/Emergency Form
• Contract Agreement/Safety Plan
Dependent upon what you are registering for, please submit the following forms:
• Page 6 Extended Day Choices & Tuition Schedule
• Page 7 Optional Homework Help Registration Form
• Page 8-11 Master Schedule of Enrichment Classes
The following forms are REQUIRED to turn in:
• Page 12-13 Contract Agreement/Safety Plan
• Page 14 Authorization/Emergency Form
• Page 15 Tuition Fee Payment Form
In addition, submit your payment: Make Checks/Money Orders Payable to: River Oaks Elementary
********Registrations are only valid with submission of all proper forms and payment********
IM PORT A NT I NFO RMA TI ON F OR YOU T O KN OW : 1.
•
•
•
REGISTRATION: Registrations are processed as they are received. The date and/or order of registration submission will be recorded on
your paperwork.
Beginning December 1: Registration forms are available online: http://w ww. houstonisd.org/domain/ 1228 2
Refer to the deadlines listed on the front cover of the registration packet.
By December 22: Registrations received by December 22 will receive a statement via U.S. mail during the week of December 28.
Beginning January 5: Statements for Registrations received after December 22 will be available for pick up in the ROE CONNECTIONS
office beginning January 5.
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. In addition, any
accounts with outstanding balances remaining after April 1 will be assessed a $25.00 fee which will be rolled over to the Fall 2016
semester. Failure to meet your financial obligations may result in suspension of services to you.
3.
PAYMENT: You may either pay the full amount of your bill at the time of registration or you may pay in 4 installments. This is offered as a
convenience to you. Please see the Contract Agreement Safety Plan Form for important details including deadlines.
4.
SCHOLARSHIPS: Scholarships based on financial need for ROE CONNECTIONS are available. You must contact the ASP Office for
further information at 713-529-3507 or ciasp2@sbcglobal.net
5.
Please note the following important details regarding your 1 , 2 , 3 , choices for Enrichment Classes:
st
nd
rd
•
If the 1 , 2 , AND 3 , choices are filled, you will be sent an email informing you of available classes. You must respond to this email
within 2 working days (Mon-Fri) if you wish to select another class. Other classes may fill up quickly.
•
If you enrolled in an enrichment class and it is canceled due to lack of enrollment, a full refund for that class will be issued. In the event
of teacher illness, a substitute will be provided OR students will be contacted as early as possible to inform them of a class cancellation.
st
nd
rd
We are looking forward to a successful Spring 2016 Semester of ROE CONNECTIONS! If you have any other
concerns and/or questions, please do not hesitate to contact either one of us below.
Sincerely,
Parent Copy
Sylvia Ponce de Leon
Director, After-School Program
713-529-3507
email: ciasp2@sbcglobal.net
Monica Nuncio
Coordinator
713-524-8430
email: roecoordinator@sbcglobal.net
2
Copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Schedule of Options for Extended Day Spring 2016
OPTION
Full-time
Half-time
DAYS/HOURS
Mon/Tues/Thurs/Fri
3:15 – 6:00 p.m.
Wednesday
12:45-6:00 pm
Mon/Tues/Thurs/Fri
3:15 – 5:00 p.m.
Wednesday
12:45-5:00 pm
Homework Help:
st
rd
1 /2nd/3 Grade
Monday-Thursday
3:30 – 4:30 p.m.
Homework Help:
th th
4 /5 Grade
Monday-Thursday
3:30 – 4:30 p.m.
4:35 – 5:35 p.m.
Friday
3:30 – 4:30 p.m.
Monday-Friday
Occasional Day
Units:
DESCRIPTION
•
•
•
•
Daily full-time care
Tuition decreases depending on the number of enrichment classes taken.
Early Dismissal care is included.
Homework help included (optional).
•
•
•
•
Daily part-time care.
Tuition decreases depending on the number of enrichment classes taken.
Early Dismissal care is included.
Homework help included (optional).
•
•
•
•
Optional
No fee for students enrolled in Full-time or Half-time.
Fee-based Homework Help offered if not enrolled in Full-time or Half-time
Classes will meet based on a minimum of 10 students.
•
Economical choice for students needing care an average of three days or fewer
per week.
Sold in packs of 5.
One Full-Time unit covers the time from 3:15 to 6:00 p.m.
nd
One Half-Time unit covers the time from 3:15 to 5:00 pm and a 2 Half-Time
Unit covers the time from 5:00-6:00.
Note: If you occasionally need to pick up after 4:45, consider purchasing Half-Time Occasional
Day units (sold in packs of 5 units). This will save on late fees and give you a cushion until 6:00
p.m. should you need it.
Full-Time …………
3:15 – 6:00 p.m.
•
•
•
Half-Time………….
3:15 – 5:00 p.m.
•
PLEASE NOTE: Unused Occasional Day units carry over to the Spring
Semester, but may not be carried over to the next school year.
12:45 – 3:15 p.m.
•
•
Early Dismissal care is provided from dismissal until 3:15 on Wednesdays.
Students will be assigned to groups according to their age/grade levels.
Wednesday Early
Dismissal
(For ROE or
additional HISD early
dismissal days)
BRIDGE TO 4:35 ENRICHMENT CLASS
Bridge to 4:35
Enrichment Class
Monday- Friday
3:15-4:30 p.m.
•
•
Provides care for students who enroll SOLELY in a 4:35pm Enrichment Class on
ANY day and who need care for the hour prior to the 4:35 class.
Early Dismissal care is not included. Must be purchased separately.
SIBLING DISCOUNTS
•
•
A 10% discount is offered on the Full-time or Half-time options when two or more children are enrolled.
There is no discount on Enrichment Classes or Occasional Day units.
•
•
The late pick up fee is $2.00 per minute after 6:00 PM.
Late Pickup Fees must be paid at the time of pickup or within 24 hours by check or money order made out to
River Oaks Elementary.
Please Note: Unpaid Late Pickup Fees double after 1 school day from the day they were assessed. If you
are enrolled in Half-time, a 5-unit Occasional Day card will be automatically issued upon the first late pick up. The
units will be applied to each late pick up (Up to 5). For anyone picked up after 6:00 p.m. you may be asked to
th
make other child care arrangements after the 5 late pick-up. We do not provide care after 6:00 p.m.
**LATE PICK-UP**
•
Parent Copy
3
Copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Contract Agreement/Safety Plan SPRING 2016
By signing below, I understand the contents of this registration packet and agree to the following for the
SPRING 2016. Disregard of this contract and/or the contents in the registration packet will result in
immediate dismissal from ROE CONNECTIONS.
1. I understand I am presently enrolled for FALL 2015 and SPRING 2016 (as specified in the Fall 2015
Contract Agreement/Safety Plan) unless I have notified in writing to the after school office that my
child will not be reporting to Extended Day in Spring 2016.
2. TIMELINES: I have received a copy of the timeline with all important dates, including registration dates,
payment due dates, and the dates that Extended Day and Enrichment Classes begin and end.
(Timeline is on front cover)
3. CLASS TIMES: I understand the times of Extended Day, Enrichment Classes, and Homework Help
according to the Schedule of Extended Day Options, the Master Schedule of Enrichment Classes, and
the Homework Help page provided in this registration packet.
4. PAYMENTS: (Plea se initial each item below on the line)
_____MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY made out to River Oaks
Elementary. Cash is not accepted.
_____I will pay at least of ! of my bill for the SPRING 2016 Semester at registration. The next 3
payments are due: Feb. 5, March 4, April 1.
_____I will be assessed a monthly late fee of $10.00 after Feb. 12, March 11, April 8.
_____I will be assessed a $35.00 charge for each returned check. After 2 returned checks, payment
must be made by money order. Upon notification that a check was returned by my bank, I
understand that I must submit a money order for the same amount within 48 hrs. Failure to do so
will result in suspension of services.
_____I understand that after school services may be suspended if I do not pay my bill on time. In
addition, any accounts with outstanding balances remaining after April 15, 2016 will
be assessed a $25.00 fee which will be rolled over to the Fall 2016 semester. Also,
any Spring 2016 outstanding balance I may have in my account after Apr 15 will be rolled
over to Fall 2016 with a $25.00 rollover fee. Failure to meet your financial obligations may result
in suspension of services to you.
5. ADD/DROP: Only 2 changes are permitted during Add/Drop. No class changes will be made and no
refunds or credits will be issued after Jan. 22.
6. PRORATION OF CLASSES: ANY class attended from Jan 11-15 will be prorated. In addition, if you
withdraw from a class, your bill will be prorated ONLY if your child is required to attend Tutoring
Classes by his/her school teacher or if your child withdraws from River Oaks Elementary School. In
addition, no refunds will be assessed in the event of HISD canceling after-school activities for
inclement weather or any other extenuating circumstances.
7. OCCASIONAL DAYS:
• If I purchase Occasional Days and all units are used, another 5-Unit Occasional Card will be
automatically billed to my account.
• I understand that any Occasional Day purchases billed after April 8 MUST BE PAID WITHIN IN
24 HOURS OR THERE WILL BE NO SERVICES PROVIDED.
Parent Copy
4
copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Contract Agreement/Safety Plan SPRING 2016
8.
9.
10.
11.
13.
14.
15.
16.
17.
SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign
my child out from the After School Staff at designated Pickup (i.e. Avalon, San Felipe). Failure to sign
the student out will be regarded as an “Incident” and may result in suspension from the program for the
remaining school year. SHOWING PHOTO ID IS MANDATORY.
ENRICHMENT CLASSES BEGINNING AFTER 3:30 ONLY: I must enroll my child in either a 3:30
enrichment class, Bridge UNTIL class time of Enrichment, or Occasional Extended Day in order for my
child to participate in an Enrichment Class after 3:30.
LATE PICK UP:
• If my child is picked up after 6:00 PM I understand I will be assessed a late pickup fee of
$2.00/minute.
• When I am late picking up my child from Half-Time or Enrichment I understand I will
be automatically issued a 5-Unit Occasional
Card, which provides supervision until 6:00 PM.
• 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 at the Pickup location.
• Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically
doubled (Check or money order only)
CHANGES IN HOW A STUDENT GETS HOME: I MUST notify the ASP Coordinator in writing (phone
calls not accepted) via faxed or written note dropped off in the ASP Office or in the ASP Box (located
in front school office) OR via email (roecoordinator@sbcglobal.net) for ANY changes in how my
child gets home. ONLY the adult who registers the child is authorized to make changes in regards to
pick up arrangements. Without written permission, my child will not be permitted to leave.
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.
SPECIAL NEEDS: We do not provide staff trained to deal with special needs. Please contact the
school administration with any questions.
TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any
student in grades K-5. All such devices must be kept in the student’s backpack.
I understand that my email address and/or phone number(s) may be given to the Provider of any
Enrichment class in which I have enrolled my child should the Provider find it necessary to contact me.
MEDIA PERMISSION: I authorize ROE CONNECTIONS to include my child in photographs used for
publicity ____YES
____NO
_________________________/_________________________/__________/_______________________
Name of Parent (please print)
Parent Signature
Date
STUDENT NAME
_________________________/_________________________/__________/_______________________
Name of Parent (please print)
Parent Signature
Date
STUDENT NAME
Parent Copy
5
copyright © 2015 CIASP
E x c e l l e n c e i n
E x t e n d e d D a y E x p e r i e n c e s
EXTENDED DAY CHOICES & TUITION SCHEDULE SPRING 2016
NAME OF STUDENT_______________________________________________GRADE________
Option details are listed in the ROE CONNECTIONS Extended Day Schedule Options Form.
(Homework Registration page is completely separate.)
DAILY OPTIONS
(Tuition is per semester)
Full-Time: Mon-Fri 3:15-6:00
Place !
on your
choice
# of Enr.
Classes
Tuition
Course ID
(Office
Use Only)
0
1
2
3
4
5
6
7
8
9
10
$1090
$1050
$1010
$970
$930
$890
$850
$810
$770
$730
$650
200
201
202
203
204
205
206
207
208
209
210
Half-Time: Mon-Fri 3:15–5:00
Place !
on your
choice
0
1
2
3
4
5
OCCASIONAL OPTIONS
Full-Time 3:15 - 6:00
Place !
on your
choice
# of Enr.
Classes
Tuition
$775
$735
$695
$655
$615
$575
Course ID
(Office Use
Only)
211
212
213
214
215
216
- Units are sold in sets of 5
Half-Time 3:15 – 5:00
Units
Tuition
Course ID
(Office
Use Only)
5
10
15
20
25
$55
$105
$155
$205
$255
217
218
219
220
221
Place !
on your
choice
Units
Tuition
Course ID
(Office Use
Only)
5
10
15
20
25
$40
$80
$120
$160
$200
222
223
224
225
226
EARLY DISMISSAL OPTION*
Tuition is per semester.
BRIDGE TO 4:35 CLASS OPTION
Tuition is per semester.
Wednesdays Only 12:45-3:15
3:15 - 4:35 on days your child is enrolled
only in a 4:35 Enrichment Class
Place ! on
your choice
Tuition
$205
Course ID
(Office Use
Only)
Place !
on your
choice
227
Monday
Tuesday
Wednesday
Thursday
Friday
* You may also choose to purchase Occasional
Units should you only need occasional coverage
for Wednesdays (2 units per Early Dismissal day
used.) See "Occasional Options" above.
Office Copy
Day of
Week
6
5
Tuition
$72
$76
$76
$76
$72
Course ID
(Office Use
Only)
500
501
502
503
504
Copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Optional Homework Help Registration Form SPRING 2016
NOTE: Homework Class will only form if a minimum of 10 students register per class.
___________________________________________ ______________
___________________________________
STUDENT NAME
GRADE LEVEL
2015-2016 HOMEROOM TEACHER
• *Any student enrolled in full-time or half-time ROE Connections may sign up for OPTIONAL free Homework Help.
• **Any student not enrolled in ROE Connections may sign up for OPTIONAL fee-based Homework Help
• All homework sessions have a maximum enrollment of 25 so sign up fast! !
• In order to assure adequate staffing for these homework sessions, students will not be allowed to change their homework
schedules after the semester begins.
• In the Spring Semester, Homework Help begins the 1st week of school.
•
There will be no Homework Help the last week of school.
Please place a checkmark next to each day you would like your child to attend.
1
ST
–2
nd
GRADE HOMEWORK HELP -
NO F EE *
Day
Monday
______
Tuesday
______
Wednesday
______
Thursday
______
F EE- BASED * *
Course # (office use only)
124
______ $150.00
125
______ $150.00
126
______ $150.00
127
______ $150.00
3RD GRADE HOMEWORK HELP
NO F EE *
Day
Monday
______
Tuesday
______
Wednesday
______
Thursday
______
Monday
Tuesday
Wednesday
Thursday
Friday
Time
Course #(office use only)
300
301
302
303
- Offered from 3:30 – 4:30 Mon-Thur
FEE - BA SED * *
Course # (office use only)
128
______ $150.00
129
______ $150.00
130
______ $150.00
131
______ $150.00
4th - 5th GRADE HOMEWORK HELP- Offered from
4 th GR AD E
Day
Offered from 3:30 – 4:30 Mon-Thur
Course # (office use only)
304
305
306
307
3:30 – 4:30 Mon-Fri and/or from 4:35 – 5:35 Mon-Thur
5T H G RAD E
NO F EE*
FE E-BASE D**
Day
Course #
Course #
(office use only)
(office use only)
Time
NO FE E*
Course #
(office use only)
F EE BA SE D**
Course #
(office use only)
!
!
!
!
A -3:30 ______ $0 #132 ______ $150.00 #308 Monday
A -3:30 ______ $0 #141 ______ $150.00
B -4:35 ______ $0 #133 ______ $150.00 #309
B -4:35 ______ $0 #142 ______ $150.00
A -3:30 ______ $0 #134 ______ $150.00 #310 Tuesday
A -3:30 ______ $0 #143 ______ $150.00
B -4:35 ______ $0 #135 ______ $150.00 #311
B -4:35 ______ $0 #144 ______ $150.00
A -3:30 ______ $0 #136 ______ $150.00 #312 Wednesday A -3:30 ______ $0 #145 ______ $150.00
B -4:35 ______ $0 #137 ______ $150.00 #313
B -4:35 ______ $0 #146 ______ $150.00
A -3:30 ______ $0 #138 ______ $150.00 #314 Thursday A -3:30 ______ $0 #147 ______ $150.00
B -4:35 ______ $0 #139 ______ $150.00 #315
B -4:35 ______ $0 #148 ______ $150.00
A -3:30 ______ $0 #140 ______ $150.00 #316 Friday
A -3:30 ______ $0 #149 ______ $150.00
th th
nd
NOTE: The 4 -5 Grade Homwork 2 hour may be combined if there is low enrollment.
th
th
Homework Help on Fridays at 4:35 is not offered to 4 & 5 Grades.
#317
#318
#319
#320
#321
#322
#323
#324
#325
Early Dismissal Homework/Craft Wednesday – 1:15-2:15 – NO Fee Based-Open to students enrolled in Full/Half Time Ext Day
______ I wish for my child to participate in an Indoor Organized Homework/Craft hour (This is offered to students who wish
to work on their homework and remain indoors until 2:15 for a craft activity with our after school staff.)
Office Copy
7
Copyright © 2015 CIASP
Excellence in Extended Day Experiences
MASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2016
NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum
enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional
costs, the Providers will notify you.
CHOICES
1st
2nd
!
3rd
Course Name
Time
Room
Day Grade No Crse# Tuition Fees
ArtSmart-Early Childhood Art
3:30-4:30
Mon
Ballet/Jazz Combo/1-2***
3:30-4:30
Mon
Become a Geography Bee
3:30-4:30
Camp Einstein: Eng, Science and CSI-Mon
K
TBA
Teacher
02 $255.00 $40.00 City ArtWorks
$
1-2 TBA
03 $275.00 $40.00 DCT-DanceCheerTumbling
$
Mon
3-5 TBA
04 $305.00 $0.00
$
3:30-4:30
Mon
K-5 TBA
05 $325.00 $0.00 Camp Einstein
$
Cardio Kickboxing
3:30-4:30
Mon
K-5 TBA
06 $255.00 $0.00 Tropa Z Fitness
$
Chinese Conversation Advanced
3:30-4:30
Mon
1-5 TBA
07 $290.00 $30.00 I Love Chinese
$
Fun with Fabric K-5
3:30-4:30
Mon
K-5 TBA
08 $255.00 $30.00 Houston Ctr. for Contemp. Crafts
$
Lacrosse
3:30-4:30
Mon
3-5 TBA
09 $255.00 $5.00 Mini Stars
$
Model Building
3:30-4:30
Mon
1-5 TBA
10 $240.00 $50.00 Crafty Scraps
$
Spanish for Life Part 1 / K-1
3:30-4:30
Mon
K-1 TBA
11 $275.00 $25.00 Coloquia Language Arts
$
Tennis - Beginner
3:30-4:30
Mon
2-5 TBA
12 $255.00 $5.00 Mini Stars
$
Piano (Private) @ M3:30 closed
3:30-4:00
Mon
K-5 TBA
13 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ M3:30
3:30-4:00
Mon
K-5 TBA
14 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ M4:05
4:05-4:35
Mon
K-5 TBA
15 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ M4:05
4:05-4:35
Mon
K-5 TBA
16 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ M4:40 closed
4:40-5:10
Mon
K-5 TBA
17 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ M4:40
4:40-5:10
Mon
K-5 TBA
18 $510.00 $35.00 Linda Singer Piano Studio
$
Ballet/Jazz Combo/3-5***
4:35-5:35
Mon
3-5 TBA
19 $275.00 $40.00 DCT-DanceCheerTumbling
$
Forever DIY Crafts
4:35-5:35
Mon
K-5 TBA
20 $240.00 $50.00 Crafty Scraps
$
Tennis - Advanced
4:35-5:35
Mon
2-5 TBA
21 $255.00 $5.00 Mini Stars
$
Piano (Private) @ M5:15
5:15-5:45
Mon
K-5 TBA
22 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ M5:15
5:15-5:45
Mon
K-5 TBA
23 $510.00 $35.00 Linda Singer Piano Studio
$
A Taste of French - Beginners /2-5
3:30-4:30
Tue
2-5 TBA
24 $290.00 $25.00 Coloquia Language Arts
$
A Taste of French - Beginners /K-2
3:30-4:30
Tue
K-2 TBA
25 $290.00 $25.00 Coloquia Language Arts
$
An Engineering World II for Kids/3-5
3:30-4:30
Tue
3-5 TBA
26 $345.00 $0.00 Engineering for Kids
$
Fashion Drawing and Design
3:30-4:30
Tue
3-5 TBA
27 $290.00 $50.00 NF Designs
$
Hoola Hoop/Jump Roping Tricks - NEW
3:30-4:30
Tue
2-5 TBA
28 $270.00 $15.00 Mini Stars
$
Origami
3:30-4:30
Tue
2-5 TBA
29 $270.00 $20.00 Houston Ctr. for Contemp. Crafts
$
Sculpture Magic
3:30-4:30
Tue
K-5 TBA
30 $270.00 $40.00 City ArtWorks
$
Soccer Clinics/Footskills 3-5
3:30-4:30
Tue
3-5 TBA
31 $270.00 $5.00 Mini Stars
$
Video Game Creation-The Platform Style Game 3:30-4:30
Tue
2-5 TBA
32 $290.00 $0.00 Active Learning
$
Piano (Private) @ Tu3:30 closed
Tue
K-5 TBA
33 $540.00 $35.00 Linda Singer Piano Studio
$
3:30-4:00
Total
Student's Name_______________________________________
ASP Office Copy
8
______/_______
Tuition
Fees
(B)
(C)
copyright © 2015 CIASP
Excellence in Extended Day Experiences
MASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2016
NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum
enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional
costs, the Providers will notify you.
CHOICES
1st
2nd
!
3rd
Course Name
Time
Room
Day Grade No Crse# Tuition Fees
Piano (Private) B @ Tu3:30 closed
3:30-4:00
Tue
K-5 TBA
34 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ Tu3:30
3:30-4:00
Tue
K-5 TBA
35 $495.00 $25.00 TBA
$
Piano (Private) @ Tu4:05 closed
4:05-4:35
Tue
K-5 TBA
36 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ Tu4:05 closed
4:05-4:35
Tue
K-5 TBA
37 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ Tu4:05
4:05-4:35
Tue
K-5 TBA
38 $495.00 $25.00 TBA
$
Piano (Private) @ Tu4:40
4:40-5:10
Tue
K-5 TBA
39 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ Tu4:40
4:40-5:10
Tue
K-5 TBA
40 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ Tu4:40
4:40-5:10
Tue
K-5 TBA
41 $495.00 $25.00 TBA
$
An Engineering World I for Kids/K-2
4:35-5:35
Tue
K-2 TBA
42 $345.00 $0.00 Engineering for Kids
$
Fitness for Kids!
4:35-5:35
Tue
K-5 TBA
43 $270.00 $5.00 Mini Stars
$
Piano (Private) @ Tu5:15
5:15-5:45
Tue
K-5 TBA
44 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ Tu5:15
5:15-5:45
Tue
K-5 TBA
45 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ Tu5:15
5:15-5:45
Tue
K-5 TBA
46 $495.00 $25.00 TBA
$
Guitar (Private) @ 1:00
1:00-1:30
Wed
K-5 TBA
47 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W1:00 closed
1:00-1:30
Wed
K-5 TBA
48 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ W1:00 closed
1:00-1:30
Wed
K-5 TBA
49 $540.00 $35.00 Linda Singer Piano Studio
$
Guitar (Private) @ 1:35
1:35-2:05
Wed
K-5 TBA
50 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W1:35 closed
1:35-2:05
Wed
K-5 TBA
51 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ W1:35
1:35-2:05
Wed
K-5 TBA
52 $540.00 $35.00 Linda Singer Piano Studio
$
Guitar (Private) @ 2:10
2:10-2:40
Wed
K-5 TBA
53 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W2:10 closed
2:10-2:40
Wed
K-5 TBA
54 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) B @ W2:10 closed
2:10-2:40
Wed
K-5 TBA
55 $540.00 $35.00 Linda Singer Piano Studio
$
Guitar (Private) @ 2:45
2:45-3:15
Wed
K-5 TBA
56 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ B W2:45 closed
2:45-3:15
Wed
K-5 TBA
57 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W2:45 closed
2:45-3:15
Wed
K-5 TBA
58 $540.00 $35.00 Linda Singer Piano Studio
$
Apprentice Robotics
3:30-4:30
Wed
1-5 TBA
59 $280.00 $0.00 American Robotics Academy
$
Baseball for All
3:30-4:30
Wed
K-5 TBA
60 $270.00 $5.00 Mini Stars
$
Creative Writing & Storybook Illustration
3:30-4:30
Wed
2-5 TBA
61 $345.00 $0.00 Monart School of Art
$
Football Basics/3-5
3:30-4:30
Wed
3-5 TBA
62 $270.00 $0.00 Mini Stars
$
Hip-Hop & Break Dance/K-1***
3:30-4:30
Wed
K-1 TBA
63 $290.00 $40.00 DCT-DanceCheerTumbling
$
I Am Royalty for BOYS
3:30-4:30
Wed
K-5 TBA
64 $255.00 $30.00 Crafty Scraps
$
Jewelry Making
3:30-4:30
Wed
3-5 TBA
65 $270.00 $50.00 Houston Ctr. for Contemp. Crafts
$
Student's Name_______________________________________
ASP Office Copy
9
Teacher
Total ______/_______
Tuition
Fees
(B)
(C)
copyright © 2015 CIASP
Excellence in Extended Day Experiences
MASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2016
NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum
enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional
costs, the Providers will notify you.
CHOICES
1st
2nd
!
3rd
Course Name
Time
Room
Day Grade No Crse# Tuition Fees
Spanish for Life Part 2 / 2-5
3:30-4:30
Wed
2-5 TBA
66 $290.00 $25.00 Coloquia Language Arts
$
Spanish for Life Part 2 / K-1
3:30-4:30
Wed
K-1 TBA
67 $290.00 $25.00 Coloquia Language Arts
$
Treble Clefs
3:30-4:30
Wed
1-3 TBA
68 $250.00 $20.00 Stow
$
Yoga for Kids
3:30-4:30
Wed
K-5 TBA
69 $270.00 $5.00 Mini Stars
$
Zumba for Kids
3:30-4:30
Wed
K-5 TBA
70 $270.00 $0.00 Tropa Z Fitness
$
Guitar (Private) @ 3:30
3:30-4:00
Wed
K-5 TBA
71 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ B W3:30
3:30-4:00
Wed
K-5 TBA
72 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W3:30 closed
3:30-4:00
Wed
K-5 TBA
73 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ W3:30
3:30-4:00
Wed
K-5 TBA
74 $495.00 $25.00 TBA
$
Guitar (Private) @ 4:05
4:05-4:35
Wed
K-5 TBA
75 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ B W4:05
4:05-4:35
Wed
K-5 TBA
76 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W4:05 closed
4:05-4:35
Wed
K-5 TBA
77 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ W4:05
4:05-4:35
Wed
K-5 TBA
78 $495.00 $25.00 TBA
$
Guitar (Private) @ 4:40
4:40-5:10
Wed
K-5 TBA
79 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ B W4:40
4:40-5:10
Wed
K-5 TBA
80 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W4:40
4:40-5:10
Wed
K-5 TBA
81 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ W4:40
4:40-5:10
Wed
K-5 TBA
82 $495.00 $25.00 TBA
$
Crazy Action Contraptions
4:35-5:35
Wed
1-5 TBA
83 $280.00 $0.00 American Robotics Academy
$
Football Basics/K-2
4:35-5:35
Wed
K-2 TBA
84 $270.00 $0.00 Mini Stars
$
Hip-Hop & Break Dance/2-5***
4:35-5:35
Wed
2-5 TBA
85 $290.00 $40.00 DCT-DanceCheerTumbling
$
I Am Royalty for GIRLS
4:35-5:35
Wed
K-5 TBA
86 $255.00 $30.00 Crafty Scraps
$
Track & Field
4:35-5:35
Wed
4-5 TBA
87 $270.00 $5.00 Mini Stars
$
$
Teacher
Working with Clay
4:35-5:35
Wed
K-5 TBA
88 $270.00 $50.00 Houston Ctr. for Contemp. Crafts
Guitar (Private) @ 5:15
5:15-5:45
Wed
K-5 TBA
89 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ B W5:15
5:15-5:45
Wed
K-5 TBA
90 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ W5:15
5:15-5:45
Wed
K-5 TBA
91 $540.00 $35.00 Linda Singer Piano Studio
$
Voice (Private) @ W5:15
5:15-5:45
Wed
K-5 TBA
92 $495.00 $25.00 TBA
$
Craft WED - ED Enr
1:15-2:15
Wed
K-5 TBA
93 $0.00
Basic Chinese - 1st
3:30-4:30
Thur
TBA
94 $305.00 $25.00 I Love Chinese
$
Chess Instruction with USA Chess/3-5
3:30-4:30
Thur
3-5 TBA
95 $270.00 $5.00 Active Learning
$
Chess Instruction with USA Chess/K-2
3:30-4:30
Thur
K-2 TBA
96 $270.00 $5.00 Active Learning
$
Clay Pottery
3:30-4:30
Thur
K-5 TBA
97 $270.00 $40.00 City ArtWorks
$
Student's Name_______________________________________
ASP Office Copy
10
1
$0.00 ASP Staff
Total ______/_______
Tuition
Fees
(B)
(C)
copyright © 2015 CIASP
Excellence in Extended Day Experiences
MASTER SCHEDULE OF ENRICHMENT CLASSES SPRING 2016
NOTE! NOTE! NOTE! NOTE! NOTE!
1st/2nd/3rd Choices: Please select 1st/2nd/3rd choices based on per day per time slot as your 1st choice may have reached its maximum
enrollment.
In the Fall, there are 15 weeks of Enrichment Classes. There are 18 weeks of Enrichment Classes in the Spring Semester.
NOTE: ***See course descriptions for important information regarding extra costs. In addition, if there are additional
costs, the Providers will notify you.
CHOICES
1st
2nd
!
3rd
Course Name
Time
Room
Day Grade No Crse# Tuition Fees
En Guarde: Fence for Fun
3:30-4:30
Thur
Imagineers
3:30-4:30
Thur
Karate Beginners/Intermediate***
3:30-4:30
Thur
K-5 TBA 100 $255.00 $0.00 Operation Fit
$
Life Hackers: Social Skills for Kids
3:30-4:30
Thur
K-4 TBA 101 $360.00 $5.00 Common Cents Kids
$
Mad Science A/K-2
3:30-4:30
Thur
K-2 TBA 102 $285.00 $0.00 Mad Science
$
Mad Science B/3-5
3:30-4:30
Thur
3-5 TBA 103 $285.00 $0.00 Mad Science
$
Musical Theater
3:30-4:30
Thur
K-5 TBA 104 $290.00 $25.00 HITS
$
Soccer Clinics/Footskills K-2
3:30-4:30
Thur
K-2 TBA 105 $270.00 $5.00 Mini Stars
$
Storybook Science K-1
3:30-4:30
Thur
K-1 TBA 106 $345.00 $25.00 STEMology Mobile Science
$
Piano (Private) @ Th3:30 closed
3:30-4:00
Thur
K-5 TBA 107 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ Th4:05 closed
4:05-4:35
Thur
K-5 TBA 108 $540.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ Th4:40
4:40-5:10
Thur
K-5 TBA 109 $540.00 $35.00 Linda Singer Piano Studio
$
Basic Chinese - 2nd
4:35-5:35
Thur
TBA 110 $305.00 $25.00 I Love Chinese
$
Fun with Money
4:35-5:35
Thur
1-5 TBA 111 $360.00 $5.00 Common Cents Kids
$
Storybook Science 2-3
4:35-5:35
Thur
2-3 TBA 112 $345.00 $25.00 STEMology Mobile Science
$
Volleyball
4:35-5:35
Thur
3-5 TBA 113 $270.00 $5.00 Mini Stars
$
Piano (Private) @ Th5:15 closed
5:15-5:45
Thur
K-5 TBA 114 $540.00 $35.00 Linda Singer Piano Studio
$
Archery for Beginners/3:30
3:30-4:30
Fri
K-5 TBA 115 $325.00 $10.00 Mini Stars
$
Art After School: Multimedia
3:30-4:30
Fri
1-5 TBA 116 $255.00 $20.00 City ArtWorks
$
Ballet/Tap/Creative Movement***
3:30-4:30
Fri
Camp Einstein: Eng, Science and CSI-Fri
3:30-4:30
Fri
K-5 TBA 118 $325.00 $0.00 Camp Einstein
$
Chinese Reading & Writing
3:30-4:30
Fri
K-5 TBA 119 $290.00 $30.00 I Love Chinese
$
Music Theory Appreciation
3:30-4:30
Fri
K-3 TBA 120 $325.00 $35.00 Linda Singer Piano Studio
$
Outdoor Sports
3:30-4:30
Fri
K-5 TBA 121 $255.00 $5.00 Mini Stars
$
Piano (Private) @ F3:30 closed
3:30-4:00
Fri
K-5 TBA 122 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ F4:05
4:05-4:35
Fri
K-5 TBA 123 $510.00 $35.00 Linda Singer Piano Studio
$
Piano (Private) @ F4:40 closed
4:40-5:10
Fri
K-5 TBA 124 $510.00 $35.00 Linda Singer Piano Studio
$
Archery for Beginners/4:35
4:35-5:35
Fri
K-5 TBA 125 $325.00 $10.00 Mini Stars
$
Basketball
4:35-5:35
Fri
K-5 TBA 126 $255.00 $5.00 Mini Stars
$
Piano (Private) @ F5:15 closed
5:15-5:45
Fri
K-5 TBA 127 $510.00 $35.00 Linda Singer Piano Studio
$
Student's Name_______________________________________
ASP Office Copy
11
1-5 TBA
K
2
K
TBA
Teacher
98 $305.00 $0.00 Bayou City Fencing
$
99 $280.00 $0.00 American Robotics Academy
$
TBA 117 $275.00 $40.00 DCT-DanceCheerTumbling
Total ______/_______
Tuition
Fees
(B)
(C)
copyright © 2015 CIASP
$
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Contract Agreement/Safety Plan SPRING 2016
By signing below, I understand the contents of this registration packet and agree to the following for the
SPRING 2016. Disregard of this contract and/or the contents in the registration packet will result in
immediate dismissal from ROE CONNECTIONS.
1. I understand I am presently enrolled for FALL 2015 and SPRING 2016 (as specified in the Fall 2015
Contract Agreement/Safety Plan) unless I have notified in writing to the after school office that my
child will not be reporting to Extended Day in Spring 2016.
2. TIMELINES: I have received a copy of the timeline with all important dates, including registration dates,
payment due dates, and the dates that Extended Day and Enrichment Classes begin and end.
(Timeline is on front cover)
3. CLASS TIMES: I understand the times of Extended Day, Enrichment Classes, and Homework Help
according to the Schedule of Extended Day Options, the Master Schedule of Enrichment Classes, and
the Homework Help page provided in this registration packet.
4. PAYMENTS: (Plea se initial each item below on the line)
_____MUST BE SUBMITTED BY CHECK OR MONEY ORDER ONLY made out to River Oaks
Elementary. Cash is not accepted.
_____I will pay at least of ! of my bill for the SPRING 2016 Semester at registration. The next 3
payments are due: Feb. 5, March 4, April 1.
_____I will be assessed a monthly late fee of $10.00 after Feb. 12, March 11, April 8.
_____I will be assessed a $35.00 charge for each returned check. After 2 returned checks, payment
must be made by money order. Upon notification that a check was returned by my bank, I
understand that I must submit a money order for the same amount within 48 hrs. Failure to do so
will result in suspension of services.
_____I understand that after school services may be suspended if I do not pay my bill on time. In
addition, any accounts with outstanding balances remaining after April 15, 2016 will
be assessed a $25.00 fee which will be rolled over to the Fall 2016 semester. Also,
any Spring 2016 outstanding balance I may have in my account after Apr 15 will be rolled
over to Fall 2016 with a $25.00 rollover fee. Failure to meet your financial obligations may result
in suspension of services to you.
5. ADD/DROP: Only 2 changes are permitted during Add/Drop. No class changes will be made and no
refunds or credits will be issued after Jan. 22.
6. PRORATION OF CLASSES: ANY class attended from Jan 11-15 will be prorated. In addition, if you
withdraw from a class, your bill will be prorated ONLY if your child is required to attend Tutoring
Classes by his/her school teacher or if your child withdraws from River Oaks Elementary School. In
addition, no refunds will be assessed in the event of HISD canceling after-school activities for
inclement weather or any other extenuating circumstances.
7. OCCASIONAL DAYS:
• If I purchase Occasional Days and all units are used, another 5-Unit Occasional Card will be
automatically billed to my account.
• I understand that any Occasional Day purchases billed after April 8 MUST BE PAID WITHIN IN
24 HOURS OR THERE WILL BE NO SERVICES PROVIDED.
Office Copy
12
copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
Contract Agreement/Safety Plan SPRING 2016
8.
9.
10.
11.
13.
14.
15.
16.
17.
SIGNING CHILDREN OUT: Either myself or other individuals authorized to pick up my child must sign
my child out from the After School Staff at designated Pickup (i.e. Avalon, San Felipe). Failure to sign
the student out will be regarded as an “Incident” and may result in suspension from the program for the
remaining school year. SHOWING PHOTO ID IS MANDATORY.
ENRICHMENT CLASSES BEGINNING AFTER 3:30 ONLY: I must enroll my child in either a 3:30
enrichment class, Bridge UNTIL class time of Enrichment, or Occasional Extended Day in order for my
child to participate in an Enrichment Class after 3:30.
LATE PICK UP:
• If my child is picked up after 6:00 PM I understand I will be assessed a late pickup fee of
$2.00/minute.
• When I am late picking up my child from Half-Time or Enrichment I understand I will
be automatically issued a 5-Unit Occasional
Card, which provides supervision until 6:00 PM.
• 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 at the Pickup location.
• Please Note: If late pick-up fees are not paid within 24 hours, the fee is automatically
doubled (Check or money order only)
CHANGES IN HOW A STUDENT GETS HOME: I MUST notify the ASP Coordinator in writing (phone
calls not accepted) via faxed or written note dropped off in the ASP Office or in the ASP Box (located
in front school office) OR via email (roecoordinator@sbcglobal.net) for ANY changes in how my
child gets home. ONLY the adult who registers the child is authorized to make changes in regards to
pick up arrangements. Without written permission, my child will not be permitted to leave.
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.
SPECIAL NEEDS: We do not provide staff trained to deal with special needs. Please contact the
school administration with any questions.
TECHNOLOGY DEVICES: No technology devices may be used in the after school program by any
student in grades K-5. All such devices must be kept in the student’s backpack.
I understand that my email address and/or phone number(s) may be given to the Provider of any
Enrichment class in which I have enrolled my child should the Provider find it necessary to contact me.
MEDIA PERMISSION: I authorize ROE CONNECTIONS to include my child in photographs used for
publicity ____YES
____NO
_________________________/_________________________/__________/_______________________
Name of Parent (please print)
Parent Signature
Date
STUDENT NAME
_________________________/_________________________/__________/_______________________
Name of Parent (please print)
Parent Signature
Date
STUDENT NAME
Office Copy
13
copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
AUTHORIZATION/EMERGENCY FORM SPRING 2016
Only the individuals listed on the Tuition Fee Payment Form are authorized to make any changes to this form.
_________________________________________________ ___________________ _______________________
Student Name
Grade Level 2015-2016 Homeroom Teacher
_________________________________________________
Father’s Name
__________________________________________
Mother’s Name
_____________________________________________________________________________________________
Father’s Home Phone#
Father’s Work Phone#
Father’s Cell Phone#
_____________________________________________________________________________________________
Mother’s Home Phone#
Mother’s Work Phone#
Mother’s Cell Phone#
FOR WEDNESDAY EARLY DISMISSAL: Will your child be a 3:15 Bus Rider?
__ YES __ NO
Individuals authorized to pick up my child are:
______________________________________________________________________________________________
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#
My child is allergic to the following: ____________________________________________________________________________________
_________________________________________________________________________________________________________________
Please note:
1.
It is important you notify the After School Program in writing when you have updated information such as an
address change, individuals you authorize to pick up your child, foods your child may be allergic to, etc.
2.
On any given day someone NOT listed on the ASP Authorization/Emergency Form needs to pick up your child,
the After School Office must receive notification in writing (no later than 1:00PM – or 11:00 a.m. on
Wednesdays) from the parent or the individual registering the student. You MUST notify the After School Office
as follows:
A. email this notification to: roecoordinator@sbcglobal.net
B. Fax it to: 713-942-1463 and address the note to the attention of ROE Connections.
C. Drop off a note in the ROE Connections box located in the front school office.
D. Drop off a note in the ROE Connections office.
3.
Please be aware that we will NOT release your child to anyone unless we have it in writing. We will not
make any exceptions. Also: we will not release your child to anyone under the age of 18.
Must turn in to ROE Connections Personnel
14
Copyright © 2015 CIASP
E x c e l l e n c e i n E x t e n d e d D a y E x p e r i e n c e s
TUITION/FEE PAYMENT FORM – SPRING 2016
______________________________________________________
_____________________________________
________________________
Student Name
Grade Level 2015/2016 (OFFICE USE ONLY)
Homeroom Teacher
_________________________________________________
Name of person responsible for account/billing/changes
__________________
Relationship to child
_________________________________________________
Name of person responsible for account/billing/changes
__________________ ____________________________________
Relationship to child Contact Phone Number(s)
____________________________________
Contact Phone Number(s)
________________________________________________________/____________________/___________________/_____________
Billing Street Address
/ City
/ State
/ ZIP
_____________________________________________________________________________________________________________
Email Contact for person(s) responsible for billing
I authorize ROE Connections to disclose any information regarding my account to the following individual(s) (if applicable):
_____________________________________________________________________________________________________________
Name(s)
•
*List the total cost for your first option for Enrichment Classes on ITEM B below. If you do not get your 1st choice, the 2nd payment due by Feb. 5 will be readjusted. If
you pay the entire amount NOW based on your first choice, your bill will be adjusted accordingly.
•
Supply Fee: The Supply Fee helps provide high quality activities, especially on Wednesdays when students have a long period of time during Early Dismissal.
•
Supply fee does not apply to those enrolled only in Enrichment Class(es). Supply Fees are assessed each semester.
A. ROE CONNECTIONS Extended Day Options (Write in the amount(s) for all that apply:
Extended Day Option:
Tuition:
Supply Fee: Total:
Full-Time
$__________ + $40.00 =
$__________
Half-Time
$__________ + $40.00 =
$__________
Occasional Days
$__________ + $40.00 =
$__________
Bridge to 4:35 Enrichment
$__________ + $40.00 =
$__________
Early Dismissal Only
$__________ + $40.00 =
$__________
Fee-based Homework Help
$__________ (supply fee) =
$__________
Total for ROE Connections Extended Day Options:…... $_______________(A)
B. *Total Tuition for Enrichment Class(es):…...................………………………………
$_______________(B)
C. Total Fees for Enrichment Classes (see Enrichment Class descriptions for any additional fees)
$_______________(C)
D. Any Late Fees incurred………………………………………………………………….
(See timeline on front cover)
$_______________(D)
$___________(E)
Grand Total of A-D:
Payment enclosed check#___________ money order#_____________________
(No Credit Cards/ No Cash)
$_____________
•
Must be at least 1/4 of Grand Total. If purchasing only occasional days, please pay in full.
Please Initial:
1. _________Registration in ROE CONNECTIONS Extended Day Program is an acceptance of the ROE CONNECTIONS Contract Agreement/Safety Plan.
2a. ________I am submitting full payment based on my 1st choice for enrichment classes. I understand that the amount due may increase or decrease if my first
choice is not met. ROE CONNECTIONS will adjust my account accordingly and I will submit my payment (if necessary) by FEB. 5, 2016.
2b. ________ I am paying ! of the Grand Total based on my 1st choice for Enrichment Classes. I understand that the amount due may increase or decrease if my
first choice is not met. My account will be adjusted accordingly and I will submit payment by FEB. 5, 2016.
3. ___________I understand that a late payment fee of $10.00 will be added to my account if I do not submit my 2nd, 3rd and 4th payments by the due dates as
specified on the ROE Connections Contract Agreement/Safety Plan.
_________________________________
Name (person responsible for bill)
______________________________
_________________________________
Name (person responsible for bill)
______________________________
Office Copy
Signature
Signature
15
___________________
Date
___________________
Date
Copyright © 2015 c.h.i.l.d.r.e.n.s. Initiatives After School Programs