Rev: July 22, 2019

W ELC OME

Dear Parents: On behalf of Sylvia Franks, Site Supervisor and staff of Corkscrew Elementary we would like to welcome you and your child (children) to School Age Child Care (SACC) Services. We are very happy to have the opportunity to share these early years of your child’s educational life. SACC services is committed to providing an environment by which all children learn and grow academically as well as socially to reach their full potential. It is vital that we have your support and involvement as parents to help us succeed in achieving our goals. Being involved in your child’s school activities will encourage, build pride and increase his/her self-esteem as he/she journeys through life.

OUR MISSION The SACC mission is to ensure that students are provided high-quality before and after school care supervised by trained professional personnel consistent with the vision and mission of the Collier County School District in a safe and secure learning environment. PRIMARY FUNCTION The primary function of the School Age Child Care Program is to provide a variety of educational support and enrichment activities for the students. Activities are designed to meet the whole needs of the child(s) physical, mental, emotional/self-esteem and are in complete compliance with the District School Board of Collier County policies and procedures. Our Mission and the Primary Function cannot take place unless there is an atmosphere of good order and discipline for an effective learning and enrichment environment. Parents(s) and legal guardians(s) should be mindful that his/her child’s participation in the SACC services is a privilege, not a right. We are excited that you have chosen to join SACC services at Corkscrew Elementary School. Together we will succeed in accomplishing great things. Sincerely, Sylvia Franks Site Supervisor

CONTACT INFORMATION

CORKSCREW ELEMENTARY1065 C.R. 858

Naples, FL 34120

Site Supervisor: Sylvia Nava FranksPhone: 239-377-0826 Fax: 239-377-6501

Email: Frankssy@collierschools.com

www.collierschools.com

Dr. Kamela Patton Superintendent of Schools

The District School Board of Collier County Roy M. Terry, Chair Stephanie Lucarelli, Vice Chair Erick Carter, Member

Jen Mitchell, Member Jory Westberry, Member

School Age Child Care Marilyn Rowles - School Age Child Care Manager

Phone: 239.377.0529 Fax: 239.377.0229 Email: Rowlesma@collierschools.com

Mission To ensure that students are provided high-quality before and after school care supervised by trained professional personnel consistent with the vision

and mission of the School District in a safe and secure learning environment.

Fees

SACC services are self-sustaining through parent fees. The fee schedule for SACC services are uniform throughout the District. Fees are approved by the District School Board of Collier County.

Subsidized Child Care

Annual supply fee (REQUIRED) $40 per family

Before school only $15 per child

After school only (4-5 days) $50 per child

After school part-time (2-3 days) $36 per child

After school (1 day only) $18 per child

Before and after school $60 per child

Full-day Enrichment Program $20 per child (Non-student contact days)

We accept students enrolled in the Early Learning Coalition (ELC) of Southwest Florida. Parents/ Guardians may be eligible for full-time and/or part-time fee assistance. For more information, please contact Collier County’s primary ELC office at 239-213-1137 (options 4 and 1) or visit the ELC office: 3050 N. Horseshoe Dr., Suite 231, Naples, Florida 34104.

Collier County Public Schools Dr. Martin Luther King, Jr. Administrative Center 5775 Osceola Trail Naples, Florida 34109

WEEKLY FEE

Acceptable payment methods include: personal check, money order, cashier’s check, or credit card (Visa, Master Card, Discover). No cash accepted.

Early Dismissal $15 per child

MEDICAL — ILLNESS — EMERGENCIES SACC services provide supervision for children; however, that does not include medical or nursing care. If a child becomes ill while attending after school ser-vices, the parent/guardian will be contacted to pick up the child. EMS (911) will be called when there is an emergency requiring evaluation and/or transport of a child for medical treatment. The Site Supervisor/Designee will attempt to contact the parent/guardian. If unable to reach a parent/guardian, one of the emer-gency contact persons listed on the enrollment form will be contacted to pick up and/or care for the child.

ELIGIBILITY Children must be enrolled in an elementary school within Collier County Public Schools to be eligible for services provided by SACC.

Age requirements: A child who is at least four years of age by September 1st and who is attending pre-kindergarten through grade 5. Immokalee-area schools shall attend pre-kindergarten through grade 6. All elementary children may attend through the summer following his/her last year in elementary school.

Collier County Public Schools’ School Age Child Care (SACC) services are offered both before and after school on elementary school campuses. This ensures that the school’s learning and core aca-demic standards are connected to activities in after school services.

STAFF/STUDENT RATIOS Pre-K – 2nd grade: One adult for every 15 children. Grades 3 – 5: One adult for every 15 children.

About Us

SNACKS During after school and full-day schedules, a daily nutritional snack will be provided for your child. Please notify staff of any food allergies upon enrollment. Full-day services: All lunches brought from home must be properly packed in a lunch box or cooler. All lunch boxes or coolers should be labeled with child’s name. Heating or refrigeration for any lunch items is NOT available.

Services are provided every day that school is in regular session. Services may be offered on non-student contact days (teacher planning days, winter break, spring break, and observed holidays).

Before School Services: 6:30 a.m. - 7:45 a.m. After School Services: 2:45 p.m. - 6:30 p.m. Early Dismissal Day: 11:45 a.m. - 6:30 p.m. Full Day Services: (no school/no students)

6:30 a.m. - 6:30 p.m.

SACC services conclude promptly at 6:30 p.m. We encourage parents/guardians to make every effort to pick up his or her child on time.

Hours of Operation

Academic Tutoring Homework

Assistance Reading & Literacy Supervised Free Play

STEM Arts/Drama Organized Sports and Games Physical Fitness Activities Music and Dance

Information

NO SCHOOL DAYS FOR STUDENTS Teacher planning days, winter break, spring break, and observed holidays, parents/guardians must provide lunch and one snack each day. During these breaks, children may attend full-day services at his or her school, if offered.

SAFETY Maintaining the safety of children is the number one priority of SACC services. Your child will be under the supervision of qualified personnel familiar with his/her school. Parents/Guardians are responsible for sign-in and sign-out of his/her child to the designated area. Children are released ONLY to authorized persons listed on the enrollment form filed with the SACC services. Special instructions pertaining to a child’s care should be given in writing to the Site Supervisor/Designee.

INCLEMENT WEATHER When schools are closed due to weather, disaster, or other safety related concerns, SACC services will be closed.

STUDENT CONDUCT/DISCIPLINE Discipline shall be consistent with the standards outlined in the Collier County Public School Code of Student Conduct and the school’s discipline policy. Please review and adhere to the Collier County Public Schools District Student Conduct Policy 5500.

SACC services offer enrichment learning opportu-nities that are different from, but connected to, those during the school day.

ACTIVITIES MAY INCLUDE

Rev: July 22, 2019

2019-2020 SACC Program Child Care Enrollment Application Form

Office Use Only School: _____________ Date Application Received: ____________________ Acct Key: ______________________

Computer Updated Date: _____________________________ $40 Enrollment PLUS first week’s tuition fee collected:

CK / MO #: ____________________________ TE Processed Date: ___________________ Automated Form Received: YES NO

Enrollment Policies: The SACC program follows the District Policy 8350 concerning custody. To avoid confusion, the parent or legal guardian who enrolls the child into the SACC Program is responsible to provide the weekly fees based on the child’s enrollment. SACC personnel will not participate in custody disagreements between parents. Regardless of a child’s attendance, weekly service fees will be billed to his/her account based on enrollment. Change in program participation requires written notification by Tuesday of each week for the following week. As the parent or legal guardian of the child listed below, I agree the information provided on this form is accurate. Moreover, my signature confirm that I will comply with the program policies.

Student Information:

Student I.D. # ________________________________ Child’s Enrollment Begins: _______________________________

Student’s Legal Name _____________________________________________________________________________________ First Middle Initial Last Nickname

Birth Date (M/D/YR): __________________________ Gender: □ Male □ Female Grade: __________________

Child’s Physical Address: __________________________________________________ Zip Code: _______________________

Sibling Attending School ID # Grade

_________________________________ ______________________ ________________________

_________________________________ ______________________ ________________________

_________________________________ ______________________ ________________________

Enrollment: Primary Hours of Care: Please circle one below:

After School 2:45 PM – 6:30 PM Before/After 6:30 AM - 7:45 AM / 2:45 PM – 6:30 PM Morning: 6:30 AM - 7:45 AM

□ After School [Full-Time 4 to 5 days] □ Before and After School □ Before School Only

□ After School [Part-Time 2 to 3 days] Days of the Week in Care (please check box): □ M □ T □ W □ TH □ F

□ After School [emergency – 1 day only per week] □ Early Dismissal Days Only □ Full Day [Non-student contact days]

Family Information Custody

Child lives with: □ Mom □ Dad □ Both □ Legal Guardian □ Mom □ Dad □ Both □ Legal Guardian

Mother’s Name: _________________________________ Father’s Name: _________________________________

Address: _______________________________________ Address: _______________________________________

Zip Code _______________________________________ Zip Code _______________________________________

Cell Ph. #: __________________ Home: ____________ Cell Ph. #: ___________________ Home: ___________

Email: _________________________________________ Email: _________________________________________

Employer: ______________________________________ Employer: ______________________________________

Work Ph. #: __________________ Ext.: _____________ Work Ph. #: __________________ Ext.: _____________

____________________________________________ __________________________________ Parent / Legal Guardian Signature Date of Signature

Rev: July 22, 2019

2019-2020 SACC Program Emergency Contact and Departure Information Form

Student Information:

Student I.D. # ___________________________ Child’s Enrollment Begins: ___________________________________

Student’s Legal Name __________________________________________________________________________________ First Middle Initial Last Nickname

Authorization: As the parent or legal guardian of the child listed above, I agree the information provided on this form is complete and accu rate. I understand that I am responsible for maintaining current contact and departure information. Further, I understand the SACC Program closes promptly at 6:30 p.m. If a child IS NOT picked up by the close of the day (6:30 p.m.), all authorized and emergency contacts on the child’s Emergency Contact and Departure Information Form will be contacted. If a child is not picked

up after 30 minutes, the child may be released to the Department of Children and Families (DCF) or the local police authority. This will be done in accordance with the state child care licensing regulations.

Custody Information: If there is not a certified State of Florida court order or restraining order on file in the SACC office either parent(s) or legal guardian(s) name shall appear on the enrollment form.

Is there a Certified Court Order or Restraining Order? □ Yes □ No If yes, please provide documentation.

Emergency Departure Information:

Emergencies that prohibit the parent or legal guardian from providing written changes to the Emergency Contact and Departure Information Form may be accepted with the following criteria:

SACC Office personnel are able to contact you at a phone number provided on the SACC Child Care EnrollmentApplication

And you identify the emergency code word indicated below.

Code Word or Number: ________________________ (Children do not need to know this information)

Emergency Contacts: Child will be released only to the custodial parent or legal guardian and the persons listed below. The following people will also be contacted and are authorized to remove the child from the SACC Summer Enrichment Program in case of illness, accident or

emergency, if for some reason, the custodial parent or legal guardian cannot be reached:

Name Relationship to Child

Address Contact Numbers

Cell Work

Helpful information about your child:

______________________________________________________________________________________________

______________________________________________________________________________________________

_______________________________________________________________________________________________

__________________________________________________ ________________________ Parent/Legal Guardian Signature Date of Signature

Rev.: July 22, 2019

2019-2020 SACC Program Student Health and Medical Information Form

Office Use Only School: Reviewed by: Procare Updated (date):

Parent/Guardian – Please complete all areas below (PRINT)

Student ID #: Grade: Teacher:

Student’s Legal Name: Last First: Middle:

Also known as (alias): Last First: Middle:

Date of Birth: Month/Day/Year ____ / _____ / ______

□ This child may participate fully in school activities including physical education.

□ This child may participate in school activities including P.E. with the restrictions listed

below.

Student Health and Medical Information ***Parent/Guardian must contact the school age child care services if his/her student has a health condition***

Name of child’s Physician: Phone Number:

Name of child’s Dentist: Phone Number:

Does your child have any heath condition(s) that the school age child care staff members should be aware of? □ No □ Yes

If yes, please briefly describe the condition(s) and any assistance needed at the school age child care services. ______________ _______________________________________________________________________________________________________

Does your child have any allergies? □ No □ Yes If yes, list __________________________________________________

_______________________________________________________________________________________________________

Does the allergy require lifesaving medication? □ No □ Yes If yes, what are the medications? _______________________

_______________________________________________________________________________________________________

Describe symptoms and treatment(s): ________________________________________________________________________

_______________________________________________________________________________________________________

Does your child have any heart conditions? □ No □ Yes If yes, please describe _________________________________

_______________________________________________________________________________________________________

Does your child have emergency medication prescribed? □ No □ Yes If yes, specify___________________________

_______________________________________________________________________________________________________

A completed and signed Medication Authorization form must be submitted to the school before medications may be administered.

Section I. Child Identified: If your child requires routine medications after school, the parent(s) or legal guardian(s) shall provide written documentation to the school nurse using district authorization forms to arrange for the child to take his/her medication prior to entering the after school services.

Section II. Parent/Guardian Consent: By my signature below, I accept responsibility to notify school age child care services of any changes of my home or business address and phone numbers in case of any emergency. I understand that EMS (911) will be called when there is any emergency requiring evaluation and/or transport of my child for medical treatment, and I will assume responsibility for payment for EMS services. In case of an accident or illness for which immediate emergency treatment is not needed, but my child is unable to remain in school, I request that the Site Supervisor/Designee contact the parent(s)/guardian(s) name above. If unable to reach a parent or guardian, I request that one of the emergency contact person(s) listed on the enrollment application be contacted to pick up and/or care for my child.

Section III. Parental Certification and Responsibilities: I certify that all the above emergency, health and medical information is true and accurate to the best of my knowledge. I also understand and agree that if I have identified that my child has a health or medical condition that may require some kind of assistance or management while he/she in the school age child care services, it is my responsibility to contact the Site Supervisor/Designee to make him/her aware of the health or medical condition(s) and discuss a possible plan of care while attending the school age child care services. By signing this document, I understand and agree that information contained on this form may be shared with appropriate school staff, school age child care staff, and health care professionals according to the Health Insurance Portability and Accountability Act (HIPPAA) on a need-to-know basis for the health and safety of my child.

________________________ ___________________________ __________________ ____________ Print Name of Parent/Guardian Signature Relationship Date

Rev: July 22, 2019

2019-2020 SACC Program Food Consumption Form

Permission to participate in food-related activities:

I __________________________________________________________ Parent / Legal Guardian

Decline □ or give Permission □ for my child ________________________________________________

Please check one (1) box Child’ Name

to participate in food related activities and special occasions wherein food is consumed.

Please initial only one (1) that applies:

______ My child DOES NOT have a food allergy or dietary restriction. He or she MAY participate in activities.

______ My child DOES NOT have a food allergy or dietary restriction. He or she MAY NOT participate in food

activities for reasons listed below.

______ My child DOES have a food allergy or dietary restriction. He or she may participate in activities, BUT may not eat, drink or handle the following items below.

______ My child DOES have a food allergy or dietary restriction. He or she MAY NOT participate in activities.

Please list below all that applies to your child:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

I agree that I must complete a Food Consumption Form each year that my child is enroll in the SACC Program. I

understand that it is my responsibility to update this form in the event that my decision for permission changes.

________________________________________ ________________________________

Parent / Legal Guardian Signature Date of Signature

Rev: July 22, 2019

2019-2020 SACC Program Discipline and Expulsion Policy

OUR MISSION

To ensure that students are provided high quality before and after school care supervised by trained professional personnel, consistent with the vision and mission of the School District in a safe and secure learning environment.

SERVICE EXPECTATIONS

The SACC Services will address all aspects of the child’s development: academic and enrichment, emotional, and physical development. The program will be staffed using trained and qualified personnel to provide high quality experiences for students in areas of the program. The program design and staffing will ensure that students are served in a safe, positive, and highly engaging environment.

CODE OF STUDENT CONDUCT

Discipline shall be consistent with the standards outlined in the Collier County Public School Code of Student Conduct Policy 5500 and the school’s discipline procedures.

The SACC services established for the benefit of all students. The SACC educational and enrichment components are accomplished best in the climate of student behavior that is socially acceptable and conducive to the learning and teaching process. Student behavior that disrupts this process or that infringes upon the rights of other individuals will not be tolerated. Parent(s) and legal guardian(s) should

be mindful that his/her child’s participation in SACC services is a privilege, not a right. SACC services reserves the right to end child care services at any time for any reason.

Such rules shall require that students:

a. Conform to reasonable standards of socially-acceptable behavior.

b. Respect the person and property of others.

c. Preserve the degree of order necessary to the delivery of services in which they are engaged.

d. Respect the rights of others.

EXPULSION / WITHDRAWAL

If the student’s behavior does not improve, he/she may be suspended for one (1) to three (3) days from

SACC services. If a student receives three (3) Behavior Referral Reports in one (1) school calendar year, he/she may be withdrawn. In addition, tuition is expected regardless of his or her absence and will be billed to the student’s account based on the services he or she is enrolled. If the student is withdrawn

after payment has been made for the current week he/she is being withdrawn, a refund will not be given for unused days. A refund will be issued for all other payments made in excess within two weeks (10 business days) of the student’s withdrawal. The annual enrollment/registration fee is non-refundable.

___________________________________ ________________________ Parent/Legal Guardian Signature Date of Signature

Rev: July 22, 2019

2019-2020 SACC Program Open Door Policy

We have an open door policy that allows parent(s) or legal guardian(s) access to

their child (children) during operating hours. However, the safety of the

children is our first priority. Although we have an open door policy and welcome

parent(s) or legal guardian(s) to visit their children, we also have a commitment

to the parents of the other children in the program. Persons not listed on the

Emergency Contact and Departure Information Form will not be allowed to visit

your child. In a custody situation, please note that the same procedure will be

followed as outlined in the Pick-up Procedures section in the Parent Handbook.

Parents are encouraged to pre-arrange opportunities to visit their child’s

(children) facility with the approval and supervision of the Site Supervisor.

________________________________________________________

Print Name – Parent or Legal Guardian

________________________________________________________

Signature – Parent or Legal Guardian

_______________________________________________________

Date

Rev: July 22, 2019

2019-2020 SACC Program

Child Custody Acknowledgement Form

The SACC program shall follow District Policy 8350 concerning custody. You may find Policy 8350 in its

entirety at https://go.boarddocs.com/fl/collier/Board.nsf/Public.

As a rule, SACC program staff should avoid taking sides with one (1) parent instead of the other parent,

or make a discretionary or subjective judgment that favors one (1) parent over the other.

If the parents of a student give the SACC program inconsistent or irreconcilable instruction concerning

an issue concerning their child, the following procedure will apply:

A. SACC services should encourage the parents to resolve their differences and reach a consensus

so that the program can receive one (1) set of consistent instructions from them.

B. If parents continue to fail to agree and continue to give the program inconsistent instructions,

the program should follow the specific direction contained in a certified copy of a court order

from a Florida court that redefines parents rights on the specific topic that is in issue because of

the inconsistent instructions. If conflicting court orders are presented, the most recent court

order recorded in the Collier County Clerks Office will be followed.

C. If there is no court order, or if the court order does not specifically address the issue in question,both parent should be afforded equal rights to their child’s school records and reports and equalaccess to and equal physical custody of the student.

Enrollment Policy:

The SACC program follows the District Policy 8350 concerning custody. To avoid confusion, the parent

or legal guardian who enrolls the child into the SACC Program is responsible to provide the weekly fees

based on the child’s enrollment. SACC personnel will not participate in custody disagreements between

parents. Regardless of a child’s attendance, weekly service fees will be billed to his/her account based

on enrollment. Change in program participation requires written notification by Tuesday of each week

for the following week.

________________________________________________________

Print Name – Parent or Legal Guardian

________________________________________________________

Signature – Parent or Legal Guardian

_______________________________________________________

Date

INF

lu

eN

zA

VIR

uS

INF

lu

eN

zA

VIR

uS

“The Flu” A Guide

for Parents

For additional information, please visit www.myflorida.com/childcare or contact your

local licensing office below:

This brochure was created by the Department of Children and Families in consultation with the Department of Health.

CF/PI 175-70, June 2009

What is the influenza (flu) virus?Influenza (“the flu”) is caused by a virus which infects the nose, throat, and lungs. According to the US Center for Disease Control and Prevention (CDC), the flu is more dangerous than the common cold for children. Unlike the common cold, the flu can cause severe illness and life threatening complications in many people. Children under 5 who have the flu commonly need medical care. Severe flu complications are most common in children younger than 2 years old. Flu season can begin as early as October and last as late as May.

how can I tell if my child has a cold, or the flu? Most people with the flu feel tired and have fever, headache, dry cough, sore throat, runny or stuffy nose, and sore muscles. Some people, especially children, may also have stomach problems and diarrhea. Because the flu and colds have similar symptoms, it can be difficult to tell the difference between them based on symptoms alone. In general, the flu is worse than the common cold, and symptoms such as fever, body aches, extreme tiredness, and dry cough are more common and intense. People with colds are more likely to have a runny or stuffy nose. Colds generally do not result in serious health problems, such as pneumonia, bacterial infections, or hospitalizations.

During the 2009 legislative session, a new law was passed that requires child care facilities, family day care homes and large family child care homes provide parents with information detailing the causes, symptoms, and transmission of the influenza virus (the flu) every year during August and September.My signature below verifies receipt of the brochure on Influenza Virus, The Flu, A Guide to Parents:

Name: ________________________________

Child’s Name: ________________________

Date Received: _______________________

Signature: ____________________________

Please complete and return this portion of the brochure to your child care provider, in order for them to maintain it in their records.

What should I do if my child gets sick?Consult your doctor and make sure your child gets plenty of rest and drinks a lot of fluids. Never give aspirin or medicine that has aspirin in it to children or teenagers who may have the flu.

CAll oR TAke youR ChIlD To A DoCToR RIGhT AWAy IF youR ChIlD:

• Has a high fever or fever that lasts a long time• Has trouble breathing or breathes fast• Has skin that looks blue• Is not drinking enough• Seems confused, will not wake up, does not

want to be held, or has seizures (uncontrolledshaking)

• Gets better but then worse again• Has other conditions (like heart or lung

disease, diabetes) that get worse

What can I do to prevent the spread of germs?The main way that the flu spreads is in respiratory droplets from coughing and sneezing. This can happen when droplets from a cough or sneeze of an infected person are propelled through the air and infect someone nearby. Though much less frequent, the flu may also spread through indirect contact with contaminated hands and articles soiled with nose and throat secretions. To prevent the spread of germs:

• Wash hands often with soapand water.

• Cover mouth/nose duringcoughs and sneezes. Ifyou don’t have a tissue,cough or sneeze into yourupper sleeve, not yourhands.

• Limit contact with peoplewho show signs of illness.

• Keep hands away from theface. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

When should my child stay home from child care?A person may be contagious and able to spread the virus from 1 day before showing symptoms to up to 5 days after getting sick. The time frame could be longer in children and in people who don’t fight disease well (people with weakened immune systems). When sick, your child should stay at home to rest and to avoid giving the flu to other children and should not return to child care or other group setting until his or her temperature has been normal and has been sign and symptom free for a period of 24 hours.

For additional helpful information about the dangers of the flu and how to protect your child, visit: http://www.cdc.gov/flu/ or http://www.immunizeflorida.org/

how can I protect my child from the flu? A flu vaccine is the best way to protect against the flu. Because the flu virus changes year to year, annual vaccination against the flu is recommended. The CDC recommends that all children from the ages of 6 months up to their 19th birthday receive a flu vaccine every fall or winter (children receiving a vaccine for the first time require two doses). You also can protect your child by receiving a flu vaccine yourself.

Rev: July 22, 2019

Page 1 of 2

2019-2020 SACC Program Parent Acknowledgement Form

School’s Name: ____________________________ Student ID # ________________________________________

Student’s Legal Name: ___________________________________________________________________________________ Last First Middle Nickname

By placing my initials and signature on this form, indicate that I am the parent or legal guardian of the child listed above. Also, I am confirming that I acknowledge the program guidelines and policies set forth. Moreover, I understand the Parent Acknowledgement Form will be kept in my child’s file as an official document

_________ Annual Registration Fee (Non-Refundable): $40 per family per school calendar year (July-June).

_________ Tuition: Tuition is broken down by full week, partial week and one day only and shall be paid as such. All tuition must

be paid in advance by FRIDAY of each week prior to services being rendered the following week. Tuition is expected based on the student’s enrollment and will be billed weekly to the student’s account REGARDLESS of attendance. SACC personnel will not participate in custody disagreements therefore; the parent or legal guardian that enrolls the child for the SACC services is responsible for weekly tuition.

_________ Absences: Credit for prepayment in advance will not be credited for absenteeism UNLESS the prepaid credit is for health reasons only. If a student is absent for two or more days for health reasons, validated by a doctor’s note, then pre-payment for a full week or partial week shall be converted to payment for a partial week or at the daily rate and the remaining funds shall be rolled over into the next week as a credit.

_________ Change of Enrollment (COE): Change in program participation for sick leave absences, vacation request and/or program withdrawal requires written notification by Tuesday of each week for the following week. All modifications will be accepted in the form of an email or completion of the SACC Change of Enrollment (COE) Form. Verbal notification will not be accepted. Payments made in excess will be refunded within two weeks (10 business days) of the request.

___________ Withdrawal without Notification: If a student is absent for five (5) consecutive days from SACC services without notification, tuition will be billed based on the student’s enrollment. The student will be withdrawn and no refund will be provided.

The parent(s) or legal guardian will be billed for any unpaid balances.

_________ Late Payment: A late payment fee of $10 per family will be billed to the student’s account on Monday for payments that are not made by 6:30 p.m. on Friday of the previous week.

_________ Late Pick Up: The SACC services close promptly at 6:30 p.m. For every 15 minutes or portion thereof that a parent or legal guardian is late picking up his/her child, a late fee of $15 per family for every 15 minutes will be charged. Late pick up fees must be paid within the same week the fee(s) occur (no later than Friday of each week). Lateness in excess of 30 minutes past closing (6:30 p.m.) will result in notification of Law Enforcement.

_________ Returned Check and Credit Card Fees: If a personal check or credit card payment is dishonored by the banking institution for any reason, SACC services WILL NOT reprocess. The parent or legal guardian will be required to provide compensation in full (money order or cashier’s check only) within 24-hours of notification. Once two (2) checks or credit card

payments have been dishonored by the banking institution, further payments will result in payment options limited to money order or cashier’s check only.

_________ Subsidized Child Care: Parent(s) or legal guardian(s) receiving subsidized child care through the Early Learning Coalition (ELC) must adhere to the guidelines as outlined in the ELC Parents Rights and Responsibilities for Service Form. Parent(s) or legal guardian(s) with children subsidized through ELC services is responsible for parent fees that are in excess of the subsidized

certificate and/or any tuition that may be incurred. As a reminder any and all changes must be reported and documented within 10 days to the ELC Office. Failure to report changes may be cause for recoupment of partial or all distributed school readiness funds and possible termination.

Rev: July 22, 2019 Page 2 of 2

2019-2020 SACC Program Parent Acknowledgement Form

Student ID # ________________________ Grade ________________________

Student’s Legal Name: ___________________________________________________________________________________ First Middle Initial Last Nickname

By placing my initials and signature on this form, indicates that I am the parent or legal guardian of the child listed above. Also, I am confirming that I acknowledge the program guidelines and policies set forth. Moreover, I understand the Parent Acknowledgement Form will be kept in my child’s file as an official document

___________ SACC Parent Handbook I acknowledge that the program provided a copy of the SACC Parent Handbook via email or hand given.

___________ Child Custody Policy I acknowledge that the program provided a copy of the SACC Child Custody Policy 8350. You may find the District Policy 8350 in its wholeness at https://go.boarddocs.com/fl/collier/Board.nsf/Public.

___________ Discipline and Expulsion Policy I acknowledge that the program provided a copy of the SACC Discipline and Expulsion Policy.

___________ Open Door Policy I acknowledge that the program provided a copy of the SACC Open Door Policy.

___________ Influenza Virus Brochure: I acknowledge that the program provided a copy of the Department of Children (DCF) Influenza Virus Brochure during the enrollment period of August and September of each year.

___________ Calendars I acknowledge that the program provided a copy of the calendars.

2019 - 2020 SACC Operational Calendar

2019 - 2020 Academic School Calendar

____________________________________________ Print Name – Parent or Legal Guardian

___________________________________________ Signature – Parent or Legal Guardian

____________________________________________ Date

Board Approved Academic School Calendar February 6, 2018 SACC Calendar Created 04/01/2019

2019–2020 SACC Operational Calendar Parent Reference

Summer Services January June 3 – July 26, 2019 1 – New Year’s Day Holiday [Program Closed] July 4th Holiday [Program Closed] 2 – 3 Winter Break– [Program Open Full-Day]

July 5th Program Resumes 6 – Teacher Planning Day - [Program Open Full-Day] 7 – Students Return [School in Session]

20 – Martin Luther King, Jr. Holiday [Program closed]

August February

13 – Students Start Date 17 – Presidents’ Day Holiday [Program closed]

28 – Early Dismissal Day [Program Open] 26 – Early Dismissal Day [Program Open]

September March

2 – Labor Day Holiday [Program Closed] 9 – 13 – Spring Break – [Program Open Full-Day]

30 – No School for Students [Program Open Full-Day] 16 – Teacher Planning Day - [Program open full-day]

October April 9 – No School for Students – [Program Open Full-Day] 10 – No School for Students [Program Open Full-Day] 17 – Teacher Professional Learning Day – [Program Open Full-Day] 13 – No School for Students [Program Open Full-Day] 18 – Teacher Planning Day – [Program Open Full-Day]

November May

25 – 26 Hurricane Make-up Days 25 – Memorial Day [Program Closed] * Schools will be closed on these days UNLESS it is designated as a Hurricane Make-up Day 29 – Early Dismissal Day [Program Open]

27 – Fall Break [Program Closed]

28 – Fall Break Thanksgiving Day [Program Closed]

29 – Fall Break [Program Closed]

December June 20 – Early Dismissal Day – [Program Open] 3 – Early Dismissal/Student Last Day [Program Open]

23 – 31 – Winter Break / No School [Program Closed] 4 – Teacher Planning Day [Program Open Full-Day] 5 – School Year Services End [Program Open Full-Day]

8 – SACC Summer Service Begins

*Summer Service locations, dates and fees will be determined by the District

2019 – 2020 Academic Calendar Board Approved on February 6, 2018

July January M T W T F T S M T W T F T S

1 2 3 4 5 1 2 3 94 0 1 New Year's Day [Paid Holiday]

8 9 10 11 12 6 7 8 9 10= 99 4 6 Teacher Plan Day; No School for Students

15 16 17 18 19 13 14 15 16 17 104 9 7 Students Return

22 23 24 25 26 20 21 22 23 24 109 13 10=Distribution Report Cards

29 30 31 27 28 29 30 31 114 18 20 Martin Luther King Day [Paid Holiday] No School Teachers or Students

August February M T W T F T S M T W T F T S

1 2” 3-7 FTE Week

5 6^ 7 8 9 4 0 2” New Teacher Start Date 3 4 5+ 6 7 119 23 5+ Interim Period Ends

12 13~ 14 15 16 9 4 6^ Teacher Start Date 10 11 12= 13 14 124 28 12=Distribution Interim Reports

19 20 21 22 23 14 9 13~ Student Start Date 17 18 19 20 21 129 32 17 President's Day [Paid Holiday] No School Teachers or Students

26 27 28 29 30 19 14 28 Early Dismissal Day 24 25 26 27 28 134 37 26 Early Dismissal Day

September March M T W T F T S M T W T F T S

2 3 4 5 6 24 18 2 Labor Day [Paid Holiday] No School Teachers or Students

2 3 4 5 6 139 42 6 End Quarter 3 (42 days)

9 10 11 12 13+ 29 23 13+ Interim Period Ends 9 10 11 12 13 139 0 9-13 Spring Break; No School Teachers or Students

16 17 18 19 20= 34 28 20= Distribution Interim Reports 16 17 18 19 20= 144 4 16 Teacher Plan Day; No School for Students

23 24 25 26 27 39 33 23 24 25 26 27 149 9 20=Distribution Report Cards

30 39 33 30 No School Teachers or Students

30 31 151 11

October April M T W T F T S 7-11 FTE Week M T W T F T S

1 2 3 4 43 37 8 No CCPS scheduled events after sundown

1 2 3 154 14

7 8 9 10 11 47 41 9 No School Teachers or Students; No CCPS scheduled events

6 7 8 9 10 158 18 10 No School Teachers or Students

14 15 16 17 18 52 44 16 End Quarter 1 (44 days) 13 14 15 16 17 162 22 13 No School Teachers or Students

21 22 23= 24 25 57 5 17 Teacher Professional Learning Day; No School for Students

20 21 22 23 24+ 167 27 24+ Interim Period Ends

28 29 30 31 61 9 18 Teacher Plan Day; No School for Students

27 28 29 30 171 31

23=Distribution Report Cards

November May M T W T F T S M T W T F T S

1 62 10 19+ Interim Period Ends 1= 172 32 1=Distribution Interim Reports

4 5 6 7 8 67 15 25 Hurricane Make-up Day 4 5 6 7 8 177 37

11 12 13 14 15 72 20 26 Hurricane Make-up Day 11 12 13 14 15 182 42

18 19+ 20 21 22 77 25 27-29 No School Teachers or Students Fall Break

18 19 20 21 22 187 47 25 Memorial Day [Paid Holiday] No School Teachers or Students

25 26 27 28 29 78 25 28 Thanksgiving Day [Paid Holiday]

25 26 27 28 29 192 51 29 Early Dismissal; Graduation

December June M T W T F T S M T W T F T S

1 2 3 4 5 196 54 3 End Quarter 4 (54 days); Early Dismissal Day; Last Student Day

2= 3 4 5 6 83 30 2 = Distribution Interim Reports 8 9 10 11 12 4 Teacher Plan Day; Last Teacher Day

9 10 11 12 13 88 35 15 16 17 18 19 8 Report Cards Mailed Home

16 17 18 19 20 93 40 20 End Quarter 2 (40 days) Early Dismissal

22 23 24 25 26

23 24 25 26 27 93 40 23–31 Winter Break 29 30

30 31 93 40