ST. HELEN'S BEFORE AND AFTER SCHOOL PROGRAM ENTRANCE AGREEMENT Complete this form, print it out ('File', and 'Print' on your browser) and submit this as part of your registration packet to the school office.
We have read and discussed with our child/children the St. Helen's Before/After School Program Agreement. We understand that our ongoing participation in the program is dependent upon our constructive participation and cooperation with the Program Staff and St. Helen's Staff regarding behavior issues.
Student Signature:		_______________________________________________________________________
Parent Signature:		_______________________________________________________________________
Date:		___________________________
Behavior Plan: (Rules are stated positively) 1. We treat ourselves, the staff, and other student's with respect at all times. 2. We follow directions the first time. 3. We use our bodies and voices appropriately at all times. Consequences: (Building on what has been previously practiced) 1. Warning 2. Staff/Student conference - incident recorded in Behavior Log 3. Staff/Parent conference 4. Staff/Parent/Principal conference 5. Student may be required to leave the program. BEFORE SCHOOL DROP OFF WILL BE AT THE ART ROOM DOOR LOCATED NEAR THE DUMPSTER