Are you looking for a fun, safe environment for your kids this summer?

We will offer summer programs for children who have completed pre-k through 8th grade. Each week we will begin a new program with fun activities in arts and crafts, music, athletics, character building, water play, and large group activities. Please see below to check out our program schedule and fees.

PROGRAM INFORMATION
Program day 7:45-4:00 Bears Den 4:00-6:00 Half day AM 7:45-12:00 Half day PM 12:00-4:00 Drop-ins are allowed for full or half day as spots allow. Please check which programs your child will attend, fill in appropriate full or half day tuition and turn in to the office at least 2 weeks prior to the first day of the program to hold your spot. Sport program information and registration will be separate. (volleyball and basketball ) You must pay at least $50 to hold your spot in later weeks. Full tuition is due 2 weeks before the first day of the program. Bears Den will be charged up front and is due with program tuition. Campers must bring a sack lunch. COST Full Day Weekly Tuition Half Day Weekly Tuition Drop In Full Day Drop In Half Day Bears Den ($10 per day) 1 Time Materials Fee *

$170.00 $90.00 $40.00 $20.00 $50.00 $25.00

1420 Old Gate Lane

Dallas, TX 75218

214-321-2897

Fax 214-321-4060

www.stbernardccs.org

Please fill out and return with Registration Form.

1420 Old Gate Lane

Dallas, TX 75218

214-321-2897

Fax 214-321-4060

www.stbernardccs.org

ST. BERNARD SUMMER PROGRAMS

PROGRAMS REGISTRATION FORM

Grade Level (Sept. 2013) _________ DOB _________ Childs Name ______________________________________________ Parent/Guardian Name _________________________________________________________________ Mailing Address __________________________________________________________________ City_________________ State ________________ Zip Code _______________ Phone: Primary _________________ Alternate 1 _____________ Alternate 2 ______________ Email Address ______________________________________________________
RELEASE OF LIABILITY FOR (Programers Name)________________________________ I, the minors parent and/or legal guardian, understand the nature of the activity and the minors experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless St. Bernard School (the releasees) each from all liability for claims, demands, losses, or damages to the minor account caused or alleged to be caused, in whole or in part, by the negligence of the releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minors behalf makes a claim against any of the releases I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage or cost any may incur as the result of any such claim. This child may be photographed, filmed, or videotaped for publication, marketing, or social media for St. Bernard Summer Programs. YES / NO

Signature of Parent/Legal Guardian ________________________________ Date: __________

1420 Old Gate Lane

Dallas, TX 75218

214-321-2897

Fax 214-321-4060

www.stbernardccs.org

Behavior Agreement I agree to follow the rules and behavior guidelines of the St. Bernard Summer Programs. Program rules include, but are not limited to the following: 1. I will be respectful of other children and all program staff. This means that I will speak to others in a respectful manner and tone of voice, I will follow directions and I will not cause or threaten physical harm towards others. I understand that disrespectful behaviors include, but are not limited to, hitting, punching, kicking, biting, spitting, swearing, lying and refusing to listen to the St. Bernard Summer Programs staff. 2. I will be respectful of the St. Bernard grounds, the building, places we may visit and the belongings of others. This means that I will not litter, vandalize, steal or destroy items that do not belong to me. 3. I will not use or bring the following: matches and lighters; tobacco, alcohol and other drugs; firearms and other weapons (real or pretend). I understand that if I do so, I may be asked to leave the St. Bernard Summer Programs for the remainder of the summer. 4. I agree to follow all Program rules, including those that are not listed on this behavior agreement. Participants: With a parent, I have read the Behavior Agreement and I agree to follow the rules. I understand that not following these rules will result in consequences to my actions. In some cases, consequences may include not being allowed to return for a period of time (1 day the rest of the summer) or not being allowed to participate in certain activities. Parents: By signing this document you are acknowledging that you have read and understand the rules listed above, that the consequences listed below may be imposed at any time, and that you will arrange for your child to be removed from the Summer Program staff requests for you to do so. 1. First Occurrence: The first time an incident happens will result in a phone call home. A senior staff member will explain to parents what happened and that such behavior is not acceptable. In the case where kicking, biting or other severe behavior occurs, the child may automatically be given one day suspension from the program, with no refund for that day. 2. Second Occurrence: The second time an incident occurs will result in a second phone call home from a senior staff member, most likely the Director. At least one day suspension may be given, if not more (with no refund) and it will be explained to the parent that the next occurrence will result in the childs expulsion without refund. 3. Third Occurrence: The third incident will result in immediate expulsion from the Summer Program without refund. The Director will make final determination for expulsion. Participants Name ______________________________________________________________ Parent Signature ______________________________________________________ Date ____________________________

1420 Old Gate Lane

Dallas, TX 75218

214-321-2897

Fax 214-321-4060

www.stbernardccs.org

7:45 Early arrivals 8:00 Whole group opening ceremony and music 8:45 Division into groups 9:00 Rotation 1 games 9:45 Rotation 2 art 10:30 Rotation 3 science 11:15 Lunch 12:15 Large Group game 1:00 Rotation 4 problem solving and critical thinking 1:45 Rotation 5 quiet time / cool down 2:30 Rotation 6 snack and clean up 3:15 Whole Group closing ceremony and music 3:30 Carpool starts at 3:30. Bears Den begins at 4:00 and ends at 6:00.

1420 Old Gate Lane

Dallas, TX 75218

214-321-2897

Fax 214-321-4060

www.stbernardccs.org