2024-2025 Enrollment Form - English

NOTE: Parents, to ensure the safety and health of our students and staff during the school year, TFS will follow guidance from the national Center for Disease Control, the DC Department of Health, DC Public Schools, the Deputy Mayor for Education, and other sources regarding virtual, in-person, or hybrid regular school and afterschool programming. We will be prepared to serve your students regardless of format.

Please be advised that this form must be completed in its entirety in order for your child to be officially enrolled in The Fishing School. No sections may be left blank!

PROGRAM SELECTION

What Program Are You Enrolling In?*

2024-2025 Afterschool

What School Does Your Child Currently Attend?*

John Lewis Elementary School

Leckie Education Campus

Tubman Elementary School

Below, please specify your access to internet at home*

Below, please specify your access to technology at home. Check all that apply.*

Computer

Tablet

Smart Phone

Student's Full Legal Name*

Name Middle Initial Last

Date of Birth*

In the form: Month/Day/Year

Gender*

Male

Female]

Race*

White, Hispanic

Black, Hispanic

Asian

White, Non-Hispanic

Black, Non-Hispanic

Other

Grade in Fall 2024*

Student ID Number (lunch number)*

Is Your Child Eligible for Free ore Reduced Lunch?*

Yes

Special Services Child Receives*

Yes (Please mark details below)

None

Special Services*

Student Has Current Individualized Education Plan (IEP)

Student Has 504 Accommodation Plan

Student Receives Special Education Services

Receives Special Reading Help

Bilingual or ESL Program

Student is in Advanced Placement

Summer School

Is A Language Other Than English Spoken At Home?*

Yes

Please Specify:*

PARENT/ GUARDIAN INFORMATION

Primary Parent or Legal Guardian*

First Last

Relationship to Child:*

Is this person authorized to pick up your child?*

Yes

Primary Email Address*

Telephone Number Type*

Home

Work

Cell

Phone Number*

Address*

Street Address City State/Province Zip Code

Secondary Parent or Legal Guardian

First Name Last Name

Relationship to Child

Email Address

Telephone Number Type

Home

Work

Cell

Phone Number

Address

Street Address City State/Province/Region Zip Code

STUDENT HEALTH INFORMATION

Do You Receive Medicaid?*

Yes

Allergies (Write "N/A" if it does not apply)*

Chronic Disorders (epilepsy, diabetes, asthma, etc.) Write "N/A" if it does not apply:*

Current Medications (Write "N/A" if it does not apply)*

List any limitations on your child’s physical activity (Write "N/A" if it does not apply)*

TFS staff does not administer or provide any type of medication to students. Please list all medications your child takes, including those that are administered during the school day.

EMERGENCY MEDICAL CONSENT FORM

If your child needs medical care, the law requires that you, the parent or legal guardian, give your permission to treat the child. In case of an emergency, we will try to contact you. If time does not permit or we are unable to reach you, this form will allow us to have your child receive the attention he/she needs.

Consent for Medical Attention*

I hereby grant my permission for The Fishing School and its employees to seek emergency medical care for the above-named child when the child is attending the program as they deem it necessary. I also give my consent to any emergency medical care or treatment deemed necessary by such medical personnel for the physical well-being of my child. The medical care shall cover illnesses, accident, and/or injury. In the event of treatment when consultation or follow up care is required, it is my desire that our Doctor.

Yes

The Fishing School is not responsible for the costs associated with treatment for any incident that may occur during the program.

I understand that without this consent, no treatment will be given to the above-named child.

PICK UP AUTHORIZATION

All participants who are picked-up must be signed out by either the parent or an authorized person listed in this section of the TFS enrollment application. TFS will only release your child to people listed on this form. ID will be requested. //

Please choose ONLY one*

Allowed to leave by himself/herself (Walking, taking Metro etc.)

Someone will pick up my child

All parents must have at least one additional person listed as an authorized pick-up. The below mentioned people may pick up my child(ren). The Fishing School will not release a child to any persons who are not listed here and who cannot present a photo ID. If I, the parent, am not available due to an emergency, please contact the people listed below.

Full Name*

First Middle Initial Last

Relationship to Child*

Address*

Street Address City State/Province/Region Zip Code

Telephone Number Type*

Home

Work

Cell

Phone Number*

Full Name

First Middle Initial Last

Relationship to Child

Address

Street Address City State/Province Zip Code

Telephone Number Type

Home

Work

Cell

Phone Number

WAVERS AND AUTHORIZATIONS

PHOTO/VIDEO RELEASE*

Consent to use your child’s photo for Fishing School communication. For details about this waiver, click here

Yes

FERPA Consent*

Consent to receive and share your child’s data with the school. For details about this waiver, click here

Yes

Survey of Academic and Youth Outcomes Consent*

Consent to administer a program climate survey. For details about this waiver, click here

Yes

Transportation and Field Trip Consent*

I agree to allow my child to ride in any bus or vehicle operated or contracted by The Fishing School, in order to participate in program-related activities.

Yes

GENERAL RELEASE & WAIVER

The General Waiver MUST be signed in order for youth to be accepted into the program.
La Renuncia General DEBE ser firmada para que los jóvenes puedan ser aceptados en el programa.

I, the undersigned, am the parent and/or legal guardian of the minor child listed on the first page of this registration form. In consideration for my child’s participation in the programs of The Fishing School, I hereby fully release, waive forever, and hold harmless The Fishing School, its officers and directors, contractors, employees, program staff, agents and volunteers from any and all liability arising from or in connection with any loss, damage, personal injury, including permanent disability or death, arising out of or in connection with my child’s participation in the programs offered by The Fishing School, including but not limited to transportation and virtual programs necessitated by the COVID-19 pandemic. For purposes of this release and waiver, the term “liability” means all claims, demands, losses, causes of actions, suits or judgments of any and every kind that arise as a result of my child’s participation in the programs offered by The Fishing School, including liability that may arise out of perceived negligence on the part of persons mentioned above. I acknowledge that some recreational activities offered by The Fishing School involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. This release and waiver explicitly includes any liability which may arise out of my child’s leaving the school without sign out or under adult supervision. I represent that I am over the age of eighteen (18) and that I have read the foregoing in its entirety, that I understand its meaning, and that I am intending to be legally bound by its terms. I understand that this release and waiver is intended to be as broad and inclusive as permitted by law.

TFS Enrollment Amendment Form

TFS Parent Handbook

2024 Elementary Parent Handbook

Please acknowledge that you have downloaded and read the TFS Parent Handbook.*

I acknowledge that I have downloaded and read the TFS Parent Handbook.

I received and agree to all policies included in the TFS Parent Handbook, including, but not limited to:*

Attendance Policy

Late Pick Up Policy

Stranded Child Policy

Behavior Policy

Child Abuse Policy

Toy/ Electronics Policy

Family Resources*

I have watched the parent orientation videos on the Family Resources page of The Fishing School website.

I understand and agree to The Fishing School’s attendance policy.

I acknowledge that violations of The Fishing School’s guidelines may result in suspension and/or termination from The Fishing School.

I also understand that my child will sign a commitment and will be expected to honor it. In the event he/she attended school, but cannot attend afterschool for any reason, I will contact The Fishing School on the day of absence and will provide my child with a note when he/she returns to the program. For planned absences, I will contact The Fishing School at least one week in advance.

Please read the following statements and check the box indicating your understanding and agreement.*

I understand that my child must follow all Fishing School program guidelines

I understand that any violation on my child’s part may result in suspension and/or termination from The Fishing School.

I understand that my child will sign an agreement and be expected to honor it.

I do not understand and require additional information.

I hereby attest to the truthfulness of all information listed on this application and agree to all the above terms and conditions.

Parent/Guardian Signature*

Date*

The Fishing School

2024-2025 Participant Registration Form – ENGLISH

PROGRAM SELECTION

PARENT/ GUARDIAN INFORMATION

STUDENT HEALTH INFORMATION

EMERGENCY MEDICAL CONSENT FORM

PICK UP AUTHORIZATION

WAVERS AND AUTHORIZATIONS

GENERAL RELEASE & WAIVER

TFS Parent Handbook