After School Program Sign-up! Child's full name Required Grade level Required Any allergies or medical conditions? Emergency Contact and phone number please! Required Parent/ Guardians full name Required Address Address 1 Address 2 City Country United States State/Province Postal Code Behavior Expectations and Program Guidelines The Library After-School Program is designed to provide enrichment, learning, and social opportunities for children in a safe and structured environment. To ensure the success of the program and the safety of all participants, the following guidelines apply: Respect for Others – Participants are expected to treat peers, staff, and volunteers with kindness and courtesy. Respect for Property – Library materials, equipment, and facilities must be used appropriately and with care. Listening and Cooperation – Participants are expected to follow directions from staff and volunteers at all times. Safety – Running, roughhousing, or unsafe behavior will not be permitted. Parents/guardians are responsible for ensuring their child’s readiness to participate in a group setting. If a participant is unable to follow program guidelines, parents/guardians will be contacted and may be asked to pick up their child. Repeated or serious concerns may result in dismissal from the program. Parent/Guardian Agreement I have read and understand the behavior expectations and program guidelines for the Library After-School Program. I acknowledge that this program is designed as a structured, group activity, and I agree to support my child’s participation by reinforcing these expectations at home. I understand that if my child is unable to follow the guidelines, I may be contacted to pick them up. I also understand that repeated or serious behavior concerns may result in my child’s dismissal from the program. Parent/Guardian Signature Required Submit