Preschool Program Enrollment Form - Ymca Buffalo Niagara printable pdf download

Preschool Program Enrollment Form - Ymca Buffalo Niagara

YMCA BuffAlo NiAgArA

presChool progrAM

eNrollMeNt forM

Name _________________________________________________________________

Site ____________________________________________________________________

Age ____________________________________________________________________

Start Date ___________________________________________________________

Allergies/MeDiCAtioN

Will your child require prescription medications?

 Yes

 No

Does your child have allergies?

 Yes

 No

If "yes" to either question, please describe in detail inside.

progressive DisCipliNe poliCY

The safety and well-being of each child in our care is our number one priority. When behavior expectations are not met, YMCA staff

will implement our progressive discipline policy to help correct the undesired behavior. Listed below are the steps utilized by our

staff:

Verbal warning given: explain why behavior is inappropriate.

Time out - time to refocus and redirect.

Verbal communication between parent and site coordinator.

Parent conference with site coordinator and program director, followed by a written summary of meeting. Child, parent and site

coordinator sign a written contract agreeing to acceptable behavior and alternative solutions.

If inappropriate behavior continues, child may be suspended from program for up to one week.

Prolonged disruptive and inappropriate behavior will result in dismissal from the UPK program.

Extreme Behavior Issues

In extreme cases, a child’s behavior may warrant immediate suspension or expulsion from the program. Such cases include the use

of profane or abusive language or any aggressive behavior which threatens or causes physical harm to other participants or staff.

Preschool Enrollment Form 160310

Revised March 10, 2016 10:11 AM

Preschool Program Enrollment Form - Ymca Buffalo Niagara