Parental Release Information:

I, the parent / guardian of the minor child listed on this enrollment form, for ourselves, our

heirs, executors and administrators, hereby release, waive, acquit and forever discharge La

Reunion, their representatives, successors, insurers, assigns or any other persons or entity

association with any of La Reunion such as staff, directors, volunteers, from all liability, claims, demands, or causes of action for any and all loss, damage, injury, or death and any claim of damages resulting from use of facilities owned or controlled by La Reunion, or participation in activities of said organizations at or away from La Reunion.

Open Door Policy:

I understand that La Reunion is not responsible for the time nor manner in which my child may arrive or leave La Reunion.

Medical Treatment:

I give my permission to La Reunion staff to seek emergency medical treatment for my minor

child in the event that I cannot be reached. I will be responsible for all/any costs of medical

attention and/or treatment.

Technology:

As a member of La Reunion, your child at times will have access to the internet. While

precautions are being taken, it is possible that he/she may access inappropriate sites. La

Reunion will have rules and consequences for such behavior. We will not be responsible for the consequences of such access.

Attendance:

Students are expected to attend on the days they are assigned. Occasional absences are

anticipated to occur. However, if a student is absent on a regular basis, the Outreach Center

Coordinator will discuss with the student’s parent/guardian to determine if their child should

continue attending the program. Please notify La Reunion staff of any planned absences.

School Information:

I give my permission to La Reunion and Granbury Independent School District (GISD) to

exchange information regarding the minor child listed above for educational purposes;

specifically, the current reading and math levels for intervention using data from MAPS and BAS testing. The purpose of the exchange is to aid both organizations in assisting the student be successful in school. This release will be valid for one calendar year and may be revoked at any time by contacting GISD and La Reunion.

Our aim is to create a safe, welcoming, and engaging space for ALL of our students. In order to do that, we include a disciplinary agreement that outlines our expectations and consequences for the failure to meet those expecations for behavior at the Outreach Center. 

La Reunion strives to provide a warm and welcoming environement for students and families. Our expectation is that everyone in our community will behave in a respectiful, responsible, and caring way towards one another. The following guidelines have therefor been established. 

Any form of Lewd behavior, bullying, agression, violence, disrespect, or foul language will not be tolerated. Clothing, toys, books, or any other objects depicting, displaying, or supporting any of hte aforementioned will not be allowed. Any vandalism occuring on or in La Reunion is not allowed. 

First Infraction: Student recieves written warning and gaurdians will be notified
Who: La Reunion Center Staff Only
What: Use behavioral display chart to talk about the behavior and warning.
When: Document day and time of incident. This is not to be carried over into the next days programs

Second and Third Infraction: Student will be relocated to a quiet location inside the center for a "student reflection" time and Guardians will be notified.
Who: La Reunion Center Staff
What: Use behavioral chart and quiet zone for reflection keeping documentation to indicate if behavior is repeated.
When: Document day and time of infraction

Fourth Infraction: Student will be suspended from programs for a period of one week or more depending of the severity of incident.
Who: La Reunoin staff will contact executive director to notify of possible suspension
What: Use behavioral chart and quiet zone for reflection keeping documentation to indicate if behavior is repeated.
When: Document date and time of infraction. Outreach Center staff will discuss and determine appropriate time frame of suspension and guardians will be notified. 


*If unacceptable behavior continues after a period of suspension, the student in question will be dismissed from the La Reunion After School Program.*

Participation in La Reunion Outreach Center After School Programs is a privilege. A child/student must follow the rules of the program. Disruptive or disrespectful behavior towards other students or staff are cause for dismissal per our disciplinary policy. We encourage you to discuss any behavioral concerns with your child and the outreach center staff. 

Furthermore, La Reunion reserves the right to deny admission to any student if in its judgment, the presence of that student at the Center poses an undue risk to the safety and security of the center and its volunteers and patrons. These decisions will not be made lightly and disciplinary policies will be followed. 

Please indicate below if you agree to adhere to the above statements and policies. 

By checking the appropriate box on this form, I confirm that I am the parent or legal guardian of the above named minor and I grant La Reunión my permission to use the photographs taken at La Reunión related events for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.

Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

By digitally signing below, I give La Reunion staff permission to transport my child to and from La Reunion Outreach Center for various programs. I release La Reunion and their staff and volunteers of any liability in relation to transportation.