Campus After School Program Covid-19 Parental Waiver

Campus ASP Inc./ Campus After School Program

2901 Campus Rd. Brooklyn, N.Y. 11210 (718) 421-7575

Covid-19 Parental Agreement & Waiver

For the safety of all participants and staff the following rules and regulations must be adhered to at all times:

Children will receive a temperature check before entering the building. If child is dropped off by a parent this will be done outside. If being picked up by after school staff this will be done at the school before pick up. Any child exhibiting a temperature above 98.6 F will not be able to enter the building or be picked up by our staff.
Children will be required to wear an appropriate face covering at all times within the program, except when eating or drinking. This includes all areas of the building and any vehicles.
Children will be assigned to a capsule for the duration of the school year. They must remain in these groups at all times in the program.
A onetime self-assessment health screening must be filled out. Parents must complete a health screening daily and inform the program of any changes.
Parents, guardians and authorized pick-ups are not permitted in the building. Drop-off and pick-up will be arranged outside via text message.
I understand that if a child or counselor from my child’s capsule tests positive for COVID, all unvaccinated children must remain at home for a period of 10 days, according to DOE and DOH regulations.
I understand that in the event that my child cannot attend, or if the program must close for Covid related reasons, there will be no refunds issued for the remainder of the current month. However, subsequent months will not be billed until the program reopens.

I agree to the rules and regulations listed above and understand that non-compliance can result in expulsion. *

Yes

I understand that transmission of Covid-19 is an inherent risk in indoor childcare settings. By enrolling my child I accept this risk and agree to not hold Campus ASP Inc./Campus After School Program and it’s employees/owners responsible in case of transmission. *

Yes

Child's Name *

Parent/Guardian Name *

Signature *

Clear

Date