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Registration ID# 00912821SACC

NURTURING FUTURES ACADEMY

TERMS OF AGREEMENT

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Nurturing Futures Academy is a subsidiary of Project Hope Charities Inc., and is a
Not-For-Profit Organization authorized under the Not-For-Profit Corporation Law of the State of New York at the Department of State, the City of Albany on November 13, 2023.  

We can, therefore,  receive bothcharitable donations and accept payments for services.

TERMS OF AGREEMENT

Participant Agreement, Agreement to Indemnify, & Risk Acknowledgment 

In consideration of the services of Nurturing Futures Academy and their employees, I now agree to release & discharge Nurturing Futures Academy on behalf of myself, my children, my parents, my heirs, assigns, Personal representatives, and estate as follow:

I acknowledge the activities of this program entail known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to my child, to property or tothird parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the program activities. In an effort to minimize those risks I agree to follow all safety requirements and make use of any safety equipment provided. 
In consideration of the services of Nurturing Futures Academy and their employees, I now agree to release & discharge Nurturing Futures Academy on behalf of myself, my children, my parents, my heirs, assigns, Personal representatives, and estate as follow:

I acknowledge the activities of this program entail known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to my child, to property or tothird parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the program activities. In an effort to minimize those risks I agree to follow all safety requirements and make use of any safety equipment provided. 

THE RISKS INCLUDE, BUT ARE NOT LIMITED TO: 
A. Nature of the activities. 
B. Latent or apparent defects or conditions in equipment or property supplied by Nurturing Futures
     Academy. 
C. Use of property or equipment supplied by Nuruting Futures Academy by my child or others. 
D. Acts of other participants in this program, employees, or agents of Nurturing Futures Academy. 
E. My child’s own physical condition, or own acts or omissions. 
F. Conditions of Nurturing Futures Academy‘s facility & surrounding grounds or terrain and accidents
    connected with their use. 
G. First Aid emergency treatment or other services. 

2. I expressly agree and promise to accept and assume all the risks existing in this program, on behalf of
    myself and my child. My child’s participation in this program is purely voluntary and I elect to allow my
    child to participate in spite of the risks. 

3. Both my child and I agree that when he or she is participating in the program, that he or she will cooperate
     promptly and fully with all directions of Nurturing Futures Academy's personnel. We also agree that he or
    she will follow all of Nurturing Futures Academy Rules and Regulations, and all applicable City of New
    York, New York State, and Federal laws, rules, and regulations. We understand that her or his failure to
    behave appropriately may result in termination from the Program. 


AFTERSCHOOL RULES AND REGULATIONS: 

I. Participation 
Children shall: 
a) Adhere to Afterschool Rules and Regulations. 
b) Adhere to all guidance and direction given by Afterschool staff. 
c) Perform hand hygiene immediately upon entering the Afterschool program. 
d) Perform hand hygiene upon arrival to the Summer Camp, to the first Program activity, between all Program
     activities, after using the restroom, before eating, and before departing the last Program activity. 
e) Do not bring toys and electronic devices from home unless requested by staff for programming purposes. 
f) Respect all children and staff in the Afterschool program. 
g) Respect property of the Afterschool program and Recreation Center facilities. 
h) Notify an Afterschool staff member immediately regarding any issues involving safety or compliance with
     these rules. 
i) Leave the building at dismissal. Wait quietly in the lobby if waiting for an escort. 
j) Walk safely in the building and speak in an appropriate tone and volume. 

As a Nurturing Futures Academy Afterschool Member, I shall: 
a) Use only polite, kind words. 
b) Always listen to and respect the Recreation and Afterschool staff. 
c) Treat all equipment and supplies with proper care and respect. 
d) Respect others and their property. 
e) Always keep my hands and feet to myself. 
f) Always ask permission before leaving the Afterschool area. 
g) Not fight, bully, or tease others. 
h) Follow the Afterschool schedule. 
i) Not chew gum or eat candy. 
j) Always resist peer pressure. 
k) Take responsibility for my actions. 
l) Always resolve conflict nonviolently. 
m) Respect other people’s cultural/racial/ethnic background. 
n) Always help others when they need help. 
o) Always tell the truth. 
p) Always clean up after myself. 
q) Be proud of who I am. 
r) Report any and all issues to Recreation and Afterschool staff immediately. 
II. Attendance 

I understand that Nurturing Futures Academy After School programs operate from September through June from Monday through Friday between the hours of 2:45 p.m. and 5:45 p.m. Each program’s daily schedule is determined by the Afterschool Coordinator and is posted in the facility. Afterschool programs include education and recreational activities that necessitate continuous participation. Due to the demand for registered spots in these programs, consistent attendance is required. The following attendance rules and regulations apply to all structured Nurturing Futures Academy programs. 

a) Provide a copy of your child’s academic learning schedule with this application. 
b) If a child is going to be absent from the Afterschool program, the parent or legal guardian must call and
     inform a staff member immediately. 
c) If a child is absent for six consecutive days without explanation, staff will assume the parent or legal
    guardian no longer wants the child to be a part of the program and will give the spot to a child on the
    waiting list. The parent or legal guardian will be notified. 
d) If a child is going to be picked up early or needs to leave early, the parent or legal guardian must notify
     the center immediately. 

III. Arrival and Dismissal 

a) Prior to arrival, screen your child’s health daily. Nurturing Futures Academy’s staff will screen your child’s
     health if not done so prior to arrival at the facility. Participants must pass the health checks, daily, to be
     admitted to the facility. Parents/Legal guardians agree to their child participating in mandatory daily
     health checks conducted by Afterschool staff. 
b) Afterschool staff will perform random health checks of children in the program, including, but not limited
     to, a questionnaire and/or temperature checks. Parents/Legal guardians agree to the random health
     checks of their child conducted by Afterschool staff. 
c) Parents/Legal guardians will not be granted access to the facility. Sign in and out practices will occur
     outside of the facility. Parents/Legal guardians must practice social distancing and face covering rules. 
d) Children registered in the Afterschool program must be signed in and out by a parent, legal guardian, or
     designated individual indicated in the registration package when arriving and leaving the recreation
     center. 
e) Designated individuals may be asked to show identification upon picking up the child. The child will not
     be permitted to leave the center with anyone who is not indicated as a parent, guardian, or designated
     individual in the registration packet and without proper advanced notification. The Afterschool
     Coordinator must be notified by parents/legal guardians by telephone of any changes in the regular
     escort of the child. 
f) The parent or legal guardian must authorize if their child (usually only those in grade 4 or over) is allowed
     to sign him/herself out at the close of the Afterschool program day. 
g) After School children cannot leave the center with an adult who is not designated by the parent or legal
     guardian unless the parent or legal guardian lists this person in their After School registration form. 
h) The Afterschool program operates from 2:30 p.m. - 7:00 p.m. The parent/legal guardian or one of the       
     authorized persons above must pick up the child no later than 7:00 p.m. Picking up the child late more
     than 3 times may result in suspension from the program. 


IV. Behavior Management Plan 

Failure by the child and/or the parent/legal guardian to comply with Nurturing Futures Academy' Afterschool Rules and Regulations must be documented by staff and may result in disciplinary actions. Children may be alerted with warnings or time-outs, and/or discussions that involve the child, parent/legal guardian, and staff. Repeated failures to comply beyond such initial warnings may result in further disciplinary action, including suspension from the program, where the child cannot participate in the Afterschool program for a certain period of time, to be determined by staff as appropriate. Two or more documented suspensions from the program may result in 
termination from the program, where the child may not continue to participate in the Afterschool program for the duration of the year. Staff will document and consult with the parent/legal guardian in every instance of the child and/or the parent/legal guardian’s violations of Nurturing Futures Academy Afterschool Rules and Regulations and disciplinary procedures taken. 
                           

                                                                                  (Parent/Legal Guardian Initials Required)
 
V. Program Evaluation

Nurturing Futures academy Afterschool program, staff, and youth experiences will be assessed in efforts to continuously improve the program. Children may be asked to complete questionnaires about their experience at various times throughout the year. Their responses will be anonymous. Only group summary information may be used to provide feedback for program providers. Signing this form gives consent for your child to answer questions on such surveys. 

                                                                                 
                                                                                 (Parent/Legal Guardian Initials Required)
VI. Inspections Structured

Afterschool programs registered under the School Age Child Care (SACC) regulations may undergo routine inspections conducted by the Office of Child and Family Services (OCFS) of New York State. Staff are required to comply with the requests of such inspectors to provide documentation of the program and facility’s certifications to operate.

                                                                                       
                                                                                 (Parent/Legal Guardian Initials Required)
VII. Health Records

The parent/legal guardian must provide Nurturing Futures Academy After School staff with a current Department of Health medical form for each child before admission to the program and must update it on a yearly basis. Updated child medical forms are due no later than the first day of the Afterschool program

                                                                                       
                                                                                 (Parent/Legal Guardian Initials Required)
VIII. COVID-19 

a. INDOOR PROGRAMMING 
i. Wash your hands before attending a Program. 
ii. Stay home if you are sick. 

b. OUTDOOR PROGRAMMING 
i. Wash your hands before attending a Program. 
ii. Stay home if you are sick. 

                                                                                       
                                                                                 (Parent/Legal Guardian Initials Required)
IX. I understand that Nurturing Futures Academy s is required to notify the state and local health department immediately upon being informed of a positive COVID-19 test result by an employee, parent/legal guardian, or child. Parents/Legal guardians of After School participants must report any positive COVID-19 test results to NYC Parks and accept that Nurturing Futures Academy will report such test results to health authorities. Parents/Legal guardians must also cooperate with any investigation by health authorities responding to a positive test. If a parent/legal guardian of a child is exhibiting signs of COVID-19 or has tested positive for the virus, the parent/legal guardian may not enter an Afterschool site for any reason, including picking up their child. Another authorized adult must pick up the child from Afterschool. As a “close contact,” the Afterschool participant must adhere to the quarantine timetables under Nurturing Futures Academy policies in accordance with local laws, and the Department of Health and Mental Hygiene. 

All guidance and procedures related to the spread of COVID-19, including but not limited to vaccination requirements, health screening procedures, face covering and social distance requirements, are subject to change in compliance with local laws and Nurturing Futures Academy policies.


                                                                                 (Parent/Legal Guardian Initials Required) 
I HAVE READ AND UNDERSTAND THE RULES AND REGULATIONS AND DISCUSSED THEM WITH MY CHILD. MY SIGNATURE BELOW INDICATES CONSENT TO THESE AGREEMENTS. 
ACTIVITIES AND PERMISSIONS 

I understand that the Afterschool program consists of activities including but not limited to sports, recreation, fitness, wellness, enrichment, social development, and the arts (“Activities”). My child and I understand that my child is responsible for their own behavior and agree that they will only participate in the Activities that they feel comfortable doing.
1. I understand that off-site field trips can include museums, cultural institutions, parks, recreation centers, or Parks’ nature centers. I agree that my child may be transported to the field trips in Nurturing Futures Academy vehicles, by subway, train or in a rented bus Required
2. I understand that sports activities offered at the program include but are not limited to, street hockey,      basketball, soccer, flag football. Required
3. I represent that my child is physically fit and does not have a medical condition that would restrict him or her from participating in any type of physical activity. Required
4. My child and I understand that my child is responsible for his or her own behavior and agree that he or      she will be comfortable doing. Required
5. My child has the following physical conditions that Parks should be aware of (for example asthma, heart
     condition)
6. I give my child permission to participate in sports activities  Required
7. I consent to the publication and use of my child’s name and/or my child’s likeness for the purpose of promotion, publicity, advertising, or other manner or media by Nurturing Futures Academy or any other representative authorized to act on behalf of the afore-mentioned entity. I agree that the actual material involved is and shall continue to be the property of Nurturing Futures Academy and that neither I, nor my child, shall have any right of review or approval regarding the use of my child’s name and/or likeness in such material Required
8. I understand and acknowledge that my child must be over the age of 8 years to walk home alone. I give my child permission to walk home alone at dismissal. Required
9. I give permission for my child to be picked up by his/her legal guardians listed on the application and the designated individuals listed below:
10. I understand by signing this waiver I give permission for my child to receive emergency first aid treatment /CPR by Nurturing Futures Academy employees, agents, affiliates, sponsors, or other representatives. If my child falls ill, I understand that they will be separated from the group, isolated and I will be contacted for immediate pick up. If my child requires emergency medical care, I give my consent to Nurturing Futures academy to obtain the necessary medical care for my child which includes transportation by car or ambulance to an emergency center for treatment. I agree to pay all of the costs associated with the emergency medical care that my child receives. I understand that every effort will be made to contact me before and after medical care is provided. I understand that this consent will be in effect as of the date of my signing this form and will continue as long as my child is enrolled in Nurturing Futures Academy programs. 

In the event of emergency or following emergency medical care, if parents, legal guardians, and caretakers are unavailable, my child may be released to the following persons listed below: 
11. I understand that Nurturing Futures Academy will not cover any medical expenses due to injury received
      through my child’s participation in the Program. 
12. I hereby voluntary release, forever discharge, and agree to indemnify and hold harmless Nurturing
       Futures Academy from any and all claims, demands or causes of action which are in any way connected
       with my or my child’s participation in this program or my child’s use of Nurturing Futures Academy’s
       equipment or facilities, including any such claims which allege negligent acts or omissions of Nurturing
       Futures Academy except if such claims, demands, or causes of action arise out of the gross negligence
       or willful misconduct of Nurturing Futures Academy. 
13. Should Nurturing Futures Academy or anyone acting on their behalf be required to incur attorney’s fees
       and costs to enforce this agreement I agree to indemnify and hold them harmless of all such fees and
       costs. 
14. By signing this document, I acknowledge that if anyone is hurt, or property damaged during my child’s
       participation in this program a court of law may find me to have waived my right to maintain a lawsuit
       against Nurturing Futures Academy on the basis of any claim from which I have released them herein.


I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ENTIRE DOCUMENT. I HAVE READ AND UNDERSTOOD IT, AND I AGREE TO BE BOUND BY ITS TERMS.

Thank You For Your Enrollment!

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ADDRESS

170-20 140th Avenue, Jamaica NY 11434

EMAIL

admin@nurturingfuturesacademy.org

PHONE / FAX

P: 347 377 7965  F: 718 554 6857 (Office Lines) 
M: 516 499 2989, 516 978 6768

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