BOOK AND WISDOM: Presents Robotics School Dates, Days, and Hours: From: Saturday, September 28 to Saturday, December 14. From 10:00 am to 12:00 pm Ages: 9 to 12 years old General Information Lost & Found You can find the lost items in the Lost & Found box in the basement. Medical Information Parents/guardians need to fill out the Health Form carefully. NO MEDICATION CAN BE STORED, ADMINISTERED, OR DISPENSED BY TEACHERS. PARENT/GUARDIAN(S) MAY CHOOSE TO COME TO THE BUILDING AND ADMINISTER MEDICINE TO THEIR CHILD. Medical Restrictions Currently, the program is unable to accommodate children with any mental or physical restrictions that require specialized assistance and care. Parents/guardians of children with known serve allergies (food or other types of allergies) that may require emergency assistance must speak with the Program Director before registration. The teachers are not trained to administer any medicine. Therefore, parents of kids needing medicine during program hours must discuss this with Program Director before registering their child. Policy on Injuries Any injury that occurs while your child is in the care of the teachers will be documented and reported directly to the parent/guardian. If an injured child is unable to participate for the rest of the day, parents/guardians will be immediately notified via phone. Photo Release I consent and allow my child to be filmed, videotaped, and/or photographed for use by Book and Wisdom, and the Imam Mahdi Association of Marjaeya (IMAM), its partners, and its social media platform. I also allow my child’s work product to be featured by IMAM, and Book and Wisdom (including the publication and advertising of Robotics for Teens Saturday School and other programs and social media). Full Name *Participant's Full Name *PERMISSION AGREEMENT (Check the box only if you agree with the statement) * *I read and understood the drop-off, pick up, and attendance policies and agreed to follow the procedure.I give permission for my child to participate in indoor activities to follow the procedure.I give permission for my child to participate in prayer and understand that my child must have appropriate prayer clothes.I have read and understood the medical restrictions and medication procedures for the Muharram program.I have read and understood the Robotics for Teens Saturday School rules for students and have discussed these rules with my child.I understand that there will be consequences for improper behavior.I have agreed to the payment of the registration.I allowed the reproduction and publication of my child’s photograph(s) and video(s) recording.Participant InfoIs this your first time joining the program? *YesNoDate of Birth *Date of Registration *School Name *Grade *PARENT/GUARDIAN INFOMother's Full Name *Phone Number *Street Address *City *State/Province *ZIP / Postal Code *Email *Individuals if the parent/legal guardian can not be reachedFull Name *Relationship to Participants *Phone Number *Full Name *Relationship to Participants *Phone Number *Full Name *Relationship to Participants *Phone Number *I, PARENT/GUARDIAN OF THE PARTICIPANT, ALLOW INDIVIDUALS WHOSE NAMES ARE LISTED BELOW TO PICK UP MY CHILD AT ANY TIME FROM THE PROGRAM. I ACKNOWLEDGE AND FULLY UNDERSTAND THAT MY CHILD WILL BE RELEASED TO ANY OF THE THREE INDIVIDUALS LISTED BELOW UPON PRESENTATION OF A VALID PICTURE ID SUCH AS A DRIVER’S LICENSE.Payment Options *In personBy Phone Register
