Afterschool/Extended Care Application

Student Information

Parent/Guardian Information

Authorized Person(s) to pick up child:

Student Release Authorization

In the event that DWCA is unable to contact the parent/guardian, I authorize that my child may be released to the person(s) listed above, or currently on file.

Legal Parent/Guardian sign below.

Health Needs/Concerns

Emergency Medical Authorization

I understand that in the event of an accident or illness, every effort will be made to contact the parent/guardian immediately. If parent/guardian cannot be reached, I authorize school authorities to obtain emergency care for my child.

Legal Parent/Guardian sign below:

Student's Preferred Schedule

DWCA Policy Agreements

Afterschool Cost Agreement:

The cost for attendance in the Afterschool program is $100/week. There is a one-time application fee of $25. (Please note, absent days to not roll over.) All payments are due on Monday of the current week your child will attend. NO REFUNDS will be issued for the week paid as we have already planned/prepared for your child to attend.

*Please review our Afterschool Payment Policy and Schedule for more information and payment options.

Legal Parent/Guardian sign below:

Afterschool Behavior Agreement:

I (we) understand that it is a privilege to attend DreamWorks Christian Academy. I further understand that my student is expected to be respectful of all DWCA Employees/Volunteers and Foundation Church Property. The program has the right to remove any student from the program for disciplinary issues or for being disruptive and noncompliant with our behavior guidelines outlined in the packet.

Afterschool COVID-19 Information:

I (we) understand that in the event my child should be diagnosed with COVID-19, the school nurse can contact DWCA and share this information. I (we) understand that in the event a student must be quarantined due to exposure, the student may return to DWCA after 5-7 days with no symptoms.

Photo Release Authorization

I, as the legal parent/guardian, give permission to Dream Works Christian Academy to take photographs and/or videos of my child. I understand that these photographs and/or videos may be used for marketing or promotional purposes, including but not limited to social media posts and print materials.

Additional Information:

• This permission is granted without any financial compensation.

• I understand that once/if my child's photograph is used, it may be publicly accessible and shared.