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Big Thought
THRIVING MINDS AFTER SCHOOL
A Program of Big Thought


2024-25 After School Enrollment Packet

Mondays - Fridays  |  3:00pm - 6:00pm
Thank you for your interest in the Thriving Minds After School Program ("Program"). On the following pages you will find forms that must be completed by a parent or guardian in order for your student to be enrolled in the program. Please read and complete each page carefully.

Please note: "Child" and "Student" are terms that are used interchangeably throughout the following packet and forms.  Your student will not be allowed to attend the program until all required documents have been received by the Program staff. Please complete all pages in this form as soon as possible as enrollment is limited and offered on a first-come, first-served basis. 

Also, a separate application must be filled out for EACH student to be enrolled.

This program is tuition-based. Please be sure to review the Tuition Agreement on Page 10. 

If you have questions about the program, please contact Big Thought at 214-520-0023 or afterschool@bigthought.org.
List of Items Needed to Complete Form
To complete this application you will need to have the following information ready:
  1. Your student’s school ID number
  2. Health insurance information for the student (Insurance Company name and phone number)
  3. Emergency contact information (Name, phone, and email address)
  4. Approved persons who can pick up the student (Name, phone, and photo ID information)

    Note: If you are a previous TMAS family and completed a Pre-Registration form or if you are a new family enrolling for TMAS who filled out an Interest form, this form has been pre-filled with previously entered information from those forms. Please make sure to review and update any information as necessary.

Sudie Williams After School Schedule
The after school schedule for Sudie Williams is Mondays, Tuesdays, and Fridays from school dismissal until 6:00 pm. Drop-in is also available for up to 2 days each week. If utilizing drop-in, please notify the site specialist at least 24 hours in advance. Tuition rates for regular attendance and drop-in can be found on page 10.
Enrollment Update!
Currently, due to the number of students previously enrolled, which we satisfy on a first-come, first-served basis, the after school program has reached the maximum capacity, and your student will be placed on a waitlist for our program. As more spots become available, we will be sure to notify you and provide you with more information going forward. Please complete this application in order to have your student placed on the waitlist. 

If you filled out a pre-reg form, this will show as 'Yes'

Enrollment Application

Please complete all pages.  When you have finished you will submit your e-signature and then receive an email asking you to verify your email address.  Please click the link in the email to confirm it and then you have completed the application process.

Student Information









* Student ID number is available at the school's main office.

If selected school does not have Pre-K 3 and your student is in Pre-K, select Pre-K 4

(MM/DD/YYYY)





Emergency Information
The following information is required in case of emergency. The Health and Medical form will be transported with your student to the nearest clinic/hospital to assist the paramedics and hospital staff. This form is also required to be with students during all field trips, if scheduled as part of this Program.








In case of a medical emergency, whom may we contact?















Health Information
* All medical documentation and information noted on and/or connected to this questionnaire is considered sensitive and will be handled and maintained as confidential. This information could be shared on an as needed basis.  Each student's safety is our utmost priority. Full disclosure is strongly encouraged so that we are able to meet the needs of each student. 

(If Yes, details will be provided on Page 4.)


Staff are not allowed to go into the bathroom to help a student in any way. Student must not be wearing pull-ups or diapers.
Disclaimer for Neurodiverse Students
We recognize and celebrate the diversity of our student body, including those who are neurodiverse (SPED). Our institution is committed to providing an inclusive and supportive learning environment for all students. If you require any accommodation or support due to a neurodiverse condition, we highly encourage you to schedule an opportunity to sit down with our SPED Specialist to learn more and to help us be of service to your student.  Although we are a growing and learning program, we may not be equipped to service all needs for the neurodiverse. We are here to ensure that you have equal access to all Big Thought program opportunities.    

Our SPED Specialist, Roland Cola, can be reached at roland.cola@bigthought.org or 469-870-0420
Student's Present / Past Medical History




I, the undersigned, hereby authorize Big Thought staff to contact the person(s) and healthcare provider(s) named on this form and to authorize the named physicians, clinics, hospitals, and others to provide emergency transport and healthcare to said student. In the event that the physicians, parents/guardians, or any persons named on this form cannot be contacted, Big Thought staff and school personnel are hereby authorized to take whatever action is deemed necessary to provide emergency care to said student. (paraphrase of Section 35.01, Texas Family Code). I HEREBY AGREE TO WAIVE, RELEASE, INDEMNIFY, AND HOLD HARMLESS BIG THOUGHT AND DALLAS ISD, its respective officers, affiliates, owners, directors, contractors, agents, and employees from any claims, liabilities, and causes of action asserted against BIG THOUGHT AND/OR DALLAS ISD by reason of the acts, omissions, or neglect of BIG THOUGHT AND/OR DALLAS ISD, its employees, or agents. I certify I am a parent with the legal control of the student, the student’s legal guardian, or have other court ordered control of the student. I understand that I must notify the Program in writing to change any information on this form or to revoke any consent given herein. I understand it is a penal code offense to falsify information for enrollment. I testify all information on this document to be true and correct.

Page 4

Food Allergies
Please indicate the foods that cause an allergic reaction in your child. 
Mild = reaction is barely noticeable or causes minor irritation;
Moderate = reaction may require medication or other non-emergency intervention;
Severe = reaction is potentially life threatening if not treated immediately (e.g., ambulance or immediate ER visit) 
Mild Moderate Severe




(Please describe)

(Please describe)

AUTHORIZED ADULTS
The Parent/Guardians listed below, as well as the three Contacts listed on the next page, will be allowed to pick up a student, if marked for pick-up. The information listed below will replace all existing information on pick-up contacts at the time this form is received by Program staff. No contacts are entered into the system without PHOTO ID. Older siblings may pick up provided there is a signed permission letter and photo ID of the sibling on file with the Program staff on campus.  Copies of these Photo ID's must be provided to Program staff at the Program location.
Please Note: If child cannot be released to non-custodial parent, we must have legal documentation on file.
CUSTODIAL PARENT OR GUARDIAN (Required)











Ex: State of Texas, US Gov.


SECOND PARENT OR GUARDIAN (Optional)











Ex: State of Texas, US Gov.


AUTHORIZED ADULTS, Continued
Please list up to three (3) additional contacts who may pick up your student (at least two (2) are required, and they must be different from the parent/guardian).  You must enter the type of Photo ID the contact has and the ID Number.
Contact 1 (Required - NOT the Parent/Guardian)

Must be different from Custodial Parent/Guardian




Ex: Driver's License, Passport


Contact 2 (Required - NOT the Parent/Guardian)

Must be different from Custodial Parent/Guardian




Ex: Driver's License, Passport


Contact 3





Ex: Driver's License, Passport


Enhanced Health and Safety Protocols
I understand that Big Thought staff and the facility are engaging in certain activities to keep everyone safe during this public health crisis. I commit to adhering to these enhanced health and safety protocols, and to any updates to these protocols as they are made.

THE FACILITY WILL NOT PERMIT ENTRY TO ANYONE WHO:
  • Has a temperature of 101°F or above;

  • Has signs or symptoms of a respiratory infection, such as a cough, shortness of breath, sore throat, or low-grade fever;

  • In the previous 7 days has had contact with someone:
with a confirmed diagnosis of COVID-19; 
under investigation for COVID-19; or 
ill with a respiratory illness

I WILL IMMEDIATELY NOTIFY THE FACILITY if I, any member of my household, or anyone in my household has been in close contact with an individual with a:
  • Suspected or confirmed case of COVID-19 (for example – close contact at home, work, religious service, social gathering).

  • For medical professionals: If contact occurs while wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), that contact will NOT be considered close contact for purposes of this protocol.

I WILL BE FAMILIAR WITH AND CONFORM TO ENHANCED PROTOCOLS. These include:
  • At arrival, a staff member may take the temperature of each student being dropped off. If the student does not have a temperature of 101°F or above or other symptoms of a respiratory infection, the staff member will guide the student into the program area. 

  • I will not enter the facility unless specifically invited by facility staff. I agree, upon request, to have my temperature taken prior to any invited entry to the facility. 

  • I understand that the Program ends at 6:00 p.m. I will pick up my student at the agreed time AND call the facility should there be a situation that requires me to be early, so staff can meet me at my vehicle, or late and other arrangements have been made for pick up.  A courtesy call 15 minutes before pick up is strongly encouraged to ensure expedient pick up service.

  • Big Thought and the facility will permit students to bring a change of clothes with them in a sealed Ziploc bag, to keep at the facility on an as needed basis. Students may not bring any other possessions with them. 
General Parent/Guardian Letter of Understanding
1. I will receive a copy of the Program's Parent/Guardian Handbook upon completing this form, and that I will review it and acknowledge and agree to all of its provisions.

2. The Thriving Minds After School Program will follow the Discipline Policy outlined in the Parent/Guardian Handbook. Behavioral and disciplinary issues will be addressed according to severity. The Discipline Policy should be reviewed for further detail.

3.  Students must be fully potty trained (totally independent in the bathroom). Staff are not allowed to go in and help students in any way (i.e., helping with zippers, pulling up pants). Absolutely no pull ups or diapers are permitted. We understand accidents happen, but excessive accidents (3 or more weekly) will result in re-evaluation of student's admittance to the program.

4. Late pick-up policy: Students must be picked up by the stated Program end time. Each student is extended one no-charge late pick-up before additional fees are assessed. After the first late pick-up occurrence, Parent/Guardian will be charged a fee of $1.00 per minute for every minute late. Students who are picked up late more than five times may be dismissed from the Program.

5. Fighting is not allowed in the Program. Depending on circumstances, students may be dismissed for fighting.

6. Students must come directly to the Program area after the regular school day is dismissed. Parent/Guardians must inform Program staff in advance, should a student not be attending the Program that day.

7. If a student leaves the Program area(s) without permission from a Program staff member, the student will be dismissed from the Program. A student  must always ask permission to leave the Program area (a room or a playground, etc.), unless an obvious emergency is taking place.

8. All students are encouraged to stay to the end of the Program day to receive the full benefits of the Program activities.

9. As stated, only Authorized Adults are permitted to pick up students.  

10. I understand that Big Thought conducts an annual evaluation of the Program, and, as part of that evaluation, Big Thought may administer surveys to my student, administer academic and/or social and emotional learning assessments to my student, and may access student records in compliance with FERPA regulations. I understand that Big Thought will:

• Keep all individual information confidential to the extent allowed by law.

• Never report information on a student by name or identifying information and will only share information in the aggregate (meaning overall results), to ensure that no personally identifying information is released about a student in the Program.
 
• I also understand that my consent is voluntary. My decision whether or not to allow my student to participate in the Program assessment will not prejudice my present or future relations with Big Thought or my student's School teacher or other School official(s). If I permit my student to participate in the Program assessment, I am free to discontinue participation at any time without prejudice. I understand that if I withdraw my student from the Program, my student’s information will be removed from the project results.  I understand that I can request copies of the evaluation tools by contacting Big Thought at Greg.MacPherson@bigthought.org

11. As part my student's experience in the Program, my student may have the opportunity to participate in Dallas City of Learning (DCoL), an education initiative and online platform designed to help students discover new interests, develop skills and earn recognition for their learning achievements. DCoL is a partnership with the Dallas Mayor’s Office and Dallas ISD, and is managed by Big Thought. A portion of data that has been provided above, including the student's name, birth date, and Parent/Guardian email or phone, will be shared with DCoL to enable your student's participation.
permission for my student to participate in Program Assessment as outlined in Item #10
Optional Survey Questions
Big Thought is working with partners to ensure your community has access to high quality programming throughout the year. We are asking the following questions to understand how the community is changing and what types of programming would best serve your student and family.  Your answers are confidential.  




                                                                                                                                                
Thank you!
Informed Consent and Publicity Release
Right to Use.  I, the undersigned, give to Big Thought and its agents and employees (“Big Thought”) my full permission and irrevocable right to use my child’s photograph, video image, likeness, voice recording, art work, story, or performance, in any form of media now known or later developed (including print, digital, electronic, visual, broadcast, Internet, social media, or otherwise) (“Content”).  This permission applies to all purposes for which the Content can be used in connection with programing presented or managed by Big Thought in which my child is participating, has participated or will participate (“Programs”).

Ownership.  Big Thought will own all of the Content, and any physical material in which the Content is contained, and may use, publish, reproduce, edit, adapt, modify, distribute and display the Content.  On behalf of myself and my child, I irrevocably transfer and assign all rights to the Content, and waive any right to compensation.

Waiver and Release.  I hereby release Big Thought and its legal representatives from all claims and liability relating to the Content and the ownership and use of the Content. I agree that no claim of any kind will be made by me for myself or on behalf of my child regarding the Content, its ownership or use.  

Use of Name.  I understand that Big Thought will not use my child’s name in connection with the Content. 
FOR MINOR CHILD OR WARD: I, the signer of this document, represent that I am the parent and/or guardian of the minor student named above. I represent that I have the legal authority to, and hereby do, execute the preceding consent and release on behalf of such minor.
permission for Big Thought to use my student's photo, likeness, and other materials as described above.
Tuition Agreement
You are enrolling your student in the Thriving Minds After School Program ("Program") for the 2024-25 school year and agree to pay the tuition fees as set forth in this Agreement. The Tuition Agreement must be signed and returned for enrollment to be completed. By signing this Agreement you acknowledge that this Program is fee-based and that, in fairness to all Thriving Minds participants, payment is required in a timely manner. At this time our payment portal is not able to accept bank drafts/ACH. Payments must be made with credit/debit card, check, or money order.
Sudie Williams After School Schedule
The after school schedule for Sudie Williams is Mondays, Tuesdays, and Fridays from school dismissal until 6:00 pm. Drop-in is also available for up to 2 days each week. If utilizing drop-in, please notify the site specialist at least 24 hours in advance. Tuition rates for regular attendance and drop-in can be found below.



2024-25 School Year Tuition Fees

Family Weekly Fee Per Family
Single Student Family $60.00
2 Student Family $99.60
3+ Student Family $129.60+
2024-25 School Year DISD Employee Discount Tuition Fees

Family Weekly Fee Per Family
Single Student Family $45.00
2 Student Family $69.60
3+ Student Family $84.60+
2024-25 School Year Tuition Fees
Family Weekly Fee Per Family
Single Student Family $65.00
2 Student Family $107.90
3+ Student Family $140.40+
2024-25 School Year DISD Employee Discount Tuition Fees

Family Weekly Fee Per Family
Single Student Family $50.00
2 Student Family $77.90
3+ Student Family $95.40+
2024-25 School Year Tuition Fees
Family Weekly Fee Per Family
Single Student Family $45.00
2 Student Family $74.70
3+ Student Family $112.05+

Drop-In Rate is $20.00 per student

2024-25 School Year DISD Employee Discount Tuition Fees
Family Weekly Fee Per Family
Single Student Family $30.00
2 Student Family $44.70
3+ Student Family $67.05+

Drop-In Rate is $20.00 per student

2024-25 School Year Tuition Fees
Family Weekly Fee Per Family
Single Student Family $55.00
2 Student Family $93.50
3+ Student Family $136.95+
2024-25 School Year DISD Employee Discount Tuition Fees

Family Weekly Fee Per Family
Single Student Family $40.00
2 Student Family $63.50
3+ Student Family $91.95+
2024-25 School Year Tuition Fees
Family Weekly Fee Per Family
Single Student Family $75.00
2 Student Family $124.50
3+ Student Family $162.00+
2024-25 School Year DISD Employee Discount Tuition Fees

Family Weekly Fee Per Family
Single Student Family $60.00
2 Student Family $94.50
3+ Student Family $117.00+
2024-25 School Year Tuition Fees
Family Weekly Fee Per Family
Single Student Family $85.00
2 Student Family $141.10
3+ Student Family $183.60+
2024-25 School Year DISD Employee Discount Tuition Fees

Family Weekly Fee Per Family
Single Student Family $70.00
2 Student Family $111.10
3+ Student Family $138.60+
Payment Options
Thriving Minds After School tuition will be remitted on a weekly payment basis and is due the Monday of each program week. Fees are posted each Friday for the upcoming week. (For example, if program week starts on Monday, August 12, 2024, payment is posted on Friday, August 9, 2024 and due Monday,  August 12, 2024.) Tuition will not be charged for scheduled non-program days such as student holidays, school breaks, etc.
Payment Process
Payment is due Monday of each program week. Payment shall be delivered to the Thriving Minds staff at your program location. Payments can be made by CREDIT CARD, DEBIT CARD, CHECK or MONEY ORDER (payable to: Big Thought). Login information for CREDIT and DEBIT CARD payments will be provided after the first week of programming.
Registration
A non-refundable registration fee of $25 is assessed per application (student), and payment for the first week of programming is due the first day of the Program. If a student is withdrawn from the Program but wants to re-enroll with the Program in the future, the $25 registration fee will again be assessed.
Tuition and Withdrawal Policy
  • Tuition fees are charged on a weekly basis and are not prorated for daily attendance.
  • Tuition fees hold your child's spot in the program and will not be suspended if a student needs to be absent for an extended period of time. If an absence extends beyond one week, we suggest withdrawing the student from the program to avoid paying ongoing tuition; however, if a spot is still available, you will need to re-enroll the student in order for them to return (this includes the registration fee). 
  • Tuition fees are not prorated for late arrivals or early pick-up.
  • A fee of $1 per minute will be charged for late pick-up from the Program.
  • No refunds will be given for student absences (including illness, vacation, suspension, dismissal due to violation(s) described in the Parent Handbook, etc.).  At management's discretion, account credits may be given if programming is unable to be delivered.
  • If a student is dismissed from the Program for violation of a Handbook policy, a $20 processing fee will be assessed.
  • If a student must withdraw from the Program, a Notice of Withdrawal form must be completed by a Parent or Guardian and submitted to Program staff no less than one week (five business days) prior to the date of withdrawal to avoid additional tuition and late charges. If a Notice of Withdrawal is not filled out, your account may still be charged and payment must be remitted at the time of the official withdrawal.
Late Payment Policy
A $10.00 late fee will be assessed per week following a late payment. Payment is considered late if it is not made by the Friday prior to each program week. Students will be permitted to continue to attend up to five days after payment was due. After five days, students may not attend until payment is made.
I, the undersigned, understand and agree to the terms outlined in this Tuition Agreement.
After School Behavioral Contract
Your student will receive this during the first two weeks of programming.  By initialing below you acknowledge you have reviewed this document:

As a participant in the Program, I understand that I must:
  1. Follow all rules of the program.
  2. Follow rules I have during the school day.
  3. Treat all adult leaders with respect.
  4. Treat all students with respect.
  5. Report directly to the program each day.
  6. Ask for permission to leave any designated area.
  7. Fully participate in all activities offered to me.
  8. Encourage my parent/guardian to attend events.
  9. Have fun!!!!
Final Acknowledgement
The Program is not licensed by the State of Texas.

Big Thought operates in accordance with the US Department of Agriculture and Texas Health and Human Services Commission policy, which prohibits discrimination on the basis of race, color, national origin, sex, sexual orientation, age or disability.

I, the undersigned, do hereby authorize Big Thought permission, for the purpose of program evaluation, as outlined in parent handbook, to administer surveys to my child, administer academic and/or social and emotional learning assessments to my child and access student records in compliance with FERPA regulations.

I agree to waive, release, discharge, and hold harmless Big Thought and its directors, officers, Trustees, employees, agents, and assigns, from any and all liability, claims, demands, suits, judgments, losses, or expenses which might arise from or out of, or relate directly or indirectly to, my child's participation in the Program. This includes, but is not limited to, any medical care, whether emergency or otherwise, required which arises out of an accident or injury incurred by my child or contraction of COVID-19 while participating in the Program.
Additional Documentation (optional)

E-Signature
This form uses e-Signature to accept your approval of, and agreement to, the forms described above and in detail on the preceding pages, in relation to the student named below. 

Please click "e-Signature" to go to the final page and sign the document.

PLEASE NOTE: After you sign the document, you will be sent a VERIFICATION email.  You MUST click the link in that email to complete the e-Signature process!




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