City of San Dimas

San Dimas

Student Union

Drop-in

Registration Packet 2019-2020 School Year

Jeff Freeth

Recreation Center Coordinator

Dear Participant and Parent/Guardian,

Welcome to the City of San Dimas Parks and Recreation Student Union. We

hope that your participation in our program will be a rewarding experience

for you both. We feel strongly that open communication between

participant’s, parents/guardians and staff is essential to fully meeting the

needs of all of the participants.

This Registration Packet is intended to promote an understanding of our

program and its policies; as well as foster cooperation amongst our Student

Union families and staff. We hope to create mutual respect between

parents/guardians and staff, building a partnership for the benefit of each

participant.

Please take time to review the following registration packet as a family. It

is important that everyone is familiar with this information.

Should you have any questions, please feel free to contact our office at

(909) 394-6288, Monday through Friday 2:30pm-6:00pm and Fridays.

Sincerely,

Jeffrey Freeth

Teen Program Coordinator

GENERAL INFORMATION

The Student Union offers a FREE drop-in afterschool program (Monday-Friday) for teens

grades 6-12 throughout the school year supervised by trained Recreation Staff. The

Student Union provides a variety of afterschool.

Student Union Mission

To be a safe, supportive and fun Student Union where teens can discover positive

experiences and build lasting friendships.

Location

Recreation Center Student Union

990 W. Covina Blvd

San Dimas, CA 91773

Phone: 909-394-6288

Hours of Operation

The Student Unions normal operating hours are Monday thru Friday; Monday, August 19,

2019 – Thursday, June 4, 2019 2:30 pm-6 pm except on minimum days, 1:30pm-6pm. Hours

may change due to early dismissal, and School Breaks. The Student Union observes national

holidays. (Parents should discuss the arrival and departure time with their teens and

strongly discourage them from leaving the facility prior to the agreed time.)

Please note observed holidays and closure dates below:

• Labor Day (Sept 2, 2019)

• Veterans Day (Observed Nov. 11, 2019)

• Thanksgiving Break (Nov. 25-29, 2019)

• Winter Break (Dec. 23, 2019-Jan.3, 2020)

• Martin Luther King Jr. Day (January 20, 2020)

• Lincoln’s Birthday (Feb 10, 2020)

• President’s Day (Feb. 17, 2020)

• Spring Break (March 23-27, 2020)

• Memorial Day (May 25, 2020)

• In-Service Days (October 4, 2019, November 1, 2019, March 6, 2020)

Sign In/Out Procedures and Membership ID Policy

At The Student Union, your student will be issued a Student Union Membership card when

registering. When your participant arrives at the facility/program, they must give their ID

card to a staff member who will scan them in for the day. It is mandatory for every

participant to bring their ID card each day they come to The Student Union. The

participant will also sign in and sign out on the sign in/out sheet daily. The participant is

responsible for keeping the card safe and bringing it to the program. If the participant

loses or damages their card, the parent/guardian will be responsible for purchasing a

replacement card for $1.

Facility Access

Students are not permitted to access amenities or areas past the second doors on both

the men’s and women’s entrances. This includes but is not limited to locker rooms,

restrooms, saunas, showers, racquetball courts, gym and fitness room. Exception includes

when Student Union staff is supervising/leading a program or activity in which participants

have registered for.

Fee

The Student Union Drop-in Program is free to all participants grades 6th to 12th.

Forms and Waivers

All participants must submit an Emergency Information & Waivers, Teen and Parent

Acknowledgement, Permission Slip for Teen Programs/Excursions and Special Events and

Student Union Liability Waiver,prior to participation. Forms may be found on pages of this

packet. Forms may be submitted on the first day of participation or emailed to

jfreeth@sandimasca.gov or lhildebran@sandimasca.gov .

In the event any of the information provided on the attached waiver changes please notify the

Student Union staff so participants’ files can be updated.

Allergy Awareness

Children with severe peanut and/or tree nut allergies may be at risk for exposure to

allergens through airborne or physical contact contamination. Due to potential life-

threatening allergies in our participants, we do NOT allow products that contain, or may

contain, peanuts and/or tree nuts in the Student Union program. Please DO NOT send your

child with any products that contain peanut or tree nut products, or products that include

similar statements on their labels:

• may contain peanuts and/or tree nuts

• made in a facility that processes peanuts and/or tree nuts

• made on shared equipment that also process peanuts and/or tree nuts

Transportation

It is the responsibility of the participant and parent to arrange transportation to and from

the facility.

Personal Belongings

The Student Union staff is not responsible for any personal property brought to the

facility. Please encourage your teen to keep their valuables at home.

Movies

The City of San Dimas Student Union provides its members with an opportunity to view movies

during various programs. Due to some of the movies’ content the ratings may range from PG to

PG-13. The movies viewed may include mature themes, strong language, mild violence or

comedic material. Staff will attempt to avoid any movies that contain inappropriate material,

such as excessive profane language, graphic violence and explicit sexual content.

Television

Teen members may also be given the opportunity to view television programs on local stations

or basic cable channels, but not premium or pay-per-view channels. Staff will try to avoid the

viewing of inappropriate programming when possible.

Video Games

Student Union members may also be given the opportunity to play video games with a rating of

T for Teens or lower.

Phone

Phone use is made available to teens only to get in contact with their parent or guardian.

Participants are always to ask a Staff member for permission before using the Student Union

phone (unless the call being made is for an emergency purpose.) Participants using the phone will

be required to indicate their parent or guardians phone number to Staff. The Student Union

phone number is (909) 394-6288. The following phone usage policies apply:

• No incoming calls to participants unless it’s a parent or guardian

• Calls are not to exceed 5 minutes unless it is an actual emergency

• Participants are not allowed to answer a ringing phone.

Phone use is a privilege and should not be abused. Failure to abide by these rules could lead to

suspension, permanent suspension or removal from the Student Union.

Snack Bar

The Student Union offers a snack bar which includes a variety of snacks for sale that your teen

participant can purchase during designated times while at The Student Union. A Student Union

Membership is required to access the Student Union Snack Bar.

Teen Action Committee (TAC) and Volunteering

Teen Volunteers must fill out a Teen Action Committee (TAC) application. A mini interview may

be necessary to better meet the needs of the volunteers for the center. We do not provide

volunteer opportunities for hours due to court ordered community service.

Participant Code of Conduct

The Student Union program is a quality experience for participants. We reserve the right to

ask any participant to leave the program for his or her own betterment or the welfare of the

group. The Student Union and its activities are a PRIVILEGE and the Participant Code of

Conduct must be observed by all participants. Rules and regulations are as follows:

Dress Code

Follow the same dress code rules that are expected at school (no gang attire, no mid drift

showing, etc.) (See attached)

Bullying, Harassment, Sexual/Hate Crimes

Bullying and Harassment of any kind will not be tolerated. The San Dimas Sheriff’s Department

will be notified and all applicable state and federal laws will be enforced.

Abusive Behavior

Abusive behavior is strictly prohibited. Abusive behavior is defined as:

A. Physical abuse - That which does harm to another's person or possession (i.e. hitting,

biting, kicking, pushing, spitting), includes also victimless and disruptive behavior.

B. Verbal abuse - that which is offensive and/or degrading to another individual (i.e. name

calling, swearing).

Illegal Substance, Weapons Drugs and Alcohol

Use of or possession of any illegal substance at the Student Union, or at any city-sponsored

activity is grounds for Police notification and permanent suspension.

Swearing, Profanity

Profanity, offensive language, obscene gestures or disorderly conduct is prohibited.

Additional Rules and Regulations

• Participant is responsible for his/her own property

• Food and drinks are allowed in designated areas only

• Equipment must be used properly

• Participants must keep their hands and feet to themselves

• Defacing facility or equipment is prohibited*

*The City of San Dimas reserves the right to invoice parents/guardians for

restitution/repair for damage/repairs of City property to include materials and labor.

• Respect the personal property of others

• Participants must follow instructions and direction of San Dimas Recreation Center

Staff

• No skateboarding, scooter or bike riding is allowed in or in front of the center

• No loitering before, during and/or after the program opens/closes

• Stealing or accepting any stolen property is strictly prohibited

• The Student Union policy is one of “hands-off.” Public Displays of Affection, which

may include kissing, handholding, or inappropriate hugging, are unacceptable and not

allowed.

Discipline

Staff will provide and maintain clear, reasonable limits for children's behavior. Positive

behaviors will be reinforced and negative behaviors identified and redirected.

Participants will be helped to recognize and identify their feelings as valid and acceptable.

Staff members will intercede if a child's behavior is harmful to him/herself or others. Staff

will plan ahead to try and prevent problems.

Your child(ren) will be free from corporal or unusual punishment, infliction of pain, humiliation,

intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.

Failure to comply with program rules and regulations may result in dismissal from the

program/facility for the day or possible dismissal for the remainder of the school year.

City of San Dimas Parks and Recreation Department

San Dimas Student Union

Emergency Information & Waivers

Participant’s Name:______________________ D.OB.:___________ Age:_______ Grade:____

Address:____________________________ City:_________________ Zip:____________

School Attending:_____________________

Parent/Guardian #1’s Name:_____________ Parent/Guardian #2’s Name:________________

Cell Phone: (_______)_________________ Cell Phone: (_______)_____________________

Home Phone: (_______)________________ Home Phone: (_______)___________________

Work Phone: (_______)________________ Work Phone: (_______)____________________

Email: _____________________________ Email:_________________________________

Emergency Contact

Individuals we can contact (in order) if you cannot be reached.

Name:____________________ Phone:_________________ Relationship:_______________

Name:____________________ Phone:_________________ Relationship:_______________

Medical Release

As the parent or authorized representative, I hereby give consent to the City of San Dimas

Student Union to provide all emergency medical or dental care prescribed by a duly licensed

Physician (M.D.) Osteopath (D.O.) or Dentist (D.D.S) for (Name of Child):__________________.

This care may be given under whatever conditions are necessary to preserve the life, limb or

wellbeing of the child named above.

Patient medical history (epilepsy, diabetes, allergies, etc.)______________________________

_________________________________________________________________________

_________________________________________________________________________

Child has the following medication allergies:

__________________________________________ ______________

Parent/Guardian Signature Date

__________________________________________

Parent/Guardian Print Name

CITY OF SAN DIMAS CITY OF SAN DIMAS PARKS AND RECREATION DEPARTMENT - 909-394-6288

PERMISSION SLIP FOR TEEN PROGRAMS/EXCURSIONS AND SPECIAL EVENTS 2019-2020

Student Union Programs/Excursions and Special Events Initials Programs/Excursions and Special Events Initials

Student Union/ Miscellaneous Programs and Activities (year-round)- Free Monday-Friday 2:30pm-6:00pm (except early dismissal)

Teen Parties (year-round)- $4.00 each See Days/Dates below: 2:30pm-5:30pm Thanksgiving (11/13/19) Holiday (12/18/19) Student Union Anniversary (2/12/20) End of the Year (5/20/20)

Teen Wellness Programs Fitness, Tai-Chi, Intramural Sports, Zumba, etc. (year-round)- Free Days and Times vary

Rose Parade Decorating (offsite)-Free Thursday (12/26/19) (Times TBD)

Teen Friday Night Out (year-round)- Free Fridays (see below) 5:30pm-8:30pm Dates: 9/6/19, 11/8/19, 1/10/20, 2/28/20, 3/13/20, 4/24/20

City Special Events TAC Volunteer (offsite) (year-round)- Free (Days + Times TBA)

Teen Action Committee (TAC) Meetings (year-round)- Free Thursdays 4pm-5:00pm Dates: See TAC Packet for specific dates.

* Activities and times are subject to change

Teen and Parent Acknowledgement

I have read the San Dimas Student Union registration packet, which includes the General

Information, Participant Code of Conduct and Policies and Procedures. I understand that failure to

comply with the rules and regulations may result in the dismissal from the program for the day or

for the remainder of the school year.

__________________________________________ ______________

Teen Signature Date

__________________________________________

Teen Print Name

__________________________________________ ______________

Parent/Guardian Signature Date

__________________________________________

Parent/Guardian Print Name

Student Union Liability Waiver (must be signed by parent/guardian):

I give permission for the minor in my custody to participate in the above-mentioned activities, and

I hereby release and discharge in advance the City of San Dimas, its officers, agents, employees

or any volunteers who may assist in said direction from and against any and all liability arising out

of, or connected in any way with said minor’s participation in said activity. I fully understand that

my participation, or that of the minor in my custody as registered, in the above-mentioned

activity, presents exposure to the risk of personal injury, death or property damage. I hereby

acknowledge that participation in this event/class is voluntary and agree to assume any such risks.

I hereby release, discharge and agree not to sue the City of San Dimas, its officers, agents,

employees or volunteers for any injury, death or damage to or loss of personal property arising out

of, or in connection with, participation in the event/class from whatever cause, including the active

or passive negligence of the City of San Dimas, its officers, agents, employees or volunteers or

any other participants in the event/class. In consideration for being permitted to participate in

the event/class, I hereby agree, for myself, my heirs, administrators, executors and assigns, that

I shall indemnify and hold harmless the City of San Dimas from any and all claims, demands,

actions or suits arising out of or in connection with my participation in the event/class. I also

agree and acknowledge that participant may be photographed while participating, and release use

of the photographs for reproduction in City sponsored publications.

I have carefully read this release, hold harmless and agreement not to sue, and fully understand

its contents. I am aware that it is a full release of all liability and I am signing it on my own free

will.

__________________________________________ ______________

Parent/Guardian Signature Date

__________________________________________

Parent/Guardian Print Name