Coaching Program Registration Form 2024-2025

RaRa Foundation Inc.

Please complete the following information to Enroll In RaRa Foundation's Coaching Program (Print/Scan or Type)
Child's Name
Gender
Student's Date of Birth

MonthDayYear
Date
Student's Age
Nationality (Optional)
Fall School Grade
Student's School
Name of Parent(s)/Guardian(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Cell Number
Work Number
Note: If any of the above informaton changes, please notify the RaRa office immediately.
CURRICULUM:
We offer the following courses as part of our curriculum. Please select any courses your child CANNOT participate in.

Reading/ELABible Study/Character EducationMusicArts&CraftsOutdoor Field TripsMathSTEM/ScienceIndoor RecessSocial Studies/GeographyTheatreCooking/NutritionHorizon Curriculum for grades K through 12
EMERGENCY CONTACT INFORMATION
List two emergency contacts other than those listed above:
Name
Relationship
Home Phone
Work Phone
Name
Relationship
Home Phone
Work Phone
Medical Problems/Allergies
EMERGENCY MEDICAL RELEASE
If emergency medical care is necessary and I cannot be reached, I authorize the RaRa Foundation Inc. to act in my behalf in granting permission for my child to receive emergency medical treatment. Parents are responsible for all expenses incurred as the result of medical treatment.
Parent/Legal Guardian Signature

Clear
Date

MonthDayYear
Date
HOLD HARMLESS RELEASE (On-Site Participants Only)

I hereby waive, release, absolve, indemnify, and agree to hold harmless the RaRa Foundation Inc., its directors, officers, organizers, sponsors, supervisory staff, participants, and any other affiliates; for, from, and against all liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the participation of the above-named child in any and all activities. I individually, and as a parent/guardian for my child, have read this release and understand all the terms. I execute it voluntarily and with full knowledge of its significance.
Parent/Legal Guardian Signature

Clear
Date

MonthDayYear
Date
AUTHORIZATION TO PRODUCE AND USE AUDIOVISUAL MATERIALS

I hereby voluntary and without compensation authorize the RaRa Foundation Inc. to produce photographs, movies, videotapes, audiotapes, and Power Point Presentations of the below named student. This authorization is given on the condition that the materials taken or produced will be used for the purpose of community education or program promotion. I understand RaRa Foundation Inc Association, Inc. and its employees will not use these materials for compensation. I understand that this grant of permission shall only be revoked by a written instrument delivered to the Executive Director of the RaRa Foundation Inc. This consent shall remain in effect,
Name of Student
Name of Parent/Legal Guardian
Date

MonthDayYear
Date
Signature of Parent/Legal Guardian

Clear
VIRTUAL AGREEMENT (Virtual Participants Only)
Parent/Legal Guardian Signature

Clear
The parent/guardian should supervise the child/children for the virtual activities. For children below 13 years old, the parent/guardian will be responsible for handling, maintaining, and supervising their accounts. Most video conferencing may be recorded so by signing this form, you agree for the child/children to be recorded for archive and training matters only. Please avoid absences because the slot is already resolved for the student. The video conferencing app that will be used is via Zoom. If an issue occurs, the next app to use will be Google Meet. Kindly make sure that all requirements are available to fully enjoy the virtual summer camp. Student should have a pencil and paper available. Student will not be allowed to participate if found taking part in any form of cyber bullying. All such will be discussed during first day of Summer Camp during morning opening.
Date

MonthDayYear
Date
Positive attitudes keep Learning fun. Below are some guidelines participants are expected to follow. Please review these expectations with your student.

Respect Yourself, the RARA Staff, Other Students, and Their Property.

Follow the Instructions the First Time

Cheer On the Efforts of Others and Be Positive

Eat and Drink in Designated Areas Respect the Facility, Grounds, and Equipment Clean Up After Yourself Running is Only Allowed in Outside

Tobacco, drugs, alcohol, and weapons are Not Allowed on Premises
Child's Signature

Clear
Date

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
BULLYING/HARASSMENT/FIGHTING POLICY

Bullying/harassment/fighting has no place at the RaRa Foundation Inc. Coaching,Tutoring, or Homeschooling Programs. Bullying/harassment/ fighting means more than beating up or pushing people around. Violation of this policy includes:Physical assaults (touching in langry ways)Threats ("Better watch your back", "I'm gonna hurt you", "We're gonna get you", etc Harassment (always Intimidation Racial slurs Sexual harassment - physical or bothering someone)Name-calling verbal Spreading rumors Extortion Foul language Taunting Making insulting remarks about another student's family members Using the internet to harass, threaten, verbally abuse, intimidate, or spread rumors.

Violation of the intent of this policy by a participant of the RaRa Foundation Inc will not be tolerated. Review of the policy serves as your WARNING. If you are found to be in violation of this policy, you will be suspended from this program. The enforcement of this policy and any judgment on the punishment of a student for violation of this policy will be the decision of the RARA Program Coordinator or Assistant Coordinator or both and is not subject to a hearing or appeal.
Child's Signature

Clear
Date

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
CHECK-OUT AUTHORIZATION FORM
Student's Name
The following individuals are AUTHORIZED to check-out the above-named student from all RARA activities. Note: Add additional names if needed.
1. Name
Relationship
Name
Relationship
Name
Relationship
Please note if anyone is PROHIBITED from contacting or checking-out the student. Specify the individual(s) below:
Name
Relationship
Name
Relationship
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

CURRICULUM:

EMERGENCY CONTACT INFORMATION

EMERGENCY MEDICAL RELEASE

CHECK-OUT AUTHORIZATION FORM