Too Good for Drugs!

Grade 5, Too Good for Drugs builds a social emotional framework for drug-fee living through a fun and interactive journey of setting reachable goals, making responsible decisions, managing emotions, and refusing negative peer pressure and building positive friendships.

Students strap on their spurs as they enter the Old West with Outrage Otis and witness his hard-learned lesson about managing emotions. Then they set sail with Captain Goldsworthy to use their effective communication skills to find buried treasure.

Program is 1hr session every Friday for 15 weeks. Program starts Friday, September 3rd, 2021 @ 3:30pm. Grade: 5th Grader (10-11 Years Old) Location: San Manuel Community Center (111 W 5th Ave, San Manuel, AZ 85631)

For more information about Too Good for Drugs, you can contact Bridget Penate (520)391-0485 or bridgetp@azyp.org / Darien Mathews (310) 926-4765 or darien@azyp.org

Too Good for Drugs! (San Manuel)

Youth 's Name(Required)
How will your Youth be getting home?(Required)
Address(Required)
Parent / Guardian Information(Required)
Authorized Pick Up Contact 1(Required)
*At dismissal and/or in case of emergency the following people are authorized to pick up my child:
Authorized Pick Up Contact 2
*At dismissal and/or in case of emergency the following people are authorized to pick up my child:
Emergency Contact(Required)
EMERGENCY MEDICAL CONSENT(Required)
In case of an emergency Parent(s) / Guardian or Emergency contact cannot be reached. DO YOU GIVE PERMISSION FOR YOUR CHILD TO RECEIVE EMERGENCY MEDICAL CARE?
This consent form gives permission to seek whatever medical attention is deemed necessary, and releases Arizona Youth Partnership and its staff of any liability against personal losses of named child. I/We the undersigned are the parent(s) of legal guardian(s) of the student named above, a minor, and have given our consent for him/her to attend events being organized by Arizona Youth Partnership. I/We understand that this is a drop-in program only, and that Arizona Youth Partnership will not supervise or monitor children outside of the classroom, or if and when they leave the classroom. I/We understand that there are inherent risks involved in any youth or athletic event, and I/we hereby release Arizona Youth Partnership, and its employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by Arizona Youth Partnership, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages whatsoever arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child(Required)
Youth Media Permission Form(Required)
AZYP has permission to use my Youth's name and any photographs, videos, slides, ect. of my Youth and/or myself in stories about AZYP for the media, website, funding sources, and AZYP Material.
In-Person Programming COVID-19 Ackowledgement / Release Consent(Required)
I understand that due to the number of participants, the number of staff and volunteers, the characteristics of the virus, and the characteristics of the program (i.e., involving close proximity to other participants), that my child and/or those around him or her will have an elevated risk of contracting the virus simply by being at and participating in program activities.(Required)
I confirm that my child is not presenting any of the following symptoms of COVID-19 listed below, and that s/he will not be allowed to attend program events if s/he shows any of the following symptoms: • Fever – Temperature: over 100.4°F • Shortness of Breath • Loss of Sense of Taste or Smell • Dry Cough • Runny Nose • Sore Throat(Required)
To prevent the spread of contagious viruses and to help protect each other, I understand that I and my child will have to follow the program’s strict spread prevention guidelines.(Required)
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. I further understand that the CDC, OSHA, and Arizona Department of Health recommend social distancing of at least 6 feet.(Required)
Consent(Required)