All Aboard Participant Application

We send out a newsletter once a month with information about upcoming activities, and in the fall we send out more frequent emails about our fall fundraiser. Please enter an email address here ONLY IF YOU'D LIKE TO BE ON OUR NEWSLETTER MAILING LIST:

Please fill out this page to the best of your ability. Lack of necessary information here will result in the rejection of this application form until billing information is provided.

This contact information should be someone who lives with the participant.

While none of the All Aboard staff are medical providers, we strive to protect our participants' health as best we can. We are not responsible for diet restrictions. Please send appropriate snacks if medically necessary. We will do our best to accommodate when possible. Please provide detailed responses in this section in case it's needed for emergency responders. If the answer does not apply, type in either "NA" (Not Applicable) or leave blank. We have taken steps to ensure that the information entered into this form is secure and HIPAA compliant.

All Aboard is an activities program for adults with special needs. Our mission is to provide recreational, social, and educational activities for adults with special needs and help them develop an active, positive, and inclusive lifestyle. Because All Aboard is an activities center only, we do not provide medical care. If a participant requires assistance with eating, using the restroom, or taking medication, then a caregiver must attend All Aboard with the Participant. All Aboard staff will not administer medication and will only assist in the restrooms in case of emergency.

1. Participants will only be charged for sessions attended. If a participant is present for at least 60 minutes of a session, they will be charged for the entire session. 2. We offer a morning session from 9am-noon. Drop-off for morning sessions is between 8:30am and 9am and pick-up for morning sessions is between noon and 12:30pm.3. We offer an afternoon session from 12:30-3:30pm. Drop-off for afternoon sessions is between noon and 12:30pm, and pick-up for afternoon sessions is between 3:30pm-4pm.4. Attendance will be taken for each session.5. A participant will not be released to someone who is not their parent/guardian, or is not listed above ("Who has permission to pick up the Participant?" in Section 1 of this form), unless it is DART or PARA transit and the participant's name is on the official roster. 6. If there is a change in attendance, it is up to the care provider to contact DART or PARA to cancel the participant's ride.

All Aboard staff will do their best to prevent participants with allergies from ingesting foods they are allergic to. However, participants often share snacks from home and therefore All Aboard may not be able to prevent such ingestion at all times. If your participant has a severe allergy, it is best that a caregiver attend All Aboard with them.

All snack and lunch times are monitored by staff members. Lunch time is 12-12:30. Healthy snacks are passed around by staff at 10am and 2pm daily at no extra charge. 1. If a participant intends to stay at All Aboard for the entire day (both sessions), they will be required to bring an appropriate lunch each day (limited in sugar and caffeine). If a participant is staying for the full day and does not bring a lunch, a lunch may be provided and charged $5 to the participant's account. 2. We don't provide refrigeration for packed lunches and snacks, but a microwave is available. 3. The "Snack Shack" is open daily and offers snacks for purchase. Items vary and are based upon requests of the participants (up to 2 requests each). There are also a few lunch items like microwaveable mac-n-cheese or ravioli. Snacks are $0.50, Soft drinks are $1.00, and Lunch items are $2.00.

If a participant is sent to All Aboard when they have been suspended, have been notified that they may not attend due to causing disruption to our activities, or have an unpaid bill older than 30 days, the caregiver will be called to pick the participant up and they must be picked up within ONE hour. After one hour, if the participant has not been picked up, All Aboard will charge $75 per hour until they are picked up. A report may be made to DSHS depending on the situation.

Expensive items should not be brought to All Aboard as staff will not be held responsible for their loss. Unidentified items that are found will be held in our "Lost and Found" for up to 30 days.

1. All Aboard reserves the right to remove a participant if he/she poses a safety threat to staff members or other participants.2. All participants must be at least 18 years of age and be able to feed themselves and care for themselves while in the restroom. All Aboard DOES NOT provide individual assistance with feeding or in the restroom with the exception of emergencies. Repeated need for assistance will require the participant to bring a parent/guardian/caregiver with them while attending All Aboard. 3. All participants must annually update registration and emergency contact information when requested. 4. Participants must abide by All Aboard rules and follow the directions of instructors.

1. Once per quarter, a mock fire drill will be performed so all participants are familiar with the procedure and exit strategies. 2. In the event of an emergency, All Aboard staff will blow a whistle signaling to other staff and volunteers to evacuate their participants from the building. 3. Staff will bring all participants to designated safe areas outside the building while the problem is resolved. 4. Staff will call caregivers of each participant present for pick up once it is safe to do so.

If a participant is ill, All Aboard staff will call the Emergency Contacts (listed in Section 2 of this form) to come pick up the participant. If requested, the participant must be picked up within ONE HOUR. If the participant has not been picked up within one hour, All Aboard will charge a fee of $75 per hour for isolation care. In the event of a serious illness or injury, if the Emergency Contacts cannot be reached in time, the participant may be transported to the nearest hospital for immediate care and treatment. Please report contagious conditions to the All Aboard office staff when they occur. We reserve the right to require a note from a healthcare provider prior to the participant's return. A participant should stay home at the first sign of a communicable disease. By doing so, you are protecting the All Aboard community from exposure to the illness. Signs a participant should stay home: 1. FEVER: A participant should remain at home if they have a fever higher than 100.4 degrees Fahrenheit (the CDC considers a person to have a fever at that temperature. The participant may return to All Aboard after they have maintained a normal temperature (between 97 and 100.3 degrees F) for at least 24 hours without the use of fever-reducing medicine (such as Tylenol or Motrin).2. VOMITING: If a participant has vomited in the last 24 hours, they should not be sent to All Aboard. 3. DIARRHEA: If a participant has had three or more watery stools in a 24-hour period, they should be kept home and return only after being symptom-free for 24 hours. 4. COLDS: It is important for a participant to stay home at the beginning of a cold, as it is the most infectious time and when she/he feels the worst. Please keep the participant at home if they are experiencing discomfort that would interfere with their ability to participate activities (e.g. coughing, severe lack of energy). If the participant experiences green or yellow nasal discharge that continues throughout the day, a cough that lasts longer than 10 days, or is accompanied by a fever or chills and is productive of discolored sputum, please consult with your physician. The participant should only return to All Aboard when they no longer have symptoms and feel well. 5. COUGH OR CONGESTION: The participant should remain home if the cough or congestion interferes with breathing and/or if wheezing. 6. CONJUNCTIVITIS (PINK EYE): Following a diagnosis of bacterial conjunctivitis, the participant may only return to All Aboard 24 hours after antibiotic treatment has begun. Participants with viral infection may return when eyes are clear. 7. COXSACKIEVIRUS (HAND, FOOT, AND MOUTH DISEASE): A participant must stay home during the acute stage of illness during fever or while lesions are present.8. HEAD LICE: A participant may return to All Aboard only after treatment and when hair is free of nits. The participant's head will be checked by staff. The participant will be sent home if they arrive at All Aboard before the required 24-hour healing period. The participant must be picked up within ONE HOUR. If they are not picked up within one hour, All Aboard will charge $75 per hour for isolation care.

Some of our participants may have issues with behaviors that disrupt activities and scare other participants. Staff will do their best to remove the disruptive participant to a calm area and help them with calming exercises. Intentional disruptive behavior will be addressed by staff adhering to All Aboard's Discipline Policy. Corporal punishment is never used. Rather, time outs will be given if a participant becomes increasingly irritated, loud, or nonresponsive to staff direction. Caregivers may be called if there is an ongoing issue, and the participant may be removed from All Aboard if necessary and/or may receive suspension if behavior continues. If the participant's caregiver is called, the participant must be picked up within ONE HOUR. If the participant has not been picked up within one hour, All Aboard will charge a fee of $75 per hour. We reserve the right to refuse service to participants that cause disruption to our activities.

All of the information held within this document covers all activities both on-site and off-site of All Aboard. Please sign your name below to indicate that you have read, agreed to, and understood all the information in the Participant Application Form. The information in this packet is very important to All Aboard and to the participants that attend. Please share this information with the caregiver if the participant does not live with you.