This participation agreement is the SECOND required form in the application process and should be completed after the Student Intake Form. Families must complete the Student Intake Form first so program staff have the student’s: Academic, Contact, Emergency, Transportation and Teacher Information before reviewing this agreement.

Please review each section carefully, check the applicable permission and transportation options, complete all blank lines and sign where required.

A student’s application is NOT COMPLETE until BOTH the Student Intake Form and this Participation Agreement have been submitted.

At San Francisco Students Back On Track we believe every student deserves the opportunity to thrive academically and build the confidence to succeed. We provide personalized One-on-One tutoring and structured academic support to students 3rd through 12th grade.

We help students:

• Strengthen foundation skills
• Complete homework with confidence
• Reach their full academic potential

Through partnership with students, families, teachers and caring tutors, we create individualized learning experiences that reflect each student’s needs and goals. Our on-going progress monitoring, skill-based instruction and meaningful mentorship help students grow both inside and outside the classroom.

More than a tutoring program, San Francisco Students Back On Track is a community committed to empowering students with the Knowledge, Confidence and Resilience they need to succeed in school, prepare for future opportunities and become lifelong learners in a safe, encouraging and inclusive environment.

Tutoring begins Monday, October 5, 2026, and ends Wednesday, May 26, 2027.
Instructions: Day(s) attending must match the day(s) indicated on the student intake form. Select one of the following:

• Regular attendance is essential for academic progress.
• Parents/guardians must notify staff at least 24 hours in advance if a student will be absent, or as soon as possible if a student will be late.
• Excessive absences, defined as missing half of scheduled sessions in a quarter, may result in a review of participation.
• For student safety, students must be picked up promptly at the end of each session.

Students are expected to:
1. Arrive on time and ready to participate.
2. Bring all necessary materials (homework, books, supplies).
3. Show respect toward tutors, staff, and peers.
4. Follow all program rules.
5. Maintain a positive attitude and open mind toward learning.
6. Avoid disruptive or unsafe behavior.
Failure to meet these expectations may result in a parent conference or dismissal from the program.

Parents/guardians agree to:
1. Support consistent attendance and punctuality.
2. Communicate with staff about academic goals and concerns.
3. Review their child’s progress and assignments.
4. Notify staff of any changes to contact information or schedule.
5. Provide permission and current contact information for program staff to communicate with their child’s teacher(s)
6. Drop off and pick up their child on time.

Safety: The program provides a supportive, inclusive, and respectful environment. Bullying, harassment, or unsafe behavior will not be tolerated.
Electronics: Personal electronic devices may only be used for academic purposes during sessions.
Dinner: Healthy dinners will be provided from 5:30 PM to 6:00 PM. Please inform staff of any food allergies.
Emergencies: Staff will follow emergency procedures and contact parents/guardians as needed.

The student intake form must include current emergency contacts, allergies or medical needs, teacher contact information, authorized pickup persons, transportation details, and relevant academic goals or concerns.

I hereby grant permission for my child to be photographed and/or recorded during program activities. I understand that photos and videos may be used for educational, promotional, or informational purposes related to the After-School Tutoring Program (including flyers, newsletters, websites, or social media).