Parent Application

Application Type * Required

Parent Last Name * Required

Parent First Name * Required

Street Address * Required

City * Required

Zip Code * Required

Work Phone

Cell Number * Required

Parent Birth Date (mm/dd/year) * Required

Gender * Required

Email * Required

Overtown Youth Account Password * Required

Race * Required

Are you a parent, guardian, or primary caregiver? * Required

Living Situation * Required

Number of People in Household

* Required

Number of Children (Under 18) in Household

* Required

Marital Status * Required

Education Level * Required

Are You Employed At This Time * Required

Income Level * Required

Health Insurance * Required

Cick here to read the Student and Family Handbook

I have read and downloaded the OYC Parent Handbook and Broward County Parent Handbook. I understand my rights and responsibility as an Overtown Youth Center/ Honey Shine parent.

Handbook Confirmation * Required

Privacy and Confidentiality Statement

Overtown Youth Center and Honey Shine Inc. is committed to protecting your privacy and any personal and/or sensitive information that you give us to help us provide a high quality service.

Information considered personal and sensitive may include:

Your personal details: Name, address, contact details, children's and parent personal information.

Information related to your situation: History of domestic violence/homelessness, legal, medical, child protection etc.

Documentation, referrals: Case notes, referral documentation, legal documents etc.

Disclosure of Information

Personal and sensitive information you provide will not be disclosed or shared with anyone else without your prior verbal and/or written consent. There may be circumstances when personal and sensitive information will be disclosed, such as:

-When there is a duty of care to protect a client's safety, including children, and related persons. (Staff are mandatory reporters and must notify the relevant authorities when children are being harmed, have been abused and/or are at risk of harm.)

-If required by law, when documents are subpoenaed for legal purposes by courts, FACS, legal firms representing clients etc.

-General statistical information and data is collected and used in service reports, research and to apply for grants/funding etc, however private client details are not disclosed.

Collection and Storage of Information

Information collected is securely and accurately recorded. Information is confidential and necessary precautions will be taken to keep it safe and secure. Information is stored in case files and on client databases. All paper files are stored in secured locked cabinets. Databases are secure and are firewall protected and security coded. All facilities have security measures in place.

TERMS AND CONDITIONS

Disclaimer/Terms of Use of Website

You agree to be bound by these terms of use by accessing, browsing, opening or otherwise using any part of this website.

-The information contained in or linked to this website is general information. Nothing on this site purports to be advice. -Any content, including publications on this website, is intended to provide information and a general overview.

Liability

-The Overtown Youth Center and Honey Shine Inc. Website makes no warranties or representations about this website or any of the content. We exclude, to the maximum extent permitted by law, any liability that may arise as a result of the use of the website, its contents or the information on it.

-The Overtown Youth Center and Honey Shine Inc. is not responsible to you or any person for any loss suffered in connection with the use of the website or any of the content. This includes, but is not limited to, the transmission of any computer virus.

-We will never be liable for any indirect, incidental, special or consequential loss arising out of the use of this website, including loss of business profits.

Privacy Statement

-This site collects and analyses limited information from users.

-We record your visit for statistical purposes, the date and time, pages accessed and documents downloaded to assist us in analyzing statistics to assist us in improving our services and the information provided.

Privacy and Confidentiality Statement * Required

As part of my voluntary participation in this program, I give my permission for the information collected through this program to be submitted to The Children's Trust for program evaluation and quality purposes. The Children?s Trust provides funding for the program to operate and follows strict data privacy protections for the information collected.

The Childrens's Trust Parent Consent Form * Required

The Childrens's Trust Parent Consent Form: Date * Required


Please wait while the page loads. Do not click the back button on your browser. Parent Application Registration Fee Requirements: Following the submission of your online application, parents/guardians will receive a phone call from the Family Services department within 5-7 business days. In preparation of this call, parents are asked to secure their most recent student report card and copies of the child's Individualized Education Plan (IEP) if applicable. $25.00 registration fee will be required per student for After School Programming for both OYC Miami and Camp Honey Shine programs $100.00 registration fee will be required per student for Summer Programming for both OYC Miami and Camp Honey Shine programs. The OYC Miami Family Services Team will inform parents/caregivers of how to make payments for student registration. Application Type * Required Parent Last Name * Required Parent First Name * Required Street Address * Required City * Required Zip Code * Required Work Phone Cell Number * Required Parent Birth Date (mm/dd/year) * Required Gender * Required Email * Required Overtown Youth Account Password * Required Race * Required Are you a parent, guardian, or primary caregiver? * Required Living Situation * Required Number of People in Household * Required Number of Children (Under 18) in Household * Required Marital Status * Required Education Level * Required Are You Employed At This Time * Required Income Level * Required Health Insurance * Required Cick here to read the Student and Family Handbook I have read and downloaded the OYC Parent Handbook and Broward County Parent Handbook. I understand my rights and responsibility as an Overtown Youth Center/ Honey Shine parent. Handbook Confirmation * Required *Privacy and Confidentiality Statement* Overtown Youth Center and Honey Shine Inc. is committed to protecting your privacy and any personal and/or sensitive information that you give us to help us provide a high quality service. Information considered personal and sensitive may include: Your personal details: Name, address, contact details, children's and parent personal information. Information related to your situation: History of domestic violence/homelessness, legal, medical, child protection etc. Documentation, referrals: Case notes, referral documentation, legal documents etc. Disclosure of Information Personal and sensitive information you provide will not be disclosed or shared with anyone else without your prior verbal and/or written consent. There may be circumstances when personal and sensitive information will be disclosed, such as: -When there is a duty of care to protect a client's safety, including children, and related persons. (Staff are mandatory reporters and must notify the relevant authorities when children are being harmed, have been abused and/or are at risk of harm.) -If required by law, when documents are subpoenaed for legal purposes by courts, FACS, legal firms representing clients etc. -General statistical information and data is collected and used in service reports, research and to apply for grants/funding etc, however private client details are not disclosed. Collection and Storage of Information Information collected is securely and accurately recorded. Information is confidential and necessary precautions will be taken to keep it safe and secure. Information is stored in case files and on client databases. All paper files are stored in secured locked cabinets. Databases are secure and are firewall protected and security coded. All facilities have security measures in place. TERMS AND CONDITIONS Disclaimer/Terms of Use of Website You agree to be bound by these terms of use by accessing, browsing, opening or otherwise using any part of this website. -The information contained in or linked to this website is general information. Nothing on this site purports to be advice. -Any content, including publications on this website, is intended to provide information and a general overview. Liability -The Overtown Youth Center and Honey Shine Inc. Website makes no warranties or representations about this website or any of the content. We exclude, to the maximum extent permitted by law, any liability that may arise as a result of the use of the website, its contents or the information on it. -The Overtown Youth Center and Honey Shine Inc. is not responsible to you or any person for any loss suffered in connection with the use of the website or any of the content. This includes, but is not limited to, the transmission of any computer virus. -We will never be liable for any indirect, incidental, special or consequential loss arising out of the use of this website, including loss of business profits. Privacy Statement -This site collects and analyses limited information from users. -We record your visit for statistical purposes, the date and time, pages accessed and documents downloaded to assist us in analyzing statistics to assist us in improving our services and the information provided. Privacy and Confidentiality Statement * Required As part of my voluntary participation in this program, I give my permission for the information collected through this program to be submitted to The Children's Trust for program evaluation and quality purposes. The Children?s Trust provides funding for the program to operate and follows strict data privacy protections for the information collected. The Childrens's Trust Parent Consent Form * Required The Childrens's Trust Parent Consent Form: Date * Required Please leave this checkbox blank