Extended Enrichment Kindergarten Program at YOUR Home School!

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1 Extended Enrichment Kindergarten Program at YOUR Home School! QUALITY CARE AT YOUR NEIGHBORHOOD SCHOOL ENRICH your child s early educational experience by EXTENDING his or her learning and fun right at your home school! PROGRAM FEES: (Due at registration) $392 per month tuition for all day care. $50 per family annual registration fee. $13 per student for personal mat. (Total due with application $ in a check made payable to Jackson Board of Education. Registration fee is non refundable; Tuition non refundable after August 1st) Tuition fee includes any combination of childcare before or after the kindergarten session - between the hours of 7 a.m. and 6 p.m. Certified teachers will use fun and engaging activities to further develop fundamental learning and socialization skills. Activities include: - Music Appreciation - Science Experiments - Geographical Habitats Program also includes rest time and an opportunity for children to socialize with their c classmates in a relaxed educational setting. AVAILABLE FOR THE SCHOOL YEAR* * Space is limited to 20 students per class. Program must meet a minimum enrollment to run at each home school. An informational Extended Enrichment Kindergarten meeting for parents only will be held on Thursday, March 20th at 7 p.m. in the All Purpose Room at the Holman Elementary School. (Snow date-tuesday, March 25th) Registration forms with payment will be accepted at the close of the meeting and continue through April 30th on a first come first serve basis. For additional information you may contact the office or visit us online at through the Extended Enrichment Kindergarten Program link under District Resources. Breakfast* and lunch are available at reasonable rates. Children must provide their own snacks. *(Breakfast program available only at Crawford-Rodriguez, Holman, Rosenauer, and Switlik Elementary Schools) Jackson School District COMMUNITY SCHOOL P.O. Box 666 Jackson, NJ Phone: Offering quality, self-sustaining programs to serve the Jackson community.

2 EXTENDED ENRICHMENT KINDERGARTEN PROGRAM (Please circle one) My child will be attending (IF UNKNOWN OFFICE WILL COMPLETE) AM KINDERGARTEN PM KINDERGARTEN at the following school: (Please circle Home School) Crawford-Rodriguez Elms Holman Johnson Rosenauer Switlik Child s First Name Last Name D.O.B. AGE Child s First Name Last Name D.O.B. AGE Parent/Guardian #1 Parent/Guardian #2 First Name First Name Last Name Last Name Home Address Home Address City/State Zip City/State Zip Cell Cell Home Phone Home Phone Employer Employer Work Phone Ext. Work Phone Ext. PERSONS AUTHORIZED TO CALL FOR YOUR CHILD: (changes must be in writing from parent) Please give the names and phone numbers of two people who may be notified in case of an emergency or illness, when parents/guardians are not available. They will also be authorized to pick up your child. Name Work # Home # Cell # Name Work # Home # Cell # EMERGENCY CLOSING OPTION In the event of a emergency (snow, other) and school is closed early I request the following option. A. Have my child(ren) take the bus home (please initial) B. I will pick my child(ren) up at the school by early dismissal time (please initial) EMERGENCY MEDICAL RELEASE Medical Insurance Medical/Health Concerns (Company and Policy number) (Medications, Allergies, Special Needs, etc. use separate paper if necessary) Photographic permission: I Do I Do Not give permission for my child to appear in the media. I understand that the staff has been given authority to determine appropriate requests.

3 EEK TUITION AGREEMENT I, (parent/guardian) certify that presently resides with the Name of child/ren undersigned at the designated address and is a student enrolled in the Jackson Township School District. All the regulations and provisions offered by the Jackson Township School District in connection with its Jackson Community School /Extended Enrichment Program are posted on their website and I hereby agree to abide thereto. I further acknowledge that the Jackson Township Board of Education may terminate this agreement for any failure of the undersigned, or the child, to abide with the regulations and conditions referred to in the above documentation and for any other cause which the Jackson Township Board of Education feels, in its sole discretion, is not for the best interest of the child or the district, provided the undersigned receives five (5) days prior written notice. The undersigned agrees to pay all tuition payments in accordance with the Jackson Community School, between the 15th and the 25th of the month PRIOR to services rendered (See payment chart). I understand that the child/ren shall not be permitted to participate in this program if the tuition and any late charges are not received in full on the date set forth above. As per Jackson School District policy there will be no credit or refund of fees given for unused time, i.e. cancellation, vacation, illness, absences, snow day interruptions including delayed openings and early closings, etc. Due to limited program space, any delinquent account will result in cancellation of services and loss of program placement due to active waiting list. Any default in the payment of tuition or other related charges shall result in the undersigned being responsible for the same, plus interest, as well as any cost, including reasonable attorney fees, that may be necessary for the Board to expend in collecting the same. Payments are due on the 25th of each month beginning September 25th for October. You will not receive monthly bills. You may pay the tuition through our free online payment option. Please indicate below if you would like to register for the free online payment option. ONLINE PAYMENT OPTION (preferred method of payment) Register me for the free online payment option. Send an invitation to the following address. EEK TUITON CAN NOT BE PAID TO EITHER PRE-K OR CHILDCARE ONLINE ACCOUNTS. Please note: If you were registered for the online payment option through the Pre-K or Childcare program last year you must request your old account to be closed in order to use the same for EEK this year, or provide us with a different to be used with the EEK program this year. PLEASE NOTE : Any Pre-Kindergarten or Childcare Academy accounts must be up to date in order to participate in the EEK program. ALL accounts must be fully paid by June 30, 2014 in order to secure your registration in the EEK program. In acknowledgment of the terms of this agreement, please sign below. X Parent/Guardian s Signature Date Payments by check or money order must be made payable to the Jackson Board of Education and sent to: JACKSON COMMUNITY SCHOOL P.O. BOX 666 JACKSON, NJ Payment coupons available online at through the EEK program link under District Resources.

4 JACKSON SCHOOL DISTRICT EEK PROGRAM Child s First Name Last Name D.O.B. GENDER AGE Home School: (Circle one) Crawford/Rodriguez Elms Holman Johnson Rosenauer Switlik ** All EEK students eligible to ride the bus will be given an AM and PM bus pass. EEK students will not be given a pass for the middle of the school day. ** AM Kindergarten PM Kindergarten AM Kindergarten PM EEK Program AM EEK Program PM Kindergarten Crawford/Rodriguez Crawford/Rodriguez 8:45-11:15 12:25-2:55 Holman 8:45-11:15 Holman 12:25-2:55 Elms 9:05-11:35 Elms 12:45-3:15 Switlik 9:05-11:35 Switlik 12:45-3:15 Johnson 9:25-11:55 Johnson 1:05-3:35 Rosenauer 9:25-11:55 Rosenauer 1:05-3:35 Crawford/Rodriguez Crawford/Rodriguez 8:45-11:15 12:25-2:55 Holman 8:45-11:15 Holman 12:25-2:55 Elms 9:05-11:35 Elms 12:45-3:15 Switlik 9:05-11:35 Switlik 12:45-3:15 Johnson 9:25-11:55 Johnson 1:05-3:35 Rosenauer 9:25-11:55 Rosenauer 1:05-3:35 MORNING ROUTINE: From 7:00 A.M. to the start of the school day (You must fill in your choice for each day of the week / You can split your options) Option A (please check) I will bring my child to before care at their home school between 7:00 A.M. and the start of the school on the following days: Mon. Tues. Wed. Thurs. Fri. Option B (please check) My child will take the bus to school on the following mornings: (Student must be eligible for bussing) Option C (please check) My child will walk / be driven to school on the following days at the beginning of the school day: AFTERNOON ROUTINE: From the close of school until 6:00PM (You must fill in your choice for each day of the week / You can split your options) Option A (please check) My child will attend to after school child care at their home school between the end of the school day and 6:00PM on the following days: Mon. Tues. Wed. Thurs. Fri. Option B (please check) My child will take the bus home on the following afternoons: (Student must be eligible for bussing) Option C (please check) My child will walk / be picked up from school at the end of the school day on the following days: **CHILD CARE SERVICES END AT 6:00 P.M. **

5 JACKSON CHILD CARE ACADEMY JACKSON EXTENDED ENRICHMENT PROGRAM JACKSON PRE KINDERGARTEN PROGRAM SCHOOL YEAR CURRENT ENROLLMENT GUIDELINES: OPEN Enrollment for Before and After School Child Care ALL Sites LIMITED Enrollment/Sites for EEK and PRE K programs Child Care/EEK/Pre K Accounts must be PAID IN FULL in order to enroll for Registration Fee plus September 2014 tuition total is due with application by August 15th for ALL PROGRAMS to insure enrollment on first day of school, Wednesday, September 3, 2014 SUBSEQUENT MONTHLY TUITION PAYMENT DUE DATES are as follows: ALL PROGRAM SERVICES October 2014 June 2015 RECURRING ONLINE PAYMENT (SAME Amount Monthly) ONCE a MONTH ONLINE PAYMENT (Pay between the 15 th -25 th of month PRIOR to new month of services) PAYMENT BY CHECK / CASH or MONEY ORDER (Must reach us by 25 th of the month PRIOR to new month of services) OTHER CHARGES: WALK-IN (AM=$15; PM=$19/day) LATE PICK-UP ($15/EVERY 15 Minutes) October 2014 SEPTEMBER 25 September September DUE WITHIN 10 DAYS of service November 2014 OCTOBER 25 October October DUE WITHIN 10 DAYS of service December 2014 NOVEMBER 25 November November DUE WITHIN 10 DAYS of service January 2015 DECEMBER 25 December December DUE WITHIN 10 DAYS of service February 2015 JANUARY 25 January January DUE WITHIN 10 DAYS of service March 2015 FEBRUARY 25 February February DUE WITHIN 10 DAYS of service April 2015 MARCH 25 March March DUE WITHIN 10 DAYS of service May 2015 APRIL 25 April April DUE WITHIN 10 DAYS of service June 2015 MAY 25 May May DUE WITHIN 10 DAYS of service LATE PAYMENT CHARGES: $25.00/month as assessed and posted. REMINDERS: Monthly tuition is based on 180 scheduled school days each year; divided into 10 months of the school year for an average of 18 days per month. Therefore, tuition for each month is identical from September to June, inclusive. Account Holders will NOT receive monthly invoices. Account holders are responsible for monthly payments due as per the above detailed chart. Although not the desired outcome, when warranted Jackson School District will exercise its right to place a child s enrollment in jeopardy and/or be cancelled due to non-payment of tuition/other charges for services rendered. Effective immediately we will more closely abide by the agreed upon/contracted regulations stated on your signed application as we can no longer allow accounts to go unpaid for extended periods.

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