Dear Parents, RATES: Registration fee (non-refundable) $50.00*

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1 Dear Parents, The Child Development Center staff at Northwest-Shoals Community College continuously works to provide the highest quality care for your preschool child. Our well-trained teachers provide a happy, safe and learningfriendly environment for the children in their care. These are our goals while at the same time striving to keep tuition rates as affordable as possible, especially for our students. The following current rates are subject to change. RATES: Registration fee (non-refundable) $50.00* Full-Time Mon. Fri. 7:00 a.m. to 5:00 p.m. $95.00 per week Part-Time Daily Rate 7:00 a.m. to 5:00 p.m. $27.00 per day Half-Day with lunch Mon. Fri. 7:00 a.m. to 12:30 p.m. $25.00 per day Half-Day w/o lunch Mon. Fri. 7:00 a.m. to 11:30 a.m. $22.00 per day Extra Days $30.00 per day The NW-SCC Child Development Center accepts CMA for those children qualifying. We encourage you to apply for this service if you feel that you qualify. If you would like additional information on this, contact the Childcare Management Agency at (256) or our billing clerk, Jacque Jefferys at (256) Your understanding and cooperation is greatly appreciated and we welcome your questions in this matter. Sincerely, Jacque Jefferys, Coordinator Northwest-Shoals Community College Child Development Center

2 A word concerning licensing and accreditation: The State of Alabama requires that persons operating daycare/childcare centers in the state of Alabama be licensed through the Alabama Department of Human Resources. There are exceptions to this mandate, however. Childcare centers operated by churches and governmental agencies (ie, public schools) are exempt from this licensure requirement. Northwest-Shoals Community College Child Development Center falls in this last category. As a state agency, we are exempt from licensure by the Department of Human Resources. However, we voluntarily adhere to all of the standards set forth in the Alabama Minimum Standards for Day Care Centers by DHR. A copy of the Minimum Standards is available for your review in the Child Development Center office at any time. Additionally, we are accredited by the National Association for the Education of Young Children (N.A.E.Y.C.), which is a national accreditation and is an indicator of the highest quality programs for young children. Both DHR Licensing and NAEYC accreditation provide standards that must be met for the following: teacher/child ratio, qualified teachers/staff, square footage of indoor and outdoor physical space required per child, equipment and materials needed for safe environment daily, nutritious meals and snacks served daily, as well as other requirements contributing to a safe and nurturing environment for children. As a parent, you can be assured that NW-SCC Child Development Center adheres to these guidelines and will provide the highest quality environment and qualified staff to insure your child s optimal development in all developmental areas (cognitive / intellectual, physical, social and emotional). 2

3 PRE-SCHOOL 3 YEAR OLDS NW-SCC CHILD DEVELOPMENT CENTER MUSCLE SHOALS CAMPUS SCHOOL CALENDAR First Day of Fall Semester Monday, August 20, 2012 Labor Day Holiday Monday, September 3, 2012 Professional Development Friday, November 9, 2012 Veteran s Day Holiday Monday, November 12, 2012 Thanksgiving Holidays Wed., Nov 21-Fri., Nov 23, 2012 Christmas Holidays Thur., Dec 20, 2012-Thur., Jan. 2, 2013 Center Re-opens Thursday, January 3, 2013 King/Lee Holiday Monday, January 21, 2013 Spring Break March 25-March 29, 2013 Memorial Day Holiday Monday, May 27, 2013 Independence Day/Holiday Thursday, July 4, 2013 Last Day of Summer Term Wednesday, August 7, 2013 (Revisions to this calendar may be made as necessary.) NOTE: The NW-SCC Child Development Center will be CLOSED anytime public notice is given that NW-SCC is closed for bad weather or any other reason. If this occurs, announcements will be made over the local radio and television stations. NW-SCC STUDENTS should pick up their children IMMEDIATELY when classes are closed for weather or other unexpected reasons.. 3

4 CHILD DEVELOPMENT CENTER DAILY SCHEDULE 7:00-8:00 Books, Puzzles, Table Toys, Centers 8:00-8:10 Clean-Up 8:10-8:30 Group Time 8:30-8:40 Restroom/Hand Washing/Free Choice Book 8:40-9:10 Breakfast 9:10-9:30 Tooth Brushing/Individual Skill Development 9:30-9:45 Music/Movement 9:45-10:30 Outdoor Play 10:30-11:00 Small Group Time/Art 11:00-11:15 Restroom/Hand Washing/Free Choice Book 11:15-11:25 Story Time 11:25-12:15 Lunch/Clean-up 12:15-12:30 Restroom/Hand Washing/Story Time 12:30-2:00 Nap Time 2:00-2:45 Outdoor Play 2:45-3:00 Restroom/Hand Washing 3:00-3:15 Snack 3:15-4:00 Small Group/ Music/Art 4:00-4:15 Story Time/Small Group 4:15-4:45 Books, Puzzles, Table Toys 4:45-5:00 Clean-Up/Prepare to go Home NOTE: All children should be picked up from the center by 5:00 p.m. Children remaining after 5:00 will be charged $5.00 per 5 minutes. 4

5 CHILD DEVELOPMENT STUDENTS Dear Parents: The Child Development Center at Northwest-Shoals Community College is also a vital part of our Child Development training program. Throughout the year, child development students are required, as an important part of their internship, to do observations and interactions with the children. These students have been and are being trained in all areas of child development and contribute in a very positive manner to our program. All child development students will be properly tagged before entering the center. Also, anyone working with the children will be approved through the Alabama Department of Human Resources prior to their involvement in the center. We look forward to a year of many wonderful learning experiences with your child. If you have any further questions regarding our program, please do not hesitate to ask. Yours, truly, Diann Durdunji, Instructor Jacque Jefferys, Child Development Center Coordinator Dear Parents, LUNCH FORM Included in this packet, you will find a lunch form to complete; it is mandatory that you complete this form. We are required by the state to have a current form on file for each child participating in our program. This form is not shared with the public and no one is allowed to see this information but office personnel. The information included on this form is used to determine the reimbursement rate to the College for the food your child receives. This will not in any way affect the amount of your bill. If you have any questions, please do not hesitate to call me at Thank you for your understanding in this matter. Sincerely, Jacque Jefferys, Child Development Center Coordinator 5

6 CHILD S PREADMISSION RECORD THIS SECTION IS TO BE COMPLETED BY THE CHILD S PARENT OR GUARDIAN. THIS FORM MUST BE KEPT IN THE CHILD S FILE IN THE CHILD CARE FACILITY. NW-SCC STUDENT # / / COMMUNITY/OTHER NW-SCC FACULTY/STAFF REGISTRATION DATE / / DATE CARE TO BEGIN / / TYPE OF CARE: FULL-TIME PART-TIME INDICATE BELOW WHAT DAYS AND TIMES SERVICE IS NEEDED: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY CHILD S NAME AM UNTIL PM CHILD S HOME ADDRESS NAME CHILD IS KNOWN BY: CHILD S SS# HOME PHONE NUMBER: ( ) CHILD S BIRTHDAY NAME(S) OF PARENT(S) / GUARDIAN(S): MOTHER S SS# FATHER S SS# ADDRESS OF PARENT(S)/GUARDIAN(S) MOTHER S EMPLOYER: EMPLOYER S ADDRESS FATHER S EMPLOYER: EMPLOYER S ADDRESS EMPLOYER S PHONE # ( ) LIST PHONE # S (BEEPER, CELL, ETC.) EMPLOYER S PHONE # ( ) INSTRUCTIONS REGARDING HOW PARENT/GUARDIAN MAY BE REACHED IN AN EMERGENCY: PERSON(S) TO BE CONTACTED IN AN EMERGENCY IF PARENT(S)/GUARDIAN CANNOT BE REACHED: NAME RELATIONSHIP TO CHILD ADDRESS PHONE # EMERGENCY AUTHORIZATION: I GIVE MY PERMISSION FOR THE CHILD CARE FACILITY TO OBTAIN EMERGENCY MEDICAL TREATMENT, INCLUDING EMERGENCY TRANSPORTATION, FOR MY CHILD IF I CANNOT BE REACHED IMMEDIATELY. IAGREE TO BE RESPONSIBLE FOR ANY EMERGENCY MEDICAL EXPENSES INCURRED. I GIVE PERMISSION FOR THE CHILD CARE FACILITY TO ADMINISTER SYRUP OF IPECAC TO MY CHILD IN ACCORDANCE WITH INSTRUCTIONS FROM THE POISON CONTROL CENTER. (IF PARENT/GUARDIAN REFUSES TO SIGN, INSTRUCTIONS MUST BE ATTACHED STATING WHAT PROCEDURE THE FACILITY IS TO FOLLOW IN AN EMERGENCY.) / PARENT/GUARDIAN SIGNATURE DATE 6

7 CHILD S PREADMISSION RECORD (CONT.) PAGE 2 OF 2 DESCRIBE ANY SPECIAL NEEDS OR INSTRUCTIONS BELOW: PERSON(S) THE CHILD MAY BE RELEASED TO: NAME RELATIONSHIP TO CHILD ADDRESS PHONE SIGNATURE OF PARENT/GUARDIAN DATE I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN: (CHECK YES OR NO AND SIGN EACH LINE) ACTIVITIES AWAY FROM THE FACILITIES: YES NO SIGNATURE OF PARENT/GUARDIAN DATE TRANSPORTATION PROVIDED BY THE FACILITY: YES NO SIGNATURE OF PARENT/GUARDIAN DATE SWIMMING/WADING ACTIVITIES PROVIDED BY THE FACILITY YES NO SIGNATURE OF PARENT/GUARDIAN DATE FORM NOT VALID WITHOUT SIGNATURE OF CHILD S PARENT/GUARDIAN IN EACH SPACE INDICATED ABOVE. NAME OF CHILD S DOCTOR: ADDRESS: PHONE #: TO BE COMPLETED BY STAFF. CHILD S FIRST DAY OF ATTENDANCE: WITHDRAWAL DATE: 7

8 CHILD DEVELOPMENT CENTER REGISTRATION FORM Parent Marital Status: Single Married Divorced Widowed Separated Person(s) having legal custody of child: Is either of the above step-parents? Yes No If yes, who? Brothers, Sisters, or other children living in the same household: Name Relationship Sex Age Does child have any allergic conditions? Yes No If yes, please explain. Language child uses to tell when he/she needs to use the bathroom Food child especially likes: Food child refuses to eat: IS THERE ANY OTHER INFORMATION THAT WOULD HELP THE TEACHER IN RELATING TO OR INSTRUCTING YOUR CHILD? (MEDICAL NEEDS, FEARS, CURRENT INTERESTS OR DISLIKES, ETC.) Signature of Parent

9 PARENT(S) SCHOOL SCHEDULE: Name of Parent Date SSN# Major Field of study: Name of College/University Monday Class Time Instructor Room Number Tuesday Wednesday Thursday Friday

10 Dear Parents, We are looking forward to working and interacting with your child at Northwest-Shoals Child Development Center. In order for your child to experience a safe and happy environment, we have established the following limits and resulting consequences. We will be going over these limits on a daily basis with your child and ask that you go over them at home with your child. Thank you for your help. Yours truly, Sonya Burkhart, Preschool Teacher Elaine Malone, Preschool Teacher Joe Guzman, Preschool Teacher 1. Walk when inside. 2. Keep hands, feet and objects to yourself. 3. Be kind to your friends and pets. 4. Take care of our toys and games. 5. Follow ALL teacher directions. Limits Consequences If your child chooses to go beyond the limits set at our center, the following consequences will result: 1. 1 st time: The expected behavior will be reviewed with the child explaining the reasons(s) for the limit(s) nd time: Time-out (1 minute per year of child s age) or until child chooses to return to the group and participate in a positive manner. 3. Severe Clause: This includes children inflicting deliberate pain on another child or caregiver. Parent(s) will be called immediately. I,, have read and understand the above limits and consequences concerning my child s behavior and have gone over these with my child. Parent s Signature Date

11 Responding to Challenging Behavior If a child begins losing control or becomes overwhelmed, provide more structure. This can be achieved by offering fewer choices and providing more specific directions to follow. Include movement activities whenever possible. Make sure movement opportunities are scheduled throughout the day. Avoid power struggles. When disciplining, use clear direction and enforce limits with reasonable, related, and respectful consequences. Do not overreact, or raise your voice. Deal with behavior problems calmly. This will help the child gain control and trust in your support and guidance. When YOU become overwhelmed and drained, seek the counsel of a supportive friend or co-worker. Involve the families to develop an individualized plan that will support the child s success. Suggestions adapted from "Responding Professionally and Compassionately to Challenging Behavior" by Karen Stephens

12 NW-SCC Child Development Center Assessment Plan Upon entering our program, you as parents will have input through our registration process in identifying different interests and needs of your child. Every child who attends the NW-SCC Child Development Program will be assessed using the Ages and Stages Questionnaire Assessment Tool or the Creative Curriculum Assessment Tool within the first six weeks of entering the program. This tool describes the developmental progress of children and gives valuable information concerning the child s level of development. If a need is identified at this time, a parent meeting will take place to allow parents to make an informed decision concerning further diagnostic assessment of their child. The Ages and Stages tool, along with the LELA and Creative Curriculum Assessment will be used in evaluating the effectiveness of our curriculum and adapting teaching practices as necessary to improve the program for you and your family. Information gathered from each of these tools will be shared with you with mid-year and end-of-year parent conferences. Other meetings may be scheduled as needed if needed by the teachers or parents. Assessment tools will be used for these purposes: 1. Arranging for developmental screening and referral for diagnostic assessment when indicated. 2. Identifying children s interests and needs. 3. Evaluating the development progress and learning of children. 4. Improving curriculum and adapting teaching practices in the environment. 5. Planning program improvement. 6. Communicating results with families. Assessment tools will include the following: 1. Ages and Stages Questionnaire 2. Language and Emerging Literacy Assessment 3. The Creative Classroom Developmental Continuum Assessment All records collected for each child attending NW-SCC Child Development Programs will be shared with the parents and with referral agencies with the written consent of the parent. All records are kept confidential in the office of the Coordinator.

13 NORTHWEST-SHOALS COMMUNITY COLLEGE CHILD DEVELOPMENT CENTER TUITION PAYMENT AGREEMENT FORM Our goal is to offer the best quality care for your child at an affordable tuition rate. We are a non-profit center and we must pay our operating expenses as we go. Therefore, it is necessary that we enforce the following policy concerning tuition payment. 1. Fees are due in ADVANCE each week, or month. 2. Tuition payments that become two weeks delinquent will have a $15.00 late fee added. If tuition payment becomes MORE THAN TWO WEEKS delinquent, child care services for the child will be discontinued unless special arrangements have been made with the Director or Secretary for payment. If services are discontinued, the $50.00 registration fee will be required before the child s can be readmitted to the center. 3. If your child is registered as full-time, Monday through Friday, you are expected to pay the weekly tuition charge each week, regardless of the number of days your child is absent. 4. If your child is registered as part-time 1, 2, 3, or 4 days a week, you are expected to pay the weekly charge for that number of days, whether your child attends all of the agreed upon attendance days or not. 5. If you wish to bring your child on a day for which he/she is not registered, it is necessary that you get approval ahead of time by a teacher or the director. There is a $25.00 per day charge. I, the undersigned, have read the information and I agree to all items stated. Having read and agreed to all tuition policies, I do hereby enroll in the Child Development Center at Northwest-Shoals Community College. Signature of Parent or Legal Guardian

14 PERMISSION TO BE PHOTOGRAPHED Dear Parents, Often times during the course of a year, the children enrolled in the Northwest-Shoals Community College s Child Development Centers will be photographed or videotaped for promotional services such as brochures, pamphlets, catalogs, and other such materials along with local news media coverage. Because of this we need a signed permission slip on file giving permission for your child to be photographed or videotaped for the above purposes. Thank you. We look forward to working with your child this year. Yours truly, Jacque Jefferys Coordinator, Child Development Center Northwest-Shoals Community College has my permission to be videotaped and/or Child s Name photographed while enrolled in Northwest-Shoals Community College s Child Development Centers. Parents Signature Date

15 NORTHWEST-SHOALS COMMUNITY COLLEGE CHILD DEVELOPMENT CENTER RELEASE FORM Telephone numbers where parent(s) can be reached during time child is at the center: Child s Name Mother Father I, the undersigned, do hereby with my signature, release Northwest-Shoals Community College, its administration, child development directors, teachers, and staff from any and all liability in the case of an accident while on the campus of Northwest-Shoals Community College, or while involved in any authorized field trip. Signature Date ARRIVAL AND DEPARTURE PLAN I,, or a person authorized by me will bring (Parent or Guardian), to NW-SCC Child Development (Child s Name) Center at approximately everyday. I will walk him/her to the (arrival time) door and see that he/she gets to his/her teacher on arrival. On departing from NW-SCC, I will meet him/her at the door at approximately. If there is any (departure time) change in this plan, I will send the teacher a written notice of this change as it occurs. Parent s Signature Date

16 MEDICAL INFORMATION Child s Doctor: Office Address: Street City State ZIP Telephone: After Hours Telephone: Should my child become ill or suffer an injury of any nature while he or she is in the care of the NWSCC Child Development Center, the center shall undertake to contact me immediately. In the event they are unable to reach me immediately, the center and/or its designated staff shall be authorized to secure and consent to such medical attention, treatment and services for my child as may be deemed necessary. Any qualified person providing such required medical attention, treatment or services may accept such consent as if given by me in person. I agree to assume responsibility for payment of all medical costs incurred. Signature of both parents is needed: Father s Signature Mother s Signature Date Date Through the National Association for the Education of Young Children (N.A.E.Y.C.) accreditation criteria for health standard, the following information is required to be in your child s file: 1. Does your child have health insurance? Yes No 2. Please give the names of individuals authorized to have access to health information about your child:

17 NORTHWEST-SHOALS COMMUNITY COLLEGE CHILD S MEDICAL REPORT Child s Name Date of Birth Parent s or Guardian s Name Address Telephone Number *Attach Certificate of Immunizations (blue slip). I examined this child on (date). I find him/her to be in good physical condition, free of contagious and infectious diseases, and capable of participating in day care activities, except as noted below. Date Physician s Signature

18 NORTHWEST-SHOALS COMMUNITY COLLEGE CHILD DEVELOPMENT CENTER EMERGENCY MEDICATION In the event of accidental poisoning and/or allergic reactions, I give my permission to the Northwest-Shoals Community College Child Development Center to administer the necessary emergency medications as directed by the Center for Poison Control regarding accidental poisoning or the necessary dosage of Benadryl as indicated on the medicine container for the age of the child for allergic reactions. (Also, please note that in the event of the above emergency, the parents will be immediately contacted and the child driven to the nearest emergency room.) Please administer / DO NOT administer (circle one) medication as indicated above. Parent s Signature Parent s Name Please Print Date Child s Name

19 Emergency Information Sheet (ALL INFORMATION IS REQUIRED) Child s Name: Address: Home Phone Number: The following contacts need to be the persons and phone numbers to be called in case of bad weather, emergency, etc. Please list the contacts in the order you wish them to be called. If you, the parent/guardian, are the first person we need to contact, list your name and the phone number as the 1 st contact. If any of these numbers change during the year, please contact the office with the correct information as soon as possible. 1 st Contact: Name: Relationship: Contact Numbers: 2 nd Contact: Name: Relationship: Contact Numbers: 3 rd Contact: Name: Relationship: Contact Numbers: Please list any allergies your child may have: Physicians Name: Address: Phone Number:

20 NW-SCC* PRE-SCHOOL 2 ½ TO 4 YEAR OLDS REGISTRATION PACKET Please note: This application for admission must be accompanied by The child s original birth certificate The child s Social Security Card The child s up-to-date certificate of immunization Proof of residency The parent s driver s license * accredited by the National Association for the Education of Young Children (N.A.E.Y.C.)

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