Christian Learning Center

Size: px
Start display at page:

Download "Christian Learning Center"

Transcription

1 Christian Learning Center at First United Methodist Church Milan, Tennessee Registration Packet Where we help your children grow and learn in a Christian environment! Revised November 2012

2 Check it out! Christian Learning Center File Checklist (Please return with your registration form) Registration Form (Circle one: Paid Not Paid) Birth Certificate Updated Shot Records Emergency Contact Medical Release/Information Sheet Custody Papers Media Release Form Consent to Participate Form For Office Use Only Received by: Date: Payment form: Check (Number & Amount) Cash (Amount) Additional Notes:

3 Christian Learning Center Policies & Procedures These items must be presented and a tour of the CLC must be completed before your child can begin attending Christian Learning Center. 1. Registration Fee $25.00 There is an annual registration fee which will be decided by the council. This fee is non-refundable and due upon enrollment. 2. Application Filled completely and signed. 3. Birth Certificate 4. Current Tennessee Dept of Health Certificate of Immunization Form 5. Signed policy statement/each page of the registration packet 6. Emergency Contact Form/Medical Release/ Information Sheet/Medical Form (if needed, please request from the director) 7. Custody Form(s) if necessary 8. Parent Media Release Form/Consent to Participate Form 9. CLC will be teaching Keeping Kids Safe. All parents/caregivers have access to the curriculum at any time. This program is sponsored by the Dept of Human Services and Prevent Child Abuse Tennessee. I have read and understand the Policies and Procedures of the Christian Learning Center. A copy of the TN Dept of Human Services, Summary of Licensing Requirements for Child Care Centers has been provided to me. I understand that the Christian Learning Center has the right to terminate child care services if there is any violation of CLC or DHS rules and regulations. Parent/Guardian Signature Date

4 Tuition The Council determines the amount for the monthly tuition. This amount is due on the 1st day of the week or the 1st day of the month, depending on your contract. It is critical to be prompt with payments. **A late fee of $10 dollars will be charged if payment is received after the 15th of the month. If payment is 30 days delinquent, your child will not be permitted to attend Christian Learning Center until the account is paid. When paying in cash, please bring the correct amount. Christian Learning Center does not keep cash on hand for change. All checks should be made payable to CLC at FUMC. There will be a service charge of $20 on all returned checks. If a check is returned, full payment in cash will be expected immediately. Payment is required even if your child is absent. Any extended absences or extenuating circumstances may be discussed with the Director. You may request for your child to swap to a day not regularly scheduled during the same week. This must be approved by the Director/Asst., and it will be allowed only twice per semester. With prior approval by the Director/Asst., you may bring your child an additional day the child is not scheduled with a $20 Drop-In Fee due on the approved day. The Council has final review and approval of all special circumstances. Please respect our dismissal time of 2:00 PM. Any child remaining after 2:15 will be charged $1 per minute. Weather Policy CLC at FUMC will close any time the Milan Special School District is closed due to inclement weather. In addition, the Director may choose to close if the weather is too inclement for small children. In the event Milan Special School District opens on weather delayed time, CLC at FUMC will open 1 hour after the Milan School System. Please listen to local radio or WBBJ TV, Channel 7. However, if this would make our opening after 10:00, we will not open.

5 Health and Illness In order for our Christian Learning Center to provide a healthy environment for all, Please Do Not Send Your Child To CLC at FUMC If He or She Is Sick. We do not want your child to be uncomfortable, nor do we want the other children exposed. If your child becomes ill or injured at CLC at FUMC, you or your emergency contact will be notified. We Cannot accept children with any of the following symptoms: A fever over 100 degrees (must be fever free for 24 hours before returning) A discolored discharge or drainage from any orifice that may indicate active infection. Diarrhea or vomiting Rash Also, please inform the Director if your child has been exposed to any contagious disease. Please notify Christian Learning Center at FUMC as soon as possible if your child will be absent. Medication If your child requires medication during school hours, a Medication Form must be filled out. Any medication must be given to the Director or teacher. Medication will be kept in the Director s office until the end of the day. Please, do not put it in child s book bag or backpack and leave all medication in the original container. Transportation At the beginning of the year, please inform the Director and your child s teacher with the names of these persons who will provide transportation for your child. It is imperative to report any changes during the year. If we do not know the person picking up your child, we will ask for picture I.D., such as a driver s license. We will not allow your child to leave with anyone unless you have approved it with us. This is for your child s safety and wellbeing. Also, notify the Director and your child s teacher if your child will be leaving before 2:00 PM.

6 Discipline We will never administer any physical punishment to your child because of misbehavior. However if your child is persistently disruptive, the teacher will remind the child as to why the behavior is unacceptable and will encourage the correct behavior. If this method is not successful, the child may remain in the classroom with another staff member and be separated from the class while sitting in the thinking chair. Should misbehavior continue, the next step would be for the child to be taken to the Director s office and the parent contacted. What To Bring To Christian Learning Center Lunch - All children should bring a healthy lunch with a drink to school clearly marked with his/her name. A regularly used lunch box or bag works great. Snacks - Please supply your child with water, milk or juice. Snacks may include fruit, crackers, cookies, or any nutritious snack food. You will be responsible for your child s snack. Cover Up - Please bring 2 beach towels, one to lay on and one to cover up with. Your child may bring a blanket or similar item that gives them a sense of security for rest time. Some children use a small pillow. Extra clothes Every child needs to have at least two set of extra clothes in a plastic bag. Please include top, bottom, underpants, and also socks. All items of clothing must have your child s name on them and should be seasonally appropriate. Please put your child s name on all items brought to CLC!

7 What Not To Bring To Christian Learning Center Chewing Gum. No gum! Loose Change Change is a choking hazard for all children. Toys Toys from home cause conflict. Favorite books are allowed. Please make sure your child s name is in the book. Breakfast Breakfast foods should be eaten before coming to Christian Learning Center. What To Wear To Christian Learning Center All play clothes should be simple, practical, comfortable and washable. Please label all outer wear and other items that are generally removed in the course of the day. If your child is potty training, please dress them in clothes that are easy for them to get down and up again. Sneakers are more comfortable on the playground than sandals, flip flops, jellies, or other open shoes. General Information All applications will be reviewed and approved by the Director and/or the Council. No child will be allowed to begin without the proper records on file. These include completed application, certified birth certificate, and current immunizations, custody papers, Policies & Procedures Sheet, Emergency Contact, Medical Information/Release Form, Media release Form, and Permission to Participate Form and others as required by DHS or the board.

8 Honor our times. Early check in time is 8:00 to 8:45. Class time is 9:00. Please do not arrive earlier, as the teachers are making their final preparations for the day. Equally as important, pick up your child promptly at 2:00. Encourage regular attendance except in the case of illness. Get to know your child s teacher. We encourage exchange of information between staff and parents. All children must be walking at the age of 18 months at a stable pace. All children in the 3 & 4 year old rooms are expected to be potty trained by August 1st. Your child will be placed in the class that coincides with his/her age as specified by the public school system. If certain situations arise, the parents and the Director will consult about the placement. Only children enrolled in our CLC may attend class, unless a particular situation is approved by the council and doctor release on file. All visitors must check in with the Director before entering a classroom. Please schedule any birthday parties in advance with your teacher and the Director. Teachers are not allowed to distribute invitations for your child s party unless the entire class is invited. If your child is upset that you are leaving him/her, please leave the room quickly so that the teacher or assistant may take charge. If your child stays unusually upset, we will be sure to let you know. Most of the time, children are fine within a few minutes. If there is staff turnover in any classroom, the Director will make arrangements to place a staff currently employed in that class so the children will not be disrupted. Remember, we have an Open Door policy. We welcome your visits any time as long as they are not disruptive. For safety reasons, please check in first.

9

10 Christian Learning Center 2000 Jones Blvd. Milan, TN Registration Form Full Name of Child Child's Birth date PARENTS: Mother's Name Address Home Phone Cell Phone Work Phone Employer Father's Name Address Home Phone Cell Phone Work Phone Employer TRANSPORTATION: To insure the safety of your child, please list other adults to whom your child may be released to for transportation from school. Signature of Parent(s): Date:

11 EATING HABITS: Does child feed (him/her) self: Favorite Foods: Disliked Foods: Foods Allergic to: SLEEP HABITS: Does child take a nap? Does child wet the bed at nap time? Any difficulty in child toward nap time? TOILET HABITS: Is child potty trained? Does child tell you when they need to go to the toilet and go willingly? Can child manage own clothes at toilet? SPEECH and PHYSICAL GROWTH: Does child talk well, fairly well, not very well or not at all? Would you describe your child as active or quiet? GIVE BELOW ANY OTHER INFORMATION YOU THINK WE SHOULD HAVE ABOUT YOUR CHILD:

12 Emergency Contact and Medical Information for a Child M F Child s Name Date of Birth Sex Parent s/guardian s Name Parent s/guardian s Name ( ) ( ) ( ) ( ) Home Phone Work Phone Home Phone Work Phone Address Address City, ST ZIP Code City, ST ZIP Code Alternative Emergency Contacts Primary Emergency Contact Secondary Emergency Contact ( ) ( ) ( ) ( ) Home Phone Work Phone Home Phone Work Phone Address Address City, ST ZIP Code City, ST ZIP Code Medical Information Hospital/Clinic Preference Physician s Name Phone Number Insurance Company Policy Number Allergies/Special Health Considerations: I authorize all medical and surgical treatment, x-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This wavier applies only in the event that neither parent/guardian can be reached in the case of an emergency. Note: There is not a Nurse everyday at the CLC but staff is trained in CPR and First Aid. Parent s/guardian s Signature Date

13 Parent Release Form for Media Recording I, the undersigned, do hereby grant or deny permission to Christian Learning Center to use the image of my child,, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Christian Learning Center Web site. Deny? permission to use my child s image at all. Grant? permission to use my child s image. Parent/guardian signature Date Please make a copy of this form for your own records and mail or drop off the original to: Stacy Hensley, Director Christian Learning Center 2000 Jones Blvd Milan, TN 38358

14 Consent to Participate Form I do consent and give my child,, permission to participate in all activities at the Christian Learning Center. These activities will include: Tours in the building of FUMC, upstairs and downstairs included Picnics on the grounds of FUMC Nature walks on the grounds of FUMC Outdoor water activities (sprinkler play and water slide play) on the grounds of FUMC Play on the soccer fields at FUMC A walk to Wesley Fountain Place to visit with the residents. Parent/Guardian signature Date

Meadows Christian Learning Center Statement of Policies and Procedures

Meadows Christian Learning Center Statement of Policies and Procedures Meadows Christian Learning Center Statement of Policies and Procedures Welcome to Meadows Christian Learning Center! This is a list of our Center s operational policies and procedures. Please read them

More information

WELCOME TO THE AFFTON EARLY CHILDHOOD CENTER!

WELCOME TO THE AFFTON EARLY CHILDHOOD CENTER! WELCOME TO THE AFFTON EARLY CHILDHOOD CENTER! Dear Families: I would like to welcome you to the Affton Early Childhood Center. I am excited that you have enrolled your child in our preschool program and

More information

WESTWOOD PRESCHOOL HANDBOOK 2014-2015

WESTWOOD PRESCHOOL HANDBOOK 2014-2015 WESTWOOD PRESCHOOL HANDBOOK 2014-2015 Hello! My name is Harshal Patwa and I am honored to be part of Poway Preschool. I love working with young children, and I love learning from them too. I have been

More information

Laurel Heights UMC Weekday School 234 W. Mistletoe San Antonio, Texas 78212. 210-732-6979 Fax 210-732-6392 APPLICATION FOR ADMISSION

Laurel Heights UMC Weekday School 234 W. Mistletoe San Antonio, Texas 78212. 210-732-6979 Fax 210-732-6392 APPLICATION FOR ADMISSION Laurel Heights UMC Weekday School 234 W. Mistletoe San Antonio, Texas 78212 210-732-6979 Fax 210-732-6392 APPLICATION FOR ADMISSION Child s name (last) (first) (middle) (name used) Sex Date of birth Place

More information

Gallatin Civic Center Phone: 615-451-5911 210 Albert Gallatin Ave Fax: 615-451-5908 Gallatin, TN 37066

Gallatin Civic Center Phone: 615-451-5911 210 Albert Gallatin Ave Fax: 615-451-5908 Gallatin, TN 37066 2015 GALLATIN CIVIC CENTER DAY CAMP RULES 1. REGISTRATION: Parents must fill out registration form and pay registration fee, which is $20.00 per child to enroll child in day camp before participating.

More information

Enrollment & Agreement/Policy Forms

Enrollment & Agreement/Policy Forms Enrollment & Agreement/Policy Forms Today s Date Day(s) of Week Care Needed Date Care to Begin Monday Tuesday Wednesday Thursday Friday Time(s) (write in beneath the day to which it pertains) Child s Full

More information

LOL Kid s Day Out. Part-time Preschool Enrichment Program. Parent Handbook & School Policies 2013-2014

LOL Kid s Day Out. Part-time Preschool Enrichment Program. Parent Handbook & School Policies 2013-2014 LOL Kid s Day Out Part-time Preschool Enrichment Program Parent Handbook & School Policies 2013-2014 9700 Neenah Avenue Austin, TX 78717 (512)921-0644 (512) 671-6100 (church office) Mission Statement Our

More information

Kiddie Tech University Learning Center

Kiddie Tech University Learning Center APPLICATION FOR ADMISSION Kiddie Tech University Learning Center Child s Name: Known As: Sex: Age: Yrs: Mos Date of Birth: Home Address: Home Phone: Name of Mother: Name of Father: Mother s Employer: Father

More information

Esther Aloia. Brentwood High School Preschool Program 3601 Brownsville Road Pittsburgh, PA 15227 PROGRAM

Esther Aloia. Brentwood High School Preschool Program 3601 Brownsville Road Pittsburgh, PA 15227 PROGRAM Brentwood High School Preschool Program 3601 Brownsville Road Pittsburgh, PA 15227 PROGRAM It is the philosophy of the Brentwood High School Preschool focuses on early childhood as an important time in

More information

WATERVLIET CIVIC CENTER BEFORE & AFTER SCHOOL PROGRAM SCHOOL-AGE CHILD CARE PROGRAM 2015-2016 APPLICATION. D.O.B. SEX: GRADE (in Sept.

WATERVLIET CIVIC CENTER BEFORE & AFTER SCHOOL PROGRAM SCHOOL-AGE CHILD CARE PROGRAM 2015-2016 APPLICATION. D.O.B. SEX: GRADE (in Sept. WATERVLIET CIVIC CENTER BEFORE & AFTER SCHOOL PROGRAM SCHOOL-AGE CHILD CARE PROGRAM 2015-2016 APPLICATION CHILD NAME: ADDRESS: CITY: D.O.B. SEX: GRADE (in Sept. 2015): MOTHER S NAME: ADDRESS: CITY: STATE:

More information

2015-2016 APPLICATION PACKET

2015-2016 APPLICATION PACKET 2015-2016 APPLICATION PACKET Child s Name: Last Name First Name Middle Enrollment Procedure The parents and child will visit Palm Valley Montessori School for an interview with the director and/or administrator,

More information

CHITIMACHA TRIBAL SCHOOL. AFTER SCHOOL CARE PROGRAM Beginning Monday, August 17, 2015 ENROLLMENT PACKET 2015-2016

CHITIMACHA TRIBAL SCHOOL. AFTER SCHOOL CARE PROGRAM Beginning Monday, August 17, 2015 ENROLLMENT PACKET 2015-2016 CHITIMACHA TRIBAL SCHOOL AFTER SCHOOL CARE PROGRAM Beginning Monday, August 17, 2015 ENROLLMENT PACKET 2015-2016 After School Care Program Registration Please read and complete all information contained

More information

BSU Summer Academy 2016. Middle-Level Adventure Program Parent Information Packet

BSU Summer Academy 2016. Middle-Level Adventure Program Parent Information Packet BSU Summer Academy 2016 Middle-Level Adventure Program Parent Information Packet WELCOME Summer Academy 2016 Middle-Level Adventure Program We look forward to providing a quality summer day camp experience

More information

Montessori Children s House Registration Form. Child s Name: Start date: Place of Employment. Place of Employment

Montessori Children s House Registration Form. Child s Name: Start date: Place of Employment. Place of Employment Montessori Children s House Registration Form Child s Name: Start date: Date of Birth: Nickname: Mother s Name: Mother s Address: Contact Numbers Place of Employment Work Address Work Phone Social Security

More information

W p m. Parent Manual& Map. a C ea

W p m. Parent Manual& Map. a C ea N R A E L Ca GR O 2015 LORE EXP l i W dcat W p m PLAY COVER DIS Parent Manual& Map s u p n o m i t a C ea Recr SO WHAT S THIS CAMP ALL ABOUT? COUNSELORS: Our staff is made up primarily of college students

More information

EARLY CHILDHOOD EDUCATION CENTER ENROLLMENT FORM

EARLY CHILDHOOD EDUCATION CENTER ENROLLMENT FORM EARLY CHILDHOOD EDUCATION CENTER ENROLLMENT FORM 55 PA CODE CHAPTERS 3270 123 & 181 (C): 3280 123 & 181 (C): 3290 123 & 181 (C) CHILD S FIRST NAME MIDDLE NAME LAST NAME BIRTH DATE START DATE WITHDRAWAL

More information

Gethsemane Lutheran School Early Childhood Education Handbook (Pre-K and Kindergarten)

Gethsemane Lutheran School Early Childhood Education Handbook (Pre-K and Kindergarten) Gethsemane Lutheran School Early Childhood Education Handbook (Pre-K and Kindergarten) Revised: July 2012 TABLE OF CONTENTS Subject Page Statement of Purpose... 2 Goals... 2 Curriculum... 3 Special Events...

More information

Registration and Information Packet

Registration and Information Packet Registration and Information Packet Checklist of items to return Registration and Photo Release Form Emergency Contact and Medical Release Form University of Wyoming Research Agreement Form Contact information

More information

Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity

Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity Avon Seedlings Program 2015-2016 An Academic Preschool and Childcare Opportunity REGISTRATION FORM I hereby apply for enrollment of my child in the Avon Seedlings Program. Child s Gender: Date of Birth:

More information

P reparing young learners R espect for children s individual

P reparing young learners R espect for children s individual Wayne Township Preschool is a fully licensed child care facility. P reparing young learners R espect for children s individual differences E ngaging activities S timulating environment C aring and dedicated

More information

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes)

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes) Robert D. Fowler Family YMCA Middle School Enrichment Program Student Registration Form 2015-16 Ivy Prep Academy Program Hours: 7am-7:45am & 4pm-7pm Transportation AM: Group leaves at 7:30am Transportation

More information

2015-2016 PROGRAM REGISTRATION

2015-2016 PROGRAM REGISTRATION 2015-2016 PROGRAM REGISTRATION Thank you for considering Summit Christian Learning Center for your Child s Care and Education. Summit Christian Center s purpose is to connect people with God and others,

More information

MISSION STATEMENT PHILOSOPHY

MISSION STATEMENT PHILOSOPHY MISSION STATEMENT The Cranston Public School District s mission of inclusion, through a partnership involving regular education, special education, and families is to set appropriate challenges and goals

More information

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour.

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. So the generations to come might know Him Psalm 78:4 STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. Application Process 1. Complete and return the application with the

More information

Saint Raphael s School Extended Day Program Handbook 7301 Bass Lake Road Crystal, MN 55428

Saint Raphael s School Extended Day Program Handbook 7301 Bass Lake Road Crystal, MN 55428 Saint Raphael s School Extended Day Program Handbook 7301 Bass Lake Road Crystal, MN 55428 Hours: 2:15 pm 5:00 pm Phone: School Office 763.504.9450 (Eds/Qest ext 315) Kari Marsh, Program Director Saint

More information

BLOOMINGTON-NORMAL YMCA 2015 SUMMER CAMP PARENT HANDBOOK

BLOOMINGTON-NORMAL YMCA 2015 SUMMER CAMP PARENT HANDBOOK BLOOMINGTON-NORMAL YMCA 2015 SUMMER CAMP PARENT HANDBOOK Camp Sparrow: Be strong enough to stand Be free enough to soar About the YMCA The YMCA is for youth development, for healthy living, for social

More information

We appreciate your interest in the Child Development Center and look forward to your family joining our family.

We appreciate your interest in the Child Development Center and look forward to your family joining our family. Dear Parent: We appreciate your interest in the Child Development Center and look forward to your family joining our family. Our application packet is attached. Please remove the "Child's Medical Report"

More information

After School Parent Handbook Dean Road Elementary School

After School Parent Handbook Dean Road Elementary School After School Parent Handbook Dean Road Elementary School 2013 2014 Program Coordinator: LaTara Hardnett After School Phone: 887-4909 Office Hours: 1:00 6:00 Program Hours: 2:20 5:30 lhardnett@auburnschools.org

More information

Teacher Open House Dates - Please Note

Teacher Open House Dates - Please Note EDELWEISS PREPARATORY SCHOOL BACK TO SCHOOL 2015 NEWS WELCOME! We are glad to have your child as part of our program this year! Please read this newsletter & keep it for future reference. MEET THE TEACHER

More information

NeoArtSchool, LLC, Summer Art Camp 2015

NeoArtSchool, LLC, Summer Art Camp 2015 Come and have fun exploring art projects and discover your creativity! Your work may include ceramics, drawing, painting, paper mache, batik, collage, paper making, bookbinding, printmaking, sculpture,

More information

2016 SUMMER DAY CAMP REGISTRATION YMCA OF BEAUFORT County SITE LOCATION

2016 SUMMER DAY CAMP REGISTRATION YMCA OF BEAUFORT County SITE LOCATION $15 Online Registrations / family $25 In person Registration / family Weekly Fees: Please see Camp Brochure 2016 SUMMER DAY CAMP REGISTRATION YMCA OF BEAUFORT County SITE LOCATION I have attached a valid

More information

Tennessee State University Department of Speech Pathology & Audiology Intensive Articulation, Fluency, Language & Diagnostics Summer Speech Camp

Tennessee State University Department of Speech Pathology & Audiology Intensive Articulation, Fluency, Language & Diagnostics Summer Speech Camp Tennessee State University Department of Speech Pathology & Audiology Intensive Articulation, Fluency, Language & Diagnostics Summer Speech Camp Speech Pathology and Audiology will provide intensive therapeutic

More information

Where we cater to the business of children and the business of children is play.

Where we cater to the business of children and the business of children is play. Revised May, 2015 Welcome to the Austin Peay State University Child Learning Center! Where we cater to the business of children and the business of children is play. We welcome you to the Austin Peay State

More information

GREENFIELD SCHOOLS ELEMENTARY HANDBOOK INFORMATION. THE DISCOVERY SCHOOL AT FOUR CORNERS Revised April 16, 2013

GREENFIELD SCHOOLS ELEMENTARY HANDBOOK INFORMATION. THE DISCOVERY SCHOOL AT FOUR CORNERS Revised April 16, 2013 GREENFIELD SCHOOLS ELEMENTARY HANDBOOK INFORMATION THE DISCOVERY SCHOOL AT FOUR CORNERS Revised April 16, 2013 Welcome to a new school year. We are posting selected handbook information online for our

More information

Dear Corner Stone Charter Parent:

Dear Corner Stone Charter Parent: Dear Corner Stone Charter Parent: Welcome to Boll Family YMCA s School Age Child Care (SACC) program. We are looking forward to sharing the next 11 months with your child before and after school. Attached

More information

Johns Creek Montessori School Of Georgia

Johns Creek Montessori School Of Georgia ENROLLMENT FORM Pre-Primary (Toddler) Primary Half Day Full Day All Day Start : Child s Information: Child s Name Street Address Nickname of Birth Subdivision Name Primary Language Spoken Parent/Guardian

More information

2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES

2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES 2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES CAMP LOCATIONS CAMP DATES/TIMES June 6 July 15, 2016 James J. Eagan Center (300) 9:00am 3:00pm Koch Park (320) No camp July 4th All Prices Subject

More information

ENROLLMENT AGREEMENT

ENROLLMENT AGREEMENT ENROLLMENT AGREEMENT Completion of this Agreement is required for enrollment. This information is necessary for First Steps Early Childhood Learning Center to comply with the State of Missouri Child Care

More information

St. Patrick s School Extended Care Program

St. Patrick s School Extended Care Program Rev. 8.15 St. Patrick s School Extended Care Program Whoever welcomes one of these little children in my name welcomes me; and whoever welcomes me does not welcome me but the one who sent me Mark 9:37

More information

Noah's Ark Christian Child Care Center Parent Handbook

Noah's Ark Christian Child Care Center Parent Handbook Noah's Ark Christian Child Care Center Parent Handbook Mission Statement We at Christ United Methodist Church believe that each child is a child of God and should be provided every opportunity to develop

More information

Application for Childcare

Application for Childcare 261 Sky River Parkway Monroe, WA 98272 Tel: (360) 794 4775 DSHS Provider #: 827175 Application for Childcare Child s Name: Grade (current/going into): School: Please indicate which program you will be

More information

The Merritt Kids College Program - A Review

The Merritt Kids College Program - A Review Parent s Name: Address: Email Address: Cell Phone: Emergency Contact Name: Registration Form Home Phone: Number: Child s Name: Grade: Age: School Name: Gender: Male: Female: T-Shirt Size: Small: { } Medium:

More information

Harmony Early Childhood Education Center Registration Form

Harmony Early Childhood Education Center Registration Form Harmony Early Childhood Education Center Registration Form Today s date: Starting date: Case #: Child s Name: Classroom: (First Name) (Last Name) Date of birth: Home Phone: Gender: Boy Girl Mom s Work

More information

KIDS CLUB PARENT HANDBOOK

KIDS CLUB PARENT HANDBOOK KIDS CLUB PARENT HANDBOOK Before & After School, School s Out Day, Summer Camp FORT MYERS YMCA 1360 Royal Palm Square Blvd. Fort Myers, FL 33919 Tel: 239.275.9622 Fax: 239.275.4196 www.leecountyymca.org

More information

Christ the King Catholic Church Nursery Program

Christ the King Catholic Church Nursery Program Christ the King Catholic Church Nursery Program The Nursery is provided for all children, ages 1 through 3, of Christ the King Catholic Church who are attending the 9:30 a.m. or 11:00 a.m. Sunday masses.

More information

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR Welcome Child s Enrollment Form Parent Pick-Up Authorization Emergency Information, Waiver & Medical

More information

juilliard.edu/summerjazz

juilliard.edu/summerjazz Juilliard JAZZ Summer 2013 Camp in Atlanta,GA June 17-21, 2013 One-week program for dedicated and disciplined students ages 12-18, who are passionate about jazz music For details see Juilliard s Web site:

More information

West Virginia University 2015 Forensic Science Summer Camp

West Virginia University 2015 Forensic Science Summer Camp Thank you for registering for the! This packet contains the following forms that must be completed and returned before the student will be allowed to attend camp: Participant Information Form Event Participant

More information

2. For the 2012-13 school year, children who will be 4 years old by September 1 st are eligible to participate in the Lab School.

2. For the 2012-13 school year, children who will be 4 years old by September 1 st are eligible to participate in the Lab School. "Our task is to help children become highly sensitive to the world about them Give them freedom Let them try Let them fail Let them succeed Encourage them Rejoice with them!!! Dear Parents: I Can Make

More information

REGISTRATION FORMS. Child s Full Name: Birth Date: / / Boy Girl. Child s Full Name: Birth Date: / / Boy Girl

REGISTRATION FORMS. Child s Full Name: Birth Date: / / Boy Girl. Child s Full Name: Birth Date: / / Boy Girl REGISTRATION FORMS Child s Full Name: Birth Date: / / Boy Girl Child s Full Name: Birth Date: / / Boy Girl Child s Full Name: Birth Date: / / Boy Girl Address: City: State: Zip Code: Child #1 Days of the

More information

ZENITH LEARNING PARENT HANDBOOK AND OPERATIONAL POLICIES

ZENITH LEARNING PARENT HANDBOOK AND OPERATIONAL POLICIES ZENITH LEARNING PARENT HANDBOOK AND OPERATIONAL POLICIES 9303 W Sam Houston Parkway S, Suit 155 Houston, TX 77099 Phone: 713-988-9600 Fax: 713-774-6903 MISSION STATEMENT The Mission Statement of Zenith

More information

Address: Street City State Zip Code Home Phone: E-mail Address:

Address: Street City State Zip Code Home Phone: E-mail Address: SANDWICH CUSD #430 REGISTRATION FORM SCHOOL YEAR 2013-2014 SELECT AN ATTENDANCE CENTER LG Haskin Prairie View WW Woodbury HE Dummer Middle School High School 1. NAME: 5. SEX: Male Female Last Name First

More information

Bulkley Valley Christian Preschool Parent Handbook 2015-2016

Bulkley Valley Christian Preschool Parent Handbook 2015-2016 Bulkley Valley Christian Preschool Parent Handbook 2015-2016 We will tell the next generation the praise worthy deeds of the Lord, His power, and the wonders he has done. Psalm 78:4 Parent Handbook Welcome

More information

CHILD S FACE SHEET/ENROLLMENT FORM INFANT/TODDLER

CHILD S FACE SHEET/ENROLLMENT FORM INFANT/TODDLER CHILD S FACE SHEET/ENROLLMENT FORM INFANT/TODDLER CHILD INFORMATION: Child s Name: Date of Birth Home Address: Place of Birth:(city/town) Telephone: Primary Language: Child s Identifying Information (required

More information

E arly C hildhood E ducation

E arly C hildhood E ducation Child's Last Name, First Name: Grade: The Seven Hills School E arly C hildhood E ducation State Mandated Documentation Instructions and Forms Dear Parents: Enclosed you will find the paperwork required

More information

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014 Dedicated to providing a high quality education to a diverse community where all students are expected to succeed as life-long learners. PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER

More information

Jacob s Ladder Pediatric Rehab Center: Respite Program Intake Packet Page 1 of 5. Respite Program:

Jacob s Ladder Pediatric Rehab Center: Respite Program Intake Packet Page 1 of 5. Respite Program: Jacob s Ladder Pediatric Rehab Center: Respite Program Intake Packet Page 1 of 5 Respite Program: Child s Name #1 Age Birth Date Grade: School: Sex: M F Diagnosis/Disability: Child s Name #2 Age Birth

More information

Hialeah Reads For Kids! TUTOR RULES and REGULATIONS

Hialeah Reads For Kids! TUTOR RULES and REGULATIONS Hialeah Reads For Kids! TUTOR RULES and REGULATIONS DRESS CODE Dress conservatively/professional No revealing garments No revealing body art No tank tops or halter tops No shorts No jeans No flip flop

More information

YMCA After School Pre-Registration Packet for 2014-2015 School Year

YMCA After School Pre-Registration Packet for 2014-2015 School Year YMCA After School Pre-Registration Packet for 2014-2015 School Year Table of Contents: PAGE * Payment Form 1 Registration Instructions & Child s Personal History 2 Parent Pick-Up Authorization 3 Emergency

More information

LR Pre-School (dba Lake Ronkonkoma Pre-School) ST. LAWRENCE THE MARTYR CHURCH SCHOOL 200 W. MAIN STREET, SAYVILLE, NY 11782 TEL.

LR Pre-School (dba Lake Ronkonkoma Pre-School) ST. LAWRENCE THE MARTYR CHURCH SCHOOL 200 W. MAIN STREET, SAYVILLE, NY 11782 TEL. REGISTRATION CHECKLIST 3 5 Ye a r O l d C l a s s e s Dear Mr./Mrs./Ms. Date We would like to welcome you and your child to the Lake Ronkonkoma Preschool. In order to have your child registered properly,

More information

Elk Grove Park District Preschool Date

Elk Grove Park District Preschool Date Class For Office Use Only New/Readmit Birth Cert. In/Out of Dist Release Medical Elk Grove Park District Preschool Date Name of Child M F Date of Birth Age Primary Phone # Address City Zip Primary e-mail:

More information

OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY

OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY WHEN: JUNE 14 th (High School) JUNE 21 nd (Elementary)

More information

Jacob s Ladder Pediatric Rehabilitation Center, Inc. Child Respite Program

Jacob s Ladder Pediatric Rehabilitation Center, Inc. Child Respite Program Page 1 of 5 Intake Sheet Child s Name #1 Age Birth Date Grade: School: Sex: M F Diagnosis/Disability: Child s Name #2 Age Birth Date Grade: School: Sex: M F Diagnosis/Disability: Father/Mother/Guardian:

More information

2210 High Tech Road, State College, PA 16803 814-357-6898 fax 814-357-6897 www.pennskates.com

2210 High Tech Road, State College, PA 16803 814-357-6898 fax 814-357-6897 www.pennskates.com Dear Summer Camp Parents, 2210 High Tech Road, State College, PA 16803 814-357-6898 fax 814-357-6897 www.pennskates.com Welcome to our 2015 Summer Day Camp program! Your children will have the opportunity

More information

SAMPLE SECTION 504 PLAN

SAMPLE SECTION 504 PLAN SAMPLE SECTION 504 PLAN The attached sample Section 504 Plan was developed by the American Diabetes Association (ADA) and the Disability Rights Education and Defense Fund, Inc. (DREDF). 0 MODEL 504 PLAN

More information

626 Dallas Hwy PO Box 1008 Villa Rica, GA 30180 PATIENT INFORMAION PARENT INFORMAION INSURANCE INFORMATION (PARENT WHO PAYS FOR INSURANCE)

626 Dallas Hwy PO Box 1008 Villa Rica, GA 30180 PATIENT INFORMAION PARENT INFORMAION INSURANCE INFORMATION (PARENT WHO PAYS FOR INSURANCE) WESTCARE VILLA RICA PEDIATRICS 626 Dallas Hwy PO Box 1008 Villa Rica, GA 30180 Phone: 770 459 9378 Fax: 770 459 8613 Email: westcarepeds@aol.com DATE PATIENT INFORMAION Child s Name Date of Birth Sex Address

More information

WHAT TO BRING TO CAMP Backpack

WHAT TO BRING TO CAMP Backpack JOHNSTON YMCA DAY CAMP FAQ Q. What does my child need to bring to camp? A. Swimsuit, towel, tennis shoes, comfortable clothing, book bag, and journal (provided). Please also apply waterproof sunscreen/bug

More information

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address:

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address: ZION CHRISTIAN CHILDREN S CENTER SCHOOL AGE SUMMER CAMP Zion United Methodist Church ~ 1674 Zion Road Troy, VA 22974 (434) 906-5494 ~ ZionUMCAfterschool@gmail.com Registration 2012 Summer (Available 7am

More information

WINTER 2012 SNEDIGAR RECREATION CENTER APPLES TO ZEBRAS PARENT GUIDE

WINTER 2012 SNEDIGAR RECREATION CENTER APPLES TO ZEBRAS PARENT GUIDE WINTER 2012 SNEDIGAR RECREATION CENTER APPLES TO ZEBRAS PARENT GUIDE Table of Contents APPLES TO ZEBRAS PARENT GUIDE Frequently Called Numbers...3 Apples to Zebras Address...3 Tax ID Number...3 Policies

More information

Interviewing Child Care Providers: Centers and Daycares

Interviewing Child Care Providers: Centers and Daycares Interviewing Child Care Providers: Centers and Daycares Program Setup 1) How long has the childcare program been in existence? 2) Is the program licensed? Registered? Accredited by the National Association

More information

PROVIDER-PARENT/GUARDIAN CHILD CARE CONTRACT

PROVIDER-PARENT/GUARDIAN CHILD CARE CONTRACT PROVIDER-PARENT/GUARDIAN CHILD CARE CONTRACT Welcome! I m glad you have decided to enroll your child in my family daycare. (You are welcome to contact 4-C certification, who I am certified through (271-9181)

More information

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT TOWN OF POUGHKEEPSIE POLICE DEPARTMENT INFORMATION PACKET OVERVIEW The Town of Poughkeepsie Police Department is seeking to provide an innovative program for youth residing in the Town of Poughkeepsie.

More information

ELEMENTARY SCHOOLS PROGRAM BEFORE & AFTER SCHOOL PARENT HANDBOOK

ELEMENTARY SCHOOLS PROGRAM BEFORE & AFTER SCHOOL PARENT HANDBOOK ELEMENTARY SCHOOLS PROGRAM BEFORE & AFTER SCHOOL PARENT HANDBOOK YMCA of Central Florida Mission The purpose of this Association is to improve lives of all in Central Florida by connecting individuals,

More information

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts GENERAL INFORMATION AFTER SCHOOL 2015-16 After School Programs are provided for youth who attend school in the Town of Amherst. The program operates Monday Friday from 2:00-5:30pm. An Extended Afternoon

More information

Patient s Bill of Rights For Mental Health Services

Patient s Bill of Rights For Mental Health Services Patient s Bill of Rights For Mental Health Services When you apply for or receive mental health services in the State of Tennessee, you have many rights. Your most important rights are listed on these

More information

June 8 - July 24 7:45 a.m. 5:00 p.m. at LHES Grades K-12 Students must be age 5 by June 8, 2015

June 8 - July 24 7:45 a.m. 5:00 p.m. at LHES Grades K-12 Students must be age 5 by June 8, 2015 2015 At Mo olelo O Lāna i, our keiki will learn stories of Lāna i and practice Hawaiian values to improve their skills in: Literature & Creative Writing Math & Science Computers & the Use of Technology

More information

Sharing Our Journey The transition from kindergarten to school

Sharing Our Journey The transition from kindergarten to school Sharing Our Journey The transition from kindergarten to school Sharing our journey Finding out about school Some questions you might like to ask your school How are parents involved in the school? Daily

More information

St. John Fisher College Early Learning Center. Parent Handbook

St. John Fisher College Early Learning Center. Parent Handbook St. John Fisher College Early Learning Center Parent Handbook Revised 2014 St. John Fisher College Early Learning Center Mission Statement The St. John Fisher College Early Learning Center serves children

More information

Excel Photography Program Fall 2015

Excel Photography Program Fall 2015 Excel Photography Program Fall 2015 The Excel Photography Program offers a range of opportunities for 6 th 8 th grade students who either live or attend school in the HOPE Village to develop their knowledge

More information

Tampa Bay Performing Arts Academy

Tampa Bay Performing Arts Academy Tampa Bay Performing Arts Academy Musical Theater Disney Cinderella KIDS Sound of Music Disney s Lion King JR Dance Tap Broadway Dance Adv. Jazz Jr Broadway Jazz & Tap Private Voice Broadway Classical

More information

HEALTH SERVICES PROGRAM

HEALTH SERVICES PROGRAM HEALTH SERVICES PROGRAM The Board of Education will provide for the health and physical well being of students through the establishment of a district wide student Health Services Program in the school

More information

Welcome Letter. Please request the current Tuition and Fee Schedule Form directly from the campus location you are interested in enrolling your child.

Welcome Letter. Please request the current Tuition and Fee Schedule Form directly from the campus location you are interested in enrolling your child. Welcome Letter Dear Parent, Thank you for considering Castle Montessori for your child! Castle Montessori's academic philosophy is based on authentic Montessori principles for students ranging from toddlers

More information

Mesa Public Schools 63 E. Main Street Mesa, Arizona 85201

Mesa Public Schools 63 E. Main Street Mesa, Arizona 85201 1 Mesa Public Schools 63 E. Main Street Mesa, Arizona 85201 Superintendent Dr. Debra Duvall Assistant Superintendent of Student Services Dr. David Shuff Special Education Department William Santiago Director

More information

Maniilaq Association Employment & Training P.O. Box 256 Kotzebue, AK 99752 1-800-478-3312 Ext: 7021 Fax: 1-866-832-9350 scholarships@maniilaq.

Maniilaq Association Employment & Training P.O. Box 256 Kotzebue, AK 99752 1-800-478-3312 Ext: 7021 Fax: 1-866-832-9350 scholarships@maniilaq. Maniilaq Association Employment & Training P.O. Box 256 Kotzebue, AK 99752 1-800-478-3312 Ext: 7021 Fax: 1-866-832-9350 scholarships@maniilaq.org We will not process applications without a background report,

More information

Upcoming September dates: Dear Families, We are excited to be back at school and we look forward to sharing our summer stories with one another.

Upcoming September dates: Dear Families, We are excited to be back at school and we look forward to sharing our summer stories with one another. BLUERIDGE ELEMENTARY SCHOOL 2650 Bronte Drive North Vancouver BC V7H 1M4 Telephone: 604 903 3250 Fax: 604 903 3251 Safe Arrival/Callback: 604 903 3252 blueridgea endance@sd44.bc.ca Dear Families, We are

More information

Dr. H. Lokesh M.D Dr. R. Desai M.D Tarah Savino MMS, P.A. C 4804 Rowan Road New Port Richey, FL 34653 (727) 375 5242 (727) 375 5198 Fax

Dr. H. Lokesh M.D Dr. R. Desai M.D Tarah Savino MMS, P.A. C 4804 Rowan Road New Port Richey, FL 34653 (727) 375 5242 (727) 375 5198 Fax Practice Policies for Patients It is important to read all the enclosed information carefully. Confirmation and Cancellation of Appointments: Our patients are very important to us. Missed appointments

More information

2014-15. Parent Handbook

2014-15. Parent Handbook 2014-15 Parent Handbook School Age Program Daily Schedule The daily schedule will be posted weekly in the site binder. All times are approximate. School Dismissal time Attendance taken and children signed

More information

Childs Name: Service:

Childs Name: Service: Childs Name: Service: Long Day Care Enrolment Form Updated January 2015 CHILD S DETAILS Childs First Name: Surname: Child s Residential Address: Child s CRN number call centrelink if you do not have one,

More information

Nursing Assistant I Admission Requirements

Nursing Assistant I Admission Requirements Nursing Assistant I Admission Requirements 1. High School Diploma, GED or College Transcripts 2. Driver s License or State ID 3. Social Security Card 4. Physical Examination 5. Criminal Background Check

More information

Mrs. Heichberger s. Child Development Class

Mrs. Heichberger s. Child Development Class Mrs. Heichberger s Child Development Class Dear Parents, Welcome to CD-A!!! This week your child will complete one of the most important milestones in his/her life, the first day of school! I hope this

More information

BETHANY LUTHERAN PRESCHOOL

BETHANY LUTHERAN PRESCHOOL APPLICATION FOR ENROLLMENT PLEASE USE BALLPOINT PEN! BETHANY LUTHERAN PRESCHOOL Morning 4644 CLARK AVE., LONG BEACH, CA 90808 Full day Days Desired (562) 429-7335 Mon Tue Wed Thu Fri STUDENT: M F (Last)

More information

TIPS FOR CHOOSING A CHILDCARE PROGRAM

TIPS FOR CHOOSING A CHILDCARE PROGRAM TIPS FOR CHOOSING A CHILDCARE PROGRAM www.childhealthonline.org Copyright 2006 Locating a Childcare Program Begin your search by calling your local experts your child care resource and referral (CCR&R)

More information

HOOVER CITY SCHOOLS EXTENDED DAY PROGRAM HANDBOOK 2012-2013

HOOVER CITY SCHOOLS EXTENDED DAY PROGRAM HANDBOOK 2012-2013 HOOVER CITY SCHOOLS EXTENDED DAY PROGRAM HANDBOOK 2012-2013 1 Hoover City Schools Extended Day Program Mission Statement: The Hoover City Schools Extended Day Program will provide an exciting and enriching

More information

INSULIN-DEPENDENT DIABETES HEALTH CARE PLAN: II

INSULIN-DEPENDENT DIABETES HEALTH CARE PLAN: II INSULIN-DEPENDENT DIABETES HEALTH CARE PLAN: II DATE: SCHOOL: GRADE: STUDENT: BIRTHDATE: HOME ADDRESS: PARENT/GUARDIAN: PARENT S PHONE: Home: Mom s work: Dad s work: EMERGENCY CONTACT (NAME, NUMBER and

More information

Community House High School Programs Standing with families since 1969

Community House High School Programs Standing with families since 1969 Dear Parents/Guardians, Founded in 1969, Community House is devoted to standing with Princeton families by providing tools for academic success and social- emotional wellness through programs that bolster

More information

Classes begin Monday, August 29 th, 2016 3-year-old class

Classes begin Monday, August 29 th, 2016 3-year-old class Please return completed packets to the church office, along with a $25 registration fee. Checks can be made payable to First Christian Church, with Bright Beginnings in the memo. Classes begin Monday,

More information

For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones)

For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones) What: For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones) Where: Cuyahoga Valley Environmental Education Center

More information

YOUR CHILD AND THE SCHOOL BUS

YOUR CHILD AND THE SCHOOL BUS Chelsea Public Schools Pupil Personnel / Special Education 99 Hawthorne Street Chelsea, MA 02150 Phone: 617.466.4465 Fax: 617.889.8328 YOUR CHILD AND THE SCHOOL BUS A Parent Guide for Door to Door Transportation

More information

Annual Enrollment Application and Contract (For Preschool-age and older)

Annual Enrollment Application and Contract (For Preschool-age and older) Annual Enrollment Application and Contract (For Preschool-age and older) Child's Name: Date of Birth: Phone Number: City: State: Zip Code: Session (F)ull or (P)art Time Arrival Time Departure Time Rate

More information

POLICES & PROCEDURES

POLICES & PROCEDURES POLICES & PROCEDURES ACCIDENTS Any accident occurring at the workplace should be reported immediately to the on-site supervisor and the teacher. An accident is defined as an injury requiring doctor or

More information