On behalf of all Kid Central, thank you for entrusting your child/ren to our care. Thank you! Kid Central

Dear Parents, Welcome to Culpeper County Child Care s Kid Central. It is a pleasure to extend our services to you and your child and have you as a member of our community. We trust that our relationship will be a very positive one. Our program staff is devoted to improving the lives of others through education and our program is based on the belief that all children, regardless of background and abilities, can be nurtured and challenged in an atmosphere that encourages, respects and fosters curiosity, spontaneity, skill development, self expression, responsibility and the development of a positive self image. We are dedicated to helping your child grow and develop to their full potential according to their own special learning styles, interests, and personalities. We believe each child is unique and our goal is for all children to develop at their own rate. Through play, your child will learn new concepts and understandings. The center environment, choice of materials, and behavior management provide ongoing opportunities for children to play with a purpose. Our performance standards are structured to: Convey the importance of developing the whole child in all domains of learning, social, emotional, creative expression, physical, and cognitive development Facilitate learning experiences that are engaging, interactive and challenging Promote a safe, nurturing learning environment for all children We feel strongly that open communication between parents and our program staff is essential to fully meeting your child s needs. Please read your Parent Handbook very carefully, as it is your guideline for our policies. If you have questions-never hesitate to ask for clarification. On behalf of all Kid Central, thank you for entrusting your child/ren to our care. Thank you! Kid Central

KID CENTRAL MINI-HANDBOOK PARENT INFORMATION For more information call us at: 540-829-2124 Please remember: To Sign your child (ren) in every Morning To sign your child (ren) out every evening Payment must be weekly Your account may not exceed $100.00 It is the policy of Kid Central as an agreement with Culpeper Public Schools that if school is closed, Kid Central will not open until 8:00 a.m. This is announced as One of the following codes: Code A (8:00-4:30) Code B (8:00-6:30). The safety of our children and staff is of the utmost importance. The staff of Kid Central is committed to being on site when we are needed. However, extreme weather conditions may warrant modified hours of operation of the program if driving conditions are dangerous. For school closing information please listen to WJMA 103.1 FM or call 829-2124. KC Children will be required to honor the code of conduct at all times. The code of conduct should be signed by both the parents and the student. KC Staff and Children will honor the school dress code at all times, both during the school year and during the Kid Central Summer Day Camp. KC Parents are responsible for having their children picked up on time. We close at 6:30pm each evening. Late fees are very expensive. So, please be on time. From 6:30-6:45 = o $1.00 per minute per child From 6:46pm to arrival time = o $5.00 per minute per child until picked up. KC is mandated by law, to report to the proper authorities, frequent or severely delinquent pick-up of children. KC Children will need to pack a lunch on all day child care events. If lunch is included in a trip it will be noted. Parents must pre-register & Pre Pay to attend. April 15 th summer registration. Please stay tuned.

CULPEPER COUNTY CHILD CARE BEFORE AND AFTER SCHOOL FEES Late Fees: Registration Fee = $55 per child $75 per family $1 per minute (first 15 minutes) $5 per minute (remainder of time) Before School Daycare: 6:30 am 8:00 am Number of Children 1 2 3 4 Fees 1 Day $7 $10 $13 $15 2 Days $14 $20 $26 $30 Weekly $35 $50 $65 $75 After School Daycare: 2:30 pm 6:30 pm Number of Children 1 2 3 4 Fees 1 Day $11 $16 $21 $25 2 Days $22 $32 $42 $50 Weekly $55 $80 $105 $125 Before and After School Daycare: 6:30 am 8:00 am; 2:30 pm 6:30 pm Number of Children 1 2 3 4 Fees 1 Day $18 $26 $34 $40 2 Days $36 $52 $60 $80 Weekly $90 $130 $170 $200 All Day Daycare: 6:30 am 6:30 pm (Holidays, Teacher Workdays, Snow Days, etc.) Number of Children 1 2 3 4 Fees Per Day $25 $40 $55 $70 Per Week $125 $200 $275 $350 You may qualify for Child Care Assistance, for more information contact Department of Social Services at 727-1055 ext 415 Punch Cards = $120.00 per child + Registration fee $8.00 a punch per hour Credit only good for one school year. Registration fee is due when registering during the school year and registering during summer SORRY, NO REFUNDS!!

Preschool Rates Registration Fee: $55.00 First Steps $130.00 Next Steps $125.00 Wrap Around Care (under 4 hours) $60.00 Wrap Around Care (over 4 hours) $100.00 **Culpeper County Child Care is open teacher work days and most holidays. **You may qualify for daycare assistance, for more information contact Department of Social Services at 727-1055 Ext. 415 Late Fees $1.00 Per Minute (per child for first 15 minutes) $5.00 Per Minute (until child is picked up) **We go by the clock @ the child care center** Registration fee is due when registering during the school year and registering during summer

Culpeper County Child Care 2013-2014 REGISTRATION Child s Name: Nickname Circle sex of child Male Female Date of Birth: Age: School Rising Grade: Father s Information Mother s Information Name: Home Address: Home Telephone: Place of Employment: Work Telephone: Cell Phone: Email Work hours: until Name: Home Address: Home Telephone: Place of Employment: Work Telephone: Cell Phone: Email Work hours: until Name, address, and telephone numbers of two (2) persons authorized to pick our child in case of an Emergency 1. Name: 2. Name: Address Address Home Telephone: Home Telephone: Cell Phone: Cell Phone: Work Phone: Work Phone: ***YOUR CHILD WILL NOT BE PERMITTED TO LEAVE WITH ANY PERSON(S) NOT PREVIOUSLY APPROVED BY PARENT OR GUARDIAN. NO EXCEPTIONS!!!!!!!!!!!!!!!!!!! Appropriate paperwork such as custody papers must be attached if a parent is not allowed to pick a child up!

Date daycare is to begin Names of person(s) who ARE Names of person(s) who ARE NOT permitted to pick up your child permitted to pick up your child Child s physician Name Phone number A copy of your child s immunization records and recent physical must be provided before care can begin. Does child have any allergies to food or medication? YES NO If yes explain: Is child currently taking any medication? YES NO If yes complete: Medication: When given: What is Medication for Does child have any medical condition that may prevent him/her from participating in physical activities? If your child becomes ill or injured you will be notified and must arrange to have your ill child picked up immediately. Illnesses include, but are not limited to, fever, diarrhea, vomiting, rashes (unless being treated by a doctor), and upset stomach. Signature of Parent Date:

Agreements 1. The child daycare center agrees to notify the parent/guardian whenever the child becomes ill and the parent/guardian will arrange to have the child picked up as soon as possible, if so requested by the center. 2. The parent/ guardian authorizes the child daycare center to obtain immediate medical Care if any emergency occurs when parent/guardian cannot be located immediately. 3. I agree to inform Culpeper County Child Care within 24 hours or the next business day after my child or any member of our immediate household has developed any reportable communicable disease as defined by the State Board of Health, except for life threatening diseases which will be reported immediately. Signatures Parent or Guardian Date Administrator of Center Date Date Child Entered Care: Date Left Care *If there is an objection to seeking emergency medical care, a statement should be obtained from the parents or guardian that states their objection and the reason for their objection. Office use only Identity Verification Place of Birth: Birth Date: Birth Certificate Number: Date Issued: Other Form of Proof: Proof of the child s identity and age may include a certified copy of the child s birth registration card, notification of birth ( hospital, physician or midwife record), passport, copy of the placement agreement or proof of the child s identify form a child placing agency, Record from a public school in the U.S. that a certified copy of the child s certification by a principal or his designee of a public school in the U.S. that a certified copy of the child s birth record was previously presented. Viewing the child s proof of identity is Not Necessary when the child attends a public school in Virginia and the center assumes responsibility of the child directly to the School (i.e. after school program) or the center transfers responsibility of the child directly to the school (I.e. before school program). While programs are not required to keep the proof of the child s identity, documentation of viewing this information must be maintained for each child

CCCC KID CENTRAL Code of Conduct Agreement Kid Central requires all children to follow the Code of Conduct, which is as follows: Respect the rights and property of others Cooperate by observing the rules and refraining from foul language, disrespectful back talk and physical contact with another student or staff member Take advantage of all the enriching opportunities presented Should any of these rules be broken, at anytime, parents will receive a written documentation (Code of Conduct Report) to notify parents of their child s behavior, consequences and actions taken. Parents will be asked to sign the Code of Conduct Report to signify that they have read the report, not necessarily agreeing with it. I the parent of Understand the above rules. Parent Signature Date I agree to follow the above rules. Student Signature

EMERGENCY MEDICAL AUTHORIZATION Name of Child: Name of Parent/Guardian: Home Address: Home Phone: Work Phone: Email address: Person to be notified when parent cannot be reached in the event of medical emergency: Name: Phone Number Relationship to Child: The parent/guardian authorizes the Culpeper County Child Care program to obtain immediate medical care And consents to the hospitalization of the performance of necessary diagnostic test upon the use of surgery on, and/or the administration of medication to his/her child or ward if an emergency occurs when he/she cannot be located immediately. It is also understood that this agreement covers only those situations which are true emergencies and only when the parent/guardian cannot be reached. Otherwise, the parent/guardian expects to be notified immediately. I/we will be responsible for payment of medical expenses: Name: Medical treatment costs are covered by: Insurance Policy Number: Subscriber s Name: Other Medical Insurance: Name of Company Child s Physician: Parent/Guardian Signature: Date: This form will be kept by Culpeper County Child Care and will be taken with the child to the hospital or clinic in case of emergency.

CULPEPER COUNTY CHILD CARE Katreice Williams (Director) (540)829-2124 1401 Old Fredericksburg Road (540)829-2057 (fax) Culpeper Va. 22701 KID CENTRAL RESERVES THE RIGHT TO NOT RELEASE ANY CHILD TO A PARENT SUSPECTED OF BEING UNDER THE INFLUENCE OF ALCOHOL OR DRUGS! CHILD ENDANGERMENT RELEASE POLICY Culpeper County Child Care s program will follow these procedures in releasing children from the centers If the staff suspects that the adult picking up the child is under the influence of alcohol, drugs, or misused medication: Step one Staff will review the signed Child Endangerment Release Policy Step Two If the adult insists on taking the child from the center, a staff member will immediately call in a Child Abuse Report to Child Protective Services and/or the police department. Step Three A staff member will then call their supervisor and / or the administrator to inform them of the incident. Step Four A staff member will document the incident on the Child Abuse Report Form and send it to the Program Director. I HAVE READ AND UNDERSTOOD THE ABOVE CHILD ENDANGERMENT POLICY Parent Signature: Date: Staff Signature: Date: Director s Signature: Date: Site:

Culpeper County Child Care Culpeper County Human Service Complex 1401 Old Fredericksburg Road Culpeper Va. 22701 (540)829-2124 phone (540)829-2057 fax Dear Parents: From time to time, Culpeper County Child Care would like to recognize students for special accomplishments by putting their names and/or picture in the newspaper. This letter is for your approval for using your child name or picture in the newspaper, on television, or video when the occasion presents itself. Please sign and return this form to the school if you have no objections. I hereby give permission for my son/daughter s name and/or pictures to be used for special accomplishment or projects during the summer And school year. I understand that this is a positive way of giving my child recognition. Parent/guardian Signature Date In order to prevent mix-ups in the pick-up process of the children in Culpeper County Child Care, We are asking that you provide us with the following information and that you follow these procedures. is to be released each day at the close of school to the staff of Culpeper Country Child Care. I understand that my child will be in their care until I pick them up. If my child is NOT to be picked up by Culpeper County Child Care, I agree to notify IN WRITING, my child s teacher, the school office, and the Culpeper County Child Care program prior to this change. On days that school might close early due to weather* or emergency, my child are to: Culpeper County Child Care will make every effort to remain open during inclement weather. The safety of your children and our staff is a priority. Parent/Guardian Signature Date:

Emergency and Identification Information (TO be completed by the patent or guardian and updated recertification and as changes occur) I Family Information Child s Name (last name first): Birth date: Child s School: Child s Grade: Mother s Name: Mother s Home Phone: Mother s Cell Phone: Mother s Home Address: Mother s Business Address: phone # Email address Father s Name: Father s Home Phone: Father s Cell Phone: Father s Home Address: Father s Business Address: phone # Email address II Name of persons authorized to take the child from the facility (They will not be allowed to leave with Any other person without written authorization form parent or guardian.) Name Telephone # Relationship III Additional persons who may be called in emergency to take child from facility Name Telephone # Relationship IV. Physician to be called in emergency: Name: Phone# Address: If physician cannot be reached, what action should be taken? V. Medical Insurance: Insurance Number: VI. Allergies or other medical limitations VII. Permission for medical treatment. Administrative procedures vary among medical personnel And medical facilities with regard to provision of medical care for the child in the absence of the parent. The exact procedure required by the physician or hospital to be in emergencies should Be verified in advance. In case of an accident or an emergency, I authorize a staff member of the Culpeper County Child Care program to take my child to the above named physician or to the nearest emergency hospital For such emergency treatment and measures as are deemed necessary for the safety protection of the child, at my expense. Signature Date: This form will be kept by Culpeper County Child Care and will be taken with the child to the hospital or clinic in case of emergency.

Culpeper County Child Care Payment Agreement Child s Name: School: Mothers Information Name Address Phone # home Work cell Social Security Number _/ / Father s Information Name Address Phone # home Work cell Social Security Number _/ / Payment Agreement: I agree to make my weekly payments on time. I understand that if I get behind on payments that My child will lose his/her childcare slot and I will be responsible for any unpaid amount. I understand that if it is not paid in full within 30 days my account will be sent to collections. Mother s signature Date Father s Signature Date