The Children's Center Enrollment Contract



Child’s Name __________________________________________   Date of Birth _______________

Address ________________________________________ Beginning Date of Attendance __________

Home Phone_________________  Cell Phone: ____________________  Work phone: ___________

Best Time to Call: ________________  School Attending (if applicable) ______________________

 

Indicate Weekly Time Reserving for Summer Session

Child Care:

Monday

Tuesday

Wednesday

Thursday

Friday

Schedule of time at center

In:

Out:

In:

Out:

In:

Out:

In:

Out:

In:

Out:        

Indicate Weekly Time Reserving for Fall Session

Child Care:

Monday

Tuesday

Wednesday

Thursday

Friday

Schedule of time at center

In:

Out:

In:

Out:

In:

Out:

In:

Out:

In:

Out:         

Students enrolled in Preschool ONLY

put X on days reserving

 

 

 

 

 

 

If your child is here during snacks / meal times – your child will receive snacks / meals at no extra charge:

Please circle meals for which your child may be present:

Monday

Breakfast       AM Snack       Lunch       PM Snack

Tuesday

Breakfast       AM Snack       Lunch       PM Snack

Wednesday

Breakfast       AM Snack       Lunch       PM Snack

Thursday

Breakfast       AM Snack       Lunch       PM Snack

Friday

Breakfast       AM Snack       Lunch       PM Snack

 Preschool Monthly Rates: 2 days - $80.00,  3 days - $90.00, 5 days - $110.00

Child Care Weekly Rates:  Infant/Toddler (Full time) $160.00

Part time 0 – 30 hours - $80.00,  Full time, 30+ hours - $125.00 

 Before and After School - $65.00 

 

*   WE DO NOT SEND OUT BILLS OR STATEMENTS: It is your responsibility to make your payment at the first of each month for preschool students and at the first of each week (Monday) for child care.  A $25.00 late fee will be added for any payments made after the due date.

*   ALL PAYMENTS MUST BE MADE IN ADVANCE OF THE CARE GIVEN.

*   Staff Screening Policy: All staff members will submit to a Michigan Department of State Police criminal history check and to a Family Independence Agency check for history of substantiated abuse and neglect.

 

           I, the undersigned, understand and hereby agree to the payment policies as stated in this contract.  I also agree to give written 2-week notice if withdrawing.  If a 2-week notice is not given, I agree to pay a full 2-weeks of tuition after the child’s last day.  I understand that a 2-week period is given to child care clients for family vacations.  I agree to pay regular rates as agreed upon in this contract for all other weeks that the Center is in operation for the term of this contract unless I have withdrawn my child.

I hereby agree to release The Children’s Center and its employees from all liability while my child is in the care of the center (except in case of gross negligence) and thus agree to be liable for my child while he/she is there.  To that end, I agree to inform the Center of the whereabouts of myself an/or other responsible parties to be contacted in case of illness or emergencies, and I agree to update this information as needed.

I also agree to be knowledgeable of, and to abide by all policies and rules of the Center as stated in the Parent Handbook.

As a service to our families we share pictures of parties and special events on the website.  Please acknowledge your preference for including your child’s picture in the website’s photo gallery.   ___ (I do) / ___ (I do not)  give my permission for my child’s image to be added to the children’s center website.

Parent Signature ___________________   Social Security Number _______-_______-_______Date: ________

Director Signature _________________________    Date:_____________________                           

parent information