Please read through the following acknowledgements and contact us if you have any questions before signing.

Application Information

All the information I have provided on my application is true and accurate to the best of my knowledge.

Authorization to Administer Topical Medication

I authorize this childcare to administer topical medication that I will provide. I understand that topical ointment and medications may not be administered if skin is broken and only as a preventative.

Sunscreen

I authorize this childcare to administer sunscreen to my child as needed.

Authorization for Emergency Medical Care

I hereby give my permission to call a doctor or emergency medical service and for the doctor, hospital or medical service to provide emergency medical or surgical care for my child. It is understood that the child care provider will make a conscious effort to locate the parent/guardian or emergency contacts listed on the registration document before any action will be taken. If it is not possible to locate emergency contacts listed, treatment will not be delayed. I will accept the expense of emergency transportation, medical or surgical treatment.

Tuition Agreement

I have read and agree to comply with the tuition guidelines provided to me on the childcare website. I understand that non-payment of tuition as outlined is cause for termination of my child’s enrollment.

Consent and Release

I hereby certify and consent and submission to all governing policies of the school as outlined in the parent handbook. It is understood that the services of the school are engaged by mutual consent: and that, either I or the school reserves the right to terminate any or all services at any time. I agree to keep my tuition payments current and in accordance with the school policy. I have read a copy of the parent handbook (found at our website) and acknowledge it is my responsibility to understand its contents. I understand and agree with the video and television policy of the school which is stated in the parent handbook. I authorize the use of my child’s photograph in any school publication including but not limited to the school brochure, newsletter and website. I understand and give permission for my child to participate in all activities sponsored by the school both on and away from campus, except those mentioned by me in my application.

By signing below, you will be acknowledging your agreement to all provisions listed above: