KIDS Independent Day School

 

KIDS Logo

CHILD’S NAME: ________________________________________

ADDRESS: _____________________________________________         

CITY: ________________            STATE: _______            ZIP: __________

HOME PHONE: __________________     BIRTHDATE: ­­­­­­­­­­­­______________________    AGE: ____________

MOTHER’S NAME: __________________________________ S.S.# _________________________

ADDRESS: _____________________________________________          

CITY: ________________            STATE: _______            ZIP: __________

HOME PHONE: ________________    CELL PHONE: ________________    

EMPLOYER: ___________________   WORK PHONE: ________________ 

EMAIL ADDRESS: ________________________________________ 


FATHER’S NAME: ___________________________________ S.S.# _________________________

ADDRESS: _____________________________________________          

CITY: ________________            STATE: _______            ZIP: __________

HOME PHONE: ________________    CELL PHONE: ________________    

EMPLOYER: ___________________   WORK PHONE: ________________ 

EMAIL ADDRESS: ________________________________________ 

 

EMERGENCY CONTACT: ______________________________________ 

HOME PHONE: ________________    CELL PHONE: ________________    

EMPLOYER: ___________________   WORK PHONE: ________________ 

RELATIONSHIP TO CHILD: ­­­­­­­­­­­­­­­­­­­­­­­______________________________________

 

PEOPLE AUTHORIZED TO PICK UP CHILD:

(1)  NAME: ___________________________________

ADDRESS: _____________________________________________          

CITY: ________________            STATE: _______            ZIP: __________

HOME PHONE: ________________    CELL PHONE: ________________    

EMPLOYER: ___________________   WORK PHONE: ________________ 

(2)  NAME: ___________________________________

ADDRESS: _____________________________________________          

CITY: ________________            STATE: _______            ZIP: __________

HOME PHONE: ________________    CELL PHONE: ________________    

EMPLOYER: ___________________   WORK PHONE: ________________ 

 

________________________________________              _____________________________
Signature of Custodial Parent                                        Date

________________________________________              _____________________________
Signature of Custodial Parent                                        Date

ESTIMATED ATTENDANCE SCHEDULE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

ARRIVING

         

LEAVING

         

AGREEMENT FOR PAYMENT
AND HOURS OF CARE

Normal hours of operation are 6:00am - 6:00pm, Monday through Friday. If I fail to pick up my child within normal hours of operation, I will be subject to a late charge of $1.00 per minute past the 6:00pm closing time. 

I agree that payment is for the spot and not for the time my child is in the school. If my child is not in attendance for any reason, payment is still required for the day(s) missed, with the exception of a scheduled vacation for which a 14-day advance notice has been given. Exceptions may also be made in the case of extenuating circumstances approved by the facility owner.

I agree to pay late fees of 18% annually if my payment is late. I also agree to pay a $25.00 returned check fee, in addition to any fees Amy Wilson/ K.I.D.S. incurs due to my/our returned check.

I agree to give a 14 day written notice if I decide to permanently remove my child from the school. If I fail to give notice in writing, I will be responsible for payment each week until I do provide the written notice. I also agree to pay any late fees incurred until my final payment is made to the center.

FEE: ____________________ per week

I, ______________________________ and ______________________________ do hereby agree to all terms listed above.

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

K.I.D.S. Inc.

AGREEMENT and POLICY

1.       The school will open no earlier than 6:00am and will close no later than 6:00pm Monday through Friday, except in the case of an emergency or if prior arrangements have been agreed upon and are in writing (decisions shall be made on a case-by-case basis and approved only by the director of the school). The school understands that an occasional late day will occur. If prior notice is given and the director agrees, no late fees will apply (unless it becomes a pattern). However, if no notice is given, the parent shall be charged $1.00 per minute past 6:00pm closing time.

2.       The school will be closed on the following holidays:

New Years Day

Presidents Day

Memorial Day

Independence Day

Labor Day

Thanksgiving Day

Day after Thanksgiving

Christmas Eve

Christmas Day

December 26th

Absolutely no exceptions will be made for any holiday listed above.

The school does not deduct holidays listed above from the weekly tuition fee. The school does not deduct for the occasional absences of any child.

3.       To ensure that no contagious illness is spread throughout the center, any child displaying symptoms of a contagious illness will not be allowed in the school without a physician’s note. The only exceptions will be low-grade fevers associated with teething, immunizations, or physician-diagnosed ear infections where antibiotics are being administered.

Symptoms that will require immediate removal (per Central District Health Department guidelines):

  • Fever of 100º or higher
  • Suspicious rash
  • Three runny stool diapers/incidents in one day
  • Vomiting

In the event that a child becomes ill while at the school, his/her parent(s) will be contacted immediately and asked to remove the child from the school. The child will be isolated from the other children and made comfortable in a quiet place until they are picked up.  

4.       Parents will be allocated one week of vacation time per family per year. Tuition will not be charged as long as the director is given a 14 day advance notice in writing.

5.       Tuition will be withdrawn from your Tuition Express account on the 5th and 20th of each month. This will be considered as payment for the spot and not for the time spent in the school. Fees will be paid on a monthly basis. Tuition is non-refundable.

A late fee of 18% annually will be charged for any payment not received by it’s due date. If any parent becomes late by 30 days, the parent’s child will be refused admittance until all fees including accrued late fees are paid in full. Monthly charges will continue to accrue until payment is received and the child is allowed back into school. Suspensions due to unpaid charges and late charges should not be considered as termination of service.

Fees are based upon the parents “normal work schedule” with allowance for 30 minutes of travel time each way (or up to 10 hours per day).

6.       A trial period will be permitted during the first two weeks of enrollment.  If the parents or the child(ren) are uncomfortable with the school for specified reasons, they may terminate service in writing at the end of the two week period without penalty. Charges will continue to accrue if notification is not given in writing at the end of the two week period.

Parents may terminate service by giving a 14 day notice in writing. Failure to terminate with a 14 day written notice will result in charges until the written notice is received. The 30 day notice is required regardless of reason for termination. Failure to pay any outstanding balance may result in legal action.

The director reserves the right to terminate service of any child or parent at any time without notice. Any unused portion of tuition will not be refunded.

7.       Discipline will be given to any child engaging in inappropriate behavior. Warnings and time-out will be the forms of discipline. At no time will any employee of K.I.D.S. Inc. use spanking or any type of demeaning words as forms of discipline. If a child’s behavior becomes severe, a written warning will be issued to the child and the parent. If a child receives three written warnings in any four week period, the child will be suspended from the center for a period of one week. The parent will still be responsible for payment of the suspended week. Three suspensions will result in termination of services. At no time will dangerous behavior be tolerated. If dangerous behavior occurs, the parent will be called immediately to defuse the situation and remove the child from the school.

8.       Any sexually explicit behavior or language exhibited or used by any child in the school will be cause for immediate termination of service. The director is required by law to report said behavior to all appropriate authorities.

Any child showing signs of physical or sexual abuse will be reported to all appropriate authorities, as required by law.

I, __________________________________, parent of __________________________________, understand and agree with the terms of this policy/contract.

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

K.I.D.S. Inc.
MEDICATION AUTHORIZATION

I/we give my/our permission for K.I.D.S. Inc. to give ___________________________ medication legally prescribed to him/her. Further, my/our child may receive Tylenol or a similar over-the-counter medicine provided by family if needed to reduce symptoms associated with colds, flu, allergies or teething while he/she is at the school. The school will contact me before dispensing any medication to get verbal permission for each instance K.I.D.S. Inc. feels medication is needed, unless a medication authorization form is present.

Does the child have any known allergies? Yes / No

          If Yes, please detail here: ____________________________________________

Does the child receive any prescription medications regularly? Yes / No

          If Yes, please detail here: ____________________________________________

CHILD'S PHYSICIAN: ___________________________________

ADDRESS: ____________________________________________  

CITY: _____________          STATE: _______          PHONE: _________________

 

________________________________________              _____________________________
Signature of Custodial Parent                                     Date


________________________________________              _____________________________

Signature of Custodial Parent                                     Date

K.I.D.S. Inc.
TRANSPORTATION AUTHORIZATION

I/we give my/our permission for K.I.D.S. Inc. to transport my/our child  ______________________ to and from school, on field trips or to seek medical attention.

 

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

________________________________________              _____________________________
Signature of Custodial Parent                                     Date

 

 

 

 

Getting To Know Your Child

CHILD’S NAME: ________________________        BIRTHDATE: ______________________

WHAT DO THEY LIKE TO BE CALLED: ________________________

 

THREE WORDS THAT BEST DESCRIBE MY CHILD ARE:

________________________        ________________________        ________________________

 

WHAT MOTIVATES YOUR CHILD?

___________________________________________________________________________________

WHAT KIND OF THINGS UPSET YOUR CHILD?   

___________________________________________________________________________________

IN WHAT WAYS/AREAS WOULD YOU LIKE TO SEE YOUR CHILD IMPROVE?

___________________________________________________________________________________

 

WHAT DOES YOUR CHILD LIKE TO DO FOR FUN OUTSIDE OF SCHOOL?

___________________________________________________________________________________

MY CHILD'S PERFECT DAY MIGHT INCLUDE...

___________________________________________________________________________________

___________________________________________________________________________________

 

WITH WHOM DOES YOUR CHILD SHARE THEIR HOME (Parent(s), extended family, siblings, pets, etc.):

___________________________________________________________________________________

 

ADDITIONAL COMMENTS:

___________________________________________________________________________________