Childcare Enrollment Form

1. Kids In Motion Childcare Center agrees to provide childcare for my child Monday through Friday per the center's operating hours, excluding closed holidays and closings due to inclement weather.
2. I have received a copy of the center's rate and fee sheet. I have been provided an opportunity to ask any questions regarding the rates and fees.
3. Parent(s)/guardian agree to pay the weekly tuition fee on Friday for the upcoming week. Late payment penalties will be added when payment is not received by Monday at 9:00 a.m.. Parents and/or guardian acknowledge having received, reviewed and understand all pricing information and agree to pay accordingly. A non-refundable enrollment fee per child will be charged annually.
4. To help the center with staffing requirements, the estimated time of my child's arrival will be ______ and the estimated time of my child's departure will be_______.
5. Parent(s)/guardian agree to promptly provide and maintain accurate enrollment information and on-going record information. Immunization forms must be provided within the first 30 days of enrollment and must be kept up to date.
6. Parent(s)/guardian have been notified of the center's operating hours. A late pick up charge will be added when the child is not picked up by closing.
7. Checks are no longer accepted but we do offer a robust and user-friendly system for accepting credit, debit and cash payments. Delinquent accounts may result in termination of services and may be referred to a collection agency, at which time, any and all appropriate fees will be included in the balance. Any costs incurred in collection of past due amounts will be paid by the parent(s)/guardian.
8. A two week WRITTEN notice is required for all withdrawals prior to the withdrawal date. Regular tuition rates apply during this two week period.
9. Parent(s)/guardian agree to provide written authorization before any medication or topical preparations can be dispensed to a child. Medication must be in the original container with my child's name on it.
10. Parent(s)/guardian or authorized persons will always escort the child into and out of the center and confirm arrival and departure with the supervising staff member.
11. Parent(s)/guardian must inform the center about any changes as they occur with telephone numbers, work location, emergency contacts, child's physician, child's health status, infant feeding, immunization records, and any other information related to the care of your child.
12. A designated person and contact information must always be available in the event of an emergency.
13. Parent(s)/guardian agree to label all belongings with the child's FIRST and LAST name. Bottles, sippy cups, formula, must ALSO show the current date. Parents will provide diapers, foods and other supplies on a timely basis.
14. Center is not responsible for lost or broken personal items brought to the center.
15. Any field trip or special activity must have WRITTEN parental authorization in order for your child to participate. Parents MUST provide WRITTEN authorization. Phone calls, emails and faxes are not acceptable forms of authorization. Each child must wear a Kids In Motion t-shirt on each activity outside of the childcare center.
16. In custody cases, the center must be provided with any current legal court documents.
17. Parent(s)/guardian have been provided a copy of the center's parent handbook which includes the center's operational policies and procedures. I have also been provided an opportunity to ask questions regarding any policies or procedures.
18. Discipline is the training that develops self-control, character, and social competence. Discipline of children is a joint effort involving the child, parents, staff and management. Good behavior is consistently praised. Employees take a positive approach to dealing with each child. A copy of the discipline policy has been provided to the parent(s)/guardian.
19. I have received information regarding the child care laws for my state and/or provided with information on these laws and how to obtain such laws.
20. Serious issues and/or issues relating to your child's care or progress will be addressed with the parents. All disputes, controversies, claims, or differences which may arise between the parent(s)/guardian and the center will be solely and exclusively settled by arbitration in accordance with rules of the American Arbitration Association.
21. The above terms are subject to change from time to time in accordance with regularly published terms and policies of the center and the state's requirements.