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Enrollment Contract and Agreement to Services – English
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Enrollment Contract and Agreement to Services – English
Name(s) of enrolled child(ren)
(Required)
Add
Remove
Checkbox 1
(Required)
I have received a copy of the West Chester Area Day Care Center Family Handbook. I have read, understand and agree to follow all of these policies. I further understand that if the policies outlined in the handbook are not followed by my family, it would be sufficient cause for the removal of my child/children from the WCADCC’s program.
Checkbox 2
(Required)
I/we understand daycare payment is due every Monday or the first business day of the week BEFORE care is given, and my/our children may be excluded for non-payment of fees.
Checkbox 3
(Required)
I/we understand my child’s daycare fees: Registration fee is $25 and due at enrollment then annually every September; Initial deposit is one week’s fee of $ __________ and gets applied to my last week of care should I give two weeks’ notice of disenrollment; and my weekly fee of $_______ and the return check fee is $25.
Checkbox 4
(Required)
I also agree to give a minimum of two weeks written notice (ten full daycare days) of my intent to withdraw my child/children from WCDACC and my Initial Deposit will be applied to that last week of care. If two weeks notice is not given, I agree to make full payment for those two weeks and will forfeit my initial deposit.
Checkbox 5
(Required)
I/we understand, as an ELRC Client, if my co-pay increases so will my initial deposit and I am permitted up to 40 absences total and my child/ren cannot be absent more than 5 consecutive days.
My ELRC Caseworker is
(Required)
County Record
(Required)
Checkbox 6
(Required)
I/we understand that there are NO vacation or sick credits. Payment is based on enrollment NOT attendance
Checkbox 7
(Required)
I/we understand we pay for ONE emergency closure and for all scheduled closed Holidays.
Checkbox 8
(Required)
I/we understand the center opens at 6:30AM and that my child/children need to arrive by 9:00 AM.
***Breakfast will not be saved for any reason after 9:00AM***
Checkbox 9
(Required)
I/we understand WCADCC closes at 5:30 PM and if my child is picked up after 5:30 PM the LATE FEE of $1.00 per minute will be charged and needs to be paid in cash at the time of pickup or my child will not allowed in care until paid.
Checkbox 10
(Required)
I/we understand that I/we must provide a completed Health Assessment (physical) AND immunization (shots) records signed by a physician to the daycare within 60 days of enrollment and from every well visit for babies and children under the age of 2 and annually for ages 2 and up.
Checkbox 11
(Required)
I/we understand the Meal and Allergy policies and that any food substitutions must be signed off by a physician and “OUTSIDE” food (foods from home, fast food, etc) is NOT allowed in the center.
Checkbox 12
(Required)
I/we understand that “OUTSIDE” toys are NOT allowed in the center
Checkbox 13
(Required)
I/we understand the Illness Policy (for example, a child must be out for 24 hours fever free, without being given any medications, if temp is 102 or higher) and the Medication Policy (medication cannot be given without a physician’s note and I must complete a medicine chart for my child’s/children’s classroom)
Checkbox 14
(Required)
I/we understand the Behavior Policy and I/we have read and shared the expectations with my/our child/children. We focus on Good Choices!
Parent/Guardian Name
(Required)
First
Last
Parent/Guardian Signature
(Required)
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