REGISTRATION FORMS & PROGRAM INFORMATION

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Last Updated: January 06, 2021

REGISTRATION FORMS & PROGRAM INFORMATION

TUITION DEPOSIT

A deposit in the amount of 1st_{& Last months tuition is required for all new students upon registration of the} contract. Upon request & agreement by Applewood, the following may apply.

START DATE: Greater than 4 months away from registration

1st_{and last months deposit can be broken up into 2 payments.}

1ST_{Payment: Due Immediately}

2nd_{Payment: 30 days after 1}st_Payment

START DATE: Less than 4 months away from registration

1st_{and last months deposit are due immediately.}

START DATE CHANGES

If you would like to change your registered start date to something different than what is listed on the registration package, please inform the school as soon as possible with as much notice as possible.

Start dates can be postponed to a maximum of 3 months past the registered start date after which the deposit is forfeited entirely and the spot is now open.

If Applewood is able to accommodate the request, there will be a $250 accommodation fee that is due immediately. The start date on the registration package will not be changed until the $250 fee is paid.

CHILDREN LEAVING DEPOSITS THAT DO NOT ATTEND APPLEWOOD

If a deposit is left to secure a spot and the child does not end up attending the school, Applewood will refund 75% of the deposit if it is within 3 months of the registered start date. Deposits will not be refunded under any circumstance after 3 months past the registered start date.

Once the child attends the registered paid program, no refunds will be offered at this point.

EARLY RESIGNATION

If a child does not remain at the school for the duration of the contract, the deposit will be forfeited. Applewood may, upon its own discretion, offer a time credit for any time that remaining at the time of withdrawal.

Applewood requires 40 days notice for early resignation.

If 40 days notice is not provided, the deposit is forfeited entirely and no amount will be refunded under any condition or circumstances.

Unless 40 days notice is given for withdrawal, this contract will automatically renew on the date on which it was signed for the same length of time at the current tuition rate and terms and conditions of the registration package.

Parent / Guardian signature of agreement & understanding that there NO REFUND FOR DEPOSITS:

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TUITION PAYMENTS

Each student registered must indicate their preferred method of payment from the following options;

1. E-Transfer

Invoices will be sent out by the 25th_{of each month.}

***EARLY BIRD DISCOUNT*** Payments must be received prior to the 1st_{of each month receive a}

$100/month discount for full-time students & $50/month for part-time children. Payments not made by the 1st_{of the month will be re-invoiced at the regular amount.} [ ] check & [ ] initial.

2. Credit Card *There is a 5% surcharge for credit card payments

Invoices will be sent out by the 25th_{of each month.}

***EARLY BIRD DISCOUNT*** Payments must be received prior to the 1st_{of each month receive a}

$100/month discount for full-time students & $50/month for part-time children. Payments not made by the 1st_{of the month will be re-invoiced at the regular amount.} [ ] check & [ ] initial.

3. CHEQUES

Cheques for the complete school year* must be provided at the time of registration, dated for the 1st_of each month.

If the cheques are not complete for the year, a $100 administration fee will be applied for each month where a cheque is not provided. Ex) 6 cheques not submitted = $600.00 or $100 added to each month

There will be a $50 service charge for any cheques returned as NSF.

[ ] check & [ ] initial.

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PROGRAMS OFFERED AGE TIMES

Toddler Half Day 15 months – 30 months 8:00am - 12:00pm or 2:00pm - 6:00pm Toddler Full Day (1.25 yrs – 2.5 yrs) 7:00am - 6:00pm

Preschool Half-Day 30 months – 44 months 8:00am - 12:00pm or 2:00pm - 6:00pm Preschool Full-day (2.5 yrs – 3.6 yrs) 7:00am - 6:00pm

Jr/Sr Kindergarten Primary (3.6 yrs to 5.58 yrs) 7:00am - 6:00pm

Elementary (Grade 1 to 5) 68 months - 10yrs 7:00am - 6:00pm (5.6 yrs to 10.0 yrs)

***EARLY BIRD DISCOUNT APPLIES TO FULL YEAR REGISTRATION ONLY*** DOES NOT APPLY TO MONTH TO MONTH REGISTRATION

SIBLING DISCOUNT

We offer a sibling tuition discount; 1st_{Child = Full tuition}

2nd _{Child = 5% Tuition Discount (of lower amount)} 3rd_{Child = 10% Tuition Discount (of lower amount)}

TIME 1/2 DAY FULL DAY 1/2 DAY FULL DAY FULL DAY FULL DAY

PROGRAM TODDLER TODDLER PRE-K PRE-K JK SK / ELEMENTARY

AGE 3.6 - 5.6 yrs 5.6 - 10.0 yrs

Monthly Tuition $905 $1,275 $855 $1,175 $975 $995

Deposit $905 $1,275 $855 $1,175 $975 $995

Meals & Refreshments Snacks Only Lunch & Snacks

Included Snacks Only

Lunch & Snacks Included

Before & After School Program

DEPOSIT GIVEN $50 / month $100 / month $50 / month $100 / month $50 / month $100 / month

Pay on the 1st of each

month Discount $855 $1,175 $805 $1,075 $925 $895

1.5 - 2.5 yrs 2.5 - 3.6 yrs

7:00am - 8:30am & 4:00pm - 6:00pm *** INCLUDED***

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NON-REGISTERED BEFORE & AFTER SCHOOL PROGRAM

Before School Program only 7:00am - 8:30am $20/day After School Program only 3:30pm - 5:00pm $20/day Late Hours After School Program 3:30pm - 6:00pm $25/day

NON-REGISTERED PROGRAM INFORMATION & FEES

AGE PROGRAMS OFFERED TIMES COST / DAY COST / WEEK

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ENROLLMENT AGREEMENT

Childs Name:__________________________

Start Date: __________

Contract Length: ____________ months

Tuition Rate: $ ________ / month

[ ] check & [ ] sign.

PLEASE READ CAREFULLY:

This AGREEMENT is between “Applewood Montessori Academy & Daycare School” & the parent(s) or guardian(s) of:

___________________________________________. Relationship to Student/Child: ________________ Upon the signing of this AGREEMENT, I/We agree to pay Applewood Montessori & Daycare School a

Non-Refundable deposit in the amount of 1 month’s tuition as a commitment to our child attending Applewood

Montessori Academy & Daycare for 1 school year*. Applewood commits to reserving a spot in the program for this child for the duration of the school year or until such date as the child is no longer attending the school.

*School year is defined as being from Sept-June for private school classes (JK classes & up) and 12 full months from contract start date +12 months for daycare classes (Toddler-Pre-K

All deposits are Non-Refundable as their purpose is to confirm that your child will be attending the school & that a spot will be reserved for them at Applewood Montessori & Daycare School for the full academic year.

If the child does not attend the school or complete the full school year, the deposit is not refunded under any circumstances. A time credit may be offered upon the discretion of the school.

It is mandatory that any student enrolled in the JK-Grade 5 program be fully toilet-trained in order to be accepted. Please check here & initial that you understand that your child will not be accepted if they are not fully toilet-trained for this program. [ ] check & [ ] initial.

All required forms & payments must be made prior to enrollment in order to confirm placement for your child.

I/We understand that we will receive the EARLY BIRD DISCOUNT* if the monthly tuition payment is received by the 1st_{of the month and that any payments received after the 1}st_{are subject to the standard program rate} [ ] check & [ ] initial.

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I/We understand that monthly tuition is still required regardless of whether the child attends or not.

Extended absences for family vacations, illnesses, etc will not be reimbursed and if the tuition is not received in a timely fashion and no arrangements are made to make payment, Appleweood reserves the right to assume that the spot in the program has been abandoned and the spot will be given to the next person on the list. Applewood will make several attempts to contact the parents/guardians in the event of non-payment and will use their own discretion to determine if the child intends to return to the program

Applewood Montessori Academy & Daycare reserves the right to dismiss a student if we feel the child is not benefiting from the Montessori program & the curriculum that we offer.

In this case, any future payments owing will become null & void & the service agreement will be dismissed. Applewood will also agree to refund the complete deposit as well as any remaining monthly tuition that may be remaining.

By signing below, I/We understand& fully the terms in the Enrollment Agreement:

Student Name (print): __________________________________________ Date: __________________

Parent/Guardian Name (print): ____________________________________

Signature(s):___________________________________________________

Parent/Guardian Name (print): ____________________________________ Signature(s):____________________________________________________

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LUNCH, FIELD TRIPS & MEDIA CONSENT

Student Name: ______________________________ Class: _________________ Date: _____________

LUNCH

I/We have read the information & understand that lunch & snacks are provided exclusively by an outside catering company for my child, & I/We agree to allow outside catering providing food in accordance with our signed allergy forms. All catering and nutrition requirements will be met in compliance with the ministry guidelines and the DNA act.

Signature of Parent(s) / Guardian(s): _______________________________

_______________________________

CONSENT FORM FOR FIELD TRIPS

I hereby consent to let my child, to be taken out of the school for periodic, well-supervised field trips. I hereby consent to let my child, to be taken out of the school for walks to adjacent parks near the school. A copy of field trips will be sent home & will be posted on our bulletin board a week before the date of the event.

Also, if I cannot be immediately contacted, I consent for my child to be given the necessary care should an emergency arise resulting from an accident or illness while he/she is in the care of Applewood Montessori & Daycare School. I understand that the school will continue to contact me to discuss details of the emergency & any medical expenses incurred for such treatment are my responsibility.

Signature of Parent(s) / Guardian(s): ________________________________

________________________________

PHOTOGRAPH / VIDEO WAIVER

From time to time, Applewood Montessori would like to include a picture for use in promotion &

advertisements. Please sign below if you do not have any objections to having your child’s picture or video taken. Pictures or videos will be taken during school hours, with other students near and under teacher supervision.

I hereby consent to have my/our child, __________________, to have the following used for advertisements or promotional materials:

Pictures only [ ] Video only [ ] Pictures/Video [ ]

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FAMILY INFORMATION FORM

Student’s Name: ___________________________________ Phone: _____________________ Address: ____________________________________ Date of Birth: ______/______/_______ City/Postal Code: ___________________________________ Gender: Male [ ] Female [ ]

Student currently lives with: (please specify) ______________________________________

Relationship to Child: ______________________________________

Parent/Guardian Name: ___________________________________ Cell Phone: _________________ Home Address: ______________________________________ Home Phone: ___________________ City/Postal Code: _____________________________ Email: _________________________________ Work Company Name: ________________________________

Work Address: _______________________________________ Work Phone: _________________ City/Postal Code: _______________________________________ Extension: ___________________

Parent/Guardian Name: ___________________________________ Cell Phone: _________________ Home Address: ______________________________________ Home Phone: ___________________ City/Postal Code: _____________________________ Email: _________________________________ Work Company Name: ________________________________

Work Address: _______________________________________ Work Phone: _________________ City/Postal Code: _______________________________________ Extension: ___________________

Alternate Emergency Contacts:

1. Name: __________________________Phone: _________________ Relation: ______________ 2. Name: __________________________Phone: _________________ Relation: ______________

Adults to whom child may be released:

1. Name: _________________________ Phone: _________________ Relation: ______________ 2. Name: _________________________ Phone: _________________ Relation: ______________ 3. Name: _________________________ Phone: _________________ Relation: ______________ 4. Name: _________________________ Phone: _________________ Relation: ______________

Paediatrician or Family Doctor:

Name: ____________________________

Address: ______________________________________________ Phone: _____________________ City: _______________________________________________ Postal Code: ___________________

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MEDICAL FORM

Special Instructions Regarding Diet, Rest or Exercise: (e.g. vegetarian, no eggs)

____________________________________________________________________________________ ____________________________________________________________________________________

Previous Communicable Disease: (e.g. lice, chicken pox, measles)

____________________________________________________________ Date: __________________ ____________________________________________________________ Date: __________________ ____________________________________________________________ Date: __________________

Previous Illness or Injury: (e.g. broken arm)

Type: _______________________________________________________ Date: __________________ Type: _______________________________________________________ Date: __________________

Special Medical Conditions: (e.g. eczema)

___________________________________________________________________________________ ___________________________________________________________________________________

Special Written Instructions for Diet / Medication:

___________________________________________________________________________________ ___________________________________________________________________________________

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ALLERGY FORM

Student’s Name: ___________________________________ Phone: _____________________ Address: ____________________________________ Date of Birth: ______/______/_______ City/Postal Code: ___________________________________ Gender: Male [ ] Female [ ]

1. Has your child had an allergic reaction before? If yes, to what & when? [ ] YES [ ] NO

______________________________________________________ Date: _____ / _____ / 20___

2. Has your child’s allergies been confirmed by a medical professional? [ ] YES [ ] NO

3. If yes, what allergies were identified?

1. __________________________ 2. __________________________3. _________________________ 4. If your child has an allergic reaction, what steps should staff take to help your child? Please explain ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

5. Does your child have or take medication for these allergies? [ ] YES [ ] NO

6. Does your child require an EPI PEN for these allergies? [ ] YES [ ] NO

(if YES, you must fill out a medication administration form prior to your child attending the program)

***IF YES, PLEASE ENSURE THAT ALL MEDICATIONS ARE IDENTIFIED ON MEDICAL CONSENT FORMS & THAT STAFF IS TRAINED TO ADMINISTER MEDICATION CORRECTLY***

***IT IS THE PARENT/GUARDIAN(S) RESPONSIBILITY TO INFORM THE STAFF AND OFFICE OF ALL ALLERGIES AND/OR POSSIBLE ALLERGIES AND THE USE OF ANY MEDICATION RELATED TO THESE ALLERGIES.

I give permission for my childs allergies & food restrictions to be posted around the school at Applewood Montessori Academy & Daycare

Parents Name (print): ________________________ Date: _____________________

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REGISTRATION CHECKLIST FOR NEW STUDENTS

Please find below a registration checklist to ensure that you have completed all of the necessary requirements to enrol your child at Applewood Montessori Academy & Daycare School.

The following are forms to be filled out:

ENROLLMENT AGREEMENT LUNCH FORM

FIELD TRIPS CONSENT FORM MEDIA CONSENT FORM FAMILY INFORMATION FORM MEDICAL FORM

ALLERGY FORM

NEW ENTRANTS SURVEY

The following are to be included with above forms:

• 2 copies of child’s Immunization Records

• Deposit

• Post dated cheques dated for the first of each month • Allergy/medical forms (if applicable)

NOTE: The deposit & registration fees are both non-refundable once it has been received & accepted by an administrative staff. If not received, your child’s space cannot be reserved.

I hereby attest that I have read, understood and accept all of the terms and conditions in the

aforementioned enrolment form for my child’s registration with Applewood Montessori Academy & Daycare.

Name: _____________________________________

Signature: _________________________________

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NEW STUDENTS ENTRANCE SURVEY

Welcome Aboard! As a new family in our school community, we are very interested in getting to know your family as well as your intended plans for your child’s education. We are here to do our best to ensure your child’s education is full of positive experiences. Please take the time to fill out our survey so we can best accommodate your child during their time here at Applewood.

1. What was your main reason for choosing Applewood Montessori?

_______________________________________________________________________________________ _______________________________________________________________________________________

2. How did you hear about us?

_______________________________________________________________________________________ _______________________________________________________________________________________

What kind of care did your child receive prior to now?

_______________________________________________________________________________________ _______________________________________________________________________________________

3. What are your immediate expectations you wish for your child?

_______________________________________________________________________________________ _______________________________________________________________________________________

4. What were your reasons for choosing Applewood Montessori Academy for your child?

_______________________________________________________________________________________ _______________________________________________________________________________________

5. Do you have a good understanding of the Montessori Philosophy?

_______________________________________________________________________________________ _______________________________________________________________________________________

6. What are your future intentions for your child’s education?

_______________________________________________________________________________________ _______________________________________________________________________________________

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Last Updated: Nov 20, 2017

TODDLER & PRE-K SAFE SLEEP POLICY Purpose:

The purpose of the Safe Sleep Policy is to maintain a safe sleep environment that reduces the risk of sudden infant death syndrome (SIDS) and sudden unexpected infant deaths (SUIDS) in children less than one year of age. All licensed child care facilities that provide care for children are to implement and maintain a written safe sleep policy. Applewood Montessori will provide parent(s) and/or guardians(s) who have children in care be provided a copy of the facility’s safe sleep policy.

Sudden infant death syndrome is the sudden death of an infant less than one year of age that cannot be explained after a thorough investigation has been conducted, including a complete autopsy, an examination of the death scene, and a review of the clinical history.

Sudden unexpected infant death is the sudden and unexpected death of an infant less than one year of age in which the manner and cause of death are not immediately obvious prior to investigation. Causes of sudden unexpected infant death include, but are not limited to, metabolic disorders, hypothermia or hyperthermia, neglect or homicide, poisoning, and accidental suffocation.

Child care providers can maintain safer sleep environments for infants that help lower the chances of SIDS. The goal is to take proactive steps to reduce the risk of SIDS in child care and to work with parents to keep infants safer while they sleep. To do so, this facility will practice the following safe sleep policy:

Safe Sleep Practices:

1. Sleeping children shall have a supervised nap/sleep period. The caregiver shall be positioned where he or she can hear and see the children. The caregiver shall physically check on the child every 15-20 minutes during napping or sleeping and shall remain in close proximity to the child in order to hear and see them if they have difficulty during napping/sleeping or when they awaken.

2. During the physical check, the caregiver will complete the visual check according to the chart and complete the chart for each child. The chart will be kept in the classroom on a clipboard that will be hung on the wall. The chart is available for parents to review upon request and the school will make a copy available to the parent if necessary.

3. If a child is found to be in distress, the caregivers actions will depend on the kind of distress that the child is experiencing. Please refer to the table below for caregiver actions for each type of distress. All signs of distress should be noted on the sleep chart in the comments section and the parent/guardian advised upon picking the child up from the school.

4. Equipment such as a sound machines, that may interfere with the caregiver’s ability to see or hear a child who may be distressed, are prohibited

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6. The lighting in the room must allow the caregiver/teacher to see each child’s face, to view the color of the child’s skin, and to check on the child’s breathing and placement of the pacifier (if used).

Safe Sleep Environment:

1. Room temperature will be kept at no less than 68°F and no more than 85°F when measured two feet from the floor. Children are supervised to ensure they are not overheated or chilled.

2. Children’s heads and face will not be covered during sleep.

3. No blankets, loose bedding, comforters, pillows, bumper pads, or any object that can increase the risk of entrapment, suffocation or strangulation will be used in cribs, playpens or other sleeping equipment. 4. Only an individually-assigned safety-approved cot will be used for napping or sleeping.

6. Only one child may occupy a cot at one time.

7. Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices will not be used for sleep/nap time. Children who fall asleep anywhere other than a cot, must be placed in the cot for the remainder of their sleep or nap time.

8. No person shall smoke or otherwise use tobacco products in any area of the child care facility during the period of time when children cared for under the license are present.

9. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping and sleeping.

10. All parents/guardians of children shall be informed of and given the facility’s written Safe Sleep Policy at the time of enrollment.

Caregiver Safe Sleep Policy:

All caregivers will read and sign off their understanding of the Canadian Board of Health Safe Sleep Brochure every 3 months

Parental Consultation:

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DISTRESS

ACTION

Child is overheating

1. Take steps to remove layers of clothing from the child & continue to monitor temperature

2. If high temperature persists, place a cool cloth on their head until their temperature returns to normal.

3. If temperature reaches 100 Deg, the parents shall be immediately informed and make arrangements to pick up their child and take them to the emergency room at the hospital.

Child has blankets tucked under arms

If child has blankets tucked under their arms, gently remove the blankets and ensure that the child is breathing easily.

Child shows a change in skin colour

Check childs breathing to ensure that the child is breathing easily.

Check the childs temperature to ensure that their temperature is normal. If child is overheating - see

Child is overheating distress box above

If the child shows signs of difficulty in breathing, gently remove any blankets or clothing that may be causing the child to have difficulty breathing

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Confirmation of understanding & agreement:

I have read the terms & agreement for the toddler & pre-k safe sleep policy

Student Name (print):____________________________________________ Date: ______________ Parent/Guardian Name (print):_____________________________________

Parent/Guardian Signature:________________________________________ CHECK CHILDREN EVERY 20 MIN

DATE:

(Y= YES) (N= NO)

NAME: Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

TIME & INITIAL: N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N

COMMENTS: 2nd SAFTY CHECKPOINT 12:40 PM 3rd SAFTY CHECKPOINT 1:00 PM 4th SAFTY CHECKPOINT 1:20 PM 5th SAFTY CHECKPOINT 1:40 PM

SAFE SLEEP CHART

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Sunscreen Application

To help protect children from strong and harmful UV rays during the late spring and summer months, Applewood Academy will assist students in applying sunscreen.

In order to apply sunscreen to your child, a sunscreen administration form must be completed. All students are asked to bring in a bottle of sunscreen clearly labeled with their name on it. This sunscreen should be left in the child’s classroom.

If sunscreen is brought in, it will be administered before going out in the morning and in the afternoon.

I _________________________________________________, herby give permission for the staff of

(Parent/Guardian Name)

Applewood Montessori Academy & Daycare to apply sunscreen that I provide on

_________________________________________________ prior to going outside.

(Child’s Name)

Date brought in: ___________________________________________

Expiration date: ____________________________________________

Name/Brand of Sunscreen: _______________________________________

SPF amount: ___________________________________________________

I understand that Applewood Montessori Academy & Daycare assumes no liability for adverse reactions to sunscreen.

Name of Parent/Guardian: _______________________________