2015-2016 PROGRAM REGISTRATION
Thank you for considering Summit Christian Learning Center for your Child’s Care and Education.
Summit Christian Center’s purpose is to connect people with God and others, leading them to become fully devoted followers of Christ, who are expressing His life in their world. This purpose statement is the bedrock of our Children’s Ministry and our Learning Center.
Our program is designed to nurture young children, to stimulate their spiritual, physical, cognitive, creative development, and to encourage positive self-esteem and social interaction.
We serve children ages 6 weeks-Pre K. Children are placed in classrooms according to age range and Kindergarten entrance date.
Summit Christian Learning Center programming operates September 2015-May 2016 with separate summer programming available.
NEISD school calendar and holidays will be observed, as well as 2 scheduled Teacher in Service Training Days.
Spaces will be assigned with required enrollment paperwork, current immunizations and payment of registration and supply fees.
We offer High Reach curriculum for infants and toddlers, and the A Beka curriculum for ages 3 and up.
A Beka provides Christian schools with outstanding curriculum built on a foundation of academic excellence and Christian character training.
Our curriculum is designed to meet the individual needs of each child in a warm and nurturing environment, emphasizing the building of autonomy and problem-solving abilities in the following areas:
Music and Movement
Physical and Natural Science
Language Arts
Mathematical Concepts
Cooking
Gross and Fine Motor Coordination
Creative Arts and Crafts
Dramatic Play
Our learning goals for our preschool aged children include the following:
Participating as part of a classroom community:
o
being respectful of others and propertyo
sharing informationo
listeningo
taking turns Developing social competence:
o
building relationships with peers and teacherso
entering and sustaining playo
developing empathy for otherso
learning to negotiate Developing early language and math concepts:
o
expressing feelings and ideaso
making attempts at writingo
recognizing symbols (starting with the children's names)o
exploring math concepts through manipulation of objectsPlease contact Cara Fernandez for registration and program information.
[email protected] 210-402-0565 ext. 2000
We look forward to serving you at Summit Christian Learning Center!
2015-2016 ENROLLMENT FORM
How did you hear about us? ______________________________________________________
Child’s Name _____Gender ___________ Date of Birth_____/_____/_____
Address City State/Zip _____
Program Selection: _______________________ Start Date_____/_____/_____Withdrawal Date_____/_____/_____
Father’s Name Mother’s Name
Employer Employer
Business Phone Business Phone
Cell Phone Cell Phone
Email Email
Home Church Home Church
Does child live with both parents? Yes No If no, list whom child lives with and marital status of that parent.
Is there a custody order on file?
Other children in the family: Name Age
School
Name Age
School
Name Age
School
Emergency Contact and Pick Up (other than parents; ID will be required)
Name Relationship
Address Contact Phone
Name Relationship
Address Contact Phone
Name Relationship
Address Contact Phone
I have received and agree to the policies of Summit Christian Learning Center.
Signature Date: _______________________________________
I understand it is my responsibility to change any information in this enrollment form as needed. By this signature I am verifying that this information is true and correct to the best of my knowledge. In consideration for my child being allowed to participate in activities at Summit Christian Center, I hereby release, discharge, indemnify and agree to hold harmless Summit Christian Center, it’s directors, officers and employees, agent and all volunteer personnel from any and all liability for personal injuries and or damages, injury or illness that my be suffered by (Child Name)___________________________________We further agree to indemnify and hold harmless Summit Christian Center, it’s directors, officers, employees, agent and all volunteer personnel for any claim and or damages, or its agents are required to pay as result of any injury or damage including reasonable attorney fees, litigation expenses and courts costs.
Signature _____ _____________________Date
MEDICAL INFORMATION AND RELEASE FORM
Child’s Name Date of Birth_____/_____/_____
Child’s Physician _____________________________________________________
Physician Address: ________________________________________Phone _____________
______ My Child has NO special/medical needs, injuries, or allergies (Environmental, food and medical) ______ My Child has special/medical needs, injuries, or allergies (Environmental, food and medical) Please List Below:
Please answer all of the following questions, if yes please describe:
Does your child have any hearing or speech difficulty? Yes No ____________________________________
Is your child taking any medication? Yes No ____________________________________
Does your child have asthma or wheezing? Yes No ____________________________________
Does your child have epilepsy? Yes No ____________________________________
Does your child have febrile (fever) seizures? Yes No ____________________________________
Is your child allergic to insect bites or stings? Yes No ____________________________________
Has your child ever had chicken pox? Yes No ____________________________________
Has your child had allergic skin reactions? Yes No ____________________________________
Has your child been hospitalized or had a
Medical condition in the last 12 months? Yes No ____________________________________
Any other surgical or medical information? Yes No ____________________________________
My child’s immunizations / health records are current. I have provided Summit Christian Center with a copy of current records and Physician Statement Request form (see attached) My child will not be accepted into care until current shot records are received, Physician Statement must be received within one week of start date.
Signature_____________________________________________________________________________________
In the event that I cannot be reached to make arrangements for emergency medical treatment at the time of illness or accident, I hereby authorize Summit Christian Center to take my child to the closest emergency room.
Signature Date
PARENT NOTIFICATION OF CUSTODY ISSUES
We cannot legally prevent a child from being picked up by a parent or person designated by a parent. If parents are legally separated or divorced, we cannot restrict the days or times parents pick up their children. Parent must be responsible to adhere to their custody agreement and or decide between themselves which days and times each of them will pick up their child. Summit Christian Learning Center is legally obligated to release the child to their parent. If a parent as no legal right to pick up their child, or has a restraining order in effect, the school MUST HAVE A COPY OF THE COURT ORDER stating such on file. Otherwise, either parent may check the child out of the school with proper identification.
I have read the above statement regarding pick up custody issues of legally separated or divorced parents. This form should be signed regardless of your marital status. You signature states that you understand Summit Christian Learning Center Policy regarding custody issues.
Child(ren) Names:________________________________________________________________
Parent / Guardian Signature: _____________________________________________________
Date: ______________________________________
Extended care is available for part time children when requested in advance & space permitting. All
reservations must be pre-approved by administration. All current enrollment paperwork must be
completed and one file at the time of the drop in.
DAILY DROP-IN RATE, 7AM-7PM WHEN AVAILABLE: HOURLY RATE:
$60 Infant Rate (6 Weeks to 17 Months) $8.00 per hour
$50 Preschool Rate (18 Months to 5 Years Old)
ALL FEES ARE NON-REFUNDABLE
Parent Signature : _______________________________________ Date : ______________
INFANT PROGRAM: 6 WEEKS TO 17 MONTHS
OFFICE USE ONLY:
Annual Registration Fee of $100 per child.
Early Bird Discount of $50 off Registration Fee if registered by March 15, 2015
10% Sibling Discount on oldest child’s tuition.
10% Family Discount off 3 or more children in care
10% Military, First Responder and Educator Discount on total tuition.(Parent or Guardian only, current ID required)
10% Summit Church Member Discount(Parent or Guardian only, Must complete New Member Class)
Interested in Pre-reserved Extended care available for $8.00 per hour, (no partial hour reservations, per child, per hour, space permitting.)
Full Time Program– Assessing Supply Fees weekly ($25 added to weekly tuition)
Staff Member DiscountStaff Name
: _______________________________________
Date: ______________
PROGRAMMING AND PRICING SHEET 2015-2016
PRESCHOOL PROGRAM: 18 MONTHS—PRE K5
____ Tuesday/Thursday—$250 per month, $250 Annual Supply Fee — September-May 8am-2pm
____ Monday/Wednesday/ Friday —$350 per month, $350 Annual Supply Fee — September-May 8am-2pm
____ Monday-Friday—$185 per week, $250 Quarterly Supply Fee – Year round 7am-7pm
____ Monday/Wednesday/ Friday —$500 per month, $500 Annual Supply Fee — September-May 7am-7pm
____ Tuesday/Thursday—$350 per month, $350 Annual Supply Fee — September-May 7am-7pm
____ Monday/Wednesday/ Friday — $400 per month, $400 Annual Supply Fee — September-May 8am-2pm
____ Tuesday/Thursday — $300 per month, $300 Annual Supply Fee — September-May 8am-2pm
____ Monday-Friday — $210 per week, $250 Quarterly Supply Fee – Year round 7am-7pm
____ Monday/Wednesday/ Friday — $550 per month, $550Annual Supply Fee — September-May 7am-7pm
____ Tuesday/Thursday — $400 per month, $400 Annual Supply Fee — September-May 7am-7pm
Payment for FULL TIME program is due on Monday of the current week. Tuition is payable whether or not my child attends. If tuition and or late fees are not paid by Friday, I understand that my child cannot return to care the following Monday until paid, and a late fee of $25 per week will be assessed for late payment.
Tuition payments will be made through the Summit Christian Center iAccount system, by check, cash, or by credit card.
A Registration Fee is due per child, per year. I understand that a Supply Fee is due at the beginning of each quarter and the first fee is due at the time of registration (September-November, December-February, March-May, and June-August) I understand that Fees are non-refundable and are not pro-rated for Holidays or partial absence.
Half Priced week tuition payments are available if your child is in our care 1 day or less during the week.
Parent Initials______ Weekly tuition rate__________ Registration Fee _________ Quarterly Supply Fee $_____________
Payment for the PART TIME program is due on the first of each month. Tuition is payable whether or not my child attends. If tuition and or late fees are not paid on the 5th of the month, I understand that my child cannot return to care the following day until paid, and a $25 late fee will be assessed for late payment.
Tuition payments will be made through the Summit Christian Center iAccount system, by check, cash or by credit card.
A Registration Fee is due per child, per school year. I understand that a Registration and Annual Supply Fee are due at time of registration.
I understand that Fees are non-refundable and are not pro-rated for Holidays or absence.
Parent Initials______ Monthly tuition rate__________ Registration Fee $_________Annual Supply Fee $_____________
Parent Name: _______________________ Parent Signature: ____________________________ Date: _____________
TUITION & FEE AGREEMENT 2015-2016
Child’s Name: ______________________________ Date of Birth: ___________________________________
Mother’s Name: ____________________________ Father’s Name: _________________________________
Meal service is available for a fee. Pre-Ordered Lunch will be served each day for a fee of $3.00. A menu will be available monthly. Children may also pack a lunch of comparable nutritional value to the school lunch. (Parents’ Initials) _________
Meals will need to be selected and paid for on Monday of the last week of each month. Meal fees are non-refundable.
(Parents’ Initials) _________
Day of lunch is available if ordered before 9:00am for a cost of $4.00. (Parents’ Initials) __________
In the event that my child did not provide a lunch or preorder a lunch, a substitute lunch will be provided and meal fee of
$10.00 will be added to my account, and will be due on Friday of that week. (Parents’ Initials) _________
During summer months and holiday times, an activity fee may be charged. Activity fees are for additional activities outside our normal planned curriculum. Parent will be notified 30 days in advance of activity fee options. (Parents’ Initials) _________
Late pick up fees are assessed at the rate of $1.00 per minute beginning at 2:05 for part time children and 7:05 for full time children. (Parents’ Initials) _________
In the event I choose to end my relationship with Summit Christian Learning Center and withdraw my child, a two week written notice will be given. (Parents’ Initials) _________
PHOTO RELEASE FORM
Dear Parents,
During the school year, opportunities arise to provide positive information and publicity about our
programs and events to the general public or specific audiences. In some cases, we may receive
requests from the news media or professional persons to interview, photograph, and/or film students for
news or non-profit publications, television or radio broadcasts, or for educational information and
training or various publications and brochures printed by the Summit Christian Center.
Permission is needed for your child to be the subject of any news media publicity or included in our
publications. Please sign this form and return it to the Learning Center, where it will be kept on file for
future reference.
I give Summit Christian Center permission to use my Child Picture and First Name in:
___ Newsletters/ Classroom
___ Website
___ Summit Social Media
___ Local Television Ads
___ None of the above
*No last names or other personal information will ever be used*
________________________ __________________________ _____________
Child’s Name Parent’s Signature Date
2015-2016 DATES OF CLOSURE
Full Time Program Hours of Operation
Summit Christian Learning Center has Full Time Programming Monday-Friday from 7am-7pm, year round.
We will be closed on the following days in observance of Federal Holidays, Christian Holidays, Local
Holidays, Holiday Breaks and Teacher In-Service Days.
_____ (Initials) September 7, 2015 (Labor Day)
_____ (Initials) September 25, 2015 (Teacher In-Service Day)
_____ (Initials) October 12, 2015 (Columbus Day)
_____ (Initials) November 26-27, 2015 (Thanksgiving Holiday)
_____ (Initials) December 24-25, 2015 (Christmas Holiday)
_____ (Initials) January 1, 2016 (New Year’s Day Holiday)
_____ (Initials) January 18, 2016 (Teacher in-service day)
_____ (Initials) February 15, 2016 (President’s Day)
_____ (Initials) March 25, 2016 (Good Friday)
_____ (Initials) April 22, 2016 (Battle of the Flowers)
_____ (Initials) May 30, 2016 (Memorial Day)
_____ (Initials) July 4, 2016 (Independence Day)
_____ (Initials) September 5, 2016 (Labor Day)
Part Time Program Hours of Operation
Summit Christian Learning Center has Part Time Programming Tuesday/Thursday,
Monday/Wednesday/Friday, or Monday-Friday 8am-2pm. We will be closed on the following days in
observance of Federal Holidays, Christian Holidays, Local Holidays, Holiday Breaks and
Teacher In-Service Days.
_____ (Initials) Part Time Programming is from September 2, 2015- May 27, 2016
_____ (Initials) September 7, 2015 (Labor Day)
_____ (Initials) September 25, 2015 (Teacher In-Service Day)
_____ (Initials) October 12, 2015 (Columbus Day)
_____ (Initials) November 26-27, 2015 (Thanksgiving Holiday)
_____ (Initials) December 18-January 1 (Christmas Break)
_____ (Initials) January 18, 2016 (Teacher in-service day)
_____ (Initials) February 15, 2016 (President’s Day)
_____ (Initials) March 14-18, 2016 (Spring Break)
_____ (Initials) March 25, 2016 (Good Friday)
_____ (Initials) April 30, 2016 (Battle of the Flowers)
Parent Name: ___________________ Parent Signature: ___________________________ Date: __________
ALL ABOUT ME!
Attach recent photo of child here
