Crossroads Parent Agreement for Enrollment

Please complete each item

Parents/Guardians *
Child's Name *
Child's Date of Birth Child's Date of Birth * / MM / DD YYYY
Child's Start Date at Crossroads Child's Start Date at Crossroads * / MM / DD YYYY
Tuition

Initial under each provision to indicate you've read the provision, you understand and you agree to it.
Weekly/Monthly Tuition Rate * $ Dollars . Cents
Tuition is due each Friday for the upcoming week. *
Maximum of 3 characters allowed. Currently Entered: 0 characters.
Registration Fee: $150.00, one time charge per child (initial below) *
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Preferred method of payment is our automated tuition payment system. (initial below) *
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Tuition is due each week, regardless of holidays. There are no discounts for holidays. (initial below) *
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There is a late pick up charge of $1.00 per minute after 6:00pm. This can be waived if there are extenuating circumstances. (initial below) *
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There is a $25.00 returned check/credit fee. (initial below) *
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I understand that a two-week notice is required for dis-enrollment. If I fail to inform Crossroads, I will be billed for two weeks of care. (initial below) *
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Illness

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Child shall remain at home or be sent home if he/she has a fever of 100.4 or greater, vomits, has diarrhea, has a persistent cough, exhibits any unusual rash, or displays other signs of illness. (initial below) *
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Parent will be notified immediately if any signs of illness occur during school hours. The child will be isolated and expected to be picked up within 30 minutes of notification. (initial below) *
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Parent notices are sent via Sandbox when a communicable illness has been present in the classroom. (initial below) *
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In order to return to Crossroads child must be fever and symptom free, without medication, for at least 24 hours. (initial below) *
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Admission & Release Procedures

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Children must be checked in and out each day via the check in system at the security door. (initial below) *
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Only those individuals listed on the Emergency Information Card will be allowed to pick up a child from Crossroads. Parents can add to this list at any time, but must do so in writing. (initial below) *
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If an individual comes to pick up a child and staff members are not familiar with the person, he or she will be asked for photo ID and it will be confirmed that the person has permission to take the child before the child will be released. (initial below) *
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Staying in Touch

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Our primary means of communication throughout the day is via Sandbox. Please make sure you have this downloaded on your phone and that you have turned on notifications. (initial below) *
Maximum of 3 characters allowed. Currently Entered: 0 characters.
Parents are able to message class teachers directly through Sandbox to ask questions and check in. Please understand that messages may not be responded to immediately as we are busy caring for the children. All messages will be replied to when time allows and it is safe to do so. (initial below) *
Maximum of 3 characters allowed. Currently Entered: 0 characters.
Messages on Sandbox are viewable by all staff at Crossroads. If you have a message of a sensitive nature, please email directly to: daycare@welcometocrossroads.org. (initial below) *
Maximum of 3 characters allowed. Currently Entered: 0 characters.
Please check us out on Facebook, https://www.facebook.com/crossroadsdaycare/ (initial below) *
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Medication Policy

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All Over The Counter medication must come in unopened, original packaging and labeled with first and last name *
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Over The Counter medication WILL NOT be administered unless the OVER THE COUNTER Medication Policy Form is filled out and signed *
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ALL prescription medication(s) MUST come from the child's pediatrician in the original prescription container with child's first and last name, prescribing doctor's name, and dosage. *
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Additional Information

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Please dress your child in play clothes as they will be participating in fun and sometimes messy activities! Closed toed shoes are recommended but not required. (initial below) *
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Please no candy, gum or soda at Crossroads (initial below) *
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Parent/Child Details
Today's Date Today's Date * / MM / DD YYYY
Type Your Name *
By signing below, you consent that you have read, understood, and agreed to the policies and procedures stated within this document: *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Text

Crossroads Parent Agreement for Enrollment

Crossroads Parent Agreement for Enrollment

Tuition

Illness

Admission & Release Procedures

Staying in Touch

Medication Policy

Additional Information

Parent/Child Details