Registration Form 2012 2013

Mothers Morning Out & Preschool Registration Packet 2012 2013
Peachtree Corners ARP Church 5918 Spalding Drive Norcross, GA 30092 (770) 263-7005 www.SonshineCorners.com SonshineCorners@gmail.com
2012 - 2013 School Year
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Dear Prospective Parent, Thank you so much for your interest in Sonshine Corners Mothers Morning Out & Preschool! We are blessed that you are interested in allowing us the opportunity to care for, teach, and share Jesus with your child. Please take a few minutes to review and complete this registration packet. We recognize that preschool registration comes early in the year, sometimes before plans are finalized. In order to allow us to offer everyone the best experience possible, all deposits are non-refundable regardless of vacation plans, illness, school choice, etc. If you are placed on a wait-list, we will hold your check until a spot becomes available; if no space is available by the start of school or if your plans change before a spot becomes available, your check will be returned to you. Should you have any questions, please contact us at SonshineCorners@gmail.com or call (770) 263-7005.
How to Register Please pick up a registration packet, then complete and return the following to the church office in person or by mail (registration is not complete until all is received): Registration Form (One Per Child) Mailing Address: Registration Fee (Non-Refundable) Sonshine Corners Tuition Commitment Form Permissions and Policies Form 5918 Spalding Dr Medical Authorization Form
Norcross, GA 30092
Important Notes Classes for the 2012-2013 school year will begin on Tuesday, September 4, 2012. Class times are 9:00AM12:00PM. Lunch Bunch is on Tuesdays and Thursdays from 12:00 12:45PM When completing this registration form, please be sure to include your email address in the space listed, as we will use this as our main mode of communication. Tuition is due the 1st of each month. A $15 fee will be added for any returned checks and any payments not made by the 10th. Payments can be made by cash, check or money orders. The following additional paperwork will need to be turned in by the Open House date (August 14th): a copy of your childs immunization records and a copy of your childs birth certificate. A preschool parent packet containing important information such as Open House date, drop-off and pick-up times, policies and procedures, paperwork and tuition reminders, and other helpful information will be emailed to each registered preschool family along with an open house letter by the end of July.
We look forward to experiencing the joy of your child!
M . Beck
Becky Vick Sonshine Corners Director
Sonshine Corners MMO & Preschool Peachtree Corners ARP Church 5918 Spalding Dr. Norcross, GA 30092 (770) 263-7005 www.SonshineCorners.com

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Registration Form
Please indicate which days your child will be attending:
For Office Use Only Reg. Rcvd: __________ Reg. Paid: ___________ Check #: ____________
Tuesday Thursday Friday Daily Rate 12 wks 4 yrs 12 wks 4 yrs 2 yrs 4 yrs 12 wks 4 yrs 9:00am 12:00pm 9:00am 12:00pm 9:00am 12:00pm 9:00am 12:00pm
Minimum class size must be met for class to be offered. Tuesday Thursday Children enrolling in Moms Morning Out must be 12 weeks by the first day school. Children enrolling in Lunch Bunch Lunch Bunch old must by 3 yearsofold and potty trained by the 1stPreschool day of 12:00pm12:45pm 12:00pm12:45pm school .
Child's Full Name Birthday Mother's Name Home Address Employer Fathers Name Home Address (If Different Than Above) Employer Family Email (Please Print Clearly) Age (on 1st day of school)
Nickname
Boy / Girl
Allergies? Yes / No ( If Yes, Detail On Medical Page) Home Phone
Work Phone
Cell Phone Home Phone
Work Phone
Cell Phone
Parents are Married / Divorced / Separated / Widowed / Single (Please Circle One) Child resides with: Both Parents / Mother / Father / Other (Please Circle One) Emergency Contact Name Home Phone Emergency Contact Name Home Phone Cell Phone Cell Phone Relationship Work Phone Relationship Work Phone
Do you have a church home? Yes / No If so, where? Would you like more information about Peachtree Corners ARP Church? Yes / No
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Tuition Commitment
Child's Full Name Birthday Age (on 1st day of school)
Registration fee is non-refundable and is required to secure space in a class. This fee is not applied to any monthly tuition. Your childs spot is guaranteed only after we have received all registration forms and fees. Classes are filled on a first come, first serve basis. Basic Tuition (Due by the 10th) 1 Day 2 Days 3 Days $75 $130 $180 Daily Rate Tuition (Due at time of Drop Off) $20 per child per day Lunch Bunch Tuesdays $10
(Due with Monthly Tuition)
Basic Tuition 10% Sibling Discount 10% Member Discount Total Monthly Tuition Due = Registration Fee (Due at Registration) Member New Student $50 $75 Paperwork (Due by Open House) Copy of Childs Birth Certificate Copy of Childs Immunization Record
Thursdays $10
Tuition Fees, Refunds, and Cancellation Policy Tuition is due and payable in full on the 1st day of each month, September to May. Parents will receive an e-mail monthly tuition payment reminder. A $15 fee will be added for returned checks and for tuition not received by the 10th of each month. We ask that a parent give 30 days written and paid notice before canceling a childs spot. Should you cancel your childs spot after the first day of classes, the first months tuition cannot be refunded. Tuition Commitment I/We hereby enroll my child, ________________________________, in the Sonshine Corners Mothers Morning Out and Preschool Program of Peachtree Corners ARP Church for the school year indicated above. I/We acknowledge the payment terms made part of this commitment, and agree to make payments in accordance with the dates and amounts set forth in their program. I/We agree that if I/we fail to make these payments, Sonshine Corners reserves the right to discontinue providing services to my child. Sonshine Corners may, in its sole discretion, permit my child to continue in the school program upon satisfaction of all overdue balances. I/We understand that in certain circumstances it may be necessary for Sonshine Corners to discontinue a childs attendance in the program. Sonshine Corners will consider the best interest of that child, other children, the staff and the school in making such a decision. Reasons to terminate enrollment and this commitment include, but are not limited to, non-payment of tuition; abuse of other children, staff, or property; disruptive or dangerous behavior; or continued violation of the programs rules and policies. ______________________________________________________________________________
Parent Signature
_____________________
Date
______________________________________________________________________________
Directors Signature
_____________________
Date
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Permissions & Policies

Please list those people who are authorized to pick up your child excluding yourself. The people listed below must present ID in order for our staff to release your child. Those authorized to pick up child: Name __________________________________________________________ Name __________________________________________________________ Name __________________________________________________________ Name __________________________________________________________ Name __________________________________________________________ Phone Number ________________________ Phone Number ________________________ Phone Number ________________________ Phone Number ________________________ Phone Number ________________________
I give my permission to Sonshine Corners to take pictures or videos of my child and use these pictures on their pamphlets, flyers, and website in an anonymous capacity.
______________________________________________________________________________
Parent Signature
_____________________
Date
Page 6 of 7
Medical Authorizations
Consent to Emergency First Aid & Transportation I hereby give my permission that my child, ________________________________, may be given emergency treatment by an employee of Sonshine Corners Mothers Morning Out and Preschool. I also give permission for my child to be transported by car or ambulance to an emergency center for treatment. ______________________________________________________________________________
Parent Signature
_____________________
Date
Consent to Medical Care and Treatment In the event that I cannot be contacted immediately, medical or surgical treatment can be administered to my child in the case of an accident or emergency, as prescribed by a treating physician. I hereby allow for the release of medical information provided by me to the school should such an emergency occur. ______________________________________________________________________________
Parent Signature
_____________________
Date
Sonshine Corners Mothers Morning Out and Preschool and/or Peachtree Corners ARP Church will not be responsible for paying for the child's health care. Child's physician Preferred hospital Insurance Company Regular medications Medicine allergies Food allergies Any other allergies Any special health conditions Phone Phone Policy #
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Participant Waiver
I understand that Peachtree Corners ARP Church assumes no responsibility for injuries or illnesses which my child may sustain as a result of his/her physical condition or resulting from his/her participation in any athletic activities, sports programs, childcare programs, the use of any equipment or other activities. I expressly acknowledge that I assume the risk for any and all injuries and illnesses, which may result from his/her participation in this program. I acknowledge that my child has been medically cleared to participate in vigorous physical activities. I agree to hold harmless the church, its staff and volunteers for accidents or injuries arising out of his/her participation in the activity. I understand that no accident or medical insurance is provided for such occurrences. While Sonshine Corners Mothers Morning Out and Preschool will make every attempt to provide reasonable accommodations for mentally and physically challenged children, the program cannot accept children that are (1) of a danger to themselves, (2) of danger to others, or (3) a disruption to the normal activities making it unreasonably difficult for other children to learn from and enjoy the programs. Any of the above reasons can be grounds for dismissal. A parent/guardian will discuss with the Director any special conditions or circumstances involving their child. I HAVE READ AND AGREE TO ALLTHE POLICIES SET FORTH IN THE WAIVER BY PEACHTREE CORNERS ARP CHURCH.
______________________________________________________________________________
Parent Signature
_____________________
Date

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Mothers Morning Out & Preschool Registration Packet 2012 2013

2012 - 2013 School Year

We look forward to experiencing the joy of your child!

2012 - 2013 School Year

Allergies? Yes / No ( If Yes, Detail On Medical Page) Home Phone

Cell Phone Home Phone

2012 - 2013 School Year

2012 - 2013 School Year

Permissions & Policies

2012 - 2013 School Year

2012 - 2013 School Year

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