Creative Kidz Nursery

Enrollment Form

Creative Kidz Nursery

207 North Meridian

Newberg, Oregon 97132

Adam Cell: 971-373-3674

This is a binding contract for Creative Kidz. Please read and initial before signing.

Full day child care is available from 7am to 6pm.

We offer morning and afternoon snacks.

You need to bring a lunch for your child.

Registration Fee: There is an annual registration fee of $45.00 payable at the time of sign up. $45.00 for 1 child or $75.00 for 2 kids. (Each year in February there will be an Annual registration fee of $25) ______

Payments: Your tuition is due on the 1st of each month.______

Late Fees: A 10% late fee will be added to any account not received by the 3rd of each month.______

Returned Checks: A $25.00 fee will be charged for any returned check, you may also be charged any bank fees.______

Withdraw Policy: 30 days notice of intent to withdraw Creative Kidz Program required. You are responsible for 30 days tuition from the notice date.______

Refunds: The registration fee is not refundable for any reason.______

Vacation: Your child’s tuition remains the same every month regardless of when he/she goes on vacation.______

Absences: You are expected to pay for all the days that your child is absent from group caredue to illness, snow days, holidays or personal reasons. You pay for the available spot. Due to scheduling we are unable to trade for another day.______

Snow days:If Newberg Schools are closed due to weather conditions, so will Creative Kidz. (Please watch your local news) Please call the Newberg School Closure Hot Line 503-554-5001 for closure information.

Illness and Sick Days: In order to control communicable illness in children and our staff, sick kids with fevers, diarrhea, severe colds, or any other contagious illness, may not be brought to group care.They WILL be sent home if they show signs of illness.

To follow the state guide lines ALL children must be free of fever for 24 hours prior to returning to school. Children who become ill with any of these symptoms will be sent home.______

Snacks for the class: Please refrain from bringing home made foods to share with the class. If you would like to bring snacks for a special event, please make sure it’s nut free and store bought.

Immunizations: In the interest of your Childs health and that of all the other children, you must submit your Childs current immunizations records prior to enrollment. These records must be updated in accordance with the state laws.______

Sunscreen: I authorize Creative Kidz Preschool to apply sunscreen on my child prior to going outside.______

Playtime: We have an outdoor play area for the children to play outside. Teacher must have a phone on them with parent contact information in case of an emergency. ______

Diapers and Potty training: You will provide diapers, wipes and an extra change of clothes for your child.______

Pacifiers and Teething Toys: Must be provided by Parents______

Breast Milk/ Formula: Breast Milk must be clearly labeled and dated. If your child drinks formula, you must provide it accordingly. ______

Monthly Tuition (Please Select one)

Daily Rate $50.00

Days:______Hours:______

Full time child care is a flat rate of $1050a month for 5 days a week. Hours:______

Creative Kidz Preschool is closed the following days:

4th of July

5th of July

Labor Day

Memorial Day

Thanksgiving and the day after

Christmas Eve, Christmas Day & The day after

New Year’s Eve & New Year’s day

Information

Preferred E-mail address: ______

Child’s Name ______

Starting Date______

Address______

Phone______cell______

DOB______

Parents Name______

Signature: ______

For Office use only:

Reg Fee______Check #______

Date ______