Kids Klub - Scheduling/Financial Agreement

Student Name(s):

______(OES/OIS)

First Middle Initial Last Gr/Teacher Circle one

______(OES/OIS)

First Middle Initial Last Gr/Teacher Circle one

______(OES/OIS)

First Middle Initial Last Gr/Teacher Circle one

We plan to use the Kid’s Klub services in the following manner:

___Mornings only: My child(ren) will arrive at Kids’ Klub between 6 AM and the start of the school day according to the monthly calendar provided to Kids’ Klub Staff. The parent/guardian must accompany the child(ren) and sign the child(ren) in every day.

___After School only: The parent/guardian will pick up the child(ren) on a daily basis by 6 PM according to the monthly calendar provided to Kids’ Klub staff.

___Mornings and After school: The parent/guardian will provide a monthly calendar to Kids’ Klub Staff.

___On an occasional basis: The parent/guardian will notify the Kids’ Klub personnel, in writing with a note sent to the school office and by contacting the Kids’ Klub personnel in person or via telephone message each time the child(ren) will be attending Kids’ Klub. A monthly calendar is required for staffing purposes, activity planning and to prevent any miscommunication.

Drop in childcare will be provided at the rate of $5.00 per hour plus the normal food/activity fees for that day.

Monthly Calendars are required on a monthly basis so Kids’ Klub can provide the appropriate staff to best serve the needs of your child(ren) and for safety issues. We need these calendars so we are aware of what children to expect at Kids’ Klub and so the child(ren) do not get sent home on the bus instead of going to Kids’ Klub.

Please inform Kids’ Klub and the school office of any changes to your schedule as soon as possible.

Blank monthly calendars can be picked up in the Kids’ Klub room or on-line under Community Education and should be given to the Kid’s Klub Staff on a monthly basis. Calendars are required whether or not your child is at Kids’ Klub on a daily basis. Even if your child is at Kids’ Klub once a week a calendar will be required. You can change your schedule at any time by letting the Kids’ Klub staff know and providing a new calendar. This should be done as soon as possible.

I understand and agree that when my childcare fees are not made in a timely fashion it may result in termination of care. I understand that upon any such termination the account balance and all other applicable fees will remain my responsibility.

Parent or Guardian Signature: ______Date ______