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8610 West Tenth Street Indianapolis, IN 46234

(317) 273-1072 Fax: (317) 273-1071

www.wcpchildcare.com

Westside Christian School Programs Available for Children Kindergarten -5th Grade

*Preschool Opportunities Year-round

Sponsored by: W estside Church of the Nazarene & W estside Christian Childcare

Spring 2020 Kids’ Club Camp

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Westside Christian Kids’ Club

Westside Church of the Nazarene 8610 West Tenth Street Indianapolis, IN 46234

(317) 273-1072

Spring Camp Application Checklist

Enrollment requires all of the following items to be completed before your child may attend: ______ 1. Completed Application Packet (ALL APPLICANTS)

■ includes all necessary signatures of guardian or parent

■ includes Parent Pledge ______ 2. Copy of Child’s Birth Certificate (if not already on file) ______ 3. Current Physical and Shot Record (if not already on file) Tuition Payment Policy: Tuition Payment Methods: Parents are encouraged to use the convenience of the Smart Care Parent App to make payments online. You may also choose to pay by cash or check in the preschool office between the hours of 8:30 and 4:40. Tuition is due on Monday of each week as agreed upon by the director and parents at time of enrollment. 5 days of non-payment will result in suspension until the bill is paid in full. Any extenuating circumstances that interfere with tuition payment should be discussed with the preschool director and the church office manager. Possible Discounts Available: Individuals who attend Westside Church of the Nazarene and participate in tithing may be eligible for a 10% tuition discount. The first child enrolled in a family is charged full tuition. All siblings of the first child enrolled are eligible

for a 10% sibling discount. (The discount applies to the lowest tuition rate.)

Enrolled families are eligible for only one of the above described discounts.

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX OFFICE USE ONLY

Date & Time received __________________________________ Balance Due: ____________________

Total Received: ________________________

Check: ________________________

Cash: ________________________

CC: ________________________

WCPC Representative Signature: _____________________________________________________________

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Parents,

Westside uses a childcare management system called SmartCare.

SmartCare is a cloud-based, real-time technology that enables parents to be connected in real time

through your own mobile devices and via web portal.

Mobile Features - You w ill be able to view billing account inform ation, pay by debit

card, credit card or by checking account on the Parent App, or via the Parent Web Portal. Because

SmartCare is cloud-based, when payments are processed, the Center will update in real-time.

What’s next? - Please read and follow these 3 easy steps to start using Sm artCare:

You will receive an email from SmartCare Services to set up your account. Please make sure we have

your correct email address on file. If you are unsure, please update your information with the front

desk. This email will be sent to the person designated as the primary account holder. Only the pri-

mary account holder will get the email to set up the account. Please let us know on the Admissions

Agreement form who you would like to be the primary account holder. Both parents will have access

to the account once it is set up.

Download the SmartCare app on your mobile phone or mobile device from the App Store or Google

Play.

Tifani Harmon

Director

8610 W. 10th Street Indianapolis, IN 46234

317-273-1072 www.wcpchildcare.com

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Kids’ Club Spring Camp March 23 - April 3, 2020

COST: $35 per day / $150 per week

(minimum 2 days per week.)

6 am to 6 pm.

Cost includes: programming, snacks and lunch

Please place a “X” in the days that you wish your child to attend. You will be financially responsible for all days chosen.

Total Tuition Charge ________________ Child’s Name: _______________________________________ School child attends: __________________________________ Grade: _______________ Parent Signature: _____________________________________________________________

Date Received: _______________________________ Time: ________________________

WCP REP. Signature: __________________________________________ Date: ____________________

Monday Mar 23

Tuesday Mar 24

Wednesday Mar 25

Thursday Mar 26

Friday Mar 27

Monday Mar 30

Tuesday Mar 31

Wednesday Apr 1

Thursday Apr 2

Friday Apr 3

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ADMISSION AGREEMENT DATE: ___________

Work Hours From: To:

Mother’s Email

CHILD’S NAME Please Circle: Male Female

BIRTHDATE

ADDRESS

MOTHER’S NAME / LEGAL GUARDIAN

ADDRESS

Social Security No. Last 4 Digits Only HOME TELEPHONE

CELL OR PAGER

PLACE OF EMPLOYMENT WORK NUMBER

WORK ADDRESS

FATHER’S NAME / LEGAL GUARDIAN Social Security No. Last 4 Digits Only

WORK NUMBER

HOME TELEPHONE

CELL OR PAGER Father’s Email

Work Hours From: To:

ADDRESS

PLACE OF EMPLOYMENT

WORK ADDRESS

EMERGENCY CONTACT PERSON(S) Other than a parent NAME / ADDRESS / PHONE NUMBER

PERSON(S) TO WHOM CHILD WILL BE RELEASED NAME / ADDRESS / PHONE NUMBER

PLEASE SEE PAGE 2 FOR MEDICAL INFORMATION

Primary Acct Holder

Primary Acct Holder

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NAME OF CHILD’S PHYSICIAN / MEDICAL CARE PROVIDER

ADDRESS

TELEPHONE NUMBER

NAME OF CHILD’S DENTIST TELEPHONE NUMBER

ADDRESS

HOSPITAL OF CHOICE (Please include address and phone number)

EMERGENCY MEDICAL AUTHORIZATION

I agree, and by my signature give consent that the staff of Westside Christian Preschool and Childcare may administer minor first aid measures and procedures to my child. I agree, and by my signature give consent that in the case of an accident, injury, or illness of a serious nature, my child will be given emergency medical care, and may be transported by Westside Christian Preschool and Childcare. I understand that I will be contacted immediately, or as soon as possible should I be away from the phone numbers given with this application. Signature: ________________________________________________ Date: ____________________

I agree, and by my signature give consent that my child may participate in walking trips around the property of Westside Christian Preschool and Childcare, and that my child may participate in summer water activities. Signature: _________________________________________________ Date: ____________________

SPECIAL DISABILITIES (IF ANY)

MEDICAL OR DIETARY INFORMATION NECESSARY IN EMERGENCY SITUATION

ADDITIONAL INFORMATION ON SPECIAL NEEDS OF CHILD

HEALTH INSURANCE COVERAGE FOR CHILD or MEDICAL ASSISTANCE BENEFITS POLICY NUMBER (REQUIRED)

MEDICATION or SPECIAL CONDITIONS

ALLERGIES (Including Medication Reactions)

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NO ENROLLMENT is COMPLETE until all the included paper work and proper payments have been received in the preschool office and is processed by office staff.

Field Trip Note March 23 - April 3, 2020

Dear Parent/Guardians: Very strict, field trip policies have been written for the Kids’ Club program. We have had some incidents that have concerned us in the past. These policies are the best way to insure your child’s safety. Field trips are a very big and very expensive part of our program; they also make tight supervi-sion of the children a requirement. Field trip participation is a privilege that may be lost when a child or parents are uncooperative. We’ve had parents drop off children at designated field trip locations rather than at the school. This is neither safe nor permissible by school policy. Doing so will result in immediate suspen-sion of service for the remainder of the camp dates. Children who miss the departure time from the school may not be left at the school. Please un-derstand that we hire additional staff to lower staff to child ratios for our field trips. Every avail-able supervisory staff member is sent on field trips so there are no extra staff on site at the school to supervise children who arrive late. Parents may drop the children off at the school after the Kid’s Club trip is concluded for the re-mainder of the day. We are requesting that each parent carefully consider the Activity Calendar when registering. Do your best to avoid days that may result in schedule conflicts for you and the school staff. It is our goal to insure proper supervision and safety for each of the children placed in our care. We appreciate your understanding and cooperation in this matter. Let’s have a great school break! Tifani Harmon Director

Westside Christian Kids’ Club 8610 West 10th Street

Indianapolis, IN 46234 Phone: (317) 273-1072

Fax: (317) 273-1071

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FIELD TRIP PERMISSION SLIP March 23 - April 3, 2020

Westside Christian Kids’ Club - Grades K-5 8610 West 10th Street Indianapolis, IN 46234

(317) 273-1072

I ____________________________ parent/guardian of _______________________________

Give permission for my child to participate in ALL Kids’ Club field trips for the period beginning

March 23, 2020 and ending April 3, 2020.

I also agree to the following: 1. That all transportation will be provided by the above named facility. 2. I further understand that should my child be unable to follow directions or be uncooperative on

a field trip he/she will be excluded from the next trip as a discipline measure. More than one infraction may result in suspension of services.

3. I realize that I may not drop my child off at a field trip location and that my child may not be left at the school. It is my responsibility to arrive at the school prior to the bus departure.

I realize these field trip policies are in place to provide my child and the Kids’ Club staff a measure of safety. Parent/Guardian Signature _____________________________________ Date_____________

NO ENROLLMENT is COMPLETE until all the included paper work and proper payments have been received in the preschool office and is processed by office staff.

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The link between Westside Christian Kids’ Club and the parents of WCP students is perhaps the most important element in the total educational experience. Therefore, please read the following Parent Pledge and indicate agreement/support by signing the name of parents/guardians and the date when this pledge was read.

I pledge to meet all of my financial obligations to Westside Christian Kids’ Club.

I pledge that I have read and agree to the policies contained in the Parent Handbook.

I pledge to support the members of the Westside Christian Kids’ Club faculty, staff, admin-istration, and school board. This support includes showing proper respect to all school per-sonnel.

I pledge that my child will uphold the standards of the school and preschool as outlined in the handbook. My child will show honor to the Godhead, the Word of God, and to the Unit-ed States of America.

I pledge to learn and obey all of the policies and procedures pertaining to student life and parental responsibilities. I further understand that any violation of these policies and proce-dures will result in appropriate action by the proper school personnel.

I pledge to support the total school program by giving permission for my child to take part in all Kids’ Club-sponsored activities, including sports and trips away from school premis-es, and I/we absolve the school from liability to me/us or my child because of any injury to my child at preschool or during a Kids’ Club activity.

I pledge permission for Westside Christian Kids’ Club to teach all elements of the State-ment of Faith to my child, and am willing to support the school in its endeavors to encour-age and guide my child in applying those doctrines to everyday living. I/we realize that a Christian preschool is not a substitute for the spiritual training, fellowship, and discipline of the home or local church.

I pledge that when I am no longer in a position to honor one or more of the above pledge commitments, the only solution may be for the home-school relationship to be terminated. In accordance with the tenor and teachings of God’s Word, I pledge that the termination of this relationship will be handled in a manner pleasing to our Lord and Savior, Jesus Christ.

PARENT PLEDGE

Father’s Signature Date Mother’s Signature Date

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Church Affiliation? If so, please list: Are you a member? _____Yes _____ No

How important is church to your family? _____ Very Important _____ Somewhat Important _____ Not Important Marital Status of Parents: _____ Married _____ Separated ____ Divorced _____ Not Married If divorced, residential custody is with _____ Mother _____ Father _____ Other If other, please explain: Visitation Arrangements: List siblings and their ages:

FAMILY HISTORY

PRESCHOOL & CHILDCARE

Other important information that you believe you child’s teacher should be made aware of regarding social, emotional, cognitive and physical development:

Ethnic and Racial Identities (Optional) Mark one ethnic identity:

Hispanic or Latino Not Hispanic or Latino Mark one or more racial identities:

White Black or African American American Indian or Alaska Native

Native Hawaiian or other Pacific Islander Asian

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NO ENROLLMENT is COMPLETE until all the included paper work and proper payments have been received in the preschool office and is processed by office staff.

Dear Parent or Guardian, In promoting Westside Christian Kids’ Club we sometimes would like to use pictures of the children enrolled in our program on our Facebook or Instagram page as well as our website. Your child’s picture may be selected for such a purpose. At no time will the names of children be used in any materials posted. Would you please indicate your preference by checking the appropriate box below. Thank you for your cooperation. Sincerely, Tifani Harmon Director …………………………….……………………………………………………………………………….... _______ Yes, Westside Christian Preschool has my permission to use my child’s picture on the school Facebook, Instagram, or web page. _______ No, I do not give Westside Christian Preschool permission to use my child’s picture on the school Facebook, Instagram, or web page. .

_______________________________________ Child’s Name

____________________________________ ___________________________________ Parent Signature Date

PICTURE RELEASE

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Westside Christian Preschool & Childcare 8610 W. 10th Street Indianapolis, IN 46234 Ages Infant – Pre-K

During inclement weather, rain, snow, extreme weather conditions of cold and heat our children sometimes use the west gym for free play and large muscle development. Because this part of the facility is removed from our classroom areas it important for parents to give permission for this type of use.

I ______________________________ parent/guardian of ______________________________ Give permission for my child to participate in All WCPC activities scheduled for the west gym throughout the year. This includes organized game activities, free play activities and special presentations that require a large space.

Parent/Guardian Signature _____________________________________ Date _____________

Permission Slip Year-Round-Programming

Special Usage/West Gym

PRESCHOOL & CHILDCARE

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Westside Christian Preschool

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Westside Christian Preschool is registered in the

Kroger Community Rewards Program.

If you have a Kroger Plus Card you can enroll under:

Westside Christian Preschool (FC100)

and start contributing to our school!

Go to www.kroger.com/communityrewards and

register your account with your Kroger Plus card.

Within 10 business days you will begin earning money

for our preschool every time you use your Kroger Plus card.

(This program does require that you re-enroll every year in January)

Thank you!