ss upk registration forms (3) (2)

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WELCOME TO OUR FAMILY Dear Families: We are pleased to welcome you into our family here at Sunny Skies and thank you for having chosen us to provide your child with care and education that will benefit your family for a lifetime to come, it is our absolute pleasure to serve you. This year, we are offering a program funded thru the State to provide high quality Preschool education to children born in 2011, commonly called Universal Pre-Kindergarten- UPK- is a wonderful opportunity for all our four year olds, it gives them the foundation they need for kindergarten and a lifetime of learning. We are delighted to be able to offer these services, which are FREE to families Monday-Friday from 8:00A.M to 2:20P.M, if you wish for your child to stay after 2:20PM, Sunny Skies will offer aftercare for a reasonable price. We kindly ask that you help us spread the word about this wonderful opportunity. All children of all backgrounds and all languages are welcome. Please find enclosed registration package with instructions, that need to be fill out an return to the office . If you have any questions feel free to contact us at any time at 718-372-4665 or stop by the office during drop off or pick up time. Thank you very much for your assistance and we hope to continue serving you for years to come. Margarycel Nunez. Founder/CEO. If you desire 1:30PM-6:00PM aftercare, REGISTRATION FEE: $100.00 WEEKLY RATE: $125.00 If you have any questions, please call ____________ (718) 372-4665 Ext418/420 /501 Please complete all forms accordingly. No Exceptions!!

Transcript of ss upk registration forms (3) (2)

Page 1: ss upk registration forms (3) (2)

WELCOME TO OUR FAMILY

Dear Families:

We are pleased to welcome you into our family here at Sunny Skies and thank you for having chosen us to

provide your child with care and education that will benefit your family for a lifetime to come, it is our

absolute pleasure to serve you.

This year, we are offering a program funded thru the State to provide high quality Preschool education to

children born in 2011, commonly called Universal Pre-Kindergarten- UPK- is a wonderful opportunity

for all our four year olds, it gives them the foundation they need for kindergarten and a lifetime of learning.

We are delighted to be able to offer these services, which are FREE to families Monday-Friday from

8:00A.M to 2:20P.M, if you wish for your child to stay after 2:20PM, Sunny Skies will offer aftercare for a

reasonable price. We kindly ask that you help us spread the word about this wonderful opportunity. All

children of all backgrounds and all languages are welcome.

Please find enclosed registration package with instructions, that need to be fill out an return to the office.

If you have any questions feel free to contact us at any time at 718-372-4665 or stop by the office during

drop off or pick up time.

Thank you very much for your assistance and we hope to

continue serving you for years to come.

Margarycel Nunez.

Founder/CEO.

If you desire 1:30PM-6:00PM aftercare,

REGISTRATION FEE: $100.00

WEEKLY RATE: $125.00

If you have any questions, please call

____________ (718) 372-4665

Ext418/420 /501

Please complete all forms accordingly.

No Exceptions!!

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CHILD REGISTRATION REQUIREMENTS- REQUERIMIENTOS DE INSCRIPCION- 幼儿园登记要求清单2016-2017

CHECKLIST FOR UPK 2016-2017

o Registration Form completed/ Consent Forms signed

o Two (2) sets of proof of address

(Utility bill, Medicaid, government letter, apartment lease or Affidavit of Residence)

MUST BE VALID WITHIN 60 DAYS*

o Child’s Birth Certificate

o Child’s Medical Form completed

o Child’s Dental Form completed

o Copy of Parents government photo ID or Passport

________________________________________________________________________________________________

o Formulario de inscripción completo Formas / consentimientos firmado

o Dos (2) juegos de comprobante de domicilio

(Factura de servicios públicos, Medicaid, carta del gobierno, contrato de alquiler de donde vive o Declaración Jurada de

Residencia)

DEBE ESTAR EMITIDA AL MENOS EN UN PLAZO NO MAYOR DE 60 DIAS *

o Certificado de Nacimiento del Niño

o Formulario médico del niño@ completo (EXAMEN ANUAL FISICO)

o Formulario Dental del Niño@ completado (EXAMEN DENTAL CADA 6 MESES)

o Copia de documentro de Identificacion con foto del padre/madre o tutor o el pasaporte.

_____________________________________________________________________________________________

*填好的登记表/签好名字的同意书

*两套地址证明(水电费账单,医疗,政府的信,公寓出租或者宣誓书)

60天内要生效

*孩子的出生证明

*填好的体检表

*填好的牙齿检查表

*家长的证件复印本

All your child information is kept secure and confidential

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CHILD REGISTRATION APPLICATION UPK

Location: Sunset Park/Borough Park Coney Island Prospect Heights

Child’s Full Name __________________________ Date of Birth___________________________ Sex M F

Address___________________________ Apt#________ City_______________ State________ Zip_________

PARENTS IS/ARE Married Divorced Separated Single CHILD LIVES WITH Both Parents Father Mother

Father_____________________ SS#______________

Address_____________________________________

Home ( )______________ Cell( )_______________

Email_______________________________________

Mother_____________________ SS#_____________

Address_____________________________________

Home ( )______________ Cell( )_______________

Email_______________________________________

EMERGENCY CONTACT 1

Name_______________________ Relationship to child_________________ Tel( )______________________

EMERGENCY CONTACT 2

Name_______________________ Relationship to child_________________ Tel( )______________________

CHILDS DOCTOR & MEDICAL INFORMATION

Name____________________ Address_______________________ Tel( )_____________________________

Any medical problems YES NO _____________________________________________________________

Medications YES NO ___________________________________ AllergiesYES NO_________________

PICK UP INFORMATION (aside from Mother/Father)

Name_______________________________________

Relation to child______________________________

Tel( )_______________ Tel( )_________________

Name_______________________________________

Relation to child______________________________

Tel( )_______________ Tel( )_________________

Name_______________________________________

Relation to child______________________________

Tel( )_______________ Tel( )_________________

Name_______________________________________

Relation to child______________________________

Tel( )_______________ Tel( )_________________

By signing below, you agree that this is a legally binding form. Providing false information will result in

termination of childcare services, and forfeiture of retainer. Father/Guardian's Signature Date

Mother/Guardian's Signature Date

OFFICE USE ONLY

NOTE:_____________________________________________________________________________________________________

____________________________________________________________________________________________________________

----------------------------------------------------------------------------------------------------------------------------- -------------------------------------

Office use only

Admission Date_____________________

Group Entering_____________________

Deposit Amount_____________________

Start Date__________________________

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PARENT CONSENT

Medical Care Consent

I, ____________________________________ herby authorize Sunny Skies Preschool to seek

medical attention for my child __________________________________ in case of emergency.

Parents Signature ______________________________Date ____________________

Permission slip

I, ______________________________ give my child________________________________

permission to go on neighborhood trips with the staff at Sunny Skies Preschool while he / she

are in attendance. Such trips include but are not limited to the playground, Library and the

shopping avenues.

Parents Signature ______________________________Date ____________________

Picture release form

I, _____________________________authorize Sunny Skies Preschool to take and publish

pictures of my child _____________________________ while at care for promotional and

decorative use of the center.

Parents Signature ______________________________Date ____________________

Bathroom Assistance Consent

I, _____________________________authorize Sunny Skies Preschool teachers from my

child’s assigned classroom to assist with his/her hygienic needs. (stages of diaper/potty train)

Parents Signature ______________________________Date ____________________

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Health Screening Consent Form

Child’s Name: _________________________________________ DOB: _____________

Parent/Guardian Name(s):___________________________________________________

Health Screenings: (Please initial where indicated)

We, Sunny Skies Preschool, need to assure the health and development of your child and

will be conducting various screenings which will be performed either by in-house staff

members or fully certified external resources, for example: Colgate Dental Mobile Van.

The following are a list of screenings that Sunny Skies Preschool may conduct:

1. Dental and Oral Health Screening

2. Audiology (Hearing Screening)

3. Vision Testing

4. Growth Assessment, which includes height and weight testing

5. Blood Pressure exam

6. Social-Emotional test

7. Developmental and Educational screenings

8. Nutrition Review

If any of the above is a concern, please advise your family worker immediately so that we

can discuss and address promptly and appropriately.

____I give permission for Sunny Skies Preschool to conduct all health and developmental

screening as listed above or as deemed necessary. Screening may be done by either Sunny

Skies Preschool staff/consultants and by certified organizations who partner with Sunny

Skies Preschool for the health and well-being of my child.

___If my child should need services, I authorize any involved agencies to release a copy of

any necessary records, including child’s IEP or IFSP to Sunny Skies Preschool and to its

staff members as deemed necessary. I give full permission for the teachers to peruse any

therapist notes and files.

Parent/Guardian Signature: __________________________ Date: ________________

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CUSTOMER CREDIT CARD AUTHORIZATION FORM This information is confidential. This form will only be kept by Sunny Skies Preschool Finance Department

PARENTS NAME: __________________________CHILD’S NAME: ________________________________

ADDRESS _______________________ CITY _________________ STATE__________ ZIP______________

PHONE NUMBER ________________________________________

NAME AS APPEARS ON CREDIT CARD _____________________________________________________

CARD TYPE Visa MasterCard American Express

CREDIT CARD NUMBER ______________________________ EXPIRATION DATE__________________

THREE DIGIT CODE _____________ FOUR DIGIT AMERICAN EXPRESS: _____________________

AUTHORIZATION SIGNATURE ______________ ______________________ DATE __________________

*This credit card authorization form MUST be filled out if you submit cash payments OR voucher payments.

*By signing this form, the signee authorizes Sunny Skies to charge that credit card account in the event payment is not

made on time or a check bounces, no notice will be given in advance prior to charging the card and in the event the

card gets declined your child will not be allowed back into the school until all payments have been satisfied. All

PayPal fees will be added to the amount (6% of total transaction).

It is the sole responsibility of the cardholder to provide proper and accurate information and to update all accounts on

record.

AUTHORIZATION SIGNATURE ____________________________________ DATE __________________

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CHILD MUST HAVE LEAD, HEARING & VISION TESTING COMPLETED!!

Sunny Skies Preschool

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CACFP PROGRAM PARTICIPATION DATA SHEET

MY CHILD IS ENROLLED IN A PRESCHOOL THAT PARTICIPATES IN CACFP, A FEDERAL PROGRAM WHICH PROVIDES FUNDING FOR NUTRITIOUS AND DELICIOUS MEALS AT THE SCHOOL AT NO EXTRA COST TO THE PARENTS CONTINGENT ON INCOME. HE/SHE WILL BE PROVIDED WITH THE FOLLOWING MEALS:

AM SNACK (9:00 AM)

HOT LUNCH (12 NOON)

HOT SUPPER (3:30 PM)

CHILD’S NAME: ___________________________

DATE OF ENROLLMENT: __________________

PARENT’S SIGNATURE: ____________________

TODAY’S DATE: ___________________________

*PARENTS NEED TO FILL OUT INCOME ELIGIBILITY APPLICATION FORMS UPON ENROLLMENT AND EVERY YEAR IN JANUARY AS THEY EXPIRE AND MUST BE UPDATED.

WE APPRECIATE YOUR COOPERATION IN HELPING US PROVIDE THE VERY BEST FOOD FOR YOUR CHILD WHILE IN OUR CARE, SERVICES ARE PROVIDED WITHOUT ANY BIAS OR RESTRAINT TO ALL CHILDREN ATTENDING.

SUNNY SKIES PRESCHOOL

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Sunny Skies Preschool

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Checklist of Parent’s Obligations while having a registered child

at Sunny Skies Preschool-Universal Pre-Kindergarten (UPK)

__UPK is FREE from 8:00AM-2:20PM. If you wish for your child to stay after 2:20PM, Sunny Skies will

charge $125.00 per week for aftercare.

__ Payments are due on THURSDAYS regardless of attendance, whether child is sick, or during vacation.

This secures your child’s spot in his/her classroom. Payments are made a week prior to ensure childcare dues.

__ Children MUST arrive to school no later than 8:00AM. Attendance is MANDATORY.

__ Early Drop Off/Late Pick Up Fees. If your child is brought to school before 8:00AM, there is a $15.00

charge. If you are late picking up your child between 6:00PM-6:15PM, will be charged $20.00 and after

6:16PM you will be charged $1.00 per minute thereafter, also due on the spot of arrival.

__ No food, drinks, toys or personal objects are to be brought in. Sunny Skies Preschool is not responsible for

lost/broken valuable items that are brought in. ALL REQUIRED ITEMS MUST BE LABELED WITH

CHILD’S NAME (including BLANKETS)

__If personal stroller is brought into Sunny Skies Preschool, it MUST be secured with a lock & chain. Sunny

Skies Preschool is not responsible for lost/broken valuable items that are brought in.

__ Uniform tops and bottoms to be worn everyday in school. No sandals or open-toe shoes to be worn in school. CLOSED TOE SHOES ONLY!

__ Two changes of clothes to be kept in school for emergencies. Please LABEL CLOTHES WITH

CHILD’S NAME/INITIALS. Sunny Skies Preschool is not responsible for lost/broken valuable items that are

brought in.

__ Children with fever or diarrhea must stay home until after 24 hours w/o symptoms.

__ Accurate phone numbers and email addresses will be provided.

__ Medicals and Dental records will be kept up to date. Your child’s medical is valid for one year to the date

and dental is valid for six month to the date. If your child's medical records expired during school year your

child will be excluded from school.

__ All injuries that happen at home must be reported to a STAFF MEMBER when dropping child off in the

morning.

__ Child must be signed IN and OUT of Sunny Skies Preschool every day by parent/guardian.

__ Parent must call school or send email to notify us of absences and the reason for it.

__ Parents should participate in school activities such as fund raisers, meetings, holiday celebrations, etc.

I, ______________________, the parent of __________________ hereby acknowledge that I am aware of all

the rules and regulations to be followed at Sunny Skies Preschool. Failure to do so might result in my child’s

expulsion from the program without the right to get a deposit refund, my initials/check mark next to each line

indicate that I have read, understand and intend to follow every single one of them.

Signature_____________________________ Dated __________________

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DAILY SCHEDULE

Time Monday Tuesday Wednesday Thursday Friday

8:00AM-9:00AM

Free Choice

Free Choice

Free Choice

Free Choice

Free Choice

9:00AM-9:30AM

Eating (Breakfast) Toileting

Eating (Breakfast) Toileting

Eating (Breakfast) Toileting

Eating (Breakfast) Toileting

Eating (Breakfast) Toileting

9:30AM-10:30AM

Meeting time

Meeting time

Meeting time

Meeting time

Meeting time

10:30AM-11:15AM Physical

Activities

Outdoor or

Free Play

Outdoor or

Free Play

Outdoor or Free Play

Outdoor or Free Play

Outdoor or Free Play

11:15AM-12:00PM Center

Area Play

Center Time

Center Time

Center Time

Center Time

FUN FRIDAY PARTY

(Socio-emotional Development)

12:00PM-1:00PM

Eating (Lunch), Toileting

Eating (Lunch), Toileting

Eating (Lunch), Toileting

Eating (Lunch), Toileting

Eating (Lunch), Toileting

1:00-1:30PM Story Time Story Time Story Time Story Time Story Time

1:30PM-3:00PM

Sleeping Tooth brushing

Toileting

Sleeping Tooth brushing

Toileting

Sleeping Tooth brushing

Toileting

Sleeping Tooth brushing

Toileting

Sleeping Tooth brushing

Toileting

3:30PM-4:00PM

Reading

Workshop

Writing

Workshop

Reading

Workshop

Writing

Workshop

FUN FRIDAY PARTY

(Socio-emotional Development)

4:00PM-4:30PM

Eating (Dinner) Toileting

Eating (Dinner) Toileting

Eating (Dinner) Toileting

Eating (Dinner) Toileting

Eating (Dinner) Toileting

4:30PM-5:30PM

Afternoon Meeting

Afternoon Meeting

Afternoon Meeting

Afternoon Meeting

FUN FRIDAY PARTY

(Socio-emotional Development)

5:30PM-6:00PM Dismissal time

Finish all projects

Finish all projects

Finish all projects

Finish all projects

FUN FRIDAY PARTY

(Socio-emotional Development)

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Materials list Parents, please note the specifications to the items requested and abide by them.

PLEASE LABEL ALL ITEMS WITH YOUR CHILD’S NAME

WITH PERMANENT MARKER!

Thank you very much!!

o 1 plain black & white composition notebooks wide ruled 150 pages. (NO characters on cover!)

o 1 primary journal composition (notebook with space for drawing and writing at the bottom)

o 2- two sided pocket folders to place children’s schoolwork

o 1 pack of white copy paper

o 1 pack of assorted construction paper

o 1 liquid glue bottle (1 ounce size for child’s ease of use, please make sure it’s ONE OUNCE)

o 1 bag of balloons in primary colors (red, blue, yellow, white)

o 2 boxes of facial tissues (rectangular size only to ease stacking)

o 1 hand sanitizing gel (16 ounce bottle or bigger)

o 2 large Lysol spray

o Recyclables: -Empty toilet paper rolls, empty egg cartons, used shopping bags, ziplock bags, empty grocery boxes.

AND AS ALWAYS REMEMBER THE FOLLOWING ESSENTIALS FOR YOUR CHILD’S

PERSONAL USE:

- One KIDS size toothbrush and toothpaste (for practicing dental hygiene once a day in school)

- 1 fitted STRECHED crib sheet and 1 thin flat sheet (crib sized only!) labeled. To be taken home on

Fridays, washed and brought back on Mondays. No blankets = No childcare!!!!

- 2 changes of clothes, which MUST be replaced as they are used up often in case of accidents.

- 1 clear, white rectangular box with lid MUST be brought in to place child’s additional change of clothes

in the classroom. (shoe box size)

- If child uses diapers we must have an adequate supply of disposable diapers, wipes, creams and/or baby

powder.

- UNIFORM, MUST BE WORN every day.

- Navy Blue Pants or Skirt

-White Polo T-shirt

-Black Closed-Toe Shoes

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UNIFORM POLICY

BOYS:

Navy Blue UNIFORM pants only. No cargo pants, no sweats, or jeans.

GIRLS:

Navy Blue pants, jumper or skirt. Make certain that the skirts properly cover your

child and are weather appropriate. No characters, no mixed colors, no jeans, no

sweats. UNIFORM GRADE ONLY.

EVERYONE:

WHITE POLO T-SHIRT!

We provide ONE yellow school T-shirt for use while in school. More available for

purchase. T-shirts stay in school. Sunny Skies at Sunset Park washed t-shirts at

Laundromat downstairs.

BLACK uniform shoes. No crocks, no sandals, no heels, no colorful sneakers, no

characters, only ALL BLACK UNIFORM GRADE SHOES.

*thermal underwear recommended for winter months to keep the children warm.

They have the uniforms available at: Cookies, Bergament stores and Children's

Place.

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Birthday Party Checklist

We allow children’s birthday parties under the following conditions:

- Two weeks advance notice is required to accommodate daily activities.

- Party MUST be on a FRIDAY.

- Must happen before LUNCH TIME (approximately 11:20AM) and should

last no longer than 45 minutes.

- Parents will bring cake, candles, matches, camera, decorations and music.

- NO CANDY WILL BE ALLOWED!!!! A small prize for each child if you want

them to take something home is acceptable. NO PINATAS!!!

- Cake can NOT contain any type of nuts due to allergies!!

- No need to bring in food because we have lunch caterer.

- Parents MUST be responsible for cleaning up after party.

- Want to decorate the classroom? No problem! Simply bring it in the morning

so we can have it ready for the party.

- Relatives want to come? Sure! But keep the number to a minimum to avoid distractions!

THANK YOU!! Sunny Skies Preschool