Enrollment

Please list the child's information below

Please list your information below

Please list the additional parents of the child

The child will be released only to the people on this application and the following persons. The following people will also be contacted and are authorized to remove the child from the center in case of illness, accident, or emergency, if for some reason the custodial parent or legal guardian cannot be reached:

In the event that we cannot reach the parents, please list the people you would like us to contact.

In the event of an emergency involving my child, and A Step Ahead Learning Center cannot reach me, I hereby authorize any needed emergency care. I further agree to be fully responsible for all medical expenses incurred during treatment of my child.

Should your child suffer an injury or illness while in the care of A Step Ahead Learning Center and the facility is unable to contact me (us) immediately, A Step Ahead Learning Center shall be authorized to secure such medical attention and care for my child as may be necessary. I (we) shall assume responsibility for payment of services. I (we) agree to keep the facility informed of changes in telephone numbers, etc. where I can be reached. The facility agrees to keep me informed of any incidents requiring professional medical attention involving my child.

A Step Ahead Learning Center, Inc. agrees to provide child care for your child on Monday through Friday, 6:30 a.m. to 6:30 p.m. from January to December. Times will vary due to staggered arrival and dismissal.

2. Before any medication is dispensed to my child, I will provide written authorization, which includes the date, name of the child, name of the medication, prescription number, if any, dosage, date and time medication is to be given. ( We will only give medications at 12:00 p.m.) Medication will be in the original container with my child’s name marked on it. 3. My child will not be allowed to enter or leave the facility without being escorted by an authorized person. 4. I acknowledge it is my responsibility to keep my child’s records current to reflect any significant changes as they occur, (e.g. telephone numbers, work location, emergency contacts, child’s physician, child’s health status, and immunization records. Etc.) 5. A Step Ahead Learning Center agrees to keep me informed of any incidents, including illness, injuries, and adverse reactions to medications, exposure to communicable diseases, which include my child. I agree to inform A Step Ahead Learning Center if my child has been exposed to COVID-19. I also agree to provide my child (3 years and older) with appropriate personal protective equipment. 6. A Step Ahead Learning Center agrees to obtain written authorization from me before my child participates in routine transportation, field trips, special activities away from the facility, and water related activities occurring in water that is more than two feet deep. I understand that all transportation-related activities are suspended until the end of the covid-19 pandemic. 7. I have received a copy of the parent handbook and agree to abide by the policies and procedures for A Step Ahead Learning Center.