Registration Form - Kids Harbor (Page 4 of 4) in pdf

Registration Form - Kids Harbor Page 4

Tuition is billed and due in full each Friday for the following weeks care. I

understand that any unpaid balance after close of business on Tuesday will incur

a late payment fee of $

. Anyone carrying an account balance will be

dismissed after two weeks in the rears.

I acknowledge that my child will not be allowed to enter or leave the school

without being escorted by a parent or authorized person. All children shall be

escorted to and from their assigned classroom by an adult at all times.

I acknowledge that it is my responsibility to keep all records current to reflect

any significant changes as they occur, telephone numbers, work locations,

emergency contacts, child’s health status, infant feeding plans, and immunization

records, etc.

Kids Harbor agrees to keep me informed of any incidents, including illnesses,

injuries, adverse reactions to medications, etc., which include my child.

I authorize Kids Harbor to obtain emergency medical care for my child when

I am not available.

I understand that Kids Harbor retains the right to withdraw my child from the

center at any given time.

I have received a copy and agree to abide by the policies and procedures

for Kids Harbor.

We are so happy to have you as a part of our

Kids Harbor family!

Parent’s Signature:

Date:

Parent’s Signature:

Date:

Administrator’s Signature:

Date:

Registration Form - Kids Harbor Page 4