ROBERT AND DOROTHY LUDWIG SCHENECTADY JEWISH COMMUNITY CENTER
KID’S TIME
2008-2009 REGISTRATION FORM
* Each form must be accompanied by a NON-REFUNDABLE 10% deposit
* Registration begins Tuesday, April 1, 2008
* Registration must occur before, Monday, August 25, 2008 to avoid a $30 late charge
Child’s Name__________________________________________
Please check off the days you would like your child to attend:
____Monday ____Tuesday ____Wednesday ____Thursday ____Friday
Please register my child for the:
_____Full-day program (Pick up prior to 6:00 p.m.)
_____Half-day program (Pick up prior to 4:00 p.m.)
Please indicate which Kid’s Time site you would like your child to attend:
___ Birchwood School ___ Craig School ___ Rosendale School
Child's Birthday _____/_____/_____
Gender _____Male _____Female
Grade (as of September 2008) _________ School ____________________________
Street Address: ________________________________________________________
City, State, Zip: ________________________________________________________
Home Phone: _____________________________________________
Parent’s Name: ______________________ Work: _______________ Cell: ______________
Parent’s Name: ______________________ Work: _______________ Cell: ______________
Email Address: _____________________________________________________________
Are you interested in serving on a Kid’s Time program committee? Yes ____ No ____
The Kid’s Time program provides services to all children regardless of sex, race, creed, color, religion, handicap or national origin.
(OVER)
I understand and agree to the
following:
1. I will make all tuition payments in a timely fashion as specified: Half the yearly tuition is due in September. The remainder is due in January. Alternate payment plans may be acceptable, such as monthly payments. There are no reductions or credits for illnesses, vacations, or school closings.
2. If my child will not be attending Kid’s Time on her/his regular day, I will call the JCC prior to her/his usual arrival time. Failure to do so may result in my child being removed from the program.
3. The Center will provide me with a Parent manual detailing Kid’s Time policies.
4. The Kid’s Time program schedule corresponds to the Niskayuna School calendar.
5. If a behavior problem arises, I understand that attempts will be made between the staff, the parent, and the child to rectify the situation. If, after these attempts, the situation continues, I realize that my child may, at the sole discretion of the Kid’s Time program; be temporarily or permanently removed from the program.
6. I must notify the School-Age Director in writing, if I plan to withdraw my child before the end of the year. If I notify the Center in writing, I am responsible for that percentage of time my child attended, plus an additional 10% of the yearly fee. If I remove my child and fail to notify the center in writing, I will be responsible for all fees.
7. Early dismissal days are included in my tuition fees. On early dismissal days children must bring a lunch. Vacation Days and Snow Days are an additional fee and require pre-registration.
8. I will remit the deposit fee of 10% of the total fee, which is non-refundable, but is applicable towards the last month of tuition.
9. I understand that there will be a $20 service charge for any checks returned to the JCC.
10. I understand that if I pick my child up late, I will incur the following fees:
4:00 p.m. pick-up - I will be charged the $6.50 per hour fee/per child
6:00 p.m. pick-up- $1.00 per minute/per child
11. There will be a $10 administrative fee for any changes that you make to your child’s schedule.
12. I understand that the JCC is not responsible for any items lost while at the Kid’s Time program.
13. A Copy of this form is available upon request.
I have read and understand the registration form in full and agree to all terms.
______________________________________ _______________________
Signature of Parent or Legal Guardian Date