ATLANTA PREPARATORY

PARENTAL AGREEMENT WITH CHILD CARE FACILITY

The Atlanta Preparatory School of The Arts agrees to provide child care for

(CHILD’S NAME)

ON (DAYS OF WEEK):
(TIMES OF DAY) from A.M. TO P.M THIS WILL OCCUR DURING THE
MONTHS OF TO

My child will participate in the following meal plan (circle applicable meal and snack times);
BREAKFAST MORNING SNACKLUNCHAFTERNOON SNACKEVENING SNACK DINNERBEDTIME SNACKOTHER

I acknowledge it is my responsibility to pay tuition fees on monday before services are rendered. i agree that if i am late or fail to pay the fees before 12 p.m. on monday, there will be a $ 10.00 late fee attached my tuition costs.

Before any medication is dispensed to my child, i will provide written authorization which will include: the date, name of child, name of medication, prescription number, dosages, and date and time of day that the medication is to be given. the medication will be in the original container with my child’s name attached.

My child will not be allowed to enter or leave the facility without being escorted by the parent(s), or facility personnel.

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, infant feeding plans, and immunization records, etc).

I acknowledge that it is my responsibility to notify atlanta preparatory school of the arts of any illnesses that my child has. i understand that i am to pick-up or arrange to have my child picked up during times of sickness in a time that is in compliance with the policy of atlanta preparatory school of the arts. the facility agrees to keep me informed of any incidents, including illnesses, injuries, adverse reactions to medications, etc.

The atlanta preparatory school of the arts 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 (2) feet deep.

I have received a copy and agree to abide by the policies and procedures for atlanta preparatory school of the arts. i understand that the center will advise me of my child’s progress and issues relating to my child’s special needs. i also understand that my participation is encouraged in facility activities.

PARENT/GUARDIAN SIGNATURE DATE

FACILITY ADMINISTRATOR/PERSON IN CHARGE DATE

Von schwerfälligem verstand, nahezu analphabetisch und kaum zur bachelorarbeit kommunikation fähig, hat dieser grobe bauernjunge in wenigen jahren sein einseitiges talent zu großer meisterschaft entwickelt und bald alle großen schachmeister geschlagen