Parent Enrollment Agreement
(Please read carefully and initial each one to verify acceptance.)
1) I understand that I am committing myself to participate in the Super Kids’ Place Before and after School Child
Care Program for the duration of the school year. Our rates are based on 180 school days not how many days
there are in a month. If withdrawal is necessary, I will provide a 15-day written notice.________
2) The before and after school program operates according to the school system calendar._________
3) I understand that agreement to the time(s) childcare services will be provided requires Super Kids’ Place, Inc.
to commit staff and resources for my child, and that I am committed to payment for the time contracted whether my
child attends or not. ________
4) I understand that if my child is not attending for any reason, I must leave a message on SKP’s answering
machine.( no texting staff with this information) _______
5) I understand that I am responsible for fee payment prior to childcare services being provided. Monthly
payments are due the fifteenth of the prior month. Payments are to be made payable to Super Kids’ Place (SKP).
______
6) I understand that payments are due on the 15th of each month. Any tuition payment received after that will be
subject to a $50 late fee, I understand that childcare may be withheld until my account is in good standing.
______
7) I understand that payments can be dropped off at the center that our children are attending or can be mailed
to Super Kids’ Place, Inc., at the center’s address. Check with the Director or the website superkidsplace.com for
the address. ______
8) I understand that if I pick up my child after my agreed upon time, a late fee of $5.00 per minute will be
charged. A 4th occurrence may result in a dismissal from the program. ______
9) If my child remains on the site after closing and the site has not heard from me, a staff member will call me. If I
cannot be reached then the staff member will contact the emergency contacts I have listed on the Emergency
Card as authorized to take my child from the site. The staff will stay with my child as long as possible, but if after
one hour the site staff has been unable to reach me or an emergency contact, the staff will call the local police.
______
10) I understand that there will be a $35 charge for returned checks. If there is a second NSF check against my
account, I understand further payments can only be made by money order or cashier’s check. ______
11) I understand that my child will be released only to any person(s) listed on the Emergency Card or if you call
to authorize someone. All individuals must provide proper identification. ______
12) I, or the person designated on the enrollment form and/or Emergency Card, will sign (full signature) my
child/children in and out daily. Failure to sign my child in and out of childcare may result in cancellation of
childcare. ______
13) If the childcare staff notifies me or my designee(s) that my child is ill, I must pick up my child immediately or
have an alternate person. If my child is absent due to a reportable disease, my child may return only with a
physician’s note indicating that he or she is no longer contagious. _____
14) I understand that if my child is absent from regularly scheduled school due to an illness, my child will not be
allowed to attend Super Kids’ Place that day to prevent any possible spreading of germs. ______
15) In case of emergency, SKP has my permission to administer first aid or to obtain emergency medical
treatment in my child’s best interest. ______
16) I understand that my child is not to take any medications at the Super Kids’ Place site, except as allowed in
accordance with the medication’s policy. (See handbook). ______
17) If for any reason my child is having problems in the program, a conference can be arranged between the
parent, teacher and SKP site director. ______
18) I understand that Super Kids’ Place reserves the right to terminate childcare services if it is determined that
placement is unsatisfactory. ______
19) If conditions arise during the school day and schools are dismissed early SKP is closed , my child/ children will follow procedures established between the school and SKP. --------------------.
20) I understand that if school is closed due to weather, natural disasters or state/federal emergencies, SKP will
be closed. If afterschool activities are canceled due to weather, natural disasters or state/federal emergences, SKP
will close at 5 pm. I understand that if school has a late opening the program will open at the same interval. ( If
school opens two hours late, SKP will open two hours later.) ______
21) I understand that Early Dismissal days that are scheduled are included in the tuition. Early dismissal days at
the end of school will be included in June’s payment. I will be advised in April what those charges will be._______
22) I give permission for my child to participate in SKP field trips, whether by foot or BUS. I understand that
special field trips may require additional fees or expenses which I may be required to pay in order for my child to
participate. ______
23) If I receive subsidized tuition, but it does not cover tuition then I am responsible for the remaining amount._______
24) I understand that calling staff on their cell phones or texting staff during SKP hours is not acceptable, as they are discouraged from using their cell phones during their working hours. ________
25) I understand that I cannot depend on any staff member to assist my child in a ride home from SKP if I am late in pick-up. If I ask them to babysit ahead of time there must be a written notice in their file that you give them permission to give your child/children a ride home. _________
26) I understand that asking a staff member to babysit during their SKP working hours is not acceptable . Their job at SKP comes first. ____________
I have read and agree to all policies and fee procedures outlined within this Enrollment Agreement and in the
Parent Handbook. I understand it is my responsibility to contact the Super Kids’ Place site director with any
questions I have about the information contained in the Parent Handbook or any document relating to enrollment
policies, procedures, fees or fee schedules.
Signature of Parent: _________________________ Date____________
Print Name: ________________________________
(Please read carefully and initial each one to verify acceptance.)
1) I understand that I am committing myself to participate in the Super Kids’ Place Before and after School Child
Care Program for the duration of the school year. Our rates are based on 180 school days not how many days
there are in a month. If withdrawal is necessary, I will provide a 15-day written notice.________
2) The before and after school program operates according to the school system calendar._________
3) I understand that agreement to the time(s) childcare services will be provided requires Super Kids’ Place, Inc.
to commit staff and resources for my child, and that I am committed to payment for the time contracted whether my
child attends or not. ________
4) I understand that if my child is not attending for any reason, I must leave a message on SKP’s answering
machine.( no texting staff with this information) _______
5) I understand that I am responsible for fee payment prior to childcare services being provided. Monthly
payments are due the fifteenth of the prior month. Payments are to be made payable to Super Kids’ Place (SKP).
______
6) I understand that payments are due on the 15th of each month. Any tuition payment received after that will be
subject to a $50 late fee, I understand that childcare may be withheld until my account is in good standing.
______
7) I understand that payments can be dropped off at the center that our children are attending or can be mailed
to Super Kids’ Place, Inc., at the center’s address. Check with the Director or the website superkidsplace.com for
the address. ______
8) I understand that if I pick up my child after my agreed upon time, a late fee of $5.00 per minute will be
charged. A 4th occurrence may result in a dismissal from the program. ______
9) If my child remains on the site after closing and the site has not heard from me, a staff member will call me. If I
cannot be reached then the staff member will contact the emergency contacts I have listed on the Emergency
Card as authorized to take my child from the site. The staff will stay with my child as long as possible, but if after
one hour the site staff has been unable to reach me or an emergency contact, the staff will call the local police.
______
10) I understand that there will be a $35 charge for returned checks. If there is a second NSF check against my
account, I understand further payments can only be made by money order or cashier’s check. ______
11) I understand that my child will be released only to any person(s) listed on the Emergency Card or if you call
to authorize someone. All individuals must provide proper identification. ______
12) I, or the person designated on the enrollment form and/or Emergency Card, will sign (full signature) my
child/children in and out daily. Failure to sign my child in and out of childcare may result in cancellation of
childcare. ______
13) If the childcare staff notifies me or my designee(s) that my child is ill, I must pick up my child immediately or
have an alternate person. If my child is absent due to a reportable disease, my child may return only with a
physician’s note indicating that he or she is no longer contagious. _____
14) I understand that if my child is absent from regularly scheduled school due to an illness, my child will not be
allowed to attend Super Kids’ Place that day to prevent any possible spreading of germs. ______
15) In case of emergency, SKP has my permission to administer first aid or to obtain emergency medical
treatment in my child’s best interest. ______
16) I understand that my child is not to take any medications at the Super Kids’ Place site, except as allowed in
accordance with the medication’s policy. (See handbook). ______
17) If for any reason my child is having problems in the program, a conference can be arranged between the
parent, teacher and SKP site director. ______
18) I understand that Super Kids’ Place reserves the right to terminate childcare services if it is determined that
placement is unsatisfactory. ______
19) If conditions arise during the school day and schools are dismissed early SKP is closed , my child/ children will follow procedures established between the school and SKP. --------------------.
20) I understand that if school is closed due to weather, natural disasters or state/federal emergencies, SKP will
be closed. If afterschool activities are canceled due to weather, natural disasters or state/federal emergences, SKP
will close at 5 pm. I understand that if school has a late opening the program will open at the same interval. ( If
school opens two hours late, SKP will open two hours later.) ______
21) I understand that Early Dismissal days that are scheduled are included in the tuition. Early dismissal days at
the end of school will be included in June’s payment. I will be advised in April what those charges will be._______
22) I give permission for my child to participate in SKP field trips, whether by foot or BUS. I understand that
special field trips may require additional fees or expenses which I may be required to pay in order for my child to
participate. ______
23) If I receive subsidized tuition, but it does not cover tuition then I am responsible for the remaining amount._______
24) I understand that calling staff on their cell phones or texting staff during SKP hours is not acceptable, as they are discouraged from using their cell phones during their working hours. ________
25) I understand that I cannot depend on any staff member to assist my child in a ride home from SKP if I am late in pick-up. If I ask them to babysit ahead of time there must be a written notice in their file that you give them permission to give your child/children a ride home. _________
26) I understand that asking a staff member to babysit during their SKP working hours is not acceptable . Their job at SKP comes first. ____________
I have read and agree to all policies and fee procedures outlined within this Enrollment Agreement and in the
Parent Handbook. I understand it is my responsibility to contact the Super Kids’ Place site director with any
questions I have about the information contained in the Parent Handbook or any document relating to enrollment
policies, procedures, fees or fee schedules.
Signature of Parent: _________________________ Date____________
Print Name: ________________________________