Child's Information
Mother's Information
Father's Information
Child's Other Information
Individuals to contact in case of emergency:
My child has my permission to be released to the following individuals: (Please notify the following that they may be asked to show proof of identity.) If we already have a list of your contacts below and you give us permission to use the same contacts, please indicate in the box by writing SAME CONTACTS.
Clear
The last four digits of each person’s social security number will determine the Authorization Codes. In the case of a duplicate number, we will assign a number based on data used on the application
Seesaw Learning Academy Authorizations
I agree to pay the tuition per week in advance. All fees are due on Friday (prior to the week of childcare). A late fee will be added if the account is paid late. (Late is considered by the end of business on Tuesday. Accounts will be charged $15.00 per week/per child.) Children may not receive care beginning Wednesday if the weekly tuition is not paid. I understand tuition has increased (see below).
I understand I may receive reminder messages about payments through text.
If you pick up your child after 6:00 p.m., a late fee of $5.00 per minute will be charged. Late fee must be paid prior to Child Care services the next day.
I understand that a two (2) week’s notice is required should I withdraw my child from the center for any reason. I understand that the full tuition for each of the two week’s notice is to be paid whether my child comes to the center or not. (This includes illness, vacation, or inclement weather)
In case of evacuation, Seesaw Learning Academy has my permission to transport my child.
I give Seesaw Learning Academy my permission to take pictures and display pictures on the Seesaw Learning website, Seesaw Learning social media platform, and for Caddo Smart Start Early Learning Initiatives.
I understand that Seesaw Learning Academy has 20 cameras throughout the Center for security and educational purposes.
My child is 5 years old or older and has my permission to watch PG programming. (School Age Only)
I understand the Center staff is not allowed to give my child medication unless it is for a medical condition or illness requiring more than 2 doses. I understand it must be prescribed by a physician. Such emergencies or medical conditions include but not limited to, an allergic reaction requiring an Epi Pen. I will update the Emergency Medication Authorization Form at least every six months for an EPI Pen (Medication Form Included in Packet).
I understand that Seesaw Learning Academy will participate in the Child and Family Food Program once approved. Every person in attendance for care should have the Free/Reduced Price Meal Application completed annually whether enrolled full time or part-time. This form is confidential information and will be given to the Owner to determine eligibility. The Center will adhere to a 3 to 4 week menu cycle with a variety of food items as well as whole grain usage daily.
I authorize Seesaw Learning Academy to care for my child during the time he/she is in the facility or participating in a facility sponsored field trip and to administer and/or obtain emergency medical treatment for my child.
I have received and reviewed a written description of Seesaw Learning Academy Program and policies.
NON-VEHICULAR EXCURSIONS
My child, , has my permission to participate in the following off-site activities when the children are walking and accompanied by staff of the Center:
Authorization for the Application of Topical Products
I give my permission for center staff to apply the following topical products to my child whether center provided or parent provided:
The one time authorization will remain in effect until a new authorization is signed.
SEESAW LEARNING TUITION AND FEES
Please note** Tuition prices will increase in August 2024. Fees I am responsible for: 1- Weekly tuition payable each Friday. 2- Late payment fee if not paid on time. 3- $5.00 per minute late pick-up fee (6:00p.m.) 4- Enrollment Fee 5- Annual curriculum/supply fee payable in July (all ages) 6- Web-viewing Fee (if desired)
I have read and understand this fee schedule. I have been given a parent handbook and/or understand I can access this information by logging on to www.seesawlearningacademy.com.
I am aware that Seesaw Learning Academy utilizes recordings and/or taping of my child such as digital recordings, videotaping, and audio recordings while in the center for observation/security purposes. If a parent has questions about something that happened during the day, the video footage will be reviewed and discussed with the parent within 48 hours.
WE MUST HAVE ALL CURRENT SHOT RECORDS BEFORE YOUR CHILD WILL BE ABLE TO ATTEND THE CENTER
WE MUST HAVE A COPY OF YOUR DRIVER’S LICENSE
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