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Step 1 of 8
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REGISTRATION FORM FOR ENROLLMENT AT TLC ON HEDGCOXE
Desired Enrollment Date
Name of Child
*
First
Last
Child's Gender
*
Boy
Girl
Child's Age
*
Child's Date of Birth
*
Name of Primary Payer
*
First
Last
Relationship to Child
*
DL/ID Number
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone
*
Work Phone
Email
*
Employed by
*
Employer Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
How did you hear about TLC? If referred, by whom?
***FOR OFFICE USE ONLY***
Today's Date
Program
Registration Fee
Tuition Rate
Weekly
Monthly
Form of payment received
Check
Other _______________________
Reviewed & Accepted by:
Date
Parent Code
Classroom
TLC Schools offer internet web viewing of your child’s classroom through the WatchMeGrow program, for a monthly charge of $30. This is a secure website that may only be accessed by using your login and password.
To set up viewing access, go to
WatchMeGrow.com
, click on “Sign Up” and fill out the form. After WatchMeGrow verifies your information, your account will be activated on the first day.
If you have any questions or concerns, please feel free to stop by the front desk and ask.
APPLICATION FOR ENROLLMENT FORM
CHILD'S DATA
Name
*
First
M.I.
Last
Name Called
Date of Birth
*
Gender
*
Boy
Girl
Child's Home Phone Number
*
Child's Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
With whom does the child live?
*
Who has legal custody?
*
PRIMARY PAYER'S DATA
Name
*
First
Last
DL/ID Number
*
Email
*
Home Phone
*
Work Phone
Mobile Phone
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Employer
*
Occupation
*
SECONDARY PAYER'S DATA
Name
*
First
Last
DL/ID Number
*
Email
*
Home Phone
*
Work Phone
Mobile Phone
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Employer
*
Occupation
*
Employer's Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Authorized to pick up child?
*
Yes
No
INDIVIDUALS, OTHER THAN PARENT, TO WHOM TLC IS AUTHORIZED TO RELEASE YOUR CHILD (Must provide 2)
Name
*
First
Last
Relationship
*
Phone
*
DL/ID Number
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Name
*
First
Last
Relationship
*
Phone
*
DL/ID Number
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
THE FOLLOWING PERSON(S) ARE FORBIDDEN BY COURT TO PICK UP MY CHILD UNLESS SPECIFIC WRITTEN AUTHORIZATION HAS BEEN GRANTED.
Name
First
Last
Remarks
Please attach legal documentation
SIBLINGS
Name
First
Last
Birth Date
Name
First
Last
Birth Date
Name
First
Last
Birth Date
ADDENDUM TO TUITION SCHEDULE FORM
PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH
TLC on Hedgcoxe’s full day programs run from 6:30 a.m. to 6:30 p.m. Tuition includes breakfast, morning and afternoon snacks, as well as lunch. Our after-school program runs from 3:00 p.m. to 6:30 p.m. Tuition includes afternoon snack. Parents of infants are required to supply formula and baby food.
*
Tuition rates are based on twelve (12) monthly payments or fifty-two (52) weekly payments per year. No reduction or credit in tuition will be given for Holidays, Sick Days or Vacation Days.
*
Part-time rate is $80 per day with a minimum of 2-3 days of enrollment. This fee does not include discount rates. No reduction or credit in tuition will be given for Holidays, Sick Days or Vacation Days.
*
Fees include our Computer, Language and Music Programs.
*
Access to our internet Cameras is available for a monthly fee of $30.
I want this service:
*
Yes
No
*
Registration Fee: Payable upon registration. This fee provides for processing enrollment request and covers a child’s accident insurance premium.
*
Administrative Fee: Payable annually every September 1st. This fee provides for processing and updating your child’s records as well as covering your child’s accident insurance premium. This fee is non-refundable.
*
Supply Fees: FOR THE INFANT, TODDLER AND EARLY PRE-SCHOOL PROGRAMS these fees are charged on a monthly basis and are due with your tuition payment at the beginning of every month; the fee covers the cost of diapers, ointments as needed for diaper rash, wipes, bed sheets and laundry of soiled clothing while your child is at the center.
*
The KINDERGARTEN Supply fee is payable semi-annually in August and in January; this fee covers the cost of workbooks, art and school supplies for your child.
*
SUMMER ACTIVITY FEE: Is payable in June, July and August. This fee covers the cost of various extra-curricular activities during the months of June, July and August.
*
A fee of $35 per day will be charged, in addition to the After School Program weekly tuition, for Special Programs like Holidays, Spring Break, Summer Camp and Full Day Program for After-schoolers.
*
TUITION FEES ARE PAYABLE IN ADVANCE. The due date for weekly payments is Monday (or the preceding work day if Monday is a holiday). The due date for monthly payments is the first Working day of the month.
*
LATE PAYMENTS: A payment is late if it is not received on or before its due date; an administrative late fee of $50 will be charged on all past due payments.
*
LATE PICK-UP FEE: A $1 per minute fee will be charged for the first 10 minutes after our regular closing time of 6:30 P.M. and an additional fee of $2 per minute thereafter.
*
RETURNED CHECK FEE: A $35 fee will be charged for all returned checks.
*
Declined Tuition Express: Credit Card or debit withdraws will result in a $35 fee will be charged for all returned checks.
*
Registration Fee, Supply Fee and First Weeks Tuition are NON-REFUNDABLE
*
All of our fees are on a per child basis and discounts are not applicable to supply and activity fees.
*
All registration, supply and late fees as well as tuition rates are subject to change.
*
TLC Schools requires a two-week notification before dis-enrolling your child.
*
PLEASE MAKE YOUR CHECKS PAYABLE TO:
TLC on Hedgcoxe
Parent Signature
*
Date
*
EMERGENCY INFORMATION FORM
In the event of a medical emergency, every effort will be made to notify parents. If necessary, children will be taken to Children's Medical Center at Legacy or Presbyterian Hospital by emergency vehicle or if necessary by one of TLC’s staff. If on a field trip or outing, they will be taken to the nearest hospital or emergency clinic.
Child's Name
*
First
Last
Phone
*
Child's Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Pediatrician
Name
Pediatrician's Phone
Pediatrician's Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Dentist
Name
Dentist's Phone
Dentist's Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
MEDICAL ALERT
*
MEDICINE ALLERGIES
*
FOOD ALLERGIES
*
INFANT FORMULA
*
Primary Insurance Company
Phone
Name of Insured
Policy Number
Group Number
INDIVIDUALS,
OTHER THAN PARENT,
TO WHOM TLC IS AUTHORIZED TO RELEASE YOUR CHILD IN CASE OF EMERGENCY.
Name
Relationship
Phone
Drivers License No.
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Name
Relationship
Phone
Drivers License No.
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parent/Legal Guardian Signature
*
Date
*
TRANSPORTATION AGREEMENT FORM
This is to certify that I give TLC on HEDGCOXE permission to transport my child
*
Child's Name
AFTER SCHOOL CARE
FIELD TRIPS
MEDICAL EMERGENCY
AFTER SCHOOL INFORMATION:
(Times to be completed by TLC).
From
Plano ISD Andrews
Plano ISD Bethany
Plano ISD Beverly
Plano ISD Brinker
Plano ISD Daffron
Plano ISD Gulledge
Plano ISD Haun
Plano ISD Hedgcoxe
Plano ISD Mathews
Plano ISD Rasor
Plano ISD Skaggs
Plano ISD Wells
Plano ISD Wyatt
Frisco ISD Anderson
Frisco ISD Borchardt
Frisco ISD Riddle
Frisco ISD Smith
Frisco ISD Taylor
LoneStar Language Academy
AT
:
HH
MM
AM
PM
To TLC Schools on Hedgcoxe
AT
:
HH
MM
AM
PM
This Agreement is for transportation FROM my child's school
My child’s school is approximately _____________ miles from TLC.
Please enter a value between
1
and
20
.
In the event that my child does not need transportation as outlined above, I agree to notify the center at least one full hour before scheduled pick up.
I understand that if my child is not at the designated pick up site or cannot be located; TLC personnel shall make every effort to find the child and shall notify the appropriate authorities and parent(s) or guardian(s) immediately.
Parent/Legal Guardian Signature
*
Date
*
Signature of TLC Director
Date
FIELD TRIP AND WATER ACTIVITY RELEASE FORM
Field Trips will be posted on your child’s classroom communication board at least 48 hours in advance. This notice will include the date, the destination, the time of departure and the time of return, as well as a list of the children going on the field trip. TLC staff will carry a written list of children in the group and will have first aid supplies available. A staff member with current training in First Aid, rescue breathing and chocking training, and CPR will be present on all field trips.
My child
*
Name
*
Has
Does NOT Have
my permission to participate in TLC Schools field trips. I understand that my child will be transported in TLC vans equipped with safety restraints for each passenger.
My child
*
Name
*
Has
Does NOT Have
my permission to participate in water activities:
Splashing Pools
Wading Pools
Swimming Pools
I release TLC Schools, its staff, its employees, drivers, or the sponsors from any liability.
Parent/Legal Guardian Signature
*
Date
*
DISCIPLINE AND GUIDANCE POLICY FOR TLC HEDGCOXE
• Discipline must be:
(1) Individualized and consistent for each child;
(2) Appropriate to the child’s level of understanding; and
(3) Directed toward teaching the child acceptable behavior and self-control.
• A caregiver may only use positive methods of discipline and guidance that encourages self-esteem, self-control, and self-direction, which include at least the following:
(1) Using praise and encouragement of good behavior instead of focusing only upon unacceptable behavior;
(2) Reminding a child of behavior expectations daily by Using clear, positive statements;
(3) Redirecting behavior using positive statements; and
(4) Using brief supervised separation or time out from the group, when appropriate for the child’s age and development, which is limited to no more than one minute per year of the child’s age.
• There must be no harsh, cruel, or unusual treatment of any child. The following types of discipline and guidance are prohibited:
(1) Corporal punishment or threats of corporal punishment;
(2) Punishment associated with food, naps, or toilet training;
(3) Pinching, shaking, or biting a child;
(4) Hitting a child with a hand or instrument;
(5) Putting anything in or on a child’s mouth;
(6) Humiliating, ridiculing, rejecting, or yelling at a child;
(7) Subjecting a child to harsh, abusive, or profane language;
(8) Placing a child in a locked or dark room, bathroom, or closet with the door closed; and
(9) Requiring a child to remain silent or inactive for an inappropriately long period of time, for the child’s age.
Texas Administrative Code, Title 40, Chapters 746 and 747, Subchapters L, Discipline and Guidance
My signature verifies I have read and received a copy of this discipline and guidance policy.
Signature
*
Date
*
Check one please
*
Parent
Employee/Caregiver
Household member of child-care home
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