School Age

Second Baptist Church2517 Sam Houston Avenue

Huntsville, TX 77340936.295.6404

www.sbchuntsville.org

Welcome… We believe that God loves and care for each child and we make it a point of reminding the children of this each day.

Goals for your children:

o Spiritual: Sharing with your children God’s word so that he or she experiences the love of Jesus Christ.

o Emotional: Encouraging, supporting, and helping your child grow in positive self-awareness as a child of God.

o Social: Providing an environment in which your child understands and strengthens relationships with other people.

o Physical: Planning activities in which your child regards their body as a gift of God and grows perceptual motor skills and bodily development.

o Intellectual: Involving your child in age appropriate lessons to enhance discovery, communication and creativity.

Texas Dept of Family & Protective Services ADMISSION INFORMATION Form 2935 Aug 2012

Operation Name Director’s Name

           Child’s Full Name Child’s Date of Birth Child’s Home Telephone No.

                 Child’s Home Address

     Date of Admission Date of Withdrawal

                 Parent’s or Guardian’s Name Address (if different from child’s address)

           List telephone numbers below where parents/guardian may be reached while child will be in care:Mother’s Telephone No.

     Father’s Telephone No. Guardian’s Telephone No. Cell Phone No

                 Give the name, address and phone number of person to call in case of an emergency if parents / guardian cannot be reached: Relationship

           I hereby authorize the childcare operation to allow my child to leave the childcare operation ONLY with the following persons. Please list name & telephone number for each. Children will only be released to a parent or a person designated by the parent/guardian after verification of ID.

                 

CHECK ALL THAT APPLY:1. TRANSPORTATION:

I hereby give do not give consent for my child to be transported and supervised by the operation’s employees:

Walk home for emergency care on field trips to and from home to and from school

2. FIELD TRIPS: I hereby give do not give my consent for my child to participate in Field Trips: Parent’s Comments:      3. WATER ACTIVITIES: I hereby give do not give my consent for my child to participate in Water Activities:

sprinkler play splashing/wading pools

swimming pools water table play

4. RECEIPT OF WRITTEN OPERATIONAL POLICIES: I acknowledge receipt of the facility’s operational policies including those for discipline and guidance.

AUTHORIZATION FOR EMERGENCY MEDICAL ATTENTION:In the event I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to:Name of Physician: Address: Ph.#:

                 Name of Emergency Medical Care Facility: Address: Ph.#:                 I give consent for the facility to secure any and all necessary emergency medical care for my child.

Signature - Parent or Legal GuardianList any special problems that your child may have, such as allergies, existing illness, previous serious illness, injuries and hospitalizations during the past 12 months, any medication prescribed for long-term continuous use, and any other information which caregiver’s should be aware of:

          Child daycare operations are public accommodations under the Americans with Disabilities Act (ADA), Title III. If you believe that such an operation may be practicing discrimination in violation of Title III, you may call the ADA Information Line at (800) 514-0301 (voice) or (800)-514-0383 (TTY).

SCHOOL AGE CHILDREN:My child attends the following school:           

Name of School and Address School Ph.#

CHECK ALL THAT APPLY:

His / her immunization record is on file at the school and allrequired immunizations and/or tuberculosis test are current. Vision and Hearing screening records are also on file.

My child has permission to: walk to or from school or home,

ride a bus, and/or be released to the care of his/her sibling(s) under 18 years old.

Name of sibling(s):      

Signature – Parent or Legal Guardian Date

SECOND BAPTIST PRESCHOOL MINISTRY, HUNTSVILLE, TXPARENT AGREEMENT

The following conditions involved in the care of (child’s name) ___________________________ are understood and agreed upon between Second Baptist Church Preschool and (Parent/Guardian) __________________________________

1. In return for the sum which the parent agrees to pay, the Second Baptist Preschool will give regular care to the above named child from 6:30 a.m. to 5:30 p.m., Monday through Friday year round except for holidays. Holidays will be determined on an annual basis and inclement weather days will be determined on an as needed basis.

2. The teacher will observe the children daily for symptoms of contagious diseases or illnesses before they are admitted. Children must be fever/diarrhea/vomiting free for 24 hours prior to attending preschool. In the event of an absence, parents will notify the director.

3. In accordance with Minimum Standards for Child-care centers 746.3801 Parents must sign an authorization and include times for child-care center employees to administer each medication according to label directions. The medicine must be in the original container labeled with the child’s full name and the date brought to the Second Baptist Preschool. The medicine will be administered in amounts according to the label directions or as amended by a physician and the medication cannot be administered after its expiration date.

4. Second Baptist Preschool will give written notice in the event of any exposure to a contagious disease within the group, as defined by the Texas Department of Protective and Regulatory Services. Reasonable care and judgment will be exercised in all matters related to the welfare and safety of the child.

5. In case of an accident or illness to the child, the teacher will promptly take such reasonable measures as are, in his/her judgment, in the best interests of the child, and will notify the parents as soon as possible.

6. Second Baptist Preschool will not release the child to anyone other than the parent or guardian unless there is written permission from the parent/guardian. The adult will be required to provide picture ID.

7. Second Baptist Preschool is not liable for accidents or illnesses occurring to a child while he/she is in its care; Parents/Guardian insurance is primary coverage.

8. Children will not be allowed in the classroom before 6:30 a.m. Parents/Guardians picking children up after 5:30 p.m. will be charged a late fee. Children must be supervised at all times as the parking lot is not a safe play area.

________________________________________________________________________

This agreement is a contract binding for both operator and parent/guardian. The contract may be terminated by either the parent/guardian or Second Baptist Preschool upon notification of intention at least (2) weeks in advance, or at any time by mutual agreement of both parties. Registration and tuition refunds will not be given.

____________________________________________Signature of Parent/Guardian

______________ ________________________________________Date Authorized Signature of Second Baptist Preschool

Dispensing Medicine

Only medicine prescribed by a physician will be dispensed in our school.

All Medication will be in the director’s office.

Parents must sign an authorization and include times for us to administer each medication according to

the label directions.

The medication must be in the original container labeled with the child’s full name and date brought to

the director’s office.

We must administer the medication in amounts according to the label directions or as amended by a

physician.

We must administer the medication only to the child for whom it is intended.

We cannot administer medication after its expiration date.

Medication will not be administered in a child’s cup mixed with juice.

Please take home all medications at the end of the day.

Second Baptist PreschoolHealth Policy

I want to remind everyone that our goal here at Second Baptist Preschool is to provide a safe and healthy environment for your child. We need everyone’s help when it comes to keeping our children healthy and safe. Our wellness policy is as follows:

Your child is too sick to attend school when he/she displays any of the following symptoms: FeverDiarrheaVomitingUndiagnosed RashRed eyes with Discharge

Your child may return to school when he/she is symptom free for at least 24 hours or has been on antibiotics for the appropriate time as determined by your child’s physician. If your child has been seen by a doctor and is told he/she may return to school sooner than 24 hours, please provide a note from the doctor. If a child has a minimum of 2 loose bowl movements, parents will be notified that the child needs to be picked up from school. If the parent feels that the loose bowl movements are due to teething, a doctor’s note documenting that teething is the cause of loose bowl movements is required.

Administration of prescription medications will be in accordance with Minimum Standards 746.380i. Please see the attached copy of the standard.

The policy for the administration of over-the-counter medications is changing. We will be able to administer over-the-counter medications as long as a written request is made and signed by the parent. In addition, the label on the medication must indicate that it is appropriate to administer to the child. An example: when the medication indicates a physician should be consulted for ages 2 and under, no medication will be given without a physician’s order.

My signature verifies I have read and received a copy of this health policy.

__________________________________________________ __________________ Signature Date

Second Baptist PreschoolDiscipline and Guidance Policy

In accordance with Minimum Standards for Child Care Centers section 746.2801-746.2813, the following is the discipline and guidance policy for Second Baptist Preschool. It is a privilege to provide a safe, Christian, learning environment for children of Huntsville.

Discipline must be:Individualized and consistent for each childAppropriate to the child’s level of understandingDirected toward teaching the child acceptable behavior and self-control

Teachers may only use positive methods of discipline and guidance that encourage self-esteem, self-control, and self-direction, which include:

o Using praise and encouragement of good behavior instead of focusing only upon unacceptable behavior

o Reminding a child of behavior expectations daily by using clear, positive statementso Redirecting behavior using positive statementso 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 will be no harsh, cruel, or unusual treatment of any child. The following types of discipline and guidance will not be administered.

Corporal punishment or threats of corporal punishmentPunishment associated with food, naps, or toilet trainingPinching, shaking, or biting a childHitting a child with a hand or instrumentPutting anything in or on a child’s mouthHumiliating, ridiculing, rejecting, or yelling at a childSubjecting a child to harsh, abusive or profane languagePlacing a child in a locked or dark room, bathroom, or closet with the door closedRequiring a child to remain silent or inactive to inappropriately long periods of time for the child’s age

My signature verifies I have read and received a copy of this discipline and guidance policy.

__________________________________________________ __________________ Signature Date

Sunscreen Authorization

We need authorization to apply sun block/ sunscreen. Please indicate which option that is best for your child, taking into consideration allergies, and sensitivity to chemicals, ect.

________ Second Baptist Preschool may apply sunscreen to my child from the bottle that I supply. ________ Second Baptist Preschool may apply sunscreen to my child from the supply that the preschool maintains. Note: Brands may vary. ________ Second Baptist Preschool may NOT apply ANY sunscreen to my child. _____________________________ Childs Name_____________________________Parent Signature____________________________Date

In an attempt to have better communication with you, please fill out the form below and turn back in.

Mother’s Name: ____________________________________________________________________________

Mother’s Cell Number: ______________________________________________________________________

Do you receive texts? ________________________________________________________________________

Mother’s Work Number: _____________________________________________________________________

Email Address: _____________________________________________________________________________

Which method is best to reach you? (Please circle) CELL TEXT EMAIL WORK

Father’s Name: _____________________________________________________________________________

Father’s Cell Number: ______________________________________________________________________

Do you receive texts? ________________________________________________________________________

Father’s Work Number: _____________________________________________________________________

Email Address: _____________________________________________________________________________

Which method is best to reach you? (Please circle) CELL TEXT EMAIL WORK

Would you like us to contact you when: We have a minor behavior issue with your child (ex: talking back, not listening)

Yes or No, if yes who should we contact first: ____________________________________________________ We have a moderate behavior issue with your child (ex: they need to go to the Director’s office)

Yes or No, if yes who should we contact first: ____________________________________________________ Your child is complaining about nausea, headache, feeling bad, running a very low grade fever (and

exhibits those signs) but symptoms alone are not bad enough to send home yet (ex: your child is only running a temperature of 99.9, or very tired and complaining of a stomachache, or has been crying for over 30 minutes and will not calm down)

Yes or No, if yes who should we contact first: ____________________________________________________

Would you like to receive texts or emails about our upcoming events? Yes or No

Note: We will contact you immediately if your child is running a 100.4 fever, vomits, has multiple bouts of diarrhea, or shows sign of pink eye or other contagious viruses. Please see our handbook for a full description of our health policy. We will also contact you immediately with any serious behavior issue such as: fighting, cursing, or has an uncontrollable outburst.