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  • Project Promise K - 5

    2020 Summer Enrollment Application
  • Instructions

    1. Student's photograph * must be taken and saved to the tablet or electronic device used to complete this application BEFORE  entering any information into the form below. 
    2. A photograph * of the signed and dated Influenza Virus DCF Form, complete with Parent/Guardian and Child's Name, must be taken and saved to the tablet or electronic device used to complete this application BEFORE entering any information into the form below. (Note: The upload button for the Influenza Virus DCF Form will appear on the last page of the application.)
    3. Any additional photographs *  or documents * that need to be uploaded to this form must be saved to the tablet or electronic deviced used to complete this application  BEFORE  entering any information into the form below. Additonal photographs include photographs of persons not allowed to pick up student; additional documents include court orders or letters from doctor(s). 

    *Uploaded photographs must be less than 10 MB.

    ** Required fields are marked with an (*). 

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  • Family Information

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  • Emergency Contacts

    Authorized Person(s) Allowed to Pick Up Your Child
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  • Is there any person NOT allowed to pick up your child?

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  • Medical Information

  • In case of emergency, Project Promise staff will call 911 and attempt to contact the parent/legal guardian and/or emergency contacts listed. 

    Please provide Project Promise with medical personnel contact information in case emegregency medical responders need it and contact cannot be made with parents/guardians. 

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  • Privacy Rights & Authorizations

  • PRIVACY RIGHTS

  • PERMISSION TO EVALUATE PROGRAMS AND TRACK STUDENT PROGRESS

  • FLORIDA CHILD CARE STANDARDS AND STATUTES

    • Section 402.3125(5), F.S., requires that parents receive a copy of the Child Care Facility Brochure, "Know Your Child Care Facility" (CF/PI 175-24). 
    • Section 65C-22.006(3)(c)2., F.A.C., requires that parents are notified in writing of the disciplinary practices used by the child care facility. 
  • Program Expecations

  • Please read and check each program expectation, and initial each section. By initialing and signing at the bottom, you agree to comply with each requirement.

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  • Your signature below indicates that you have received the items on the Florida Child Care Standards and Statutes, all of the program expecations, and that the information on this enrollment form is complete and accurate. Additionally. your child may be withdrawn from the program if all policies and procedures are not followed by you or your child. 

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