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  • Encouraging Kids Family Resource Center

    Enrollment Form

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  • Child Enrollment Form

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  • Emergency Contacts:

    Available to pick up your child in an emergency if you cannot be reached
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  • Encouraging Kids Family Resource Center

  • Family Information

  • Medical Declaration Statement for School-Aged Care

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  • Browse Files
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  • **IMMUNIZATION RECORD MUST BE SUBMITTED WITH APPLICATION – NO EXCEPTIONS

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  • Parent’s insurance or medical assistance plan: Name of Insurance/Company:

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  • Personal Information Record for School-Aged Children

  • Authorization to Leave the Premises

  • I, (name of parent/guardian) permit my child Encouraging Kids Family Resource Center Respite Programs on predesignated dates as indicated on Respite Calendar(s) for the following purposes:

    Field Trips/Outings Walks Other outdoor activities In case of an emergency

  • Permission to Use Sunscreen

  • My child, before going outside on warm, sunny days. I, (name of parent/guardian) will provide sunscreen with a sun protection factor (SPF) of 15 or more; without Paba as per EKFRC’s recommendation. Paba gives some children blotchy rashes. I will also make my child’s name of his/her sunscreen PLASTIC container with a permanent marker and keep it in my child’s bag at the facility.

  • Sick Child Policy

  • *New protocols are in place to screen for signs or symptoms of COVID-19. These include screening all adults and children for fever prior to entering the premises, questions regarding exposure, etc. All staff wear protective equipment (masks, face shields, gloves) while on the premises. Disinfecting processes ongoing throughout the day and deep cleaning every evening.

    We understand the need for parents to have safe, regular, reliable care for their children. We also know how difficult it may be to stay home with a sick child; especially when parents are working full-time. to maintain a safe, healthy, nurturing environment for everyone.

    Our priority here at Encouraging Kids is is to keep everyone safe and healthy. To do this we must insist that you keep your child home if he/she has ANY of the following:


    • Fever, irritability, lethargy, persistent crying, or difficulty breathing - can be signs of illness.

    • An upper respiratory illness , such as bronchiolitis or influenza.

    • The common cold with coughing, sneezing, runny nose.

    • Diarrhea, Vomiting, Bloody stools or stools containing mucus. These could be the sign of a viral or bacterial infection. (Give your doctor a call!)

    • Rash. This is reason to keep your child home unless you know for sure that it's not linked to an infection (for example, if you know it's a reaction to eating strawberries).

    • Chicken pox. Child is no longer contagious once all the sores have dried and crusted over.

    • Impetigo. Kids with this skin disease are no longer contagious after 24 hours of antibiotics.

    • Scabies. Once treated with a topical insecticide, it's no longer contagious.

    • Bacterial conjunctivitis (pinkeye) and yellow discharge from the eye.

    • Strep throat. It's usually not contagious after 24 hours of antibiotics.

    • Mouth sores that cause excessive drooling. Wait until your doctor says they're not infectious

    • Head lice. Your child can return after he or she has been thoroughly treated.

    • Any other contagious diseases or illnesses not listed above.


    *Program supervisors are responsible for deciding whether children are too ill to remain at our programs.


    If you are contacted to pick up your child; we expect you to be there as soon as possible. If we cannot reach you; we expect someone else on your child’s emergency contact list will pick your child up. If your child is not picked up within 60 minutes of our call we must, as mandatory reporters, contact DCP&P (formerly DYFS) to have them pick up your child until you can be reached. We can all work together to keep our children as healthy as possible.

  • After submitting this form and mandatory NJ Department of Children & Families / Dept of Health you will be contacted by our staff for a virtual intake with one of our staff members.

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