Employee Child Care Discount (Kiddie Academy of Bellevue)

Kiddie Academy of Bellevue

Employee Child Care Discount Request
Qualified employees may be eligible for a discount on monthly tuition fee of a qualified child (“Employee Discount Program”). Please fill this form to request the discount .

Several other conditions (including the following) are applicable for determining discount eligibility.

By signing below, you are agreeing to the following:
1. This form and enrollment/re-enrollment paperwork should be filled up and provided to Kiddie Academy.
2. Employee Discount Program is available to Full Time employees only.
3. The discount is offered on monthly tuition fee per company policy up to a maximum benefit of $10,000 in the aggregate per family per calendar year.
4. Employee Discount Program is available on limited seats, in select classrooms and at limited locations. The discount is provided at sole discretion of Kiddie Academy and may be modified or discontinued by Kiddie Academy at any time at its discretion.
5. Employee Discount Program may not be combined with other offers, promotions or discounts.
6. Kiddie Academy may choose not to award employee discount, change terms of the Discount Program or discontinue the Discount Program completely at any time at its sole and absolute discretion.
7. You must make pickup and drop off arrangements for your child in a manner that do not interfere with your duties and work schedule.
8. You are welcome to share your concerns or comments about the program and/or care of your child with the Academy Director. Please exercise prudence while sharing your comments with the teachers and other staff members, as in addition to a parent-caregiver relation, you have a special co-worker relationship.
9. All policies and procedures including those listed in Parent Handbook and disenrollment notice requirements apply.
10. Kiddie Academy reserves the right to ask you to disenroll your child from the program if there is a negative impact on your performance, your schedule or the quality of program.
11. Child care benefits you receive under this program may be subject to taxes. You are responsible for all applicable taxes and withholdings for the benefits you receive under this program.
12. Other conditions apply. Please see the Academy Director for details.
Child's Name*

First NameLast Name
Parent Name (Employee)*

First NameLast Name
Parent's Company Email ID*
example@KALocation.com
Parent Signature:*
Academy Location
Academy Email
example@example.com
Academy Director's Section

If this request is approved by Director, the request will go to Area Manager and on Area Manager's approval, the request will be sent to Accounting for approval. If this request is rejected by the Director, the Employee will be notified. If request is rejected by Area Manager or Accounting, Director will be notified.
Director Name*
Name of Director or person processing this section
Employee’s Employment Start Date with KAGS:*

MonthDayYear
Date
Child's Start Date*

MonthDayYear
Date
Childcare Discount Start Date*

MonthDayYear
Date
FTE Enrollment Count as of Discount Start Date*
Count of full time students enrolled in program on the day this child discount will start.
Other Staff & Student already getting Childcare Discount
List name of staff and their child who are currently getting childcare discount at your location
Future Start Date entered. Childcare discount available after the employee has started.
Today's Date

MonthDayYear
Date
Days Employed Calculation
Employee Discount
Childcare Discount policy effective Sept 1, 2022: (From Employee's Start Date until 1st anniversary: 75%; 2nd, 3rd, and 4th year of Employment: 90%; 5th year of Employment and onwards: 100%)
Notes for Directors:
1. Verify employee's employment tenure before approving the request
2. Verify that a seat is available before approving this request. Generally, One (1) seat is available for employees per 50 enrolled FTEs
3. Employee must be wokring Full Time and in good standing to be eligible for child care discount
4. Child's DEA must reflect the discount percentage
5. Once the request is approved by you, the Area Manager and the Accountant, please meet with the employee and review all the terms and conditions listed at the top of this form.
Director Approval*
Director Approval Comments*
These comments will be emailed to the Area Manager.
Director Rejection Comments (Emailed to Employee)*
These comments will be emailed to the employee. Please contact the employee to discuss this in person.
Area Manager's Section

If this request is approved by Area Manager, this request will go to Accounting and on Accounting's approval the Director, Employee and Area Manager will be notified. If this request is rejected by the Area Manager, the Director will be notified.
Area Manager Name
Hidden field, only used in emails
Area Manager Approval
Area Manager Approval Comments (Emailed to Director & Accountant)*
These comments will be emailed to Director & Accountant
Area Manager Rejection Comments (Emailed to Director)*
These comments will be emailed to Director
Accounting Section

For Accountant's Review & Processing
Accounting Approval
Accounting Approval Comments (Internal use only)*
An approval email is sent to Director, Area Manager and Employee. Internal Comments are NOT included in the email
Accounting Rejection Comments (Emailed to Director and Area Manager)*
These comments will be sent to the Director and Area Manager.
Should be Empty:

Kiddie Academy of Bellevue

Academy Director's Section

Area Manager's Section

Accounting Section